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Evaluate the Effect of Lifenol in Improving Bone Status in Postmenopausal Osteopenic Women

Primary Purpose

Osteopenia, Generalized

Status
Completed
Phase
Not Applicable
Locations
Ireland
Study Type
Interventional
Intervention
Lifenol®
Placebo
Sponsored by
Naturex SA
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Osteopenia, Generalized focused on measuring osteopenia, phytoestrogen, hop, menopause

Eligibility Criteria

50 Years - 85 Years (Adult, Older Adult)FemaleAccepts Healthy Volunteers

Inclusion Criteria:

  1. Be able to give written informed consent;
  2. Be 50 - 85 years of age;
  3. Be a free-living postmenopausal (> 1 year post menopause) woman;
  4. Have a Body Mass Index (BMI) 18 - 32.0 kg/m²;
  5. Present with a stable weight (+/- 3 kg) for at least the last three (3) months;
  6. Be a non-smoker
  7. Maintain existing food and physical activity patterns throughout the study period;
  8. Present with osteopenia defined as a dual energy X-ray absorptiometry (DXA) T score comprised between -1 and -2.5;
  9. Be willing to consume the investigational product daily for the duration of the study.

Be able to give written

Exclusion Criteria:

  1. Are hypersensitive to any of the components of the investigational product;
  2. Is currently involved in any other clinical trial or having participated in a trial within the preceding 60 days;
  3. Has a diagnosis of osteoporosis (defined as a T score strictly inferior to -2.5);
  4. Is currently a smoker;
  5. Trying to lose weight for the last three (3) months (following a diet or exercise regimen designed for weight loss);
  6. Recent (within 4 weeks) gastroenteritis or food borne illness;
  7. Having taken antibiotics or laxatives during the preceding 2 months or anticipated consumption;
  8. Currently taking (and during the past 3 months) any drug for osteoporosis (bisphosphonates, parathyroid hormone, strontium ranelate or denosumab);
  9. Currently taking (and during the past 3 months) treatment with oestrogen or hormone therapy;
  10. Currently taking (and during the past 3 months) treatment with oestrogen agonist or antagonist products (raloxifene or tamoxifene);
  11. Currently taking any supplementation with isoflavones or foods fortified with isoflavones;
  12. Currently taking (and during the past 4 weeks) any vitamin K supplementation.
  13. Exhibiting excess alcohol consumption, defined as greater than 11 standard drinks per week for women or drug dependence,
  14. Has a significant cardiovascular, pulmonary, renal, liver, infectious disease, immune disorder, or metabolic/endocrine disorders or other disease that would preclude supplement ingestion and/or assessment of safety and the study objectives;
  15. Has a known organic disease, including an inflammatory bowel disease, a benign or malign tumour of intestine or colon and significant systemic disease;
  16. Has a history of cancer within the last 5 years, except basal cell carcinoma, non-squamous skin carcinoma, or carcinoma in situ with no significant progression over the past 2 years;
  17. Has uncontrolled hypertension (systolic or diastolic blood pressure superior to 160 and 110 respectively). Subject on hypertension medication, must be on stable medication for 3 months;
  18. Has uncontrolled hypothyroidism or hyperthyroidism; subject must be stable on medication for 3 months
  19. Current illnesses which could interfere with the study (e.g. prolonged severe diarrhoea, regurgitation/severe, difficulty swallowing).
  20. Individuals who, in the opinion of the investigator, are considered to be poor attendees or unlikely for any reason to be able to comply with the trial.

Sites / Locations

  • Atlantia Food Clinical Trials

Arms of the Study

Arm 1

Arm 2

Arm Type

Active Comparator

Placebo Comparator

Arm Label

Lifenol

Placebo

Arm Description

50 participants who meet the eligibility criteria will be randomised under active arm and will receive Lifenol product during 12 months

50 participants who meet the eligibility criteria will be randomised under Placebo arm and will receive placebo product during 12 months

Outcomes

Primary Outcome Measures

Bone mineral density at the L2-L4 lumbar spine region
Change of bone mineral density at L2-L4 lumbar spine region over 12 months.

Secondary Outcome Measures

Bone mineral density at the femoral neck region
DXA scan will provide this parameter
Bone mineral content at the L2-4 lumbar spine and femoral neck region
DXA scan will provide this parameter
T-score
DXA scan will provide this parameter
Fracture risk assessment tool (FRAX) score
FRAX score will be calculated an online tool (university of sheffield frax tool).
Plasma bone biomarkers
Change in plasma bone biomarkers will be measured.
Plasma prenylflavonoids
Change in plasma prenylflavonoids will be measured.
Glucose homeostasis and lipid profile
Change in plasma glucose, insulin and lipids will be measured.
Quality of life evaluation
36-item short form (SF-36) will be performed to assess by quality of life.
Gastrointestinal tolerance evaluation
Gastrointestinal tolerance of the product will be assessed by the Gastrointestinal Symptom Rating Scale (GSRS).

Full Information

First Posted
June 10, 2019
Last Updated
January 5, 2021
Sponsor
Naturex SA
Collaborators
Atlantia Food Clinical Trials
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1. Study Identification

Unique Protocol Identification Number
NCT04004013
Brief Title
Evaluate the Effect of Lifenol in Improving Bone Status in Postmenopausal Osteopenic Women
Official Title
A Randomised, Double-blind, Placebo-controlled Clinical Trial to Evaluate the Effect of Lifenol in Improving Bone Status in Postmenopausal Osteopenic Women
Study Type
Interventional

2. Study Status

Record Verification Date
January 2021
Overall Recruitment Status
Completed
Study Start Date
August 1, 2019 (Actual)
Primary Completion Date
December 11, 2020 (Actual)
Study Completion Date
December 11, 2020 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Naturex SA
Collaborators
Atlantia Food Clinical Trials

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
A Randomised, Double-blind, Placebo-controlled Clinical Trial to Evaluate the Effect of Lifenol® in Improving Bone Status in Postmenopausal Osteopenic Women. 100 postmenopausal women will be enrolled to investigate the effect of a 12 month supplementation with Lifenol® on bone density DXA parameters and plasma bone biomarkers.
Detailed Description
Osteoporosis is a skeletal disorder characterized by reduced bone mass and deterioration in bone architecture leading to an increased bone fragility and fracture risk. Postmenopausal women are a particularly at-risk population as the maintenance of bone homeostasis is influenced by estrogens. Recently, phytoestrogens have drawn attention as an interesting natural way to prevent oestrogen-deficient osteoporosis. Hops contain one of the most potent phytoestrogen known to date: 8-prenylnaringenin (8-PN). Lifenol® is a polyphenolic powdered extract obtained by a patented process from the female hop flowers (Humulus lupulus L.), standardized in 8-PN content. Therefore, the present clinical trial aims to determine whether long-term consumption of Lifenol® can reduce bone mineral density loss in postmenopausal women with osteopenia taking traditional recommended calcium and vitamin D supplementation (1000 mg of calcium and 800 IU of vitamin D per day). 100 postmenopausal women (>1 year post-menopause) will be enrolled to consume during 12 months either Lifenol® (dose of 100µg of 8-PN per day) or a placebo. Effect of investigational product will be measured notably on bone density DXA parameters and plasma bone biomarkers.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Osteopenia, Generalized
Keywords
osteopenia, phytoestrogen, hop, menopause

7. Study Design

Primary Purpose
Prevention
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
100 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Lifenol
Arm Type
Active Comparator
Arm Description
50 participants who meet the eligibility criteria will be randomised under active arm and will receive Lifenol product during 12 months
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
50 participants who meet the eligibility criteria will be randomised under Placebo arm and will receive placebo product during 12 months
Intervention Type
Dietary Supplement
Intervention Name(s)
Lifenol®
Intervention Description
Lifenol®, powdered extract obtained from female hops flowers (Humulus lupulus L.) standardized in 8-PN content (100 µg /day) + maltodextrin = 500 mg/capsule + 1000 mg of calcium and 800 IU of vitamin D per day
Intervention Type
Dietary Supplement
Intervention Name(s)
Placebo
Intervention Description
Maltodextrin = 500 mg/capsule + 1000 mg of calcium and 800 IU of vitamin D per day
Primary Outcome Measure Information:
Title
Bone mineral density at the L2-L4 lumbar spine region
Description
Change of bone mineral density at L2-L4 lumbar spine region over 12 months.
Time Frame
baseline and 12 months
Secondary Outcome Measure Information:
Title
Bone mineral density at the femoral neck region
Description
DXA scan will provide this parameter
Time Frame
baseline, 6 and 12 months
Title
Bone mineral content at the L2-4 lumbar spine and femoral neck region
Description
DXA scan will provide this parameter
Time Frame
baseline, 6 and 12 months
Title
T-score
Description
DXA scan will provide this parameter
Time Frame
baseline, 6 and 12 months
Title
Fracture risk assessment tool (FRAX) score
Description
FRAX score will be calculated an online tool (university of sheffield frax tool).
Time Frame
baseline, 6 and 12 months
Title
Plasma bone biomarkers
Description
Change in plasma bone biomarkers will be measured.
Time Frame
baseline, 6 and 12 months
Title
Plasma prenylflavonoids
Description
Change in plasma prenylflavonoids will be measured.
Time Frame
baseline, 6 and 12 months
Title
Glucose homeostasis and lipid profile
Description
Change in plasma glucose, insulin and lipids will be measured.
Time Frame
baseline, 6 and 12 months
Title
Quality of life evaluation
Description
36-item short form (SF-36) will be performed to assess by quality of life.
Time Frame
baseline, 3, 6, 9 and 12 months
Title
Gastrointestinal tolerance evaluation
Description
Gastrointestinal tolerance of the product will be assessed by the Gastrointestinal Symptom Rating Scale (GSRS).
Time Frame
baseline, 3, 6, 9 and 12 months

10. Eligibility

Sex
Female
Minimum Age & Unit of Time
50 Years
Maximum Age & Unit of Time
85 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Be able to give written informed consent; Be 50 - 85 years of age; Be a free-living postmenopausal (> 1 year post menopause) woman; Have a Body Mass Index (BMI) 18 - 32.0 kg/m²; Present with a stable weight (+/- 3 kg) for at least the last three (3) months; Be a non-smoker Maintain existing food and physical activity patterns throughout the study period; Present with osteopenia defined as a dual energy X-ray absorptiometry (DXA) T score comprised between -1 and -2.5; Be willing to consume the investigational product daily for the duration of the study. Be able to give written Exclusion Criteria: Are hypersensitive to any of the components of the investigational product; Is currently involved in any other clinical trial or having participated in a trial within the preceding 60 days; Has a diagnosis of osteoporosis (defined as a T score strictly inferior to -2.5); Is currently a smoker; Trying to lose weight for the last three (3) months (following a diet or exercise regimen designed for weight loss); Recent (within 4 weeks) gastroenteritis or food borne illness; Having taken antibiotics or laxatives during the preceding 2 months or anticipated consumption; Currently taking (and during the past 3 months) any drug for osteoporosis (bisphosphonates, parathyroid hormone, strontium ranelate or denosumab); Currently taking (and during the past 3 months) treatment with oestrogen or hormone therapy; Currently taking (and during the past 3 months) treatment with oestrogen agonist or antagonist products (raloxifene or tamoxifene); Currently taking any supplementation with isoflavones or foods fortified with isoflavones; Currently taking (and during the past 4 weeks) any vitamin K supplementation. Exhibiting excess alcohol consumption, defined as greater than 11 standard drinks per week for women or drug dependence, Has a significant cardiovascular, pulmonary, renal, liver, infectious disease, immune disorder, or metabolic/endocrine disorders or other disease that would preclude supplement ingestion and/or assessment of safety and the study objectives; Has a known organic disease, including an inflammatory bowel disease, a benign or malign tumour of intestine or colon and significant systemic disease; Has a history of cancer within the last 5 years, except basal cell carcinoma, non-squamous skin carcinoma, or carcinoma in situ with no significant progression over the past 2 years; Has uncontrolled hypertension (systolic or diastolic blood pressure superior to 160 and 110 respectively). Subject on hypertension medication, must be on stable medication for 3 months; Has uncontrolled hypothyroidism or hyperthyroidism; subject must be stable on medication for 3 months Current illnesses which could interfere with the study (e.g. prolonged severe diarrhoea, regurgitation/severe, difficulty swallowing). Individuals who, in the opinion of the investigator, are considered to be poor attendees or unlikely for any reason to be able to comply with the trial.
Facility Information:
Facility Name
Atlantia Food Clinical Trials
City
Cork
ZIP/Postal Code
T23 R50R
Country
Ireland

12. IPD Sharing Statement

Plan to Share IPD
Undecided
IPD Sharing Plan Description
To revisit this after investigation period

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Evaluate the Effect of Lifenol in Improving Bone Status in Postmenopausal Osteopenic Women

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