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ObesityNCT02758990

Interventional Testing of Gene-environment Interactions Via the Verifomics Mobile Application

A study testing Vitamin A, Vitamin B6 and Vitamin C in people with Obesity and Rhinitis, run by Verifomics LLC at 1 site in United States.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

The purpose of this study is to study interactions between genes, lifestyle environmental factors like foods, nutritional supplements and non-invasive medical devices and health factors that can be measured without specialized medical equipment in order to develop lifestyle recommendations tailored to individual… Read more about this study

Who is it for?
Ages 18 years and olderHealthy volunteers can take part
Conditions the study is for
Obesity, Rhinitis, Rhinitis, Allergic
What is being tested?
Vitamin A, Vitamin B6 and Vitamin C
Could I receive a placebo?
No, everyone receives an active treatment
How many people
16 participants
Where
1 siteUnited States
Study dates
Mar 2016to 23 Nov 2016
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 18 years and older
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • For BMI interventions, BMI > 25
  • For headache interventions, more than 2 headache-days per month
  • For insomnia interventions, at least one day of self-reported poor sleep per week
  • For rhinitis interventions, more than 2 days with symptoms per month
  • For joint pain interventions, at least one day of self-reported joint pain per week

Who cannot join

  • Women who are pregnant, nursing or attempting to become pregnant
  • Immediately life-threatening disease
  • Current use of nutritional supplements of interest (excluded from those interventions to prevent overdose)
  • For spinach interventions, gout

Trial locations and contacts

1 site in 1 country.

United States1 site
  • Verifomics, LLC

    Dallas, Texas, 75219

Other trials in United States

About this study

The purpose of this study is to study interactions between genes, lifestyle environmental factors like foods, nutritional supplements and non-invasive medical devices and health factors that can be measured without specialized medical equipment in order to develop lifestyle recommendations tailored to individual genetics for a host of common chronic health conditions.

Read the detailed description

The study is composed of multiple interventions which will last between 2 and 6 months that evaluate a suite of predictions about the way that a given environmental factor impacts a specific health outcome based on genetic information obtained from direct-to-consumer genotyping providers (AncestryDNA and 23andMe). Substances of interest include foods, nutritional supplements and non-invasive medical devices.

A minimum of 500 subjects will be enrolled in each intervention, and only those subjects which are predicted to benefit from the intervention when considering all sites of interest will be assigned to an intervention. The predictions are based on hundreds to thousands of sites of interest at high minor allele frequency single nucleotide polymorphisms and predictions about response are derived from the aggregate genotype at all loci considered. As such each site of interest will have a built-in negative control group composed of individuals enrolled in the intervention despite a genotype at that site that does not predict a benefit. The rate that each site of interest makes correct predictions about subject response will be compared to randomly-selected sites in order to quantify placebo effects and establish quality metrics for the predictions.

Enrollment and participation are conducted remotely. Participants will upload genetic information from a direct-to-consumer provider through a mobile or web browser application, and informed consent and inclusion/exclusion criteria are accomplished remotely. After the informed consent process, participants are asked what phenotype of interest (weight, migraines, insomnia, etc.) they are interested in studying, their genetic information is evaluated and they are allowed to select an intervention they qualify for based on their genetics that they would like to participate in. Participants then answer a series of questions to establish baseline data on relevant factors as well as evaluate the inclusion and exclusion criteria; participants that qualify for the intervention are then given specific instructions on how to participate, and may then use the software to report data during the intervention. Each intervention utilizes a specific product rather than a general class of product to reduce noise from differing sourcing, distribution, storage and manufacturing practices.

Being tested
Vitamin A, Vitamin B6, Vitamin C, Nicotinamide, Vitamin D3
Keywords
Food, Nutrigenomics, Precision Medicine, Pharmacogenetics, Lifestyle
Medical subject headings
Obesity, Rhinitis, Rhinitis, Allergic, Respiratory Sounds, Dyspnea, Headache, Migraine Disorders, Arthritis

What participants receive

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

  • Vitamin ADietary supplement

    Also called Retinol, Retinoic acid

    Subjects will be asked to increase vitamin A intake by 8000 International Units per day.

  • Vitamin B6Dietary supplement

    Also called Pyridoxine

    Subjects will be asked to increase vitamin B6 intake by 50 mg per day.

  • Vitamin CDietary supplement

    Also called Ascorbic acid

    Subjects will be asked to increase vitamin C intake by 500 mg per day.

  • NicotinamideDietary supplement

    Also called Niacinamide

    Subjects will be asked to increase Nicotinamide intake by 500 mg per day.

  • Vitamin D3Dietary supplement

    Also called Cholecalciferol

    Subjects will be asked to increase Vitamin D3 intake by 1000 International Units per day.

  • Vitamin EDietary supplement

    Also called α-tocopherol

    Subjects will be asked to increase vitamin E intake by 400 International Units per day.

  • BroccoliOther

    Also called Brassica oleracea

    Subjects will be asked to increase broccoli intake by 8 fluid ounces (~91 grams) per day.

  • SpinachOther

    Also called Spinacia oleracea

    Subjects will be asked to increase spinach intake by 8 fluid ounces (~30 grams) per day.

  • CaffeineDietary supplement

    Also called 1,3,7-Trimethylpurine-2,6-dione

    Subjects will be asked to increase caffeine intake by taking 200mg caffeine orally once per day.

  • CoffeeOther

    Subjects will be asked to increase coffee intake by drinking 2 cups (177 mL each) of coffee per day.

  • Axon EyewearDevice

    Subjects will be asked to utilize the therapeutic eyewear when exposed to bright or fluorescent light.

  • ChocolateOther

    Subjects will be asked to increase chocolate intake by eating 57g per day.

Study groups in NCT02758990
Study groupRoleWhat they receive
Predictions: BMI vs. BroccoliExperimentalBMI will be calculated from self-reported weight (once per day) and height (at enrollment). Each gene-environment interaction of interest will be evaluated to determine its predictive power.
Receives: Other: Broccoli
Predictions: BMI vs. CaffeineExperimentalBMI will be calculated from self-reported weight (once per day) and height (at enrollment). Each gene-environment interaction of interest will be evaluated to determine its predictive power.
Receives: Dietary Supplement: Caffeine
Predictions: BMI vs. CoffeeExperimentalBMI will be calculated from self-reported weight (once per day) and height (at enrollment). Each gene-environment interaction of interest will be evaluated to determine its predictive power.
Receives: Other: Coffee
Predictions: BMI vs. SpinachExperimentalBMI will be calculated from self-reported weight (once per day) and height (at enrollment). Each gene-environment interaction of interest will be evaluated to determine its predictive power.
Receives: Other: Spinach
Predictions: BMI vs. Vitamin AExperimentalBMI will be calculated from self-reported weight (once per day) and height (at enrollment). Each gene-environment interaction of interest will be evaluated to determine its predictive power.
Receives: Dietary Supplement: Vitamin A
Predictions: BMI vs. Vitamin CExperimentalBMI will be calculated from self-reported weight (once per day) and height (at enrollment). Each gene-environment interaction of interest will be evaluated to determine its predictive power.
Receives: Dietary Supplement: Vitamin C
Predictions: Headache vs. Vitamin B6ExperimentalHeadache frequency and severity will be evaluated via a graphical and written pain scale, reported once per day. Each gene-environment interaction of interest will be evaluated to determine its predictive power.
Receives: Dietary Supplement: Vitamin B6
Predictions: Headache vs. Vitamin CExperimentalHeadache frequency and severity will be evaluated via a graphical and written pain scale, reported once per day. Each gene-environment interaction of interest will be evaluated to determine its predictive power.
Receives: Dietary Supplement: Vitamin C
Predictions: Headache vs. NicotinamideExperimentalHeadache frequency and severity will be evaluated via a graphical and written pain scale, reported once per day. Each gene-environment interaction of interest will be evaluated to determine its predictive power.
Receives: Dietary Supplement: Nicotinamide
Predictions: Headache vs. Axon EyewearExperimentalHeadache frequency and severity will be evaluated via a graphical and written pain scale, reported once per day. Each gene-environment interaction of interest will be evaluated to determine its predictive power.
Receives: Device: Axon Eyewear
Predictions: Rhinitis vs BroccoliExperimentalRhinitis frequency and severity will be self-reported on a scale from 0 to 10, with 0 indicating no rhinitis, 3 indicating minor rhinitis, 6 indicating rhinitis while preserving the ability to breathe nasally, and 10 indicating rhinitis to such a degree that mouth-breathing is required, reported once per day. Each gene-environment interaction of interest will be evaluated to determine its predictive power.
Receives: Other: Broccoli
Predictions: Rhinitis vs CaffeineExperimentalRhinitis frequency and severity will be self-reported on a scale from 0 to 10, with 0 indicating no rhinitis, 3 indicating minor rhinitis, 6 indicating rhinitis while preserving the ability to breathe nasally, and 10 indicating rhinitis to such a degree that mouth-breathing is required, reported once per day. Each gene-environment interaction of interest will be evaluated to determine its predictive power.
Receives: Dietary Supplement: Caffeine
Predictions: Rhinitis vs ChocolateExperimentalRhinitis frequency and severity will be self-reported on a scale from 0 to 10, with 0 indicating no rhinitis, 3 indicating minor rhinitis, 6 indicating rhinitis while preserving the ability to breathe nasally, and 10 indicating rhinitis to such a degree that mouth-breathing is required, reported once per day. Each gene-environment interaction of interest will be evaluated to determine its predictive power.
Receives: Other: Chocolate
Predictions: Rhinitis vs CoffeeExperimentalRhinitis frequency and severity will be self-reported on a scale from 0 to 10, with 0 indicating no rhinitis, 3 indicating minor rhinitis, 6 indicating rhinitis while preserving the ability to breathe nasally, and 10 indicating rhinitis to such a degree that mouth-breathing is required, reported once per day. Each gene-environment interaction of interest will be evaluated to determine its predictive power.
Receives: Other: Coffee
Predictions: Rhinitis vs Vitamin AExperimentalRhinitis frequency and severity will be self-reported on a scale from 0 to 10, with 0 indicating no rhinitis, 3 indicating minor rhinitis, 6 indicating rhinitis while preserving the ability to breathe nasally, and 10 indicating rhinitis to such a degree that mouth-breathing is required, reported once per day. Each gene-environment interaction of interest will be evaluated to determine its predictive power.
Receives: Dietary Supplement: Vitamin A
Predictions: Insomnia vs Axon EyewearExperimentalSleep quality will be self-reported about the previous night's sleep on a scale from 0 to 10, with 0 indicating sleep that was not restful at all, 3 indicating mildly restful but insufficient sleep, 6 indicating a functional quality of sleep but not ideal, and 10 indicating ideal sleep, reported once per day. Each gene-environment interaction of interest will be evaluated to determine its predictive power.
Receives: Device: Axon Eyewear
Predictions: Insomnia vs Vitamin AExperimentalSleep quality will be self-reported about the previous night's sleep on a scale from 0 to 10, with 0 indicating sleep that was not restful at all, 3 indicating mildly restful but insufficient sleep, 6 indicating a functional quality of sleep but not ideal, and 10 indicating ideal sleep, reported once per day. Each gene-environment interaction of interest will be evaluated to determine its predictive power.
Receives: Dietary Supplement: Vitamin A
Predictions: Insomnia vs Vitamin EExperimentalSleep quality will be self-reported about the previous night's sleep on a scale from 0 to 10, with 0 indicating sleep that was not restful at all, 3 indicating mildly restful but insufficient sleep, 6 indicating a functional quality of sleep but not ideal, and 10 indicating ideal sleep, reported once per day. Each gene-environment interaction of interest will be evaluated to determine its predictive power.
Receives: Dietary Supplement: Vitamin E
Predictions: Insomnia vs NicotinamideExperimentalSleep quality will be self-reported about the previous night's sleep on a scale from 0 to 10, with 0 indicating sleep that was not restful at all, 3 indicating mildly restful but insufficient sleep, 6 indicating a functional quality of sleep but not ideal, and 10 indicating ideal sleep, reported once per day. Each gene-environment interaction of interest will be evaluated to determine its predictive power.
Receives: Dietary Supplement: Nicotinamide
Predictions: Insomnia vs Vitamin D3ExperimentalSleep quality will be self-reported about the previous night's sleep on a scale from 0 to 10, with 0 indicating sleep that was not restful at all, 3 indicating mildly restful but insufficient sleep, 6 indicating a functional quality of sleep but not ideal, and 10 indicating ideal sleep, reported once per day. Each gene-environment interaction of interest will be evaluated to determine its predictive power.
Receives: Dietary Supplement: Vitamin D3
Predictions: Joint pain vs BroccoliExperimentalJoint pain frequency and severity will be evaluated via a graphical and written pain scale, reported once per day. Each gene-environment interaction of interest will be evaluated to determine its predictive power.
Receives: Other: Broccoli
Predictions: Joint pain vs CaffeineExperimentalJoint pain frequency and severity will be evaluated via a graphical and written pain scale, reported once per day. Each gene-environment interaction of interest will be evaluated to determine its predictive power.
Receives: Dietary Supplement: Caffeine
Predictions: Joint pain vs CoffeeExperimentalJoint pain frequency and severity will be evaluated via a graphical and written pain scale, reported once per day. Each gene-environment interaction of interest will be evaluated to determine its predictive power.
Receives: Other: Coffee
Predictions: Joint pain vs SpinachExperimentalJoint pain frequency and severity will be evaluated via a graphical and written pain scale, reported once per day. Each gene-environment interaction of interest will be evaluated to determine its predictive power.
Receives: Other: Spinach

What is being measured

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

  1. Frequency of correct predictions

    Each site of interest is being evaluated for its ability to make correct predictions about subject response. This frequency will be compared via a variety of statistical techniques to that expected by chance to establish its clinical utility.

    Measured: Assessed 30 days after enrollment, comparing values of phenotypes of interest in the final week of the intervention to the value at enrollment and determining if the actual response is consistent with the prediction made prior to enrollment

Secondary outcomes (11)
  1. Genotype-independent effects of substances of interest

    Baseline responses to environmental factors studied in terms of phenotypes of interest are measured to remove this potential bias from the analysis of predictive power.

    Measured: Assessed 30 days after enrollment, comparing value at enrollment to value after in the final week of participation

  2. Change in body mass index

    Measured: Assessed 30 days after enrollment, comparing value at enrollment to value after 30 days of participation

  3. Change in headache severity

    Measured: Assessed 30 days after enrollment, comparing value at enrollment to value after in the final week of participation

  4. Change in headache frequency

    Measured: Assessed 30 days after enrollment, comparing value at enrollment to value after in the final week of participation

  5. Change in rhinitis severity

    Measured: Assessed 30 days after enrollment, comparing value at enrollment to value after in the final week of participation

  6. Change in rhinitis frequency

    Measured: Assessed 30 days after enrollment, comparing value at enrollment to value after in the final week of participation

  7. Change in insomnia frequency

    Measured: Assessed 30 days after enrollment, comparing value at enrollment to value after in the final week of participation

  8. Change in insomnia severity

    Measured: Assessed 30 days after enrollment, comparing value at enrollment to value after in the final week of participation

  9. Change in joint pain severity

    Measured: Assessed 30 days after enrollment, comparing value at enrollment to value after in the final week of participation

  10. Change in joint pain frequency

    Measured: Assessed 30 days after enrollment, comparing value at enrollment to value after in the final week of participation

  11. "Question of the day" questionnaire

    Asynchronous longitudinal observations about subject health, diet, environment, lifestyle and anecdotal observations to be used to guide future studies, control for co-linear changes in behavior, monitor for serendipitous events and assess environment-environment interactions. Subjects are asked to answer one question from the survey per day, and questions are asked recurrently at question-specific intervals.

    Measured: Daily for the duration of participation (2 to 6 months), starting on the day of enrollment and ending when the intervention is concluded, either because the scientific endpoints are met or the subjects voluntarily halt participation..

Timeline

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

  1. First posted3 May 2016 (estimated)
  2. Study startMar 2016
  3. Primary completion23 Nov 2016
  4. Study completion23 Nov 2016

Why it stopped: Recruiting and financial constraints

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
Treatment
Allocation
Non-randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
16 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02758990
Sponsor's protocol ID
001
Status last verified
Oct 2016
First submitted
26 Apr 2016
Last updated
2 Oct 2017
Results posted
No
Data monitoring committee
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A study testing Vitamin A, Vitamin B6 and Vitamin C in people with Obesity and Rhinitis, run by Verifomics LLC 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 5 inclusion and 4 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: stopped early, as of the sponsor's last update on 2 Oct 2017. 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. 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 was stopped early (reason given: Recruiting and financial constraints). 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?

Frequency of correct predictions (time frame: Assessed 30 days after enrollment, comparing values of phenotypes of interest in the final week of the intervention to the value at enrollment and determining if the actual response is consistent with the prediction made prior to enrollment). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 2 Oct 2017.

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