Effects of Whole Sprouts on Upper Airway Allergic Inflammation
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Purpose
The primary objective of this study is to determine if broccoli sprouts (BS) improves nasal inflammatory, oxidative stress (OS), and symptom responses to nasal mouse allergen challenge (NAC) in mouse-sensitized adults with asthma or perennial allergic rhinitis.
The study is a double-blind, placebo-controlled, randomized trial to compare BS to placebo in 24 mouse-sensitized adults with asthma or perennial rhinitis and who develop rhinitis symptoms with nasal mouse allergen challenge. Twenty-four adults (age 18-50) who meet these eligibility criteria will be randomized to receive either: (a) BS or (b) placebo. At the baseline NAC, FENO, FEV1, nasal epithelial gene expression, urinary OS biomarkers, serum inflammatory and OS biomarkers, basophil activation, and symptoms will be assessed both before and after NAC to establish pre-intervention responses to NAC. Subjects will eat a sprouts sandwich daily for three days, and then undergo repeat NAC that includes measurement of the above outcomes both before and after NAC.
| Condition | Intervention |
|---|---|
|
Allergic Rhinitis Asthma Allergy |
Drug: Broccoli Sprouts Drug: Placebo |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Intervention Model: Parallel Assignment Masking: Double Blind (Subject, Investigator) Primary Purpose: Treatment |
| Official Title: | Dietary Interventions and Asthma Treatment: A Pilot Study of the Effects of Whole Sprouts on Upper Airway Allergic Inflammation |
- IL6 levels [ Time Frame: at 3 days ] [ Designated as safety issue: No ]Change in nasal lavage IL-6 levels following NAC
- biomarkers of inflammation in nasal epithelial cells [ Time Frame: at 3 days ] [ Designated as safety issue: No ]- In nasal epithelial cells: phase II enzyme gene expression
- Respiratory Symptoms [ Time Frame: at 3 days ] [ Designated as safety issue: No ]airway symptoms
- nasal lavage [ Time Frame: at 3 days ] [ Designated as safety issue: No ]nasal lavage inflammatory mediators
- biomarkers of inflammation in blood [ Time Frame: at 3 days ] [ Designated as safety issue: No ]markers of inflammation in blood samples
- biomarkers of inflammation in urine [ Time Frame: at 3 days ] [ Designated as safety issue: No ]inflammation markers measured from urine samples
- biomarkers of oxidative stress [ Time Frame: at 3 days ] [ Designated as safety issue: No ]markers of oxidative stress measured from urine samples
| Estimated Enrollment: | 24 |
| Study Start Date: | March 2012 |
| Estimated Study Completion Date: | March 2014 |
| Estimated Primary Completion Date: | March 2014 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: Broccoli Sprouts
Broccoli Sprout sandwich/wrap will be eaten daily for 3 consecutive days
|
Drug: Broccoli Sprouts
100g of either broccoli or alfalfa sprouts will be eaten daily in a sandwich or wrap form.
Other Name: sprouts, broccoli sprouts
|
|
Placebo Comparator: Alfalfa Sprouts
Alfalfa Sprouts will be eaten daily in a sandwich form for 3 consecutive days
|
Drug: Placebo
Alfalfa Sprouts
Other Name: sprouts, alfalfa, broccoli sprouts
|
Eligibility| Ages Eligible for Study: | 18 Years to 50 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Perennial rhinitis or doctor diagnosis of asthma
- Positive mouse skin test or specific IgE
- Non-smoker
- Negative pregnancy test
- Not breastfeeding
- Normal TSH
- For women, abstinent or using reliable birth control
- Age 18-50 years
- No other major pulmonary disease such as cystic fibrosis or COPD
- Willingness to participate in study and sign consent form
Exclusion Criteria:
- Severe or unstable asthma defined as requiring hospitalization in the previous 6 months or intubation in the previous 2 years, or on high-dose inhaled corticosteroids or chronic oral corticosteroids
- Uncontrolled asthma defined as short-acting beta agonist use 3 or more days a week in the previous 4 weeks
- A history of anaphylaxis or hospitalization due to mouse exposure
- FEV1 <80% predicted
- Other significant medical issues such as heart disease or poorly controlled hypertension, type 1 diabetes, poorly controlled type 2 diabetes, or hypothyroidism
- Pregnancy or nursing/breastfeeding mothers
- On beta-blocker therapy
- On reserpine, clonidine, imipramine, or related tricyclic drugs
- Taking anti-oxidant supplements
- Planned dietary changes during the study period
- Unable to stop antihistamines prior to skin testing
- Unable to stop medications that may interfere with nasal challenge responses prior to challenges
- Food allergy to Broccoli Sprouts or Alfalfa Sprouts
- Omalizumab use within the last 12 months
- Nasal polyps
Contacts and Locations| Contact: Mary Jane Ong | 410-502-9263 | mong1@jhmi.edu |
| United States, Maryland | |
| Johns Hopkins Hospital | Not yet recruiting |
| Baltimore, Maryland, United States, 21202 | |
| Contact: Mary Jane Ong 410-502-9263 mong1@jhmi.edu | |
| Principal Investigator: Elizabeth Matsui, MD, MHS | |
| Sub-Investigator: Meredith McCormack, MD, MHS | |
| Principal Investigator: | Elizabeth Matsui, MD, MHS | Johns Hopkins University |
More Information
No publications provided
| Responsible Party: | Elizabeth Matsui, Associate Professor, Johns Hopkins University |
| ClinicalTrials.gov Identifier: | NCT01522703 History of Changes |
| Other Study ID Numbers: | NA_00067371, 1P01ES018176-01 |
| Study First Received: | January 9, 2012 |
| Last Updated: | January 27, 2012 |
| Health Authority: | United States: Food and Drug Administration |
Keywords provided by Johns Hopkins University:
|
asthma allergic rhinitis dietary interventions mouse allergy |
Additional relevant MeSH terms:
|
Hypersensitivity Asthma Inflammation Rhinitis Immune System Diseases Bronchial Diseases Respiratory Tract Diseases Lung Diseases, Obstructive |
Lung Diseases Respiratory Hypersensitivity Hypersensitivity, Immediate Pathologic Processes Nose Diseases Respiratory Tract Infections Otorhinolaryngologic Diseases |
ClinicalTrials.gov processed this record on May 21, 2013