- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02577640
Dietary Soy Isoflavones In Chronic Pancreatitis
October 15, 2021 updated by: Philip Hart, Ohio State University
Dietary Soy Isoflavones in Chronic Pancreatitis: Investigating the Anti-inflammatory Effects of Food Innovation Science on Gastrointestinal Disease
Study Overview
Status
Completed
Conditions
Intervention / Treatment
Detailed Description
Management of pancreatic disorders imparts a major burden on healthcare costs, estimated at over 3 billion dollars annually.
Chronic pancreatitis is characterized by chronic inflammation and progressive scarring, leading to abdominal pain, irreversible damage to the pancreas and the loss of both exocrine and endocrine function.
Additionally, chronic pancreatic inflammation is a risk factor for pancreas cancer.
There are no current treatments to modify the natural history of this disorder.
Thus, identifying novel therapeutic options for this disease represents a high priority, and could fill an unmet medical need to improve quality of life, reduce risk of malignant transformation, and limit exorbitant medical costs associated with patient care.
The investigators have assembled a multi-disciplinary research team to pursue an alternative, non-pharmacologic approach to limiting inflammatory cascades in (Chronic Pancreatitis) CP patients.
They will assess compliance, toxicity and measure the changes in pro-inflammatory cytokine expression from a soy based dietary bread product using a classic 3+3 dose escalation study design in subjects with chronic pancreatitis.
Study Type
Interventional
Enrollment (Actual)
9
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
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Ohio
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Columbus, Ohio, United States, 43210
- Philip Hart
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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
16 years and older (Adult, Older Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion Criteria:
Diagnosis of chronic pancreatitis by fulfilling one of the following clinical scenarios:
- Presence of pancreatic calcifications
- Suggestive for chronic pancreatitis - consistent EUS criteria or at least 3 abnormal side branches on pancreatic duct imaging
- Indeterminate EUS findings for chronic pancreatitis with evidence of exocrine pancreatic insufficiency (EPI)
- Age ≥18 years
Exclusion Criteria:
- Inability to provide written consent
- Inability to comply with the study protocol
- Soy allergy
- Pancreatic cancer
- History of prior pancreatic surgery (this does not include endoscopic therapies)
- Comorbid diseases characterized by a chronic inflammatory state, including, but not limited to rheumatologic diseases, chronic kidney disease, extra-pancreatic malignancy
- Pregnancy
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: Treatment
- Allocation: Non-Randomized
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Dose Escalation (DE) Phase
Here a traditional 3+3 design will be used to determine the compliance, tolerability and dose limiting toxicities in this unique patient population.
Dose escalation with soy bread will be continued until dose-limiting toxicities are observed in >33% of the participants or the daily target dose of 4 slices of bread [132 mg soy isoflavone] is reached.
|
Soy breads will be produced using a sponge-dough process.
Finished dough will be formed, panned, and proofed in proofing cabinet (~95% RH) at 40ºC for 60 minutes.
Proofed loaves will be baked for 50 minutes at 150ºC in a convection oven (jet air oven, model: JA14, Doyon, Liniere, Quebec, Canada).
Breads will be considered done at an internal temperature of 95 ± 5ºC.
Other Names:
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Experimental: Maximum Tolerated Dose (MTD) Phase
After the Phase I study has been completed, an additional 10 chronic pancreatitis patients will be treated at the best tolerated dose of soy bread for 4 weeks to further verify safety and toxicity.
|
Soy breads will be produced using a sponge-dough process.
Finished dough will be formed, panned, and proofed in proofing cabinet (~95% RH) at 40ºC for 60 minutes.
Proofed loaves will be baked for 50 minutes at 150ºC in a convection oven (jet air oven, model: JA14, Doyon, Liniere, Quebec, Canada).
Breads will be considered done at an internal temperature of 95 ± 5ºC.
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Dose Limiting Toxicities
Time Frame: 1 (dose escalation groups) or 4 (maximally tolerated dose) weeks
|
Participants were evaluated for the development of bothersome symptoms that prevented them from being able to complete the recommended intervention course.
Counts represent number of subjects who developed a symptom that prevented the ability to complete the dose/study period.
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1 (dose escalation groups) or 4 (maximally tolerated dose) weeks
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Pro-inflammatory Cytokines
Time Frame: 1 (dose escalation group) or 4 weeks (maximally tolerated subject)
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Changes in the serum were assessed for TNF-alpha prior to and following introduction of soy bread
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1 (dose escalation group) or 4 weeks (maximally tolerated subject)
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Investigators
- Principal Investigator: Philip Hart, MD, The Ohio State Wexner Medical Center
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.
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
July 1, 2015
Primary Completion (Actual)
July 1, 2017
Study Completion (Actual)
July 1, 2017
Study Registration Dates
First Submitted
October 7, 2015
First Submitted That Met QC Criteria
October 14, 2015
First Posted (Estimate)
October 16, 2015
Study Record Updates
Last Update Posted (Actual)
November 12, 2021
Last Update Submitted That Met QC Criteria
October 15, 2021
Last Verified
October 1, 2021
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- 2014H0226
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
No
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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