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Investigation of the Effect of BONISTEIN(R) Bone Blend on Bone Mineral Density/Content and Biomarkers of Bone Health

Primary Purpose

Osteoporosis

Status
Completed
Phase
Not Applicable
Locations
United States
Study Type
Interventional
Intervention
BONISTEIN(R) bone blend
Placebo
Sponsored by
DSM Nutritional Products, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Osteoporosis focused on measuring Soy Isoflavones, Bone Mineral Density, Bone Mineral Content, postmenopausal Women, Bone Markers, Bone Health, Phytoestrogens

Eligibility Criteria

45 Years - 55 Years (Adult)FemaleAccepts Healthy Volunteers

Inclusion Criteria:

  • Female
  • Age 45 (inclusive) to 55 years (inclusive)
  • Race: Caucasian
  • Non-smokers / Smokers up to 10 cigarettes/day
  • Postmenopausal hormone status: 1-3 years since the last spontaneous menstrual bleeding and a follicle-stimulating hormone concentration (FSH) >75 IU/ml and 17-estradiol (E2) of < 20 ng/L
  • Years since menopause between 1-3 years
  • Natural menopause or total hysterectomy with bilateral salpingo-oophorectomy
  • Subjects with E2 results within the inclusion criteria range will be assessed on an individual basis if FSH level is less than 75 IU/ml
  • Assessed as age-related healthy, based on a pre-study examination including medical history, physical examination, ECG, vital signs and clinical laboratory. The examination will be performed by a MD at the study site within 1-2 months prior planned study start for the individual subject.
  • Willingness and ability to give written informed consent and willingness and ability to understand, to participate and to comply with the study requirements.
  • Ability to understand, speak, read and write the English language

Exclusion Criteria:

  • T-score < -2.5 at total hip and spine (either or both)
  • Suspect lack of compliance
  • BMI > 30 or < 21
  • Use of HRT within the previous 6 months
  • Use of any drug which might interfere with bone-metabolism (bisphosphate, estrogen receptor modulators, calcitonin) within the previous 12 months
  • Systematic practice of high intensity exercise
  • Vegetarian nutrition or any other extreme dietary habits
  • Use of dietary supplements while on study, except multi vitamin. No "wash out" period for supplements - must stop before run-in period and refrain until the end of the study.
  • Participant in any other study or donation of blood during the last 30 days before start of each dosing phase (T0).
  • Total genistein blood concentrations of > 100 ng/ml measured at pre-study examination
  • Known hypersensitivity or allergy to soy, purified isoflavones, peanuts, fish, and/or genistein.
  • Hepatitis screen (serology) positive or not performed
  • Drug screen positive or not performed (at least amphetamines, benzodiazepines, cannabinoides, opiates).
  • Subjects on a weight reduction program or a medically supervised diet
  • Unexplained weight loss or weight gain of more than 5 kg in the three months prior to the study
  • History of liver or pancreas diseases
  • Cardiovascular diseases, even AV-block I0 (PQ time > 220 ms) and QTc time > 450 ms
  • History of breast cancer, endometrial cancer and other malignancy except basal and squamous cell skin cancer
  • History of thromboembolism or deep venous thrombosis
  • Any fractures within one year except for fingers, toes and facial bones
  • Subjects with susceptibility for fractures as a history of being a faller
  • Endometrial thickness > 6 mm
  • Endometrial polyps
  • Untreated hypo- or hyperthyroidism
  • Insulin-dependent diabetes mellitus, Crohn's Disease, Cushing Disease etc.
  • Any condition which might interfere with absorption of the investigational product (e.g. malabsorption syndrome)
  • Co-medication: Anticoagulants, parathyroid hormones, corticosteroids, thiazide diuretic
  • Subjects who, during the previous 24 months, received a total fee payment greater than 5'000 USD for participation in biomedical research

Sites / Locations

  • Creighton University Medical Center - Osteoporosis Research Center

Arms of the Study

Arm 1

Arm 2

Arm Type

Active Comparator

Placebo Comparator

Arm Label

1

2

Arm Description

30 mg BONISTEIN(R) 150 ug Vitamin K1 800 IU Vitamin D3 1000 mg PUFA 500 mg Calcium

500 mg Calcium

Outcomes

Primary Outcome Measures

Bone Mineral Density/Content (BMD/BMC) at lumbar spine and femoral neck

Secondary Outcome Measures

BMD/BMC on whole body, Ward's Triangle, total hip, and (inter)trochanter Bone resorption markers: DPD, NTX, RANKL/OPG Bone formation markers: bALP, OC, ucOC

Full Information

First Posted
June 13, 2008
Last Updated
January 15, 2009
Sponsor
DSM Nutritional Products, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT00698984
Brief Title
Investigation of the Effect of BONISTEIN(R) Bone Blend on Bone Mineral Density/Content and Biomarkers of Bone Health
Official Title
Pilot Study To Investigate The Effect Of Bonistein(R) Bone Blend Containing Genistein, Polyunsaturated Fatty Acids (N-3 PUFAS) And Vitamins K1 And D3 On Bone Mineral Density (BMD), Bone Mineral Content (BMC) And Biomarkers Of Bone Health In Early Postmenopausal Women
Study Type
Interventional

2. Study Status

Record Verification Date
January 2009
Overall Recruitment Status
Completed
Study Start Date
January 2007 (undefined)
Primary Completion Date
January 2009 (Actual)
Study Completion Date
January 2009 (Actual)

3. Sponsor/Collaborators

Name of the Sponsor
DSM Nutritional Products, Inc.

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The purpose of this study is to obtain information about the effect of a combination of genistein, PUFAs, vitamin K and D (BONISTEIN(R) bone blend) on bone health, determined as bone mass density/content and bone biomarkers after 6-months treatment in 70 healthy postmenopausal women. In addition, safety and tolerability will be investigated.
Detailed Description
Osteoporosis is the most frequent disease of the skeletal system with approximately one third of all postmenopausal women being currently affected in the USA and in Europe. The role of nutrition in bone health has been increasingly recognized in the last couple of years. In particular nutrients such as isoflavones, vitamins D and K as well as polyunsaturated fatty acids (PUFA) have been implicate in bone health recently. The DSM Nutritional Products Ltd product BONISTEIN(R) is a synthetic genistein. Its genistin aglycone purity is above 99 % and the appearance is a beige crystal. In addition to the primary and secondary outcomes, body composition, genistein plasma levels, diet and physical activity are assessed.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Osteoporosis
Keywords
Soy Isoflavones, Bone Mineral Density, Bone Mineral Content, postmenopausal Women, Bone Markers, Bone Health, Phytoestrogens

7. Study Design

Primary Purpose
Prevention
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
70 (Actual)

8. Arms, Groups, and Interventions

Arm Title
1
Arm Type
Active Comparator
Arm Description
30 mg BONISTEIN(R) 150 ug Vitamin K1 800 IU Vitamin D3 1000 mg PUFA 500 mg Calcium
Arm Title
2
Arm Type
Placebo Comparator
Arm Description
500 mg Calcium
Intervention Type
Dietary Supplement
Intervention Name(s)
BONISTEIN(R) bone blend
Intervention Description
2 Capsules per day over a period of 6 months
Intervention Type
Dietary Supplement
Intervention Name(s)
Placebo
Intervention Description
2 capsules per day over a period of 6 months
Primary Outcome Measure Information:
Title
Bone Mineral Density/Content (BMD/BMC) at lumbar spine and femoral neck
Time Frame
Baseline and after 6 months
Secondary Outcome Measure Information:
Title
BMD/BMC on whole body, Ward's Triangle, total hip, and (inter)trochanter Bone resorption markers: DPD, NTX, RANKL/OPG Bone formation markers: bALP, OC, ucOC
Time Frame
Baseline and after 3 and 6 months (bone markers)

10. Eligibility

Sex
Female
Minimum Age & Unit of Time
45 Years
Maximum Age & Unit of Time
55 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Female Age 45 (inclusive) to 55 years (inclusive) Race: Caucasian Non-smokers / Smokers up to 10 cigarettes/day Postmenopausal hormone status: 1-3 years since the last spontaneous menstrual bleeding and a follicle-stimulating hormone concentration (FSH) >75 IU/ml and 17-estradiol (E2) of < 20 ng/L Years since menopause between 1-3 years Natural menopause or total hysterectomy with bilateral salpingo-oophorectomy Subjects with E2 results within the inclusion criteria range will be assessed on an individual basis if FSH level is less than 75 IU/ml Assessed as age-related healthy, based on a pre-study examination including medical history, physical examination, ECG, vital signs and clinical laboratory. The examination will be performed by a MD at the study site within 1-2 months prior planned study start for the individual subject. Willingness and ability to give written informed consent and willingness and ability to understand, to participate and to comply with the study requirements. Ability to understand, speak, read and write the English language Exclusion Criteria: T-score < -2.5 at total hip and spine (either or both) Suspect lack of compliance BMI > 30 or < 21 Use of HRT within the previous 6 months Use of any drug which might interfere with bone-metabolism (bisphosphate, estrogen receptor modulators, calcitonin) within the previous 12 months Systematic practice of high intensity exercise Vegetarian nutrition or any other extreme dietary habits Use of dietary supplements while on study, except multi vitamin. No "wash out" period for supplements - must stop before run-in period and refrain until the end of the study. Participant in any other study or donation of blood during the last 30 days before start of each dosing phase (T0). Total genistein blood concentrations of > 100 ng/ml measured at pre-study examination Known hypersensitivity or allergy to soy, purified isoflavones, peanuts, fish, and/or genistein. Hepatitis screen (serology) positive or not performed Drug screen positive or not performed (at least amphetamines, benzodiazepines, cannabinoides, opiates). Subjects on a weight reduction program or a medically supervised diet Unexplained weight loss or weight gain of more than 5 kg in the three months prior to the study History of liver or pancreas diseases Cardiovascular diseases, even AV-block I0 (PQ time > 220 ms) and QTc time > 450 ms History of breast cancer, endometrial cancer and other malignancy except basal and squamous cell skin cancer History of thromboembolism or deep venous thrombosis Any fractures within one year except for fingers, toes and facial bones Subjects with susceptibility for fractures as a history of being a faller Endometrial thickness > 6 mm Endometrial polyps Untreated hypo- or hyperthyroidism Insulin-dependent diabetes mellitus, Crohn's Disease, Cushing Disease etc. Any condition which might interfere with absorption of the investigational product (e.g. malabsorption syndrome) Co-medication: Anticoagulants, parathyroid hormones, corticosteroids, thiazide diuretic Subjects who, during the previous 24 months, received a total fee payment greater than 5'000 USD for participation in biomedical research
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Robert P Heaney, MD
Organizational Affiliation
Creighton University Medical Center - Osteoporosis Research Center
Official's Role
Principal Investigator
Facility Information:
Facility Name
Creighton University Medical Center - Osteoporosis Research Center
City
Omaha
State/Province
Nebraska
ZIP/Postal Code
68131
Country
United States

12. IPD Sharing Statement

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Investigation of the Effect of BONISTEIN(R) Bone Blend on Bone Mineral Density/Content and Biomarkers of Bone Health

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