- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02284477
Associations of Exposure to Phthalates With Insulin Resistance and Epigenetic Change
January 27, 2015 updated by: Seoul National University Hospital
- Phthalate is an endocrine disrupting chemical, which works as an anti-androgenic agent.
- Phthalate is mainly used as PVC plasticizer and easily found in commonly used products such as electronic device, paint, lubricant, surfactant, medical supplies, spray etc. Especially, PVC blood bag used for blood transfusion have been reported to have high level of phthalate concentration.
- Previous studies reported that urinary concentration of phthalate metabolites and HOMA (Homeostatic model assessment, indicator of insulin resistance) has positive association.
- Previous studies also reported negative associations between urinary phthalate concentration and pulmonary function.
- Exposure to phthalates occurs mainly through oral route. Food wrapping with phthalate containing package material is expected to be one of the major contributor for phthalate exposure.
- In this present trial, the investigators are to examine whether increased phthalate exposure by consuming beverage stored in PVC containing packing materials actually effect insulin resistance, pulmonary function and epigenetic feature.
- For this aim, the investigators will conduct a cross-over trial.
Study Overview
Status
Unknown
Conditions
Intervention / Treatment
Study Type
Interventional
Enrollment (Anticipated)
60
Phase
- Not Applicable
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
-
-
-
Seoul, Korea, Republic of, 110-799
- Recruiting
- Department of Preventive Medicine, College of Medicine, Seoul National University
-
Contact:
- Sanghyuk Bae, MD
- Phone Number: 8227408572
- Email: sanghyukbae@snu.ac.kr
-
Principal Investigator:
- Yun-Chul Hong, MD, PhD
-
-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
56 years to 81 years (Adult, Older Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion Criteria:
- Participants who understand aim of this study and who provided informed consent
Exclusion Criteria:
- Who did not provided informed consent
- Person who are undergoing or planning to take a treatment due to liver, nervous system, respiratory system, hematologic, oncologic, psychiatric, cardiovascular(angina pectoris, myocardial infarction, stroke etc), endocrinal(Diabetes mellitus, thyroid disease) disorders.
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Basic Science
- Allocation: Randomized
- Interventional Model: Crossover Assignment
- Masking: Triple
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
|---|---|
|
Experimental: non- PVC containing packing materials
Participants will be provided food for lunch and dinner with 360mL apple juice which was stored in glass bottle for 24 hours in 4 ℃.
After 1 week, participant will cross over to other intervention.
|
Beverage which was stored in glass bottle for 24 hours in 4 ℃.
Other Names:
|
|
Experimental: PVC containing packing materials
Participants will be provided food for lunch and dinner with 360mL apple juice which was stored in PVC blood bag for 24 hours in 4 ℃.
After 1 week, participant will cross over to other intervention.
|
Beverage which was stored in PVC blood bag for 24 hours in 4 ℃.
Other Names:
|
|
No Intervention: Only lunch and dinner
Participant received food for lunch and dinner After 1 week, participant get over to each experimental arms.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Increase of insulin resistance assessed by HOMA (Homeostatic model assessment)
Time Frame: average 14 hours after consumption of assigned food and beverage
|
average 14 hours after consumption of assigned food and beverage
|
Secondary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Change of DNA methylation assessed by Percent DNA methylation
Time Frame: average 14 hours after consumption of assigned food and beverage
|
average 14 hours after consumption of assigned food and beverage
|
|
Decrease of lung function assessed by FEV1
Time Frame: average 14 hours after consumption of assigned food and beverage
|
average 14 hours after consumption of assigned food and beverage
|
|
Decrease of lung function assessed by FVC
Time Frame: average 14 hours after consumption of assigned food and beverage
|
average 14 hours after consumption of assigned food and beverage
|
|
Decrease of lung function assessed by FEV1/FVC
Time Frame: average 14 hours after consumption of assigned food and beverage
|
average 14 hours after consumption of assigned food and beverage
|
|
Decrease of lung function assessed by FEF25-75
Time Frame: average 14 hours after consumption of assigned food and beverage
|
average 14 hours after consumption of assigned food and beverage
|
|
Increased exposure to Phthalate assessed by urinary concentration of metabolites
Time Frame: average 14 hours after consumption of assigned food and beverage
|
average 14 hours after consumption of assigned food and beverage
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Investigators
- Principal Investigator: Yun-Chul Hong, MD, PhD, College of Medicine, Seoul National Unveirsity
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
General Publications
- Stahlhut RW, van Wijngaarden E, Dye TD, Cook S, Swan SH. Concentrations of urinary phthalate metabolites are associated with increased waist circumference and insulin resistance in adult U.S. males. Environ Health Perspect. 2007 Jun;115(6):876-82. doi: 10.1289/ehp.9882. Epub 2007 Mar 14. Erratum In: Environ Health Perspect. 2007 Sep;115(9):A443.
- Rudel RA, Gray JM, Engel CL, Rawsthorne TW, Dodson RE, Ackerman JM, Rizzo J, Nudelman JL, Brody JG. Food packaging and bisphenol A and bis(2-ethyhexyl) phthalate exposure: findings from a dietary intervention. Environ Health Perspect. 2011 Jul;119(7):914-20. doi: 10.1289/ehp.1003170. Epub 2011 Mar 30.
- Singh S, Li SS. Epigenetic effects of environmental chemicals bisphenol A and phthalates. Int J Mol Sci. 2012;13(8):10143-10153. doi: 10.3390/ijms130810143. Epub 2012 Aug 15.
- Manikkam M, Tracey R, Guerrero-Bosagna C, Skinner MK. Plastics derived endocrine disruptors (BPA, DEHP and DBP) induce epigenetic transgenerational inheritance of obesity, reproductive disease and sperm epimutations. PLoS One. 2013;8(1):e55387. doi: 10.1371/journal.pone.0055387. Epub 2013 Jan 24.
- Kim JH, Hong YC. HSP70-hom gene polymorphisms modify the association of diethylhexyl phthalates with insulin resistance. Environ Mol Mutagen. 2014 Dec;55(9):727-34. doi: 10.1002/em.21884. Epub 2014 Jul 7.
- Kim JH, Park HY, Bae S, Lim YH, Hong YC. Diethylhexyl phthalates is associated with insulin resistance via oxidative stress in the elderly: a panel study. PLoS One. 2013 Aug 19;8(8):e71392. doi: 10.1371/journal.pone.0071392. eCollection 2013.
- Hoppin JA, Tolbert PE, Flagg EW, Blair A, Zahm SH. Use of a life events calendar approach to elicit occupational history from farmers. Am J Ind Med. 1998 Nov;34(5):470-6. doi: 10.1002/(sici)1097-0274(199811)34:53.0.co;2-u.
- Zahm SH, Colt JS, Engel LS, Keifer MC, Alvarado AJ, Burau K, Butterfield P, Caldera S, Cooper SP, Garcia D, Hanis C, Hendrikson E, Heyer N, Hunt LM, Krauska M, MacNaughton N, McDonnell CJ, Mills PK, Mull LD, Nordstrom DL, Outterson B, Slesinger DP, Smith MA, Stallones L, Stephens C, Sweeney A, Sweitzer K, Vernon SW, Blair A. Development of a life events/icon calendar questionnaire to ascertain occupational histories and other characteristics of migrant farmworkers. Am J Ind Med. 2001 Nov;40(5):490-501. doi: 10.1002/ajim.1117.
- van der Mei IA, Blizzard L, Ponsonby AL, Dwyer T. Validity and reliability of adult recall of past sun exposure in a case-control study of multiple sclerosis. Cancer Epidemiol Biomarkers Prev. 2006 Aug;15(8):1538-44. doi: 10.1158/1055-9965.EPI-05-0969.
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start
January 1, 2015
Primary Completion (Anticipated)
April 1, 2015
Study Completion (Anticipated)
April 1, 2015
Study Registration Dates
First Submitted
October 30, 2014
First Submitted That Met QC Criteria
November 3, 2014
First Posted (Estimate)
November 6, 2014
Study Record Updates
Last Update Posted (Estimate)
January 28, 2015
Last Update Submitted That Met QC Criteria
January 27, 2015
Last Verified
October 1, 2014
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- 2014-2075
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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