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Effect of Sulforaphane in Broccoli Sprouts on Nrf2 Activation

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.
 
ClinicalTrials.gov Identifier: NCT01315665
Recruitment Status : Completed
First Posted : March 15, 2011
Results First Posted : February 15, 2017
Last Update Posted : February 15, 2019
Sponsor:
Collaborator:
Cystic Fibrosis Foundation
Information provided by (Responsible Party):
James F. Chmiel, University Hospitals Cleveland Medical Center

Brief Summary:
The purpose of this study to investigate the effect of sulforaphane from macerated broccoli sprouts in humans and to evaluate less invasive methods of assessing potential anti-inflammatory drugs in CF.

Condition or disease Intervention/treatment Phase
Cystic Fibrosis Dietary Supplement: Broccoli sprouts Not Applicable

Detailed Description:

The hypothesis to be tested is that sulforaphane consumed from macerated broccoli sprouts will activate Nrf2, reduce oxidative metabolites and reduce neutrophils in the oral mucosa after 5 days of therapy in healthy volunteers and CF subjects.

The study requires 6 brief outpatient visits over 8 days. Study procedures include medical history, height, weight, vital signs, blood and urine collection, nasal curettage, saline mouthwash, and ingestion of broccoli sprouts (100 gm of 3 to 5 day old raw broccoli sprouts once daily for 5 consecutive days).

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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 15 participants
Allocation: Non-Randomized
Intervention Model: Single Group Assignment
Masking: None (Open Label)
Primary Purpose: Basic Science
Official Title: Evaluation of the Effect of Sulforaphane in Broccoli Sprouts on Nrf2 Activation, Measures of Oxidative Stress, and Neutrophil Migration to Mucosal Surfaces in Healthy and CF Subjects
Study Start Date : April 2011
Actual Primary Completion Date : February 2013
Actual Study Completion Date : February 2013

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Cystic Fibrosis

Arm Intervention/treatment
Experimental: Healthy volunteers
100 grams of raw broccoli sprouts once daily for 5 consecutive days
Dietary Supplement: Broccoli sprouts
Subjects (both healthy volunteers and subjects with cystic fibrosis) will consume 100 gm of raw broccoli sprouts once daily for 5 consecutive days.
Other Name: sulforaphane

Experimental: Subjects with cystic fibrosis
100 grams of raw broccoli sprouts once daily for 5 consecutive days
Dietary Supplement: Broccoli sprouts
Subjects (both healthy volunteers and subjects with cystic fibrosis) will consume 100 gm of raw broccoli sprouts once daily for 5 consecutive days.
Other Name: sulforaphane




Primary Outcome Measures :
  1. Nrf2 Activation in Nasal Epithelial Cells [ Time Frame: Baseline and of end of 5 day treatment period ]
    Number of subjects with activated Nrf-2 in the cytoplasm of nasal epithelial cells after 5 days of study treatment (consuming broccoli sprouts)


Secondary Outcome Measures :
  1. Measures of Lipid Peroxidation in Nasal Epithelial Cells [ Time Frame: End of 5 day treatment period ]
    Products of lipid peroxidation will be determined by western blot analysis on nasal epithelial cells obtained by curettage after 5 days of study treatment (consuming broccoli sprouts)

  2. Measures of Glutathione From Blood Lymphocytes [ Time Frame: Baseline and end of 5 day treatment period ]
    Change in lymphocyte glutathione measurements after 5 days of study treatment (consuming broccoli sprouts).

  3. Measures of Oxidative Stress in Urine [ Time Frame: Baseline and end of 5 day treatment period ]
    Change in urine bromotyrosine (measured by mass spectrometry) will be measured after 5 days of study treatment (consuming broccoli sprouts).

  4. Measure of Neutrophil Migration Into the Gingival Crevices [ Time Frame: Baseline and end of 5 day treatment period ]
    Change in gingival neutrophils measured after 5 days of study treatment (consuming broccoli sprouts). Patients will perform mouthwashes with normal saline. Neutrophil counts will be performed on fresh samples. Acridine orange will be added to the saline rinses and neutrophils will be counted under the microscope.



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Ages Eligible for Study:   18 Years to 49 Years   (Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  • Healthy volunteers and patients with cystic fibrosis ≥ 18 < 50 years of age
  • Healthy volunteers must be in general good health as determined by a medical history
  • CF subjects must have a documented diagnosis of CF (positive sweat chloride ≥ 60 mEq/liter, by pilocarpine iontophoresis) and/or a genotype with two identifiable mutations consistent with CF accompanied by one or more clinical features with the CF) phenotype
  • CF subjects must have a baseline FEV1 percent predicted > 50% (in the last year, obtained from medical record)
  • CF subjects must be clinically stable: free of any acute illness for > 14 days CF subjects must not have been prescribed any new systemic antibiotics for the 14 days prior to enrollment
  • Ability to provide written informed consent
  • Ability to adhere to the protocol

Exclusion Criteria:

  • Use of NSAIDS (e.g., ibuprofen) or corticosteroids including inhaled steroids for the 4 weeks prior to enrollment
  • Active gingival disease (active tooth or gum disease)
  • History of nephrolithiasis or cholelithiasis
  • Allergy to broccoli
  • Any chronic condition that compromises the participant as determined by medical history
  • Pregnancy
  • Inability to tolerate the study procedures
  • CF subjects: Infected with B. cepacia

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT01315665


Locations
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United States, Ohio
Rainbow Babies and Children's Hospital
Cleveland, Ohio, United States, 44106
Sponsors and Collaborators
University Hospitals Cleveland Medical Center
Cystic Fibrosis Foundation
Investigators
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Principal Investigator: James F. Chmiel, MD, MPH Rainbow Babies and Children's Hospital
Publications:

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Responsible Party: James F. Chmiel, Associate Professor of Pediatrics, University Hospitals Cleveland Medical Center
ClinicalTrials.gov Identifier: NCT01315665    
Other Study ID Numbers: UHCMC-CFRC-2011-01
First Posted: March 15, 2011    Key Record Dates
Results First Posted: February 15, 2017
Last Update Posted: February 15, 2019
Last Verified: January 2019
Keywords provided by James F. Chmiel, University Hospitals Cleveland Medical Center:
broccoli sprouts
sulforaphane
triterpenoid
Nrf2 activation
cystic fibrosis
healthy volunteers
anti-inflammatory
Additional relevant MeSH terms:
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Cystic Fibrosis
Fibrosis
Pathologic Processes
Pancreatic Diseases
Digestive System Diseases
Lung Diseases
Respiratory Tract Diseases
Genetic Diseases, Inborn
Infant, Newborn, Diseases
Sulforaphane
Anticarcinogenic Agents
Protective Agents
Physiological Effects of Drugs
Antineoplastic Agents