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Associations of Exposure to Phthalates With Insulin Resistance and Epigenetic Change

Primary Purpose

Insulin Resistance, Decreased Pulmonary Function

Status
Unknown status
Phase
Not Applicable
Locations
Korea, Republic of
Study Type
Interventional
Intervention
non- PVC containing packing materials
PVC containing packing materials
Sponsored by
Seoul National University Hospital
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional basic science trial for Insulin Resistance focused on measuring Insulin resistance, Pulmonary function, Phthalates

Eligibility Criteria

60 Years - 85 Years (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Participants who understand aim of this study and who provided informed consent

Exclusion Criteria:

  • Who did not provided informed consent
  • Person who are undergoing or planning to take a treatment due to liver, nervous system, respiratory system, hematologic, oncologic, psychiatric, cardiovascular(angina pectoris, myocardial infarction, stroke etc), endocrinal(Diabetes mellitus, thyroid disease) disorders.

Sites / Locations

  • Department of Preventive Medicine, College of Medicine, Seoul National UniversityRecruiting

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Experimental

No Intervention

Arm Label

non- PVC containing packing materials

PVC containing packing materials

Only lunch and dinner

Arm Description

Participants will be provided food for lunch and dinner with 360mL apple juice which was stored in glass bottle for 24 hours in 4 ℃. After 1 week, participant will cross over to other intervention.

Participants will be provided food for lunch and dinner with 360mL apple juice which was stored in PVC blood bag for 24 hours in 4 ℃. After 1 week, participant will cross over to other intervention.

Participant received food for lunch and dinner After 1 week, participant get over to each experimental arms.

Outcomes

Primary Outcome Measures

Increase of insulin resistance assessed by HOMA (Homeostatic model assessment)

Secondary Outcome Measures

Change of DNA methylation assessed by Percent DNA methylation
Decrease of lung function assessed by FEV1
Decrease of lung function assessed by FVC
Decrease of lung function assessed by FEV1/FVC
Decrease of lung function assessed by FEF25-75
Increased exposure to Phthalate assessed by urinary concentration of metabolites

Full Information

First Posted
October 30, 2014
Last Updated
January 27, 2015
Sponsor
Seoul National University Hospital
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1. Study Identification

Unique Protocol Identification Number
NCT02284477
Brief Title
Associations of Exposure to Phthalates With Insulin Resistance and Epigenetic Change
Official Title
Associations of Exposure to Phthalates With Insulin Resistance and Epigenetic Change
Study Type
Interventional

2. Study Status

Record Verification Date
October 2014
Overall Recruitment Status
Unknown status
Study Start Date
January 2015 (undefined)
Primary Completion Date
April 2015 (Anticipated)
Study Completion Date
April 2015 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Seoul National University Hospital

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
Phthalate is an endocrine disrupting chemical, which works as an anti-androgenic agent. Phthalate is mainly used as PVC plasticizer and easily found in commonly used products such as electronic device, paint, lubricant, surfactant, medical supplies, spray etc. Especially, PVC blood bag used for blood transfusion have been reported to have high level of phthalate concentration. Previous studies reported that urinary concentration of phthalate metabolites and HOMA (Homeostatic model assessment, indicator of insulin resistance) has positive association. Previous studies also reported negative associations between urinary phthalate concentration and pulmonary function. Exposure to phthalates occurs mainly through oral route. Food wrapping with phthalate containing package material is expected to be one of the major contributor for phthalate exposure. In this present trial, the investigators are to examine whether increased phthalate exposure by consuming beverage stored in PVC containing packing materials actually effect insulin resistance, pulmonary function and epigenetic feature. For this aim, the investigators will conduct a cross-over trial.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Insulin Resistance, Decreased Pulmonary Function
Keywords
Insulin resistance, Pulmonary function, Phthalates

7. Study Design

Primary Purpose
Basic Science
Study Phase
Not Applicable
Interventional Study Model
Crossover Assignment
Masking
ParticipantCare ProviderOutcomes Assessor
Allocation
Randomized
Enrollment
60 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
non- PVC containing packing materials
Arm Type
Experimental
Arm Description
Participants will be provided food for lunch and dinner with 360mL apple juice which was stored in glass bottle for 24 hours in 4 ℃. After 1 week, participant will cross over to other intervention.
Arm Title
PVC containing packing materials
Arm Type
Experimental
Arm Description
Participants will be provided food for lunch and dinner with 360mL apple juice which was stored in PVC blood bag for 24 hours in 4 ℃. After 1 week, participant will cross over to other intervention.
Arm Title
Only lunch and dinner
Arm Type
No Intervention
Arm Description
Participant received food for lunch and dinner After 1 week, participant get over to each experimental arms.
Intervention Type
Other
Intervention Name(s)
non- PVC containing packing materials
Other Intervention Name(s)
Beverage stored in glass bottle
Intervention Description
Beverage which was stored in glass bottle for 24 hours in 4 ℃.
Intervention Type
Other
Intervention Name(s)
PVC containing packing materials
Other Intervention Name(s)
Beverage stored in blood bag
Intervention Description
Beverage which was stored in PVC blood bag for 24 hours in 4 ℃.
Primary Outcome Measure Information:
Title
Increase of insulin resistance assessed by HOMA (Homeostatic model assessment)
Time Frame
average 14 hours after consumption of assigned food and beverage
Secondary Outcome Measure Information:
Title
Change of DNA methylation assessed by Percent DNA methylation
Time Frame
average 14 hours after consumption of assigned food and beverage
Title
Decrease of lung function assessed by FEV1
Time Frame
average 14 hours after consumption of assigned food and beverage
Title
Decrease of lung function assessed by FVC
Time Frame
average 14 hours after consumption of assigned food and beverage
Title
Decrease of lung function assessed by FEV1/FVC
Time Frame
average 14 hours after consumption of assigned food and beverage
Title
Decrease of lung function assessed by FEF25-75
Time Frame
average 14 hours after consumption of assigned food and beverage
Title
Increased exposure to Phthalate assessed by urinary concentration of metabolites
Time Frame
average 14 hours after consumption of assigned food and beverage

10. Eligibility

Sex
All
Minimum Age & Unit of Time
60 Years
Maximum Age & Unit of Time
85 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Participants who understand aim of this study and who provided informed consent Exclusion Criteria: Who did not provided informed consent Person who are undergoing or planning to take a treatment due to liver, nervous system, respiratory system, hematologic, oncologic, psychiatric, cardiovascular(angina pectoris, myocardial infarction, stroke etc), endocrinal(Diabetes mellitus, thyroid disease) disorders.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Sanghyuk Bae, MD, PhD
Phone
+8227408576
Email
sanghyukbae@snu.ac.kr
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Yun-Chul Hong, MD, PhD
Organizational Affiliation
College of Medicine, Seoul National Unveirsity
Official's Role
Principal Investigator
Facility Information:
Facility Name
Department of Preventive Medicine, College of Medicine, Seoul National University
City
Seoul
ZIP/Postal Code
110-799
Country
Korea, Republic of
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Sanghyuk Bae, MD
Phone
8227408572
Email
sanghyukbae@snu.ac.kr
First Name & Middle Initial & Last Name & Degree
Yun-Chul Hong, MD, PhD

12. IPD Sharing Statement

Citations:
PubMed Identifier
17589594
Citation
Stahlhut RW, van Wijngaarden E, Dye TD, Cook S, Swan SH. Concentrations of urinary phthalate metabolites are associated with increased waist circumference and insulin resistance in adult U.S. males. Environ Health Perspect. 2007 Jun;115(6):876-82. doi: 10.1289/ehp.9882. Epub 2007 Mar 14. Erratum In: Environ Health Perspect. 2007 Sep;115(9):A443.
Results Reference
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PubMed Identifier
21450549
Citation
Rudel RA, Gray JM, Engel CL, Rawsthorne TW, Dodson RE, Ackerman JM, Rizzo J, Nudelman JL, Brody JG. Food packaging and bisphenol A and bis(2-ethyhexyl) phthalate exposure: findings from a dietary intervention. Environ Health Perspect. 2011 Jul;119(7):914-20. doi: 10.1289/ehp.1003170. Epub 2011 Mar 30.
Results Reference
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PubMed Identifier
22949852
Citation
Singh S, Li SS. Epigenetic effects of environmental chemicals bisphenol A and phthalates. Int J Mol Sci. 2012;13(8):10143-10153. doi: 10.3390/ijms130810143. Epub 2012 Aug 15.
Results Reference
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PubMed Identifier
23359474
Citation
Manikkam M, Tracey R, Guerrero-Bosagna C, Skinner MK. Plastics derived endocrine disruptors (BPA, DEHP and DBP) induce epigenetic transgenerational inheritance of obesity, reproductive disease and sperm epimutations. PLoS One. 2013;8(1):e55387. doi: 10.1371/journal.pone.0055387. Epub 2013 Jan 24.
Results Reference
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PubMed Identifier
25044062
Citation
Kim JH, Hong YC. HSP70-hom gene polymorphisms modify the association of diethylhexyl phthalates with insulin resistance. Environ Mol Mutagen. 2014 Dec;55(9):727-34. doi: 10.1002/em.21884. Epub 2014 Jul 7.
Results Reference
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PubMed Identifier
23977034
Citation
Kim JH, Park HY, Bae S, Lim YH, Hong YC. Diethylhexyl phthalates is associated with insulin resistance via oxidative stress in the elderly: a panel study. PLoS One. 2013 Aug 19;8(8):e71392. doi: 10.1371/journal.pone.0071392. eCollection 2013.
Results Reference
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PubMed Identifier
9787851
Citation
Hoppin JA, Tolbert PE, Flagg EW, Blair A, Zahm SH. Use of a life events calendar approach to elicit occupational history from farmers. Am J Ind Med. 1998 Nov;34(5):470-6. doi: 10.1002/(sici)1097-0274(199811)34:53.0.co;2-u.
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PubMed Identifier
11675618
Citation
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Results Reference
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Associations of Exposure to Phthalates With Insulin Resistance and Epigenetic Change

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