- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT06491095
Effect of Flax in Yogurt on Blood Cyanide Levels
A Randomized, Controlled, Cross-over Trial Examining the Effect of Flaxseed on Blood Cyanide Levels in Healthy Adults
Study Overview
Status
Conditions
Detailed Description
Participants will receive yogurt containing the following flaxseed products in a random order:
- 40 g ground flaxseed, untreated;
- 40 g ground flaxseed, roasted before grinding;
- 40 g intact whole flaxseed;
- 28 g flaxseed hulls;
- 0 g flaxseed.
Venous blood will be collected at the following time points: 0 (before consumption of test product), 15, 30, 45, 60, 75, 90, 120, 150, 180 min.
Urine will be collected prior to consumption of test product and 180 min.
Primary endpoints: 1) Peak blood level of cyanide and incremental area under the curve (iAUC) for cyanide in blood over a 3h postprandial period. Secondary endpoint: 1) cyanogenic glycoside and thiocyanate concentrations in plasma and urine over a 3h postprandial period.
Tertiary endpoints: 1) metabolic profile in plasma and urine over 3 h postprandial period.
Study Type
Enrollment (Estimated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Heather Blewett, PhD
- Phone Number: 204-237-2954
- Email: hblewett@sbrc.ca
Study Locations
-
-
Manitoba
-
Winnipeg, Manitoba, Canada, R2H 2A6
- I. H. Asper Clinical Research Institute
-
Contact:
- Heather J Blewett, PhD
- Phone Number: 204-237-2954
- Email: hblewett@sbrc.ca
-
Contact:
- Heather J Blewett, PhD
-
Contact:
- Véronique J Barthet, PhD
-
Contact:
- Michel Aliani, PhD
-
Contact:
- Lovemore Malunga, PhD
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Generally healthy adult, 18 years or older;
- Willing to provide informed consent;
- Willing/able to comply with the requirements of the study.
Exclusion Criteria:
- Pregnant or lactating;
- Medical history of disease that is currently under treatment;
- Active treatment for any type of cancer within 1 year prior to study start;
- Presence of a gastrointestinal disorder, daily use of any stomach acid-lowering medications or laxatives (including fibre supplements) within the past month or antibiotic use within the past 6 weeks;
- Plasma concentration of vitamin B12 < 148 pmol/L;
- Complete blood count outside normal range;
- Medical history of liver disease or liver dysfunction (defined as plasma AST or ALT ≥3 times the upper limit of normal (ULN));
- Fasting blood glucose ≥6.1 mmol/L and/or HbA1c ≥6.0%;
- Fasting plasma total cholesterol >7.8 mmol/L;
- Fasting plasma HDL <0.9 mmol/L;
- Fasting plasma LDL >5.0 mmol/L;
- Fasting plasma triglycerides >2.3 mmol/L;
- Systolic blood pressure >140 mmHg or diastolic blood pressure >90 mmHg;
- Major surgery within the last 3 months;
- Smoking, use of tobacco, vape or cannabis (within the last week);
- Allergies to flaxseed or yogurt;
- Aversion or unwillingness to eat study foods;
- Participation in another clinical trial, current or in the past 4 weeks
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Prevention
- Allocation: Randomized
- Interventional Model: Crossover Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
|---|---|
|
Other: No Flax Product
175 g yogurt containing no flax product
|
175 g yogurt with no flax product
|
|
Experimental: 40 g whole ground flaxseed
175 g yogurt with 40 g whole ground flaxseed
|
175 g yogurt with 40 g whole ground flaxseed
|
|
Experimental: 40 g roasted then ground whole flaxseed
175 g yogurt with 40 g roasted then ground whole flaxseed
|
175 g yogurt with 40 g roasted then ground whole flaxseed
|
|
Experimental: 40 g of whole intact flaxseeds
175 g yogurt with 40 g of whole intact flaxseeds
|
175 g yogurt with 40 g of whole intact flaxseeds
|
|
Experimental: 28 g flax hulls
175 g yogurt with 28 g flax hulls
|
175 g yogurt with 28 g flax hulls
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Peak blood level of cyanide
Time Frame: 180 minutes
|
highest concentration of cyanide during 180 min postprandial period
|
180 minutes
|
|
iAUC blood cyanide
Time Frame: 180 min
|
incremental area under the curve for cyanide from 0-180 min
|
180 min
|
Secondary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Cyanogenic glycoside and thiocyanate concentrations in plasma and urine
Time Frame: 180 minutes
|
180 minutes
|
Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Concentration of metabolites in blood and urine
Time Frame: 180 minutes
|
Identification and concentration of metabolites in plasma and urine determined by LC-QTOF-MS
|
180 minutes
|
Collaborators and Investigators
Sponsor
Collaborators
Investigators
- Principal Investigator: Heather Blewett, PhD, Agriculture and Agri-Food Canada
Publications and helpful links
General Publications
- Abraham K, Buhrke T, Lampen A. Bioavailability of cyanide after consumption of a single meal of foods containing high levels of cyanogenic glycosides: a crossover study in humans. Arch Toxicol. 2016 Mar;90(3):559-74. doi: 10.1007/s00204-015-1479-8. Epub 2015 Feb 24.
- Agbor-Egbe T, Lape Mbome I. The effects of processing techniques in reducing cyanogen levels during the production of some Cameroonian cassava foods. Journal of Food Composition and Analysis. 2006 Jun;19(4):354-63.
- Carlsson L, Mlingi N, Juma A, Ronquist G, Rosling H. Metabolic fates in humans of linamarin in cassava flour ingested as stiff porridge. Food Chem Toxicol. 1999 Apr;37(4):307-12. doi: 10.1016/s0278-6915(99)00015-0.
- Cressey P, Reeve J. Metabolism of cyanogenic glycosides: A review. Food Chem Toxicol. 2019 Mar;125:225-232. doi: 10.1016/j.fct.2019.01.002. Epub 2019 Jan 4.
- Cressey P, Saunders D, Aupaau F. Evaluation of food safety risks associated with foods containing cyanogenic glycosides. New Zealand Food Safety Technical Paper No: 2022/29. 2022 Nov.
- Diaz-Rueda P, Morales de Los Rios L, Romero LC, Garcia I. Old poisons, new signaling molecules: the case of hydrogen cyanide. J Exp Bot. 2023 Oct 13;74(19):6040-6051. doi: 10.1093/jxb/erad317.
- EFSA Panel on Contaminants in the Food Chain (CONTAM); Schrenk D, Bignami M, Bodin L, Chipman JK, Del Mazo J, Grasl-Kraupp B, Hogstrand C, Hoogenboom LR, Leblanc JC, Nebbia CS, Nielsen E, Ntzani E, Petersen A, Sand S, Vleminckx C, Wallace H, Benford D, Brimer L, Mancini FR, Metzler M, Viviani B, Altieri A, Arcella D, Steinkellner H, Schwerdtle T. Evaluation of the health risks related to the presence of cyanogenic glycosides in foods other than raw apricot kernels. EFSA J. 2019 Apr 11;17(4):e05662. doi: 10.2903/j.efsa.2019.5662. eCollection 2019 Apr.
- Gleadow RM, Moller BL. Cyanogenic glycosides: synthesis, physiology, and phenotypic plasticity. Annu Rev Plant Biol. 2014;65:155-85. doi: 10.1146/annurev-arplant-050213-040027. Epub 2014 Feb 24.
- Joint FAO/WHO Expert Committee on Food Additives (JECFA). Safety evaluation of certain food additives and contaminants. WHO food additives series; 65. 2012
- Mazza G and Oomah BD. Flaxseed, dietary fiber, and cyanogens. In: "Flaxseed in human nutrition", Editors: Cunnane, S.C. and Thompson, L.U., AOCS Press, 1995 56-81.
- Muir AD, Westcott ND. Quantitation of the lignan secoisolariciresinol diglucoside in baked goods containing flax seed or flax meal. J Agric Food Chem. 2000 Sep;48(9):4048-52. doi: 10.1021/jf990922p.
- Ngudi DD, Kuo YH, Lambein F. Cassava cyanogens and free amino acids in raw and cooked leaves. Food Chem Toxicol. 2003 Aug;41(8):1193-7. doi: 10.1016/s0278-6915(03)00111-x.
- Parikh M, Netticadan T, Pierce GN. Flaxseed: its bioactive components and their cardiovascular benefits. Am J Physiol Heart Circ Physiol. 2018 Feb 1;314(2):H146-H159. doi: 10.1152/ajpheart.00400.2017. Epub 2017 Nov 3.
- Yulvianti M, Zidorn C. Chemical Diversity of Plant Cyanogenic Glycosides: An Overview of Reported Natural Products. Molecules. 2021 Jan 30;26(3):719. doi: 10.3390/molecules26030719.
Study record dates
Study Major Dates
Study Start (Estimated)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Estimated)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Other Study ID Numbers
- 4030/4687
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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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