Trial Outcomes & Findings for Clinical Trial of Two Study Drinks in Detoxification of Environmental Toxicants and Carcinogens (NCT NCT03978117)

NCT ID: NCT03978117

Last Updated: 2025-11-21

Results Overview

Carcinogen detoxification metabolites in urine. Biomarkers to be analyzed: 2-cyanoethyl mercapturic acid (CEMA), 3-hydroxypropyl mercapturic acid (HPMA1), 2-hydroxypropyl mercapturic acid (HPMA2), phenyl mercapturic acid (SPMA), 3-hydroxy-1-methylpropyl mercapturic acid (HMPMA1), 3-hydroxy-2-methylpropyl mercapturic acid (HMPMA2), and 3-hydroxy-3-methylpropyl mercapturic acid (HMPMA3),

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

300 participants

Primary outcome timeframe

2 Months

Results posted on

2025-11-21

Participant Flow

300 participants randomized to treatment arms. 188 analyzed for study objectives.

Participant milestones

Participant milestones
Measure
Freeze Dried Watercress Preparation Then Placebo
Participants were randomly assigned to the watercress then placebo arm. During the treatment phase, participants consumed the watercress beverage 3 times per day (around the time of breakfast, lunch and dinner) for 14 days. Participants had a 4-week washout period before switching to the placebo beverage for 14 days. The placebo was consumed in the same pattern 3 times per day around meals as the watercress beverage.
Placebo Then Freeze Dried Watercress Preparation
Participants were randomly assigned to the placebo then watercress arm. During the treatment phase, participants consumed the placebo beverage, 3 times per day (around the time of breakfast, lunch and dinner) for 14 days. Participants had a 4-week washout period before switching to the watercress beverage for 14 days. The watercress beverage was consumed in the same pattern 3 times per day around meals as the placebo beverage.
Overall Study
STARTED
155
145
Overall Study
COMPLETED
125
115
Overall Study
NOT COMPLETED
30
30

Reasons for withdrawal

Reasons for withdrawal
Measure
Freeze Dried Watercress Preparation Then Placebo
Participants were randomly assigned to the watercress then placebo arm. During the treatment phase, participants consumed the watercress beverage 3 times per day (around the time of breakfast, lunch and dinner) for 14 days. Participants had a 4-week washout period before switching to the placebo beverage for 14 days. The placebo was consumed in the same pattern 3 times per day around meals as the watercress beverage.
Placebo Then Freeze Dried Watercress Preparation
Participants were randomly assigned to the placebo then watercress arm. During the treatment phase, participants consumed the placebo beverage, 3 times per day (around the time of breakfast, lunch and dinner) for 14 days. Participants had a 4-week washout period before switching to the watercress beverage for 14 days. The watercress beverage was consumed in the same pattern 3 times per day around meals as the placebo beverage.
Overall Study
self- withdrawal or PI withdrawal
26
26
Overall Study
Lost to Follow-up
4
4

Baseline Characteristics

Clinical Trial of Two Study Drinks in Detoxification of Environmental Toxicants and Carcinogens

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Freeze Dried Watercress Preparation Then Placebo
n=108 Participants
Participants were randomly assigned to the watercress then placebo arm. During the treatment phase, participants consumed the watercress beverage 3 times per day (around the time of breakfast, lunch and dinner) for 14 days. Participants had a 4-week washout period before switching to the placebo beverage for 14 days. The placebo was consumed in the same pattern 3 times per day around meals as the watercress beverage.
Placebo Then Freeze Dried Watercress Preparation
n=80 Participants
Participants were randomly assigned to the placebo then watercress arm. During the treatment phase, participants consumed the placebo beverage, 3 times per day (around the time of breakfast, lunch and dinner) for 14 days. Participants had a 4-week washout period before switching to the watercress beverage for 14 days. The watercress beverage was consumed in the same pattern 3 times per day around meals as the placebo beverage.
Total
n=188 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=39 Participants
0 Participants
n=29 Participants
0 Participants
n=60 Participants
Age, Categorical
Between 18 and 65 years
108 Participants
n=39 Participants
80 Participants
n=29 Participants
188 Participants
n=60 Participants
Age, Categorical
>=65 years
0 Participants
n=39 Participants
0 Participants
n=29 Participants
0 Participants
n=60 Participants
Sex: Female, Male
Female
69 Participants
n=39 Participants
57 Participants
n=29 Participants
126 Participants
n=60 Participants
Sex: Female, Male
Male
39 Participants
n=39 Participants
23 Participants
n=29 Participants
62 Participants
n=60 Participants
Race/Ethnicity, Customized
Non-White
25 participants
n=39 Participants
14 participants
n=29 Participants
39 participants
n=60 Participants
Race/Ethnicity, Customized
White
83 participants
n=39 Participants
66 participants
n=29 Participants
149 participants
n=60 Participants
Region of Enrollment
United States
108 participants
n=39 Participants
80 participants
n=29 Participants
188 participants
n=60 Participants

PRIMARY outcome

Timeframe: 2 Months

Population: Number analyzed differs due to incomplete markers in analysis.

Carcinogen detoxification metabolites in urine. Biomarkers to be analyzed: 2-cyanoethyl mercapturic acid (CEMA), 3-hydroxypropyl mercapturic acid (HPMA1), 2-hydroxypropyl mercapturic acid (HPMA2), phenyl mercapturic acid (SPMA), 3-hydroxy-1-methylpropyl mercapturic acid (HMPMA1), 3-hydroxy-2-methylpropyl mercapturic acid (HMPMA2), and 3-hydroxy-3-methylpropyl mercapturic acid (HMPMA3),

Outcome measures

Outcome measures
Measure
Freeze Dried Watercress Preparation
n=188 Participants
Freeze dried watercress containing gluconasturtiin, which when added to provided water with flavor powder, will result in a total target dose of up to 40 mg/day of 2-phenethyl isothiocyanate (PEITC). Preparation consumed at breakfast, lunch and dinner 3x daily for 2 weeks.
Placebo
n=188 Participants
Maltodextrin added to provided water with flavor powder. Preparation consumed at breakfast, lunch and dinner 3x daily for 2 weeks.
Carcinogen Detoxification of Metabolites in Urine.
HPMA1
3052.39 ng/mL
Interval 2249.48 to 5009.8
1843.29 ng/mL
Interval 1226.52 to 3395.28
Carcinogen Detoxification of Metabolites in Urine.
HPMA2
329.25 ng/mL
Interval 210.08 to 541.68
316.70 ng/mL
Interval 183.33 to 494.16
Carcinogen Detoxification of Metabolites in Urine.
SPMA
0.60 ng/mL
Interval 0.34 to 1.49
0.44 ng/mL
Interval 0.25 to 0.86
Carcinogen Detoxification of Metabolites in Urine.
HMPMA1
381.91 ng/mL
Interval 281.38 to 507.2
307.68 ng/mL
Interval 242.04 to 443.12
Carcinogen Detoxification of Metabolites in Urine.
HMPMA2
218.68 ng/mL
Interval 161.64 to 335.53
180.82 ng/mL
Interval 109.18 to 275.83
Carcinogen Detoxification of Metabolites in Urine.
HMPMA
1189.24 ng/mL
Interval 950.12 to 1660.61
891.42 ng/mL
Interval 668.65 to 1249.71
Carcinogen Detoxification of Metabolites in Urine.
HMPMA3
518.58 ng/mL
Interval 441.61 to 646.4
388.80 ng/mL
Interval 316.68 to 503.75
Carcinogen Detoxification of Metabolites in Urine.
CEMA
7.26 ng/mL
Interval 4.46 to 19.99
6.11 ng/mL
Interval 4.12 to 21.94

Adverse Events

Freeze Dried Watercress

Serious events: 0 serious events
Other events: 188 other events
Deaths: 0 deaths

Placebo

Serious events: 0 serious events
Other events: 50 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Freeze Dried Watercress
n=300 participants at risk
Freeze dried watercress containing gluconasturtiin, which when added to provided water with flavor powder, will result in a total target dose of up to 40 mg/day of 2-phenethyl isothiocyanate (PEITC). Preparation consumed at breakfast, lunch and dinner 3x daily for 2 weeks.
Placebo
n=300 participants at risk
Maltodextrin added to provided water with flavor powder. Preparation consumed at breakfast, lunch and dinner 3x daily for 2 weeks.
General disorders
Rash
0.33%
1/300 • Number of events 1 • 2 months
0.00%
0/300 • 2 months
General disorders
Hot Flashes
0.33%
1/300 • Number of events 1 • 2 months
0.00%
0/300 • 2 months
General disorders
Edema (face/neck/limbs/trunk/localized)
0.00%
0/300 • 2 months
0.33%
1/300 • Number of events 1 • 2 months
General disorders
Pain (other)
0.00%
0/300 • 2 months
0.67%
2/300 • Number of events 2 • 2 months
Respiratory, thoracic and mediastinal disorders
Cough
0.00%
0/300 • 2 months
0.33%
1/300 • Number of events 1 • 2 months
Respiratory, thoracic and mediastinal disorders
Shortness of Breath
0.00%
0/300 • 2 months
0.33%
1/300 • Number of events 1 • 2 months
General disorders
Dysgeusia (change in taste/smell)
1.7%
5/300 • Number of events 5 • 2 months
0.00%
0/300 • 2 months
General disorders
Headache (incl. migraine)
1.3%
4/300 • Number of events 4 • 2 months
0.33%
1/300 • Number of events 1 • 2 months
Psychiatric disorders
Depressed (sad) mood
0.33%
1/300 • Number of events 1 • 2 months
1.0%
3/300 • Number of events 3 • 2 months
General disorders
Nightmare/terror
0.33%
1/300 • Number of events 1 • 2 months
0.00%
0/300 • 2 months
Psychiatric disorders
Confusion
0.33%
1/300 • Number of events 1 • 2 months
0.00%
0/300 • 2 months
Gastrointestinal disorders
Increased Urination
2.3%
7/300 • Number of events 7 • 2 months
3.7%
11/300 • Number of events 11 • 2 months
General disorders
Nasal congestion (incl. runny nose)
0.33%
1/300 • Number of events 1 • 2 months
0.00%
0/300 • 2 months
General disorders
Saliva, changes in
0.33%
1/300 • Number of events 1 • 2 months
0.00%
0/300 • 2 months
General disorders
Oral dysesthesia (burning/tingling/numbness/pain)
7.0%
21/300 • Number of events 21 • 2 months
0.33%
1/300 • Number of events 1 • 2 months
General disorders
Mouth Sore
0.33%
1/300 • Number of events 1 • 2 months
0.00%
0/300 • 2 months
Gastrointestinal disorders
Dyspepsia (upset stomach)
1.0%
3/300 • Number of events 3 • 2 months
0.00%
0/300 • 2 months
Gastrointestinal disorders
Gastroesophageal Reflux (GERD/heartburn/acid)
2.3%
7/300 • Number of events 7 • 2 months
1.0%
3/300 • Number of events 3 • 2 months
Gastrointestinal disorders
Stomach Pain
6.0%
18/300 • Number of events 18 • 2 months
1.3%
4/300 • Number of events 4 • 2 months
Gastrointestinal disorders
Vomiting
2.3%
7/300 • Number of events 7 • 2 months
0.00%
0/300 • 2 months
General disorders
Nausea
10.0%
30/300 • Number of events 30 • 2 months
1.7%
5/300 • Number of events 5 • 2 months
Gastrointestinal disorders
Bloating
5.3%
16/300 • Number of events 16 • 2 months
1.0%
3/300 • Number of events 3 • 2 months
Gastrointestinal disorders
Constipation
1.7%
5/300 • Number of events 5 • 2 months
0.33%
1/300 • Number of events 1 • 2 months
Gastrointestinal disorders
Diarrhea
5.0%
15/300 • Number of events 15 • 2 months
1.0%
3/300 • Number of events 3 • 2 months
Gastrointestinal disorders
Increased gas, belching and changes to stool
12.3%
37/300 • Number of events 37 • 2 months
2.7%
8/300 • Number of events 10 • 2 months
General disorders
Fatigue
0.33%
1/300 • Number of events 1 • 2 months
0.00%
0/300 • 2 months
General disorders
Vivid Dreams (see S for nightmare/terror)
0.33%
1/300 • Number of events 1 • 2 months
0.33%
1/300 • Number of events 1 • 2 months
General disorders
Appetite, Loss of
1.3%
4/300 • Number of events 4 • 2 months
0.00%
0/300 • 2 months
General disorders
Appetite, Increase/hunger
0.33%
1/300 • Number of events 1 • 2 months
0.00%
0/300 • 2 months
Musculoskeletal and connective tissue disorders
Myalgia (muscle aches/pain/spasms)
0.33%
1/300 • Number of events 1 • 2 months
0.67%
2/300 • Number of events 2 • 2 months
General disorders
Dizziness/Lightheadedness
0.67%
2/300 • Number of events 2 • 2 months
0.00%
0/300 • 2 months

Additional Information

Dorothy Hatsukami, PhD

Masonic Cancer Center

Phone: (612) 626-2121

Results disclosure agreements

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