- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT06061289
Guided Metabolic Detox Program
September 27, 2023 updated by: Standard Process Inc.
Effects of Standard Process's SP Detox Balance Dietary Supplements on Metabolic Detoxification
Adequate antioxidant supply is essential for maintaining metabolic homeostasis and reducing oxidative stress during detoxification.
The emerging evidence suggests that certain classes of phytonutrients can help support the detoxification process by stimulating the liver to produce detoxification enzymes or acting as antioxidants that neutralize the harmful effects of free radicals.
This study was designed to examine the effects of a guided 28-day metabolic detoxification program in healthy adults.
The participants were randomly assigned to consume a whole food, multi-ingredient supplement (education and intervention) or control (education and healthy meal) daily for the duration of the trial.
Study Overview
Status
Completed
Conditions
Intervention / Treatment
Detailed Description
In this study, the focus is on a cohort of healthy adults enrolled in a guided detoxification program that included a healthy diet education session with or without 28-day nutritional supplementation with a whole food, proprietary multicomponent blend.
The primary objective was to determine the improvement in quality of life by a validated self-reported wellness questionnaire known as Promis Global 10.
The secondary outcomes were to quantify the functional markers of metabolic detoxification in blood and urine compared to the study baseline to understand the efficacy of the study formulation as part of 28-day nutritional supplementation with a whole food, proprietary multicomponent blend.
Study Type
Interventional
Enrollment (Actual)
32
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
-
-
Minnesota
-
Bloomington, Minnesota, United States, 55431
- De-Rusha Clinic, Northwestern Health Sciences University
-
-
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
- Adult
- Older Adult
Accepts Healthy Volunteers
Yes
Description
Inclusion Criteria:
- Willingness to comply with study protocol for 30 days
- No allergy to any study products (check formulation section below)
- Participant is over 18 years of age or older
- Participant is a male or a non-pregnant, non-lactating female, at least 6 weeks postpartum prior to screening visit, and is not actively planning a pregnancy.
- Participant has at least two weeks wash out period between completion of a previous research study that required ingestion of any study food or drug and their start in the current study.
Exclusion Criteria:
Prohibited Medications, Supplements or Herbal Products
- Subjects who are experiencing any adverse events due to any nutraceutical, OTC, or pharmaceutical or investigational products
- Celiac and other gastrointestinal health concerns
- Subjects may not receive any other investigational products not part of normal clinical care
- Lipid lowering drugs or the use of anticoagulant medications in the preceding 4 weeks and for duration of study
- Pregnant and nursing women are excluded from participation and women of childbearing age expecting to be pregnant soon will be excluded from the study
- TC levels less than 220
- Subjects with untreated endocrine, neurological, or infectious disease
- Subjects with the diagnosis of HIV disease or AIDS
- Significant liver or kidney disease (recent or ongoing hepatitis, cirrhosis, glomerulonephritis, dialysis treatment)
- Rheumatoid arthritis, ankylosing spondylitis, systemic lupus erythematosus, polymyositis, scleroderma, polymyalgia rheumatic, temporal arteritis or Reiter's Syndrome
- Psoriasis, Deep vein thrombosis or pulmonary embolus (blood clot to lungs)
- History of cancer
- Serious medical illness
- Substance Use - Use of ethanol within 24 hours of the evaluation visits (baseline, 4 weeks)
- Any other sound medical, psychiatric and/or social reason as determined by the PI
- Co-enrollment in other studies is restricted. Study staff should be notified of co-enrollment as it may require the approval of the investigator
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: Supportive Care
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
|---|---|
|
No Intervention: Education and healthy diet
The healthy diet education session included a PowerPoint presentation on healthy dietary guidelines and sample recipes of healthy meals.
|
|
|
Experimental: Detox
The guided component of the detoxification program included an additional PowerPoint presentation with the information about the investigational product, directions, and dosing information for its consumption.
|
The production use and disposal of toxic chemicals and synthetic materials have increased the risk of exposure to health-threatening toxins.
Causal relationships between toxic chemicals and diseases have been well established.
However, many patients endure chronic symptoms that are associated with exposure to toxins before advanced stages of specific diseases are realized.
Thus, there is a great demand for noninvasive laboratory tests that can provide timely assessment of chemical exposure and the capability of hepatic detoxification
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Promis Global 10 (Self- reported Wellness) Questionnaire
Time Frame: 28 days
|
The PROMIS Global short form was scored into a Global Physical Health component and Global Mental Health component.
The summed raw scores from PROMIS Global were converted into standardized T-score distributions such that a 50 represents the average (mean) for the US general population.
A high score always represents more of the concept being measured.
|
28 days
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Total Serum Antioxidants
Time Frame: 28 days
|
Total Antioxidant Capacity ( μM ) measured as the combined antioxidant activities of all serum constituents, including vitamins, proteins, lipids, glutathione, and uric acid.
This assay will be performed using a commercial kit following manufacturer's instruction.
|
28 days
|
|
Oxidative Stress
Time Frame: 28 days
|
Colorimetric method to study redox status of peripheral blood mononuclear cells (PBMCs) in Relative fluorescence units (RFU)
|
28 days
|
|
Detoxification Enzyme Activity - SOD
Time Frame: 28 days
|
Assessment of SOD activity (units/mL) using an assay that utilizes a tetrazolium salt for detection of superoxide radicals generated by xanthine oxidase and hypoxanthine using a colorimetric method.
|
28 days
|
|
Detoxification Enzyme Activity - GST
Time Frame: 28 days
|
Total GST activity (units/mL) measured by quantifying the conjugation of 1-chloro-2,4-dinitrobenzene (CDNB) with reduced glutathione using a glutathione S-transferase assay kit
|
28 days
|
|
Urinary Detox marker
Time Frame: 28 days
|
Excreted Porphyrins concentration in urine (nmol/mg)
|
28 days
|
|
Hepatic detox marker -1
Time Frame: 28 days
|
Excreted D-glucaric acid concentration in urine ((nM/mg)
|
28 days
|
|
Hepatic detox marker -2
Time Frame: 28 days
|
Excreted Mercapturic acid concentration in urine ((μM/mM)
|
28 days
|
|
Total Glutathione
Time Frame: 28 days
|
Serum concentration of Glutathione (uM) was measured as part of a fluorometric assay.
|
28 days
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Collaborators
Investigators
- Principal Investigator: Chinmayee Panda, PhD, Standard Process Inc.
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
- Zhao ZY, Liang L, Fan X, Yu Z, Hotchkiss AT, Wilk BJ, Eliaz I. The role of modified citrus pectin as an effective chelator of lead in children hospitalized with toxic lead levels. Altern Ther Health Med. 2008 Jul-Aug;14(4):34-8. Erratum In: Altern Ther Health Med. 2008 Nov-Dec;14(6):18.
- Eliaz I, Hotchkiss AT, Fishman ML, Rode D. The effect of modified citrus pectin on urinary excretion of toxic elements. Phytother Res. 2006 Oct;20(10):859-64. doi: 10.1002/ptr.1953.
- Proudfoot AT, Krenzelok EP, Vale JA. Position Paper on urine alkalinization. J Toxicol Clin Toxicol. 2004;42(1):1-26. doi: 10.1081/clt-120028740.
- Chen HL, Lu YH, Lin JJ, Ko LY. Effects of isomalto-oligosaccharides on bowel functions and indicators of nutritional status in constipated elderly men. J Am Coll Nutr. 2001 Feb;20(1):44-9. doi: 10.1080/07315724.2001.10719013.
- Yen CH, Tseng YH, Kuo YW, Lee MC, Chen HL. Long-term supplementation of isomalto-oligosaccharides improved colonic microflora profile, bowel function, and blood cholesterol levels in constipated elderly people--a placebo-controlled, diet-controlled trial. Nutrition. 2011 Apr;27(4):445-50. doi: 10.1016/j.nut.2010.05.012. Epub 2010 Jul 10.
- Varadharaj S, Kelly OJ, Khayat RN, Kumar PS, Ahmed N, Zweier JL. Role of Dietary Antioxidants in the Preservation of Vascular Function and the Modulation of Health and Disease. Front Cardiovasc Med. 2017 Nov 1;4:64. doi: 10.3389/fcvm.2017.00064. eCollection 2017.
- Sears ME, Genuis SJ. Environmental determinants of chronic disease and medical approaches: recognition, avoidance, supportive therapy, and detoxification. J Environ Public Health. 2012;2012:356798. doi: 10.1155/2012/356798. Epub 2012 Jan 19.
- Liska D, Lyon M, Jones DS. Detoxification and biotransformational imbalances. Explore (NY). 2006 Mar;2(2):122-40. doi: 10.1016/j.explore.2005.12.009. No abstract available.
- Hodges RE, Minich DM. Modulation of Metabolic Detoxification Pathways Using Foods and Food-Derived Components: A Scientific Review with Clinical Application. J Nutr Metab. 2015;2015:760689. doi: 10.1155/2015/760689. Epub 2015 Jun 16.
- Griendling KK, Touyz RM, Zweier JL, Dikalov S, Chilian W, Chen YR, Harrison DG, Bhatnagar A; American Heart Association Council on Basic Cardiovascular Sciences. Measurement of Reactive Oxygen Species, Reactive Nitrogen Species, and Redox-Dependent Signaling in the Cardiovascular System: A Scientific Statement From the American Heart Association. Circ Res. 2016 Aug 19;119(5):e39-75. doi: 10.1161/RES.0000000000000110. Epub 2016 Jul 14.
- Zweier JL, Duke SS, Kuppusamy P, Sylvester JT, Gabrielson EW. Electron paramagnetic resonance evidence that cellular oxygen toxicity is caused by the generation of superoxide and hydroxyl free radicals. FEBS Lett. 1989 Jul 31;252(1-2):12-6. doi: 10.1016/0014-5793(89)80881-6.
- Pastore A, Federici G, Bertini E, Piemonte F. Analysis of glutathione: implication in redox and detoxification. Clin Chim Acta. 2003 Jul 1;333(1):19-39. doi: 10.1016/s0009-8981(03)00200-6.
- Lee DH, Blomhoff R, Jacobs DR Jr. Is serum gamma glutamyltransferase a marker of oxidative stress? Free Radic Res. 2004 Jun;38(6):535-9. doi: 10.1080/10715760410001694026.
- Chen CA, Wang TY, Varadharaj S, Reyes LA, Hemann C, Talukder MA, Chen YR, Druhan LJ, Zweier JL. S-glutathionylation uncouples eNOS and regulates its cellular and vascular function. Nature. 2010 Dec 23;468(7327):1115-8. doi: 10.1038/nature09599.
- Bonakdar RA, Sweeney M, Dalhoumi S, Adair V, Garvey C, Hodge T, Herrala L, Barbee A, Case C, Kearney J, Smith K, Hwang J. Detoxification Enhanced Lifestyle Intervention Targeting Endotoxemia (DELITE) in the Setting of Obesity and Pain: Results of a Pilot Group Intervention. Integr Med (Encinitas). 2020 Oct;19(5):16-28.
- Mostafalou S, Abdollahi M. Pesticides and human chronic diseases: evidences, mechanisms, and perspectives. Toxicol Appl Pharmacol. 2013 Apr 15;268(2):157-77. doi: 10.1016/j.taap.2013.01.025. Epub 2013 Feb 9.
- Jochmanova I, Lazurova Z, Rudnay M, Bacova I, Marekova M, Lazurova I. Environmental estrogen bisphenol A and autoimmunity. Lupus. 2015 Apr;24(4-5):392-9. doi: 10.1177/0961203314560205.
- Polanska K, Jurewicz J, Hanke W. Review of current evidence on the impact of pesticides, polychlorinated biphenyls and selected metals on attention deficit / hyperactivity disorder in children. Int J Occup Med Environ Health. 2013 Mar;26(1):16-38. doi: 10.2478/s13382-013-0073-7. Epub 2013 Mar 22.
- Berardi JM, Logan AC, Rao AV. Plant based dietary supplement increases urinary pH. J Int Soc Sports Nutr. 2008 Nov 6;5:20. doi: 10.1186/1550-2783-5-20.
- Konig D, Muser K, Dickhuth HH, Berg A, Deibert P. Effect of a supplement rich in alkaline minerals on acid-base balance in humans. Nutr J. 2009 Jun 10;8:23. doi: 10.1186/1475-2891-8-23.
- Minich DM, Bland JS. Acid-alkaline balance: role in chronic disease and detoxification. Altern Ther Health Med. 2007 Jul-Aug;13(4):62-5.
- Zhang N, Huang C, Ou S. In vitro binding capacities of three dietary fibers and their mixture for four toxic elements, cholesterol, and bile acid. J Hazard Mater. 2011 Feb 15;186(1):236-9. doi: 10.1016/j.jhazmat.2010.10.120. Epub 2010 Nov 9.
- Cuervo A, Salazar N, Ruas-Madiedo P, Gueimonde M, Gonzalez S. Fiber from a regular diet is directly associated with fecal short-chain fatty acid concentrations in the elderly. Nutr Res. 2013 Oct;33(10):811-6. doi: 10.1016/j.nutres.2013.05.016. Epub 2013 Jul 26.
- Cline JC. Nutritional aspects of detoxification in clinical practice. Altern Ther Health Med. 2015 May-Jun;21(3):54-62.
Helpful Links
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 (Actual)
March 6, 2022
Primary Completion (Actual)
August 27, 2022
Study Completion (Actual)
September 30, 2022
Study Registration Dates
First Submitted
March 10, 2023
First Submitted That Met QC Criteria
September 27, 2023
First Posted (Actual)
September 29, 2023
Study Record Updates
Last Update Posted (Actual)
September 29, 2023
Last Update Submitted That Met QC Criteria
September 27, 2023
Last Verified
September 1, 2023
More Information
Terms related to this study
Other Study ID Numbers
- SP-016
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
NO
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
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.
Clinical Trials on Detoxification Response
-
Chef V, LLCCitruslabsCompletedDetoxificationUnited States
-
OvationLabRecruitingInflammation | Biological Aging | DetoxificationUnited States
-
University of ArkansasNational Institute on Drug Abuse (NIDA)CompletedOpioid Dependence | Opioid Withdrawal | Opioid DetoxificationUnited States
-
Institute of Mental Health, SingaporeSingapore Clinical Research InstituteCompletedOpiate Dependent Patients Who Are Undergoing Inpatient Detoxification in SingaporeSingapore
-
Johns Hopkins UniversityNational Institute on Alcohol Abuse and Alcoholism (NIAAA)Not yet recruitingCraving | Alcohol Use Disorder (AUD) | Withdrawal From Addictive Substance; DetoxificationUnited States
-
Centre hospitalier de l'Université de Montréal...CompletedSubstance Use Disorder | Cocaine Dependence | Withdrawal From Addictive Substance; DetoxificationCanada
-
PepsiCo Global R&DCompletedGlycemic Response | Insulinemic Response | Subject Hunger ResponseCanada
-
University of Southern DenmarkRegion Capital Denmark; Region Zealand; North Denmark RegionCompletedResponse | Non-responseDenmark
-
BioglaneUniversity Rovira i Virgili; National Research Council, Spain; Technological...CompletedInsulinemic Response | Glycaemic ResponseSpain
-
PepsiCo Global R&DCompletedGlycemic Response | Insulinemic Response | Subjectvie HungerCanada
Clinical Trials on SP Detox Program
-
Innowage LimitedAarogyam UK; Zep FoundationCompletedAdolescent Behavior | Family | Psychological Well-BeingIndia
-
Innowage LimitedAarogyam UK; Zep FoundationCompletedMenopause | Psychological Stress | Menopause Related ConditionsIndia
-
Maharishi International UniversityCompletedDepression | AnxietyAustria
-
Ataturk UniversityNot yet recruitingSleep Quality | Depression Anxiety Disorder
-
Şırnak ÜniversitesiCompletedDigital Screen Addiction and Sleep Quality in AdolescentsTurkey (Türkiye)
-
VA Office of Research and DevelopmentRecruitingAnger | PTSD | TBI | Veterans | Suicide Prevention | TransdiagnosticUnited States
-
Gümüşhane UniversıtyRecruitingLoneliness | Sleep Quality | Fear of Missing OutTurkey (Türkiye)
-
Danube University KremsCompleted
-
The Dental Hospital of Zhejiang University School...RecruitingChronic Apical PeriodontitisChina
-
Leiden University Medical CenterGöteborg University; Walter Reed Army Institute of Research (WRAIR); PATH; European... and other collaboratorsRecruitingShigellosis | Bacillary DysenteryNetherlands