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OsteoporosisNCT00301353

Effects of Phytoestrogen-rich Diets on Bone Turnover in Postmenopausal Women

A study testing Isoflavones-enriched foods in people with Osteoporosis, run by TNO at 3 sites in 3 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

Osteoporosis is a major health problem. It was hypothesized that isoflavone-containing products may be a potential alternative to HRT for preventing bone loss during the menopausal transition. Read more about this study

Who is it for?
Ages 40 to 65 years, women onlyHealthy volunteers can take part
Conditions the study is for
Osteoporosis
What is being tested?
Isoflavones-enriched foods
How many people
300 participants
Where
3 sitesin 3 countries
Study dates
Oct 2002to Jul 2004
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 40 to 65 years
  • Women only
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Healthy as assessed by the:
  • health and lifestyle questionnaire
  • physical examination
  • results of the pre-study laboratory tests
  • Caucasian women
  • Postmenopausal (≥12 - ≤60 months since last menses), determined by
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  • interview
  • FSH level ≥ 20 IU/l
  • Body Mass Index (BMI) ≥22 - ≤29 kg/m2
  • Voluntary participation
  • Having given their written informed consent
  • Willing to comply with the study procedures
  • Willing to accept use of all nameless data, including publication and the confidential use and storage of all data
  • Willing to accept the disclosure of the financial benefit of participation in the study to the authorities concerned

Who cannot join

  • Participation in any clinical trial including blood sampling and/or administration of products up to 90 days before Day 01 of this study
  • Participation in any non-invasive clinical trial up to 30 days before Day 01 of this study, including no blood sampling and/or oral, intravenous, inhalatory administration of products
  • Osteoporosis, determined by
  • Questionnaire (spontaneous bone fractures, use of medication to treat osteoporosis)
  • DXA scans of the lumbar spine between day -14 and day 1 of the study; exclusion threshold is set at -2z score of BMD
  • Severe scoliosis (curvature of the spine) that could interfere with the ability of the subject to go through the DXA scanning procedure and/or with a correct reading of the DXA scans
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  • Having a history of medical or surgical events that may significantly affect the study outcome, including:
  • surgical menopause (including hysterectomy)
  • antecedents and high familiar incidence of breast and/or endometrial cancer
  • gastrointestinal disease (Crohn's, short bowel syndrome, coeliac disease, gastroenteritis episodes the month before the start of the study)
  • hepatic disease (acute or viral hepatitis, chronic hepatitis)
  • cardiovascular disease and thrombosis
  • impaired renal function
  • severe immune disease
  • endocrine diseases (hyperthyroidism, hyperparathyroidism, IDDM, NIDDM)
  • Food allergy as reported by the subject (with special emphasis on soy products) and reported allergy for sunscreen products
  • Use of concomitant medication including
  • Hormonal replacement therapy (during the study and within the last 6 months before day 01 of the study)
  • Current use of corticosteroids (including Aerosol therapy) or past use for more than 10 days within the last 6 months
  • Osteoporosis treatment (biphosphonates, SERM's, calcitonin, injectable PTH)
  • Other medications known to affect bone metabolism (statins). Use of antibiotics will be carefully recorded.
  • Change in smoking habits for the last 2 months
  • Alcohol consumption > 21 units (drinks)/week
  • Reported unexplained weight loss or gain of > 5 % of usual body weight in the month prior to the pre-study screening
  • Reported slimming or medically prescribed diet
  • Professional sportswomen (> 10 hours extensive sports/week)
  • Reported vegan, vegetarian, macrobiotic food intake
  • Regular intake of soy based foods (>2 servings per week). Participation is possible when the subject is prepared to stop consumption from screening until the end of the study
  • Taking supplements containing isoflavones, in the 3 months prior to enrolment and during the study. Subjects should not start taking calcium and vitamin D supplements during the study. However, subjects who already take calcium and vitamin D supplements should maintain this intake during the study
  • Recent blood or plasma donation (<1 month prior to the start of the study)
  • Not willing to stop blood or plasma donation during the study
  • TNO Nutrition and Food Research personnel, their partner and their first and second generation relatives
  • Not having a general practitioner
  • Not willing to accept information-transfer concerning participation in the study, or information regarding his/her health. For example, laboratory results, findings at health and lifestyle questionnaire interview, or physical examination and eventual adverse events communicated to and from their general practitioner
  • Mental status incompatible with the proper conduct of the study

Trial locations and contacts

3 sites in 3 countries.

3 sites in 3 countries

France1 site
  • Institute National de la Recherche Agronomique

    Saint-Genès-Champanelle, 63122

Other trials in France

Italy1 site
  • National Institute for Research on Food an Nutrition

    Rome, 00178

Other trials in Italy

Netherlands1 site
  • TNO Quality of Life

    Zeist, 3700 AJ

Other trials in Netherlands

About this study

Osteoporosis is a major health problem. It was hypothesized that isoflavone-containing products may be a potential alternative to HRT for preventing bone loss during the menopausal transition. We investigated whether one-year consumption of isoflavone-enriched foods affected bone mineral density, bone metabolism and hormonal status in early postmenopausal women in a randomized double-blind, placebo controlled parallel multi-centre trial.

Read the detailed description

Two hundred and thirty-seven healthy early post-menopausal women (age 53 ± 3 y; time since last menses 33 ± 15 months) consumed isoflavone-enriched foods providing a mean daily intake of 110 mg isoflavone aglycones or control products for 1 yr whilst continuing their habitual diet and lifestyle. Outcome measures included bone mineral density of lumbar spine and total body, markers for bone formation and bone resorption, hormones, isoflavones in plasma and urine, safety parameters and reporting of adverse events.

Conditions
Osteoporosis
Being tested
Isoflavones-enriched foods
Keywords
early menopause, isoflavones/phyto-estrogens, bone metabolism, bone mineral density, hormones
Medical subject headings
Osteoporosis, Primary Ovarian Insufficiency

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Isoflavones-enriched foodsDrug

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Bone mineral density of total body and lumbar spine (DXA)

Secondary outcomes (2)
  1. Blood and urine markers for bone formation (ALP, PINP) and bone resorption (DPD, PYD)

  2. Hormones (estradiol, FSH, LH, SHBG)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted10 Mar 2006 (estimated)
  2. Study startOct 2002
  3. Study completionJul 2004

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Enrolment
300 participants
IDs, dates and publications
ClinicalTrials.gov ID
NCT00301353
Sponsor's protocol ID
Phytos QLRT-2000-00431-WP3
Status last verified
Oct 2002
First submitted
3 Mar 2006
Last updated
21 May 2015
Results posted
No

Publications

  • Brink E, Coxam V, Robins S, Wahala K, Cassidy A, Branca F; PHYTOS Investigators. Long-term consumption of isoflavone-enriched foods does not affect bone mineral density, bone metabolism, or hormonal status in early postmenopausal women: a randomized, double-blind, placebo controlled study. Am J Clin Nutr. 2008 Mar;87(3):761-70. doi: 10.1093/ajcn/87.3.761.

    PubMed 18326616

Questions about this trial

What is this clinical trial studying?

A study testing Isoflavones-enriched foods in people with Osteoporosis, run by TNO at 3 sites in 3 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 14 inclusion and 35 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 21 May 2015. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 3 sites in France, Italy, Netherlands. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Bone mineral density of total body and lumbar spine (DXA). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT00301353, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 21 May 2015.

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