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Effect of SNPs in the BCMO1 Enzyme (BETASNP2)

Primary Purpose

Beta-carotene Bioavailability, Vitamin A Deficiency

Status
Completed
Phase
Not Applicable
Locations
United Kingdom
Study Type
Interventional
Intervention
Beta-carotene
Sponsored by
Newcastle-upon-Tyne Hospitals NHS Trust
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional basic science trial for Beta-carotene Bioavailability focused on measuring Beta carotene, Retinol

Eligibility Criteria

18 Years - 45 Years (Adult)FemaleAccepts Healthy Volunteers

Inclusion Criteria:

  • Healthy individual.
  • Female.
  • Between 18 and 45 years of age.
  • Caucasian.
  • BMI between 18 and 30 kg/m2.
  • Subject willing and able to give written informed consent.

Exclusion Criteria:

  • Smoking.
  • Diabetes.
  • Gastrointestinal diseases.
  • Renal and hepatic diseases.
  • Hyperlipidaemia.
  • Preformed dietary retinol intake above 60% of reference nutrient intake (RNI) values.
  • Recreational drug use.
  • Multi-vitamin consumption.
  • Pregnancy.
  • Menopause.
  • Allergy or sensitivity to study products or ingredients.
  • Blood donation 3 months prior to screening.
  • Participation in other clinical study 4 weeks prior to study start.
  • Suspected inability or unwillingness to comply with study procedures.

Sites / Locations

  • Newcastle NIHR Clinical Research Facility, Royal Victoria Infirmary

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Other

Other

Other

Arm Label

Supplement A

Supplement B

Supplement C

Arm Description

Beta-carotene 7mg formulation A

Beta-carotene 7mg formulation B

Beta-carotene 7mg formulation C

Outcomes

Primary Outcome Measures

Area under the plasma concentration versus time curve (AUC) of beta-carotene
Area under the plasma concentration versus time curve (AUC) of [13C]retinol

Secondary Outcome Measures

Full Information

First Posted
October 21, 2014
Last Updated
October 5, 2015
Sponsor
Newcastle-upon-Tyne Hospitals NHS Trust
Collaborators
Newcastle University, DSM Nutritional Products, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT02276014
Brief Title
Effect of SNPs in the BCMO1 Enzyme
Acronym
BETASNP2
Official Title
Effect of SNPs in the Beta-carotene 15, 15'-Monooxygenase (BCMO1) Enzyme on Retinol Formation and Beta-carotene Plasma Responses
Study Type
Interventional

2. Study Status

Record Verification Date
October 2015
Overall Recruitment Status
Completed
Study Start Date
April 2012 (undefined)
Primary Completion Date
September 2014 (Actual)
Study Completion Date
September 2014 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Newcastle-upon-Tyne Hospitals NHS Trust
Collaborators
Newcastle University, DSM Nutritional Products, Inc.

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
Summary: Chronic intake of foods low in vitamin A (retinol) and provitamin A forming an unbalanced diet with little variety is common in young individuals in the United Kingdom (UK) population and can lead to subclinical micronutrient deficiency. Provitamin A sources such as β-carotene are cleaved centrally by the β-carotene 15,15'-monooxygenase (BCMO1) into retinal, the precursor of retinol. However, the amount of β-carotene and retinol produced after ingestion of β-carotene is highly variable between healthy individuals, with approximately 40% of the subjects being classified as low responders. Several stable isotope studies have shown a large disparity between the most efficient converters and the most inefficient converters of β-carotene with variations of up to 8-fold. It is possible that differences in β-carotene response may be due to single nucleotide polymorphisms (SNPs) in genes involved in aspects of β-carotene conversion. Previous work has shown that carriers of both, the 379V and 267S+379V BCMO1 variant alleles had a reduced ability to convert β-carotene. More importantly, 44% of the western population have the 379V haplotype. A high percentage of the Western population may therefore not be able to achieve adequate vitamin A intake if dietary β-carotene is a major source of their vitamin A intake. This is of particular relevance to vegetarians, to young individuals aged 19-24 years who have lower intakes of preformed retinol than any other age group, and to pregnant women. The aim of this study is to establish whether the maximum recommended dose for β-carotene of 7mg/day by the British Expert Committee on Vitamins and Minerals (EVM) can overcome the SNP effect in the BCMO1 enzyme. Hypothesis: The investigators hypothesize that the current maximum recommended intake of 7 mg of β-carotene per day cannot overcome the low convertor phenotype in BCMO1 to fulfill vitamin A requirements in these people.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Beta-carotene Bioavailability, Vitamin A Deficiency
Keywords
Beta carotene, Retinol

7. Study Design

Primary Purpose
Basic Science
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
Participant
Allocation
Randomized
Enrollment
85 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Supplement A
Arm Type
Other
Arm Description
Beta-carotene 7mg formulation A
Arm Title
Supplement B
Arm Type
Other
Arm Description
Beta-carotene 7mg formulation B
Arm Title
Supplement C
Arm Type
Other
Arm Description
Beta-carotene 7mg formulation C
Intervention Type
Dietary Supplement
Intervention Name(s)
Beta-carotene
Primary Outcome Measure Information:
Title
Area under the plasma concentration versus time curve (AUC) of beta-carotene
Time Frame
Pharmacokinetic measures (0,1,4,36,46,57,60 days post-dose)
Title
Area under the plasma concentration versus time curve (AUC) of [13C]retinol
Time Frame
Pharmacokinetic measures (0,1,2,3,4,8,10,22,36,46,57,58,59,60,64,66,78,92,113 days post-dose)

10. Eligibility

Sex
Female
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
45 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Healthy individual. Female. Between 18 and 45 years of age. Caucasian. BMI between 18 and 30 kg/m2. Subject willing and able to give written informed consent. Exclusion Criteria: Smoking. Diabetes. Gastrointestinal diseases. Renal and hepatic diseases. Hyperlipidaemia. Preformed dietary retinol intake above 60% of reference nutrient intake (RNI) values. Recreational drug use. Multi-vitamin consumption. Pregnancy. Menopause. Allergy or sensitivity to study products or ingredients. Blood donation 3 months prior to screening. Participation in other clinical study 4 weeks prior to study start. Suspected inability or unwillingness to comply with study procedures.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Georg Lietz, PhD
Organizational Affiliation
Newcastle University
Official's Role
Principal Investigator
Facility Information:
Facility Name
Newcastle NIHR Clinical Research Facility, Royal Victoria Infirmary
City
Newcastle upon Tyne
State/Province
Tyne & Wear
ZIP/Postal Code
NE1 4LP
Country
United Kingdom

12. IPD Sharing Statement

Citations:
PubMed Identifier
24158962
Citation
Oxley A, Berry P, Taylor GA, Cowell J, Hall MJ, Hesketh J, Lietz G, Boddy AV. An LC/MS/MS method for stable isotope dilution studies of beta-carotene bioavailability, bioconversion, and vitamin A status in humans. J Lipid Res. 2014 Feb;55(2):319-28. doi: 10.1194/jlr.D040204. Epub 2013 Oct 24.
Results Reference
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PubMed Identifier
22113863
Citation
Lietz G, Oxley A, Leung W, Hesketh J. Single nucleotide polymorphisms upstream from the beta-carotene 15,15'-monoxygenase gene influence provitamin A conversion efficiency in female volunteers. J Nutr. 2012 Jan;142(1):161S-5S. doi: 10.3945/jn.111.140756. Epub 2011 Nov 23.
Results Reference
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PubMed Identifier
20980645
Citation
Grune T, Lietz G, Palou A, Ross AC, Stahl W, Tang G, Thurnham D, Yin SA, Biesalski HK. Beta-carotene is an important vitamin A source for humans. J Nutr. 2010 Dec;140(12):2268S-2285S. doi: 10.3945/jn.109.119024. Epub 2010 Oct 27.
Results Reference
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PubMed Identifier
19103647
Citation
Leung WC, Hessel S, Meplan C, Flint J, Oberhauser V, Tourniaire F, Hesketh JE, von Lintig J, Lietz G. Two common single nucleotide polymorphisms in the gene encoding beta-carotene 15,15'-monoxygenase alter beta-carotene metabolism in female volunteers. FASEB J. 2009 Apr;23(4):1041-53. doi: 10.1096/fj.08-121962. Epub 2008 Dec 22.
Results Reference
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PubMed Identifier
16236189
Citation
Furr HC, Green MH, Haskell M, Mokhtar N, Nestel P, Newton S, Ribaya-Mercado JD, Tang G, Tanumihardjo S, Wasantwisut E. Stable isotope dilution techniques for assessing vitamin A status and bioefficacy of provitamin A carotenoids in humans. Public Health Nutr. 2005 Sep;8(6):596-607. doi: 10.1079/phn2004715.
Results Reference
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Effect of SNPs in the BCMO1 Enzyme

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