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Osteoporosis, PostmenopausalPhase 1/2NCT02630797

Effect of Blueberries on Bone Turnover

A Phase 1/2 study testing Blueberry Baseline, Blueberry Low and Blueberry Medium in people with Osteoporosis, Postmenopausal and Bone Loss, Age-related, run by Purdue University at 1 site in United States.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

This study uses a bone labeling calcium tracer methodology to compare the dose-response effect of blueberry consumption on calcium retention and bone loss. Post-menopausal women will receive food or beverage products containing freeze-dried blueberries in the amount equivalent to 0.75 (low), 1.5 (medium), and 3 cups… Read more about this study

Who is it for?
Ages 45 to 70 years, women onlyHealthy volunteers can take part
What is being tested?
Blueberry Baseline, Blueberry Low and Blueberry Medium
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
20 participants
Where
1 siteUnited States
Study dates
12 Jan 2017to Aug 2019
Phase
Phase 1/2
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 45 to 70 years
  • Women only
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Female subject is healthy
  • Subject is > 4 years past the onset of natural menopause or total hysterectomy

Who cannot join

  • History of metabolic bone disease or low trauma fractures;
  • Subject taking osteoporosis treatment drugs or glucocorticoids within 6 months of the beginning of the study;
  • Subjects taking bisphosphonates within 2 years of the beginning of the study;
  • History of cancer, thromboembolisms, clotting disorders, uncontrolled hypertension, abnormal thyroid function, malabsorption syndrome, seizure disorders, or heart attack;
  • BMI > 35 kg/m2;
  • Subjects who will not comply with study interventions ;
  • Subjects who will not stop taking natural product supplements of their own selection.

Trial locations and contacts

1 site in 1 country.

United States1 site
  • Department of Nutrition Science Purdue University

    West Lafayette, Indiana, 47907-2059

Other trials in United States

About this study

Official title: Berries and Bones: The Effect of Polyphenolic Metabolites From Blueberries on Bone Turnover

This study uses a bone labeling calcium tracer methodology to compare the dose-response effect of blueberry consumption on calcium retention and bone loss. Post-menopausal women will receive food or beverage products containing freeze-dried blueberries in the amount equivalent to 0.75 (low), 1.5 (medium), and 3 cups (high) of fresh blueberries per day over a 42-day period. The hypothesis is that the polyphenolics found in blueberries will reduce calcium loss from bones.

Read the detailed description

Participants will be dosed with Ca-41, a rare long-lived radioisotope of calcium. After the equilibration of tracer in the body and its deposition in bones (150 days), subjects will be randomized to one of 6 dose sequences, all of which will begin with a 42-day baseline period. During baseline, 24-hour urine will be collected every 14 days. Following baseline, subjects will enter a 42-day intervention period with one of three doses of blueberries equivalent to 0.75 (low), 1.5 (medium), and 3 cups (high) of blueberries per day. Each dose will be provided in the form of freeze-dried blueberry powder incorporated in 2-4 foods or beverages per day. During the intervention, 24-hour urine will be collected weekly for 6 weeks except week 1. After intervention, subjects will enter a 42-day washout period, during which 24-hour urine will be collected every 3 weeks. The entire study duration will be 444 days for subjects who have not been dosed with Ca-41 previously. In a crossover design, all subjects will complete three 42-day intervention periods corresponding to the three doses of blueberries (low, medium, and high), each followed by a 42-day washout period. The dose-response effect of continuous blueberry consumption over a 42-day period on bone resorption in healthy post-menopausal women will be studied by measuring the loss of Ca-41 in urine by Accelerator Mass Spectrometry.

Being tested
Blueberry Baseline, Blueberry Low, Blueberry Medium, Blueberry High
Keywords
Bone Health, Calcium, Osteoporosis, Polyphenolics
Medical subject headings
Osteoporosis, Postmenopausal, Osteoporosis

What participants receive

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

  • Blueberry BaselineDietary supplement

    Before the study beginning, eligible participants will receive a radioactive tracer, Ca-41, by iv infusion. A total of 150 days will be required for the equilibration of tracer in the body i.e. elimination from soft tissue and deposition in the bone. After equilibration, a baseline period of 42 days will occur, during which no blueberry products will be provided.

  • Blueberry LowDietary supplement

    One food or beverage product containing freeze-dried blueberry powder equivalent to 0.75 cups of fresh blueberries will be provided daily for 42 days.

  • Blueberry MediumDietary supplement

    Two food or beverage products containing freeze-dried blueberry powder equivalent to 1.5 cups of fresh blueberries will be provided daily for 42 days.

  • Blueberry HighDietary supplement

    Four food or beverage products containing freeze-dried blueberry powder equivalent to 3 cups of fresh blueberries will be provided daily for 42 days.

Study groups in NCT02630797
Study groupRoleWhat they receive
Blueberry baselinePlacebo comparatorNo blueberry products provided as part of the usual dietary intake
Receives: Dietary Supplement: Blueberry Baseline
Blueberry LowActive comparatorOne blueberry product per day containing an equivalent of 0.75 cups of fresh blueberries provided as part of usual dietary intake for 42 days
Receives: Dietary Supplement: Blueberry Low
Blueberry MediumActive comparatorTwo blueberry products per day containing an equivalent of 1.5 cups of fresh blueberries provided as part of usual dietary intake for 42 days
Receives: Dietary Supplement: Blueberry Medium
Blueberry HighActive comparatorFour blueberry products per day containing an equivalent of 3 cups of fresh blueberries provided as part of usual dietary intake for 42 days
Receives: Dietary Supplement: Blueberry High

What is being measured

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

  1. Ca-41 / Ca ratio in 24-hour urinary excretion to estimate calcium loss from bone

    Urinary Ca-41 excretion will be expressed as Ca-41/Ca ratio, which is unit-less, and converted to a percent change from the baseline value.

    24-hour urine will be collected approximately every 2 weeks during baseline (week 0, 2, 4, and 6), weekly (except for week 1) during the low, medium, and high blueberry dose interventions completed in a randomized order (weeks 8-12, 20-24, 32-36) and every 3 weeks during the washout periods (weeks 15, 18, 27, 30, 39, 42). Ca-41/Ca ratios will be measured by Accelerator Mass Spectrometry.

    Measured: From the beginning of baseline (week 0) to the end of the 3rd washout period (week 42)

Secondary outcomes (9)
  1. Fasting blood and urine analysis of blueberry polyphenolic metabolites

    Polyphenol concentrations in urine and serum will be expressed in molar units and compared against reference values and across the study periods. Polyphenolic metabolites will be measured by LC-MSMS.

    Fasting blood and urine will be collected at the start and end of baseline (weeks 0 and 6), at the end of the low, medium, and high dose blueberry interventions (weeks 12, 24, and 36), and at the end of the 3 washout periods (weeks 18, 30, 42).

    Measured: Weeks 0, 6, 12, 18, 24, 30, 36, 42

  2. Serum and urine biochemical markers of bone metabolism: calcium concentration

    Calcium concentration in urine and serum will be expressed in mg/L and measured by Atomic Absorption Spectrophotometry.

    Fasting blood and urine will be collected at the start and end of baseline (weeks 0 and 6), at the end of the low, medium, and high dose blueberry interventions (weeks 12, 24, and 36), and at the end of the 3 washout periods (weeks 18, 30, 42).

    Measured: Weeks 0, 6, 12, 18, 24, 30, 36, 42

  3. Serum biochemical markers of bone metabolism: Insulin Dependent Growth Factor-1 (IGF-1)

    IGF-1 will be expressed in ng/mL and measured by ELISA.

    Fasting blood will be collected at the start and end of baseline (weeks 0 and 6), at the end of the low, medium, and high dose blueberry interventions (weeks 12, 24, and 36), and at the end of the 3 washout periods (weeks 18, 30, 42).

    Measured: Weeks 0, 6, 12, 18, 24, 30, 36, 42

  4. Serum biochemical markers of bone metabolism: Osteoprotegrin

    Osteoprotegerin will be expressed in pmol/L and measured by ELISA.

    Fasting blood will be collected at the start and end of baseline (weeks 0 and 6), at the end of the low, medium, and high dose blueberry interventions (weeks 12, 24, and 36), and at the end of the 3 washout periods (weeks 18, 30, 42).

    Measured: Weeks 0, 6, 12, 18, 24, 30, 36, 42

  5. Serum biochemical markers of bone metabolism: RANK ligand

    RANK-L will be expressed in pmol/L and measured by ELISA.

    Fasting blood will be collected at the start and end of baseline (weeks 0 and 6), at the end of the low, medium, and high dose blueberry interventions (weeks 12, 24, and 36), and at the end of the 3 washout periods (weeks 18, 30, 42).

    Measured: Weeks 0, 6, 12, 18, 24, 30, 36, 42

  6. Serum biochemical markers of bone metabolism: 25(OH) Vitamin D

    25(OH) Vitamin D will be expressed in ng/mL and measured by LC/MS.

    Fasting blood will be collected at the start and end of baseline (weeks 0 and 6), at the end of the low, medium, and high dose blueberry interventions (weeks 12, 24, and 36), and at the end of the 3 washout periods (weeks 18, 30, 42).

    Measured: Weeks 0, 6, 12, 18, 24, 30, 36, 42

  7. Serum biochemical markers of bone metabolism: Sclerostin

    Sclerostin will be expressed in ng/mL and measured by ELISA.

    Fasting blood will be collected at the start and end of baseline (weeks 0 and 6), at the end of the low, medium, and high dose blueberry interventions (weeks 12, 24, and 36), and at the end of the 3 washout periods (weeks 18, 30, 42).

    Measured: Weeks 0, 6, 12, 18, 24, 30, 36, 42

  8. Urine biochemical markers of bone metabolism: N-terminal telopeptide (NTX)

    NTX will be expressed in ng/mL and measured by ELISA.

    Fasting urine will be collected at the start and end of baseline (weeks 0 and 6), at the end of the low, medium, and high dose blueberry interventions (weeks 12, 24, and 36), and at the end of the 3 washout periods (weeks 18, 30, 42).

    Measured: Weeks 0, 6, 12, 18, 24, 30, 36, 42

  9. Serum biochemical markers of bone metabolism: procollagen I intact N-terminal (PINP)

    PINP will be will be expressed in ug/L and measured by ELISA.

    Fasting blood will be collected at the start and end of baseline (weeks 0 and 6), at the end of the low, medium, and high dose blueberry interventions (weeks 12, 24, and 36), and at the end of the 3 washout periods (weeks 18, 30, 42).

    Measured: Weeks 0, 6, 12, 18, 24, 30, 36, 42

Timeline

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

  1. First posted15 Dec 2015 (estimated)
  2. Study start12 Jan 2017
  3. Primary completionJan 2019 (estimated)
  4. Study completionAug 2019 (estimated)

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 1/2
Primary purpose
Prevention
Allocation
Randomised
Intervention model
Crossover
Model description
This partially randomized crossover design model will include participants assigned first to a control baseline period followed by three intervention phases with a low, medium or high daily dose of blueberry products in a randomized order.
Masking
Single blind
Who is masked
Outcomes assessor
Enrolment
20 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02630797
Sponsor's protocol ID
BB2015
Status last verified
May 2018
First submitted
7 Dec 2015
Last updated
7 May 2018
Results posted
No
Data monitoring committee
Yes
Individual data sharing
Undecided

Publications

  • Chen JR, Lazarenko OP, Wu X, Kang J, Blackburn ML, Shankar K, Badger TM, Ronis MJ. Dietary-induced serum phenolic acids promote bone growth via p38 MAPK/beta-catenin canonical Wnt signaling. J Bone Miner Res. 2010 Nov;25(11):2399-411. doi: 10.1002/jbmr.137.

    PubMed 20499363
  • Devareddy L, Hooshmand S, Collins JK, Lucas EA, Chai SC, Arjmandi BH. Blueberry prevents bone loss in ovariectomized rat model of postmenopausal osteoporosis. J Nutr Biochem. 2008 Oct;19(10):694-9. doi: 10.1016/j.jnutbio.2007.09.004. Epub 2008 Mar 6.

    PubMed 18328688
  • Weaver CM, Martin BR, Jackson GS, McCabe GP, Nolan JR, McCabe LD, Barnes S, Reinwald S, Boris ME, Peacock M. Antiresorptive effects of phytoestrogen supplements compared with estradiol or risedronate in postmenopausal women using (41)Ca methodology. J Clin Endocrinol Metab. 2009 Oct;94(10):3798-805. doi: 10.1210/jc.2009-0332. Epub 2009 Jul 7.

    PubMed 19584189
  • Hodges JK, Maiz M, Cao S, Lachcik PJ, Peacock M, McCabe GP, McCabe LD, Cladis DP, Jackson GS, Ferruzzi MG, Lila MA, Bailey RL, Martin BR, Weaver CM. Moderate consumption of freeze-dried blueberry powder increased net bone calcium retention compared with no treatment in healthy postmenopausal women: a randomized crossover trial. Am J Clin Nutr. 2023 Aug;118(2):382-390. doi: 10.1016/j.ajcnut.2023.05.033. Epub 2023 Jun 1.

    PubMed 37269909

Questions about this trial

What is this clinical trial studying?

A Phase 1/2 study testing Blueberry Baseline, Blueberry Low and Blueberry Medium in people with Osteoporosis, Postmenopausal and Bone Loss, Age-related, run by Purdue University at 1 site in United States.

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 2 inclusion and 7 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: status not confirmed, as of the sponsor's last update on 7 May 2018. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. 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. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this combined phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Results are not available in the source record.

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?

Ca-41 / Ca ratio in 24-hour urinary excretion to estimate calcium loss from bone (time frame: From the beginning of baseline (week 0) to the end of the 3rd washout period (week 42)). 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 NCT02630797, which also lists 4 linked publications.

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 7 May 2018; AzTrials last refreshed its copy on 1 Nov 2026.

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