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HealthyPhase 1XMaSNCT03735420

Xanthohumol Metabolism and Signature

A Phase 1 study testing Xanthohumol in people with Healthy, run by National University of Natural Medicine 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 The sponsor has not verified this record for over two years, so it may be out of date.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

A pilot study to assess the safety and tolerability of oral xanthohumol in humans, to identify a biological signature of xanthohumol exposure, and to characterize the role of xanthohumol metabolism by intestinal microorganisms in that signature. Read more about this study

Who is it for?
Ages 21 to 50 yearsHealthy volunteers can take part
Conditions the study is for
Healthy
What is being tested?
Xanthohumol
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
30 participants
Where
1 siteUnited States
Study dates
12 Aug 2019to 31 Dec 2024
Phase
Phase 1
Are there results?
Yes, posted in the registrySummary in the doctors' view

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 21 to 50 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Men and Women aged 21-50 years
  • Willing to take isolated xanthohumol as a dietary supplement for 8 weeks
  • Willing to have blood drawn semi-weekly and to fast for 10-12 hours before blood draws
  • Willing and able to collect semi-weekly stool samples at home
  • Able to speak, read, and understand English
  • Must be able to provide written informed consent
  • Non-smokers (including tobacco and Cannabis products, combusted or vaporized)

Who cannot join

  • History of any chronic disease including, but not limited to: diabetes (type 1 or 2); uncontrolled hypertension; coronary artery disease resulting in angina; cardiovascular disease requiring percutaneous coronary intervention (PCI), bypass, or past myocardial infarction or stroke; blood disease including current anemia; cancer (except non-melanoma skin cancer) within the last year or still requiring chemotherapy or hormonal therapy; chronic kidney disease; liver disease including viral hepatitis, non-alcoholic fatty liver disease, or alcoholic hepatitis/cirrhosis; any immunocompromising condition including human immunodeficiency virus/acquired immunodeficiency syndrome or organ transplant requiring anti-rejection medications; chronic osteoarthritis requiring joint replacement or daily use of NSAIDs; chronic endocrine condition including but not limited to: Cushing's, Addison's, Hashimoto's thyroiditis, Grave's disease, etc.
  • Body Mass Index (BMI) less than 20 (underweight) or greater than 30 (obese)
  • Consumption of more than 1 microbrew beer per day
  • Use of NSAIDs more than once per week for headaches, routine aches/pains, etc.
  • Use of any prescription drugs, including oral contraceptives (due to potential interference with mechanisms under investigation)
  • Use of prescription opioids for any reason within the past 3 months
Show all 25Show fewer
  • Use of prescription corticosteroids for any reason within the past 3 months
  • Free of acute viral or bacterial infection, or recent infection within the last 14 days or still requiring prescription medication for treatment
  • Free of recent acute trauma occurring within the last 14 days
  • Currently or recently (within last 14 days) taking any dietary supplements containing xanthohumol flavonoids, or other known herbal "anti-inflammatories" including: curcumin, turmeric, fenugreek, hops, rosemary, ginger, white willow, Devil's claw, fish oil (doses>1 g/day), or quercetin. Candidates will be given the option to "wash out" for 14 days and re-contact the study team.
  • Currently receiving intravenous nutrition support therapy (or within the last 30 days)
  • Currently taking anti-coagulant or anti-platelet prescription medications (or they were taken within the last 30 days)
  • Currently taking antibiotic, antiparasitic, or antifungal medications orally or intravenously (or they were taken within the last 30 days)
  • Initiation of or changes to supplements or medications within 30 days prior to screening
  • Initiation of or changes to an exercise regimen within 30 days prior to screening
  • Initiation of or changes to a food plan within 30 days prior to screening
  • Current involvement or within 30 days prior to screening of a significant diet or weight loss program, such as NutriSystem, Jenny Craig, Atkin's or other low-carb diet programs, or very low-calorie liquid diet programs (such as optifast, medifast, and/or HMR)
  • Hospitalization (for any reason other than an elective medical procedure) within 3 months prior to screening
  • Gastrointestinal surgery within 3 months prior to screening
  • Undergoing UV therapy (e.g. treatment for skin conditions such as psoriasis).
  • Engaging in vigorous exercise more than 6 hours per week.
  • Women who are lactating, pregnant or planning pregnancy within the next four months
  • Typical intake of more than 2 alcohol-containing beverages per day, more than 14 per week, or more than 4 in any single day within the past 28 days
  • Use of recreational drugs/substances (such as but not limited to cocaine, phencyclidine (PCP), and methamphetamine) within 30 days of screening
  • Currently participating in another interventional research study or participated in another interventional study within 30 days of screening

Trial locations and contacts

1 site in 1 country.

United States1 site
  • Helfgott Research Institute National University of Natural Medicine

    Portland, Oregon, 97201

Other trials in United States

About this study

Official title: Xanthohumol Metabolism and Signature (XMaS) in Healthy Adults

A pilot study to assess the safety and tolerability of oral xanthohumol in humans, to identify a biological signature of xanthohumol exposure, and to characterize the role of xanthohumol metabolism by intestinal microorganisms in that signature.

Read the detailed description

This is a double-masked, placebo controlled, randomized clinical trial of xanthohumol, which is a constituent of hops (Humulus lupulus). Hops and its constituents have a long history of use for a variety of conditions. However, knowledge is limited regarding the measurable biological markers of human exposure, and the role of xanthohumol metabolism by microorganisms present in the gut. This information is necessary for the development of xanthohumol as a potential therapeutic intervention in conditions such as inflammatory bowel disease.

Conditions
Healthy
Being tested
Xanthohumol, Placebo oral capsule
Keywords
xanthohumol, gut microbiome, inflammation
Medical subject headings
Inflammation

What participants receive

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

  • XanthohumolDrug

    The xanthohumol supplement will be administered in a capsule. Participants in the experimental arm will consume the capsule once per day, with the first meal. The intervention will extend for 8 weeks.

  • Placebo oral capsuleDrug

    Also called Vehicle

    The placebo (vehicle) will be administered in a capsule. Participants in the placebo arm will consume the capsule once per day, with the first meal.

Study groups in NCT03735420
Study groupRoleWhat they receive
XanthohumolExperimentalParticipants will receive 24 mg of 98% pure xanthohumol in a rice protein vehicle by mouth once daily with the first daily meal.
Receives: Drug: Xanthohumol
Placebo oral capsulePlacebo comparatorParticipants will receive vehicle (rice protein) by mouth once daily with the first daily meal.
Receives: Drug: Placebo oral capsule

What is being measured

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

  1. Change in Plasma Inflammatory Markers

    Circulating pro-inflammatory cytokine concentrations (tumor necrosis factor (TNF)-α, interleukin (IL)-1 beta, IL-6, IL-8, IL-10, and IL-12p70), will be measured simultaneously with a flow cytometry-based multiplex assay. The measures were assessed at Baseline, 2 weeks, 4 weeks, 6 weeks, and 8 weeks; weeks 2, 4, 6, and 8 reported

    Measured: 2 weeks, 4 weeks, 6 weeks, and 8 weeks.

  2. Incidence of Intervention-attributable Adverse Events [Safety and Tolerability]

    Self-reported adverse events will be graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events. Reported as: New onset "FDA serious" adverse events (Grade 1); New onset "moderate" adverse events (Grade 2). The measures were assessed at Baseline, 2 weeks, 4 weeks, 6 weeks, and 8 weeks; weeks 2, 4, 6, and 8 reported.

    Measured: Baseline, 2 weeks, 4 weeks, 6 weeks, and 8 weeks.

Secondary outcomes (16)
  1. Change in Levels of Metabolic Byproducts of Xanthohumol: Plasma and Urine

    Xanthohumol and xanthohumol metabolites in blood, urine and stool, will be measured by ultra-high performance liquid chromatography-quadrupole time-of-flight mass spectrometry. Metabolites include 6-prenylnaringenin (6-PN), 8-prenylnaringenin (8-PN), dihydroxanthohumol (DXN), desmethyldihydroxanthohumol (DDXN), isoxanthohumol (IXN), and xanthohumol (XN). The measures were assessed at Baseline, 2 weeks, 4 weeks, 6 weeks, and 8 weeks; baseline, weeks 2, 4, 6, and 8 reported for urine and plasma.

    Measured: Baseline, 2 weeks, 4 weeks, 6 weeks, and 8 weeks.

  2. Change in Levels of Metabolic Byproducts of Xanthohumol: Stool

    Xanthohumol and xanthohumol metabolites in blood, urine and stool, will be measured by ultra-high performance liquid chromatography-quadrupole time-of-flight mass spectrometry. Metabolites include 6-prenylnaringenin (6-PN), 8-prenylnaringenin (8-PN), dihydroxanthohumol (DXN), desmethyldihydroxanthohumol (DDXN), isoxanthohumol (IXN), and xanthohumol (XN). The measures were assessed at Baseline, 2 weeks, 4 weeks, 6 weeks, and 8 weeks; baseline, weeks 2, 4, 6, and 8 reported for urine and plasma. As stool metabolites have not yet been analyzed, data will be released upon assessment.

    Measured: Baseline, 2 weeks, 4 weeks, 6 weeks, and 8 weeks.

  3. Bile Acids

    Bile acid concentrations in blood and feces, will be measured by ultra-high performance liquid chromatography-quadrupole time-of-flight mass spectrometry, and expressed as mean change over time from baseline.

    Measured: Baseline, 2 weeks, 4 weeks, 6 weeks, and 8 weeks.

  4. Gut Inflammation

    Fecal calprotectin, a protein associated with gut inflammation and irritable gut syndrome, will be measured by enzyme-linked immunosorbent assay, and expressed as mean change over time from baseline.

    Measured: Baseline, 2 weeks, 4 weeks, 6 weeks, and 8 weeks.

  5. Aspartate Aminotransferase (AST)

    Aspartate aminotransferase is an enzyme that is often measured in blood as an indication of liver toxicity. Reported as mean change from baseline.

    Measured: 2 weeks, 4 weeks, 6 weeks, and 8 weeks.

  6. Alanine Aminotransferase (ALT)

    Alanine aminotransferase is an enzyme that is often measured in blood as an indication of liver toxicity. Reported as mean change from baseline.

    Measured: 2 weeks, 4 weeks, 6 weeks, and 8 weeks.

  7. Gamma-Glutamyl Transferase (GGT)

    Gamma-glutamyl transferase is an enzyme that is often measured in blood as an indication of liver toxicity. Reported as mean change from baseline.

    Measured: Baseline, 2 weeks, 4 weeks, 6 weeks, and 8 weeks

  8. Estimated Glomerular Filtration Rate

    Glomerular filtration rate is estimated based on blood creatinine concentration per standard nephrology practice. Reported as mean change from baseline.

    Measured: 2 weeks, 4 weeks, 6 weeks, and 8 weeks

  9. Blood Urea Nitrogen to Creatinine Ratio

    Blood urea nitrogen (BUN) : creatinine (Cr) is a ratio of serum concentrations of two compounds associated with renal function. Reported as mean change from baseline.

    Measured: 2 weeks, 4 weeks, 6 weeks, and 8 weeks.

  10. Complete Blood Count Abnormals

    Enumeration of the various subtypes of blood cells (i.e., red blood cells, white blood cells, and platelets), plus indices including mean corpuscular hemoglobin (MCH), mean corpuscular volume (MCV), and hematocrit. Reported as: % abnormal (i.e., number of participants with an abnormal value compared to the number of participants in the group) and % new abnormals if abnormal counts were noted. Abnormality is assessed according to standards for age and sex measurements under Quest Diagnostics criteria.

    Measured: 2 weeks, 4 weeks, 6 weeks, and 8 weeks.

  11. Total Red Blood Cell Count

    Enumeration of total red blood cell count. Reported as mean change from baseline.

    Measured: Baseline, 2 weeks, 4 weeks, 6 weeks, and 8 weeks.

  12. Total White Blood Cell Count

    Enumeration of total white blood cell count. Results are reported as mean change from baseline at weeks 2, 4, 6, and 8.

    Measured: 2 weeks, 4 weeks, 6 weeks, and 8 weeks.

  13. Platelet Count

    Enumeration of platelet count. Results are reported as mean change from baseline at weeks 2, 4, 6, and 8.

    Measured: 2 weeks, 4 weeks, 6 weeks, and 8 weeks.

  14. Mean Corpuscular Volume

    Enumeration of mean corpuscular volume (MCV). Results are reported as mean change from baseline at weeks 2, 4, 6, and 8.

    Measured: 2 weeks, 4 weeks, 6 weeks, and 8 weeks.

  15. Mean Corpuscular Hemoglobin

    Enumeration of mean corpuscular hemoglobin (MCH). Results are reported as mean change from baseline at weeks 2, 4, 6, and 8.

    Measured: 2 weeks, 4 weeks, 6 weeks, and 8 weeks.

  16. Hematocrit

    Enumeration of hematocrit. Results are reported as mean change from baseline at weeks 2, 4, 6, and 8.

    Measured: 2 weeks, 4 weeks, 6 weeks, and 8 weeks.

Timeline

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

  1. First posted8 Nov 2018
  2. Study start12 Aug 2019
  3. Primary completion7 May 2020
  4. Study completion31 Dec 2024 (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
Primary purpose
Other
Allocation
Randomised
Intervention model
Parallel groups
Model description
Participants will be randomized to receive either encapsulated xanthohumol in a rice protein vehicle, or an identical capsule containing vehicle alone.
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
30 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03735420
Sponsor's protocol ID
RB9718
Acronym
XMaS
Status last verified
Aug 2024
First submitted
11 Oct 2018
Last updated
27 Aug 2024
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: We will use the University of California San Diego (UCSD) Metabolomics Workbench for sharing metabolomics datasets and results (including raw data matrices, platform information, and associated metadata). For activity-based proteomics data, we will use PRIDE or the MassIVE data repository at UCSD. Nucleic acid sequence data will be submitted to the National Center for Biotechnology Information (NCBI) Short Read Archive. Gene expression data will be submitted to Gene expression Omnibus at NCBI. Microbiome metadata will be deposited into database of Genotypes and Phenotypes. Metagenomic nucleic acid sequence data will additionally be deposited in Metagenomic Rapid Annotations using Subsystems Technology (MG-RAST) at Argonne National Laboratory, along with associated metadata. Microbiome summary files (e.g., tables cataloging: sample metadata, taxon or protein family abundances across samples) publicly available through github.

Publications

  • Jamieson PE, Smart EB, Bouranis JA, Choi J, Danczak RE, Wong CP, Paraiso IL, Maier CS, Ho E, Sharpton TJ, Metz TO, Bradley R, Stevens JF. Gut enterotype-dependent modulation of gut microbiota and their metabolism in response to xanthohumol supplementation in healthy adults. Gut Microbes. 2024 Jan-Dec;16(1):2315633. doi: 10.1080/19490976.2024.2315633. Epub 2024 Feb 15.

    PubMed 38358253
  • Bradley R, Langley BO, Ryan JJ, Phipps J, Hanes DA, Stack E, Jansson JK, Metz TO, Stevens JF. Xanthohumol microbiome and signature in healthy adults (the XMaS trial): a phase I triple-masked, placebo-controlled clinical trial. Trials. 2020 Oct 7;21(1):835. doi: 10.1186/s13063-020-04769-2.

    PubMed 33028396

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing Xanthohumol in people with Healthy, run by National University of Natural Medicine 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 7 inclusion and 25 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 27 Aug 2024. 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 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.

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

Are results available for this study?

Yes. Results are posted in the registry (first posted 11 Jan 2022). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

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?

Change in Plasma Inflammatory Markers (time frame: 2 weeks, 4 weeks, 6 weeks, and 8 weeks.). The study lists 2 primary outcomes in all. 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 NCT03735420, which also lists 2 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 27 Aug 2024.

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