An interventional study of a non-traditional (i.e., not typically available in the supermarket) blueberry cultivar bred using natural plant breeding techniques and established as having enhanced nutritive value and a standard commercially available blueberry variety (i.e., cultivar) in Healthy, sponsored by North Carolina State University. Completed at 1 site in United States. Open to participants aged 25 Years to 65 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-02-09.
Sponsored by North Carolina State University · Not applicable, Interventional, and Basic science
This study will evaluate the availability of phytonutrients in two blueberry varieties, chosen for their phytonutrient levels. This will be compared to phytonutrient-matched processed protein bar and a macronutrient-matched control meal, in healthy human volunteers. Blueberry phytonutrients will be analyzed in blood and urine over a four-day period, 48h prior to consumption and 48h after. The participants will consume each of the four meals over a 3-month period (4-way crossover design, 4 blocks of 4-day periods). The main objective of this study is to compare the proportions of blueberry phytonutrients recovered in the blood and urine after ingestion of the four treatments. We hypothesize that phytonutrient content will be predictive of human bioavailability and that a berry-enriched processed product will have similar phytonutrient bioavailability to unprocessed berries.
The results of this study may establish if the nutritional value of a berry can be predicted or enhanced to provide elevated nutritional quality, with the ultimate goal of maximizing the health benefits of fruit consumption. As it is challenging for many to increase their fruit and vegetable intake to government recommended levels (5+ servings per day), the present proof-of-concept study explores a reasonable approach to help consumers achieve optimal health associated with high fruit and vegetable intakes, within the context of current consumption patterns, through enhancement of the nutritional density and bioavailability of common fruits and consumer products.
This study will evaluate the availability of phytonutrients in two blueberry varieties, chosen for their phytonutrient levels. This will be compared to phytonutrient-matched processed protein bar and a macronutrient-matched control meal, in healthy human volunteers. Blueberry phytonutrients will be analyzed in blood and urine over a four-day period, 48h prior to consumption and 48h after. The participants will consume each of the four meals over a 3-month period (4-way crossover design, 4 blocks of 4-day periods).
The main objective of this study is to compare the proportions of blueberry phytonutrients recovered in the blood and urine after ingestion of the four treatments.
After eligibility is confirmed, subjects will be randomly assigned to the four berry related interventions. The consumption of each intervention corresponds to one study period, which are separated by one-week washout. Blood will be collected at baseline and across 48h (1h, 3h, 6h, 9h, 24h, 48h) after intervention consumption while urine will be collected for 48h before and after intervention (-48h, -24h, 0-9h, 9-24h, 24-48h).
North Carolina State University is the lead sponsor of 26 studies on the registry; 11 are open to participants now.
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Exclusion Criteria:
Single-time consumption of 150 g phytochemical-rich blueberry per participant.
Other: a non-traditional (i.e., not typically available in the supermarket) blueberry cultivar bred using natural plant breeding techniques and established as having enhanced nutritive value
Single-time consumption of 150 g phytochemical-poor blueberry per participant.
Other: a standard commercially available blueberry variety (i.e., cultivar)
Single-time consumption of blueberry-rich protein bar matched for 150 g blueberry phytochemicals.
Other: a "minimally processed" blueberry-rich protein bar
Single-time consumption of control beverage matched for the macronutrient content of the blueberry-rich protein bar.
Other: a control beverage of matched-nutritive content
150 g of a non-traditional (i.e., not typically available in the supermarket) blueberry cultivar bred using natural plant breeding techniques and established as having enhanced nutritive value. Dietary restrictions will be observed (i.e. avoidance of food or supplements containing berry phytonutrients) for 7 days before each arm visit and throughout the study days.
150 g of a standard commercially available blueberry variety (i.e., cultivar). Dietary restrictions will be observed (i.e. avoidance of food or supplements containing berry phytonutrients) for 7 days before each arm visit and throughout the study days.
A "minimally processed" blueberry-rich protein bar matched to the phytonutrient content of the 150 g of the non-traditional blueberry. Dietary restrictions will be observed (i.e. avoidance of food or supplements containing berry phytonutrients) for 7 days before each arm visit and throughout the study days.
The matched nutritive content of the blueberry-rich protein bar will be dissolved in whey protein Dietary restrictions will be observed (i.e. avoidance of food or supplements containing berry phytonutrients) for 7 days before each arm visit and throughout the study days.
Total Urinary Recovery of (Poly)Phenolic Metabolites Across Treatments
Concentration of 185 (poly)phenolic metabolites in urine was measured after consumption of the treatments using broad spectrum metabolomic analysis via UPLC-MS/MS (ultra-performance liquid chromatography coupled with tandem mass spectrometry). Recovery of each metabolite was calculated by multiplying the concentration of the metabolite (ng/mL) by the volume of urine (mL) in each collection then converted to milligrams. The total urinary recovery of each (poly)phenolic metabolite was assessed as a measurement of their bioavailability, and it was established as the sum of the recovery from each urine collection (0 h to 48 h postintervention) minus the mean of the 48 h and 24 h baseline collections per participant and treatment. Then, it was averaged across participants per treatment and per metabolite, and further summed across metabolites. Therefore, data reported for each treatment represents the sum of the means of total urinary recovery across (poly)phenolic metabolites.
Time frame: 4 days of urine collection per intervention; -48, -24, 0-9, 9-24 and 24-48 hours collections of urine.
Serum Area Under the Curve (AUC) of (Poly)Phenolic Metabolites Across Treatments
Concentration of 185 (poly)phenolic metabolites in blood was measured after consumption of the treatments using broad spectrum metabolomic analysis via UPLC-MS/MS (ultra-performance liquid chromatography coupled with tandem mass spectrometry). The area under the curve (AUC) of each (poly)phenolic metabolite in serum was assessed as a measurement of the bioavailability of these metabolites per participant and treatment. It was calculated using concentration and time data in the software Phoenix WinNonlin (version 8.3, Certara). Then, AUC was averaged across participants per treatment and per metabolite, and the mean AUCs were further summed across metabolites. Therefore, data reported for each treatment represents the sum of the means of AUC across (poly)phenolic metabolites.
Time frame: 3 days of blood collection per intervention; 1 baseline collection, followed by 1, 3, 6, 9, 24 and 48 hours post-treatment collections of blood.
Maximum Serum Concentration [Cmax] of (Poly)Phenolic Metabolites Between the Treatments
Concentration of 185 (poly)phenolic metabolites in serum was measured after consumption of the treatments using broad spectrum metabolomic analysis via UPLC-MS/MS (ultra-performance liquid chromatography coupled with tandem mass spectrometry). The maximum serum concentration \[Cmax\] of each (poly)phenolic metabolite in serum was calculated per participant and treatment using concentration and time data in the software Phoenix WinNonlin (version 8.3, Certara). Then, it was averaged across participants per treatment and per metabolite, and further averaged across metabolites. Therefore, data reported for each treatment represents the mean of the means of Cmax across (poly)phenolic metabolites.
Time frame: 3 days of blood collection per intervention; 1 baseline collection, followed by 1, 3, 6, 9, 24 and 48 hours post-treatment collections of blood.
Time at Maximum Concentration [Tmax] of (Poly)Phenolic Metabolites in Serum Between the Treatments
Concentration of 185 (poly)phenolic metabolites in serum was measured after consumption of the treatments using broad spectrum metabolomic analysis via UPLC-MS/MS (ultra-performance liquid chromatography coupled with tandem mass spectrometry). The time at maximum serum concentration \[Tmax\] of each (poly)phenolic metabolite in serum was calculated per participant and treatment using concentration and time data in the software Phoenix WinNonlin (version 8.3, Certara). Then, it was averaged across participants per treatment and per metabolite, and further averaged across metabolites. Data reported for each treatment represents the mean of the means of Tmax across (poly)phenolic metabolites.
Time frame: 3 days of blood collection per intervention; 1 baseline collection, followed by 1, 3, 6, 9, 24 and 48 hours post-treatment collections of blood.
75 participants were recruited and screened from the local community surrounding the North Carolina Research Campus, Kannapolis, North Carolina, between December 2019 and July 2021. Clinical screening and interventions were conducted at the Human Research Core at the Nutrition Research Institute (University of North Carolina-Chapel Hill). The trial was completed in October 2021.
| Milestone | Phytochemical-rich and -Poor Blueberry Varieties, Blueberry-rich Protein Bar and a Control Beverage |
|---|---|
| Started | 29 |
| Phytochemical-rich blueberry variety | 18 |
| Phytochemical-poor blueberry variety | 23 |
| "minimally processed" blueberry-rich protein bar | 22 |
| Blueberry control beverage of matched-nutritive content | 23 |
| Completed | 18 |
| Not completed | 11 |
| Withdrew: Discontinued intervention (covid-19) | 2 |
| Withdrew: Non-compliance | 3 |
| Withdrew: Lost to follow-up | 1 |
| Withdrew: Lack of availability | 3 |
| Withdrew: Discomfort | 2 |
Concentration of 185 (poly)phenolic metabolites in urine was measured after consumption of the treatments using broad spectrum metabolomic analysis via UPLC-MS/MS (ultra-performance liquid chromatography coupled with tandem mass spectrometry). Recovery of each metabolite was calculated by multiplying the concentration of the metabolite (ng/mL) by the volume of urine (mL) in each collection then converted to milligrams. The total urinary recovery of each (poly)phenolic metabolite was assessed as a measurement of their bioavailability, and it was established as the sum of the recovery from each urine collection (0 h to 48 h postintervention) minus the mean of the 48 h and 24 h baseline collections per participant and treatment. Then, it was averaged across participants per treatment and per metabolite, and further summed across metabolites. Therefore, data reported for each treatment represents the sum of the means of total urinary recovery across (poly)phenolic metabolites.
| mg | Phytochemical-rich Blueberry Variety (Elliott Blueberry Variety) | Phytochemical-poor Blueberry Variety (Olympia Blueberry Variety) | "Minimally Processed" Blueberry-rich Protein Bar | Control Beverage of Matched-nutritive Content |
|---|---|---|---|---|
| Total Urinary Recovery of (Poly)Phenolic Metabolites Across Treatments | 179.50 | 142.41 | 127.78 | 83.15 |
Concentration of 185 (poly)phenolic metabolites in blood was measured after consumption of the treatments using broad spectrum metabolomic analysis via UPLC-MS/MS (ultra-performance liquid chromatography coupled with tandem mass spectrometry). The area under the curve (AUC) of each (poly)phenolic metabolite in serum was assessed as a measurement of the bioavailability of these metabolites per participant and treatment. It was calculated using concentration and time data in the software Phoenix WinNonlin (version 8.3, Certara). Then, AUC was averaged across participants per treatment and per metabolite, and the mean AUCs were further summed across metabolites. Therefore, data reported for each treatment represents the sum of the means of AUC across (poly)phenolic metabolites.
| ng*h/mL | Phytochemical-rich Blueberry Variety (Elliott Blueberry Variety) | Phytochemical-poor Blueberry Variety (Olympia Blueberry Variety) | "Minimally Processed" Blueberry-rich Protein Bar | Control Beverage of Matched-nutritive Content |
|---|---|---|---|---|
| Serum Area Under the Curve (AUC) of (Poly)Phenolic Metabolites Across Treatments | 3889.34 | 3049.40 | 3515.23 | 2704.96 |
Concentration of 185 (poly)phenolic metabolites in serum was measured after consumption of the treatments using broad spectrum metabolomic analysis via UPLC-MS/MS (ultra-performance liquid chromatography coupled with tandem mass spectrometry). The maximum serum concentration \[Cmax\] of each (poly)phenolic metabolite in serum was calculated per participant and treatment using concentration and time data in the software Phoenix WinNonlin (version 8.3, Certara). Then, it was averaged across participants per treatment and per metabolite, and further averaged across metabolites. Therefore, data reported for each treatment represents the mean of the means of Cmax across (poly)phenolic metabolites.
| ng/mL | Phytochemical-rich Blueberry Variety (Elliott Blueberry Variety) | Phytochemical-poor Blueberry Variety (Olympia Blueberry Variety) | "Minimally Processed" Blueberry-rich Protein Bar | Control Beverage of Matched-nutritive Content |
|---|---|---|---|---|
| Maximum Serum Concentration [Cmax] of (Poly)Phenolic Metabolites Between the Treatments | 15.37 (0.43 to 63.75) | 8.44 (0.36 to 25.82) | 11.15 (0.37 to 28.17) | 6.96 (0.21 to 32.34) |
Concentration of 185 (poly)phenolic metabolites in serum was measured after consumption of the treatments using broad spectrum metabolomic analysis via UPLC-MS/MS (ultra-performance liquid chromatography coupled with tandem mass spectrometry). The time at maximum serum concentration \[Tmax\] of each (poly)phenolic metabolite in serum was calculated per participant and treatment using concentration and time data in the software Phoenix WinNonlin (version 8.3, Certara). Then, it was averaged across participants per treatment and per metabolite, and further averaged across metabolites. Data reported for each treatment represents the mean of the means of Tmax across (poly)phenolic metabolites.
| hour | Phytochemical-rich Blueberry Variety (Elliott Blueberry Variety) | Phytochemical-poor Blueberry Variety (Olympia Blueberry Variety) | "Minimally Processed" Blueberry-rich Protein Bar | Control Beverage of Matched-nutritive Content |
|---|---|---|---|---|
| Time at Maximum Concentration [Tmax] of (Poly)Phenolic Metabolites in Serum Between the Treatments | 6.35 (3.65 to 10.34) | 6.96 (2.91 to 12.35) | 7.70 (2.48 to 16.66) | 9.96 (1.33 to 19.83) |
Collected over From participant enrollment to study completion (3.9 ± 1.7-mo period).. Non-serious events are listed at a 0% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| a Phytochemical-rich Blueberry Variety (Elliott Blueberry Variety) | 0/18 (0%) | 0/18 (0%) | 0/18 (0%) |
| a Phytochemical-poor Blueberry Variety (Olympia Blueberry Variety) | 0/18 (0%) | 0/18 (0%) | 0/18 (0%) |
| a "Minimally Processed" Blueberry-rich Protein Bar | 0/18 (0%) | 0/18 (0%) | 0/18 (0%) |
| a Blueberry Control Beverage of Matched-nutritive Content | 0/18 (0%) | 0/18 (0%) | 0/18 (0%) |
Baseline data shown from baseline visits of participants who completed participation in the study across all four arms/groups (i.e., 18 participants).
| Age, Continuous(years) | Phytochemical-rich and -Poor Blueberry Varieties, Blueberry-rich Protein Bar and a Control Beverage |
|---|---|
| Mean | 42.06 ± 12.53 |
| Sex: Female, Male(Participants) | Phytochemical-rich and -Poor Blueberry Varieties, Blueberry-rich Protein Bar and a Control Beverage |
|---|---|
| Female | 11 |
| Male | 7 |
| Race and Ethnicity Not Collected(Participants) | Phytochemical-rich and -Poor Blueberry Varieties, Blueberry-rich Protein Bar and a Control Beverage |
|---|
| Region of Enrollment(participants) | Phytochemical-rich and -Poor Blueberry Varieties, Blueberry-rich Protein Bar and a Control Beverage |
|---|---|
| United States | 18 |
| Systolic Blood pressure, mmHg(mmHg) | Phytochemical-rich and -Poor Blueberry Varieties, Blueberry-rich Protein Bar and a Control Beverage |
|---|---|
| Mean | 116.12 ± 13.00 |
| Diastolic Blood pressure, mmHg(mmHg) | Phytochemical-rich and -Poor Blueberry Varieties, Blueberry-rich Protein Bar and a Control Beverage |
|---|---|
| Mean | 71.54 ± 7.63 |
| BMI, kg/m2(kg/m2) | Phytochemical-rich and -Poor Blueberry Varieties, Blueberry-rich Protein Bar and a Control Beverage |
|---|---|
| Mean | 24.75 ± 2.99 |
| Weight (kg)(kg) | Phytochemical-rich and -Poor Blueberry Varieties, Blueberry-rich Protein Bar and a Control Beverage |
|---|---|
| Mean | 73.8 ± 13.72 |
1 further baseline measures are reported on the registry.
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