Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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COMPLETED
NA
265 participants
INTERVENTIONAL
2011-03-11
2025-07-08
Brief Summary
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Detailed Description
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Conditions
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Study Design
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RANDOMIZED
FACTORIAL
PREVENTION
TRIPLE
Study Groups
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GG genotype and magnesium treatment
Participants who have the GG genotype will be assigned to magnesium glycinate.
Magnesium glycinate
Oral administration of magnesium glycinate daily for 12 weeks
GG genotype and placebo
Participants who have the GG genotype will be assigned to placebo group
Placebo
Oral administration of identical-appearing placebo daily for 12 weeks
GA/AA genotype and magnesium treatment
Participants who have the GA/AA genotype will be assigned to magnesium glycinate
Magnesium glycinate
Oral administration of magnesium glycinate daily for 12 weeks
GA/AA genotype and Placebo
Participants who have the GA/AA genotype will be assigned to placebo group
Placebo
Oral administration of identical-appearing placebo daily for 12 weeks
Interventions
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Magnesium glycinate
Oral administration of magnesium glycinate daily for 12 weeks
Placebo
Oral administration of identical-appearing placebo daily for 12 weeks
Eligibility Criteria
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Inclusion Criteria
* Polyps free participants with any of the following high risk of colorectal polyps or cancer: (1) family history of colorectal cancer or polyps; (2) current cigarette smoker; (3) obesity (BMI≥30 kg/m2); (4) low intake of fiber (lowest fiber intake quartile: daily intake \<16.6g); (5) high intake of red meat and well-done or processed meat (mutageneity index ≥5852).
* Participants from the TCPS (IRB # 090235), the TIARS (IRB # 090235), from Vanderbilt University Hospital or from other resources
* Consent to be contacted for future studies in TCPS (IRB # 020462), TIARS (IRB#090235)
* Participants with a calcium intake ≥ 700 mg/day measuring with 24 hour dietary recalls
* Participants with a calcium intake \< 2000 mg/day measuring with 24 hour dietary recalls
* Participants with a calcium/magnesium intake ratio \> 2.6
* Participants with known genotype for Thr1482Ile polymorphism in TRPM7
* Will live in Nashville or surrounding area in the next 6 months
Exclusion Criteria
* Chronic renal diseases and hepatic cirrhosis
* Chronic ischemic heart disease with unstable angina, chronic heart failure at class III or IV and acute myocardial infarction in the last 6 months
* Chronic diarrhea
* Current breastfeeding
* Current or planned pregnancy
* Type I diabetes mellitus
* Pituitary dwarfism
* Use of digoxin and licorice
* Current use of blood anticoagulant drugs such as Dicumarol(Warfarin), Clopidogrel (Plavix), Prasugrel HCl (Efficent), Ticlopidine (Ticlid), Lovenox (Enoxaparin), Fragmin (Dalteparin), Innohep (Tinzaparin), Eptifibatide (Integrilin), Tyrofiban (Aggrastat), and Abciximab (Reopro)
* Current use of lithium carbonate therapy (Eskalith, Lithobid, Lithonate, Lithotabs, Apo-Lithium carbonate, Apo-Lithium carbonate SR, Carbolth, Duralith, PMS-Lithium carbonate, PMS-Lithium citrate)
* Individuals with a history of colon resection or colectomy due to any reason
* Individuals with any history of cancer other than non-melanoma skin cancer
* Individual with history of any organ transplantation
* Individual with a history of gastric bypass due to any reason
* Individuals with Inflammatory bowel disease
* Individuals if creatinine clearance is \< 50
* Currently institutionalized
* Homeless individual (address, telephone etc.)
* Unable to provide informed consent
* Any condition that in the opinion of the investigator raises concerns about protocol compliance
40 Years
85 Years
ALL
Yes
Sponsors
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Vanderbilt University Medical Center
OTHER
Responsible Party
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Qi Dai
Professor
Principal Investigators
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Qi Dai, MD, PhD
Role: PRINCIPAL_INVESTIGATOR
Vanderbilt University Medical Center
Chang Yu, PhD
Role: PRINCIPAL_INVESTIGATOR
Vanderbilt University Medical Center
Martha J Shrubsole, Ph.D.
Role: PRINCIPAL_INVESTIGATOR
Vanderbilt University Medical Center
Locations
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Vanderbilt University Medical Center
Nashville, Tennessee, United States
Countries
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References
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Sun E, Zhu X, Ness RM, Murff HJ, Sun S, Yu C, Fan L, Azcarate-Peril MA, Shrubsole MJ, Dai Q. Magnesium treatment increases gut microbiome synthesizing vitamin D and inhibiting colorectal cancer: results from a double-blind precision-based randomized placebo-controlled trial. Am J Clin Nutr. 2025 Sep 12:S0002-9165(25)00527-1. doi: 10.1016/j.ajcnut.2025.09.011. Online ahead of print.
Sun S, Zhu X, Huang X, Yu C, Su T, Murff HJ, Ness RM, Azcarate-Peril MA, Shrubsole MJ, Dai Q. The Association of Gut Microbiota With TRPM7 Genotype, Colorectal Polyps, and Magnesium. J Nutr. 2025 Jul 30:S0022-3166(25)00438-9. doi: 10.1016/j.tjnut.2025.07.015. Online ahead of print.
Fan L, Zhu X, Sun S, Yu C, Huang X, Ness R, Dugan LL, Shu L, Seidner DL, Murff HJ, Fodor AA, Azcarate-Peril MA, Shrubsole MJ, Dai Q. Ca:Mg ratio, medium-chain fatty acids, and the gut microbiome. Clin Nutr. 2022 Nov;41(11):2490-2499. doi: 10.1016/j.clnu.2022.08.031. Epub 2022 Sep 12.
Fan L, Zhu X, Rosanoff A, Costello RB, Yu C, Ness R, Seidner DL, Murff HJ, Roumie CL, Shrubsole MJ, Dai Q. Magnesium Depletion Score (MDS) Predicts Risk of Systemic Inflammation and Cardiovascular Mortality among US Adults. J Nutr. 2021 Aug 7;151(8):2226-2235. doi: 10.1093/jn/nxab138.
Fan L, Yu D, Zhu X, Huang X, Murff HJ, Azcarate-Peril MA, Shrubsole MJ, Dai Q. Magnesium and imidazole propionate. Clin Nutr ESPEN. 2021 Feb;41:436-438. doi: 10.1016/j.clnesp.2020.12.011. Epub 2021 Jan 7.
Other Identifiers
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100106
Identifier Type: -
Identifier Source: org_study_id
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