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CompletedNCT03449849Updated Sep 12, 2018

Effect of Kale Consumption on Human Xenobiotic Metabolizing Enzymes

An interventional study of Base Diet and Kale Treatment in Healthy Volunteers, sponsored by USDA Beltsville Human Nutrition Research Center. Completed at 1 site in United States. Open to participants aged 21 Years to 75 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2018-09-12.

Sponsored by USDA Beltsville Human Nutrition Research Center · Not applicable, Interventional, and Other

Phase
Not applicable
Study type
Interventional
Enrollment
27
Allocation
Randomized
Ages
21 Years to 75 Years
Sex
All
01

Study summary

The primary objective of this study is to determine how daily consumption of kale changes the activity of human xenobiotic metabolizing enzymes. Secondary objectives are to measure absorption and metabolism of kale phytonutrients, and to determine how kale consumption affects gene expression related to metabolism and lipid measures associated with cardiovascular health.

Read the detailed description

Consumption of Brassica vegetables (which include broccoli, cabbage, and kale) is inversely associated with the incidence of several cancers, including cancers of the lung, stomach, liver, colon, rectum, breast, endometrium, and ovaries. Brassica vegetables are a good source of many nutrients, but the unique characteristic of Brassicas is their rich content of glucosinolates. Glucosinolates are sulfur-containing compounds that are converted to bioactive metabolites by a plant enzyme called myrosinase, which is released when the vesicles containing myrosinase are ruptured by chewing or cutting. These bioactive compounds are considered to be the active agent for cancer prevention. Their ability to reduce risk of cancer may derive in part from their ability to modulate foreign-substance metabolizing enzymes, which include enzymes called Phase I cytochrome P450s and Phase II enzymes.

The primary aim of this study is to investigate how daily consumption of kale influences foreign-substance metabolizing enzymes, which in turn may reduce cancer risk. Secondary aims of this study include measuring metabolism of kale nutrients, effect of kale consumption on fecal microbiota, and how kale consumption influences risk factors for cardiovascular disease.

02

Conditions studied

  • Healthy Volunteers
03

Who can participate

Ages eligible
21 Years to 75 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • 5 years cancer free
  • Not a tobacco product user
  • Blood glucose less than 126 mg/dL
  • Able to voluntarily agree to participate and sign an informed consent document

Exclusion criteria

Exclusion Criteria:

  • Brassica vegetable allergy or intolerance
  • use of oral contraceptives
  • Women who have given birth in the previous 12 months
  • Type 2 diabetes requiring the use of diabetes pills, insulin, or non-insulin shots
  • Use of blood-thinning medications such as Coumadin (warfarin), Dicumarol, or Miradon (anisindione)
  • History of bariatric surgery or nutrient malabsorption disease
  • Pregnant, lactating, or intending to become pregnant during the study period
  • Crohn's disease or diverticulitis
  • Suspected or known strictures, fistulas or physiological/mechanical GI obstruction
  • Self-report of alcohol or substance abuse within the past 12 months and/or current acute treatment or rehabilitation program for these problems (long-term participation in Alcoholics Anonymous is not an exclusion)
04

Study design

Phase
Not applicable
Primary purpose
Other
Allocation
Randomized
Intervention model
Crossover assignment
Masking
Double (Investigator, Outcomes assessor)
Enrollment
27 participants (actual)

Study arms

  • Other
    Base diet

    Subjects will consume a base diet prepared using traditional American foods with a macronutrient composition representative of a typical American diet.

    Other: Base Diet

  • Other
    Kale Treatment

    Subjects will consume 500 g of kale per 2000 kcal of food, split between breakfast and dinner, as a supplement to the base diet.

    Other: Kale Treatment

Interventions

  • OtherBase Diet

    Base Diet

  • OtherKale Treatment

    Base Diet plus Kale

05

What researchers measure

Primary outcomes

  1. CYP1A2 activity will be analyzed

    Plasma will be analyzed for caffeine metabolite ratios

    Time frame: Day 7

  2. CYP1A2 activity will be analyzed

    Plasma will be analyzed for caffeine metabolite ratios

    Time frame: Day 14

  3. CYP1A2 activity will be analyzed

    Plasma will be analyzed for caffeine metabolite ratios

    Time frame: Day 42

  4. CYP1A2 activity will be analyzed

    Plasma will be analyzed for caffeine metabolite ratios.

    Time frame: Day 49

Secondary outcomes

  1. The ability of fecal microbiota to metabolize glucosinolates will be determined

    Fecal samples will be presented with glucosinolates to determine the change in the ability of fecal microbes to metabolize the glucosinolates.

    Time frame: Days 14 and 49.

  2. Metabolites of Kale

    Metabolites of Kale will be measured in plasma and urine.

    Time frame: On days 35 and 36

  3. Fecal microbiota will be analyzed for microbial DNA

    Fecal microbial communities will be determined using DNA extracted from fecal samples.

    Time frame: Days 0, 14, 35, and 49

  4. UGT1A1 activity will be analyzed

    Serum will be analyzed for bilirubin concentration to assess UGT1A1 activity

    Time frame: On days 7, 14, 42, and 49

  5. Glutathione S-transferase alpha concentration

    Glutathione S-transferase alpha concentration will be measured in serum

    Time frame: On days 7, 14, 42, and 49

  6. Total cholesterol

    Total cholesterol will be measured in serum

    Time frame: On days 0, 7, 14, 35, 42, and 49

  7. LDL cholesterol

    LDL cholesterol will be measured in serum

    Time frame: On days 0, 7, 14, 35, 42, and 49

  8. HDL cholesterol

    HDL cholesterol will be measured in serum

    Time frame: On days 0, 7, 14, 35, 42, and 49

  9. Triacylglycerides

    Triacylglycerides will be measured in serum

    Time frame: On days 0, 7, 14, 35, 42, and 49

  10. Apolipoprotein A1

    Apolipoprotein A1 will be measured in serum

    Time frame: On days 0, 7, 14, 35, 42, and 49

  11. Apolipoprotein A2

    Apolipoprotein A2 will be measured in serum

    Time frame: On days 0, 7, 14, 35, 42, and 49

  12. Apolipoprotein B

    Apolipoprotein B will be measured in serum

    Time frame: On days 0, 7, 14, 35, 42, and 49

  13. Changes in gene expression

    messenger RNA concentrations in whole blood will be measured

    Time frame: On days 0, 14, 35, and 49

06

Study locations

1 site
  • USDA-ARS Beltsville Human Nutrition Research Center
    Beltsville, Maryland 20705, United States
07

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

08

Registry details

Key details

Study ID
NCT03449849
Lead sponsor
USDA Beltsville Human Nutrition Research Center
Responsible party
Craig Charron (Research Molecular Biologist, USDA Beltsville Human Nutrition Research Center) — Principal investigator
First posted
Feb 28, 2018
Start date
Apr 18, 2018
Primary completion
Aug 1, 2018
Completion
Aug 1, 2018
Last update
Sep 12, 2018

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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