Trial Outcomes & Findings for Broccoli Sprout/Broccoli Seed Extract Supplement in Decreasing Toxicity in Heavy Smokers (NCT NCT03402230)

NCT ID: NCT03402230

Last Updated: 2023-06-28

Results Overview

Change in the overnight urinary excretion the mercapturic acid of benzene following 4 tablets per day of Avmacol. Data presented as ratio of the geometric mean of overnight urinary excretion the mercapturic acid of benzene between post intervention and baseline.

Recruitment status

COMPLETED

Study phase

EARLY_PHASE1

Target enrollment

49 participants

Primary outcome timeframe

Baseline up to 14 days post intervention

Results posted on

2023-06-28

Participant Flow

Participant milestones

Participant milestones
Measure
Avmacol Low Dose First, Then High Dose
Participants received lower dose of Avmacol daily for 10-14 days, followed by 10-14 days of washout, and followed by higher dose of Avmacol daily for 10-14 days.
Avmacol High Dose First, Then Low Dose
Participants received higher dose of Avmacol daily for 10-14 days, followed by 10-14 days of washout, and followed by lower dose of Avmacol daily for 10-14 days.
Overall Study
STARTED
25
24
Overall Study
COMPLETED
25
23
Overall Study
NOT COMPLETED
0
1

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Broccoli Sprout/Broccoli Seed Extract Supplement in Decreasing Toxicity in Heavy Smokers

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Avmacol
n=49 Participants
Participants who initiated Avmacol intervention
Age, Continuous
56 years
STANDARD_DEVIATION 9 • n=99 Participants
Sex: Female, Male
Female
26 Participants
n=99 Participants
Sex: Female, Male
Male
23 Participants
n=99 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
4 Participants
n=99 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
44 Participants
n=99 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
1 Participants
n=99 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=99 Participants
Race (NIH/OMB)
Asian
0 Participants
n=99 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=99 Participants
Race (NIH/OMB)
Black or African American
1 Participants
n=99 Participants
Race (NIH/OMB)
White
44 Participants
n=99 Participants
Race (NIH/OMB)
More than one race
3 Participants
n=99 Participants
Race (NIH/OMB)
Unknown or Not Reported
1 Participants
n=99 Participants

PRIMARY outcome

Timeframe: Baseline up to 14 days post intervention

Change in the overnight urinary excretion the mercapturic acid of benzene following 4 tablets per day of Avmacol. Data presented as ratio of the geometric mean of overnight urinary excretion the mercapturic acid of benzene between post intervention and baseline.

Outcome measures

Outcome measures
Measure
Avmacol
n=48 Participants
Participants who initiated Avmacol intervention
Avmacol 8 Tablets
Participants received 8 tablets of the study agent PO daily for 10-14 days. Broccoli Sprout/Broccoli Seed Extract Supplement: Given PO Laboratory Biomarker Analysis: Correlative studies Questionnaire Administration: Ancillary studies
Change in Urinary Excretion of the Mercapturic Acid of Benzene Following 4 Tablets Per Day of Avmacol
1.16 data presented as ratio; no unit
Interval 0.998 to 1.344

PRIMARY outcome

Timeframe: Baseline up to 14 days post intervention

Change in the overnight urinary excretion the mercapturic acid of benzene following 8 tablets per day of Avmacol. Data presented as ratio of the geometric mean of overnight urinary excretion the mercapturic acid of benzene between post intervention and baseline.

Outcome measures

Outcome measures
Measure
Avmacol
n=48 Participants
Participants who initiated Avmacol intervention
Avmacol 8 Tablets
Participants received 8 tablets of the study agent PO daily for 10-14 days. Broccoli Sprout/Broccoli Seed Extract Supplement: Given PO Laboratory Biomarker Analysis: Correlative studies Questionnaire Administration: Ancillary studies
Change in Urinary Excretion of the Mercapturic Acid of Benzene Following 8 Tablets Per Day of Avmacol
1.19 data presented as ratio; no unit
Interval 1.005 to 1.409

SECONDARY outcome

Timeframe: Baseline up to 14 days post intervention

Change following 4 tablets per day and 8 tablets per day of Avmacol wad determined separately. Data presented as ratio of the geometric mean of overnight urinary excretion of the mercapturic acid of acrolein/crotonaldehyde between post intervention and baseline.

Outcome measures

Outcome measures
Measure
Avmacol
n=48 Participants
Participants who initiated Avmacol intervention
Avmacol 8 Tablets
n=48 Participants
Participants received 8 tablets of the study agent PO daily for 10-14 days. Broccoli Sprout/Broccoli Seed Extract Supplement: Given PO Laboratory Biomarker Analysis: Correlative studies Questionnaire Administration: Ancillary studies
Change in the Urinary Excretion of the Mercapturic Acids of Acrolein and Crotonaldehyde
Urindary excretion of mercapturic acid of acrolein
1.11 data presented as ratio; no unit
Interval 0.98 to 1.26
1.28 data presented as ratio; no unit
Interval 1.06 to 1.53
Change in the Urinary Excretion of the Mercapturic Acids of Acrolein and Crotonaldehyde
Urinary excretion of mercapturic acid of crotonaldehyde
1.05 data presented as ratio; no unit
Interval 0.9 to 1.22
1.18 data presented as ratio; no unit
Interval 1.02 to 1.37

SECONDARY outcome

Timeframe: Baseline up to 14 days post intervention

Change in the expression of NQO1 in the buccal cells after 8 tablets per day of Avmacol. Data presented as ratio of the geometric mean of the gene expression of NQO1 between post intervention and baseline.

Outcome measures

Outcome measures
Measure
Avmacol
n=48 Participants
Participants who initiated Avmacol intervention
Avmacol 8 Tablets
Participants received 8 tablets of the study agent PO daily for 10-14 days. Broccoli Sprout/Broccoli Seed Extract Supplement: Given PO Laboratory Biomarker Analysis: Correlative studies Questionnaire Administration: Ancillary studies
Change in the NRF2 Target Gene Transcripts
1.00 data presented as ratio; no unit
Interval 0.98 to 1.02

SECONDARY outcome

Timeframe: Up to 14 days post intervention

Dose-response relationship between the Avmacol dose and the detoxification of tobacco carcinogens. Data presented as ratio of percent change of the overnight urinary excretion of mercapturic acid of benzene/acrolein/crotonaldehyde between the 8 tables and 4 tables dose.

Outcome measures

Outcome measures
Measure
Avmacol
n=48 Participants
Participants who initiated Avmacol intervention
Avmacol 8 Tablets
Participants received 8 tablets of the study agent PO daily for 10-14 days. Broccoli Sprout/Broccoli Seed Extract Supplement: Given PO Laboratory Biomarker Analysis: Correlative studies Questionnaire Administration: Ancillary studies
Dose-response Relationship Between Avmacol Dose and Detoxification of Tobacco Carcinogens
Mercapturic acid of acrolein
1.14 data presented as ratio; no unit
Interval 0.95 to 1.36
Dose-response Relationship Between Avmacol Dose and Detoxification of Tobacco Carcinogens
Mercapturic acid of crotonaldehyde
1.12 data presented as ratio; no unit
Interval 0.95 to 1.32
Dose-response Relationship Between Avmacol Dose and Detoxification of Tobacco Carcinogens
Mercapturic acid of benzene
1.01 data presented as ratio; no unit
Interval 0.89 to 1.15

SECONDARY outcome

Timeframe: Up to 14 days post intervention

Change in the total urinary levels of sulforaphane and its glutathione-derived metabolites (i.e., the sum of the molar concentrations of sulforaphane and its glutathione-derived metabolites in urine). Data presented as ratio of the geometric mean of the total urinary levels of sulforaphane and its metabolites between post intervention and baseline.

Outcome measures

Outcome measures
Measure
Avmacol
n=48 Participants
Participants who initiated Avmacol intervention
Avmacol 8 Tablets
n=48 Participants
Participants received 8 tablets of the study agent PO daily for 10-14 days. Broccoli Sprout/Broccoli Seed Extract Supplement: Given PO Laboratory Biomarker Analysis: Correlative studies Questionnaire Administration: Ancillary studies
Systemic Study Agent Exposure
467.9 data presented as ratio; no unit
Interval 264.7 to 826.9
990.0 data presented as ratio; no unit
Interval 592.2 to 1655.1

OTHER_PRE_SPECIFIED outcome

Timeframe: Up to 14 days post intervention

Population: The data were presented by genotype. Therefore, the number of participants with a particular genotype is a subset of the overall number of participants analyzed.

Change in the urinary excretion of the mercapturic acids of tobacco carcinogens by GSTM1 and GSTT1 genotype. Data presented as ratio of the geometric mean of urinary excretion of mercapturic acid of benzene between post intervention and baseline for each genotype.

Outcome measures

Outcome measures
Measure
Avmacol
n=48 Participants
Participants who initiated Avmacol intervention
Avmacol 8 Tablets
n=48 Participants
Participants received 8 tablets of the study agent PO daily for 10-14 days. Broccoli Sprout/Broccoli Seed Extract Supplement: Given PO Laboratory Biomarker Analysis: Correlative studies Questionnaire Administration: Ancillary studies
GSTM1 and GSTT1 Genotypes
Mercapturic acid of benzene in GSTM1-null participants
1.23 data presented as ratio; no unit
Interval 0.99 to 1.52
1.34 data presented as ratio; no unit
Interval 0.98 to 1.84
GSTM1 and GSTT1 Genotypes
Mercapturic acid of benzene in GSTM1-positive participants
1.10 data presented as ratio; no unit
Interval 0.9 to 1.35
1.06 data presented as ratio; no unit
Interval 0.93 to 1.21
GSTM1 and GSTT1 Genotypes
Mercapturic acid of benzene in GSTT1-null participants
0.75 data presented as ratio; no unit
Interval 0.54 to 1.04
1.16 data presented as ratio; no unit
Interval 0.89 to 1.51
GSTM1 and GSTT1 Genotypes
Mercapturic acid of benzene in GSTT1-positive participants
1.26 data presented as ratio; no unit
Interval 1.08 to 1.47
1.20 data presented as ratio; no unit
Interval 0.98 to 1.45

Adverse Events

High Dose

Serious events: 1 serious events
Other events: 26 other events
Deaths: 0 deaths

Low Dose

Serious events: 0 serious events
Other events: 14 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
High Dose
n=49 participants at risk
8 Tablets of Broccoli Sprout/Broccoli Seed Extract Per Day for 14 days
Low Dose
n=48 participants at risk
4 Tablets of Broccoli Sprout/Broccoli Seed Extract Per Day for 14 days
Cardiac disorders
Myocardial infarction
2.0%
1/49 • Two weeks of agent intervention
0.00%
0/48 • Two weeks of agent intervention

Other adverse events

Other adverse events
Measure
High Dose
n=49 participants at risk
8 Tablets of Broccoli Sprout/Broccoli Seed Extract Per Day for 14 days
Low Dose
n=48 participants at risk
4 Tablets of Broccoli Sprout/Broccoli Seed Extract Per Day for 14 days
Gastrointestinal disorders
Diarrhea
20.4%
10/49 • Two weeks of agent intervention
6.2%
3/48 • Two weeks of agent intervention
Gastrointestinal disorders
Dyspepsia
6.1%
3/49 • Two weeks of agent intervention
2.1%
1/48 • Two weeks of agent intervention
Gastrointestinal disorders
Flatulence
14.3%
7/49 • Two weeks of agent intervention
6.2%
3/48 • Two weeks of agent intervention
Gastrointestinal disorders
Gastrointestinal disorders, other
18.4%
9/49 • Two weeks of agent intervention
14.6%
7/48 • Two weeks of agent intervention
Gastrointestinal disorders
Abdominal pain
20.4%
10/49 • Two weeks of agent intervention
2.1%
1/48 • Two weeks of agent intervention

Additional Information

Sherry Chow, PhD

University of Arizona

Phone: 5206263358

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place

Restriction type: LTE60