Trial Outcomes & Findings for Effects of Pomegranate Extract on Intestinal Flora (NCT NCT02370641)

NCT ID: NCT02370641

Last Updated: 2019-10-02

Results Overview

Difference of percentage of total microflora between urolithin excretors and non-excretors after consumption of pomegranate extract for 4 weeks

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

26 participants

Primary outcome timeframe

4 weeks

Results posted on

2019-10-02

Participant Flow

The enrollment period was 10/31/2012 - 7/2/2013. Enrollment took place in a private setting in the clinic located at the site.

Twenty-six healthy participants were enrolled in the study. There were two study phases including a 2-week run-in period and a 4-week intervention period. Six subjects who did not complete the study were excluded.

Participant milestones

Participant milestones
Measure
Urolithin Excretors
The excretor status was determined by analysis of urolithin A glucuronide in 24 hour urine after one dose of POMx. A blood sample and stool sample were obtained before administering the extract. PomX: 1000 mg POMx daily for 4 weeks
Non Excretors
The excretor status was determined by the analysis of urolithin A glucuronide in 24 hour urine after one dose of POMx. A blood sample and stool sample were obtained before administering the extract. PomX: 1000 mg POMx daily for 4 weeks
Overall Study
STARTED
18
8
Overall Study
COMPLETED
14
6
Overall Study
NOT COMPLETED
4
2

Reasons for withdrawal

Reasons for withdrawal
Measure
Urolithin Excretors
The excretor status was determined by analysis of urolithin A glucuronide in 24 hour urine after one dose of POMx. A blood sample and stool sample were obtained before administering the extract. PomX: 1000 mg POMx daily for 4 weeks
Non Excretors
The excretor status was determined by the analysis of urolithin A glucuronide in 24 hour urine after one dose of POMx. A blood sample and stool sample were obtained before administering the extract. PomX: 1000 mg POMx daily for 4 weeks
Overall Study
dropped study
4
2

Baseline Characteristics

Effects of Pomegranate Extract on Intestinal Flora

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Urolithin Excretors
n=14 Participants
The excretor status was determined by analysis of urolithin A glucuronide in 24 hour urine after one dose of POMx. A blood sample and stool sample were obtained before administering the extract. PomX: 1000 mg POMx daily for 4 weeks
Non Excretors
n=6 Participants
The excretor status was determined by the analysis of urolithin A glucuronide in 24 hour urine after one dose of POMx. A blood sample and stool sample were obtained before administering the extract. PomX: 1000 mg POMx daily for 4 weeks
Total
n=20 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
14 Participants
n=5 Participants
6 Participants
n=7 Participants
20 Participants
n=5 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Sex: Female, Male
Female
6 Participants
n=5 Participants
3 Participants
n=7 Participants
9 Participants
n=5 Participants
Sex: Female, Male
Male
8 Participants
n=5 Participants
3 Participants
n=7 Participants
11 Participants
n=5 Participants
Race/Ethnicity, Customized
white
12 Participants
n=5 Participants
2 Participants
n=7 Participants
14 Participants
n=5 Participants
Race/Ethnicity, Customized
Black
0 Participants
n=5 Participants
2 Participants
n=7 Participants
2 Participants
n=5 Participants
Race/Ethnicity, Customized
Asian
2 Participants
n=5 Participants
2 Participants
n=7 Participants
4 Participants
n=5 Participants
Body Mass Index (BMI)
23 kg/m^2
STANDARD_DEVIATION 3 • n=5 Participants
23 kg/m^2
STANDARD_DEVIATION 3 • n=7 Participants
23 kg/m^2
STANDARD_DEVIATION 3 • n=5 Participants

PRIMARY outcome

Timeframe: 4 weeks

Difference of percentage of total microflora between urolithin excretors and non-excretors after consumption of pomegranate extract for 4 weeks

Outcome measures

Outcome measures
Measure
Microbial Phylum Abundance in Urolithin Excretors
n=14 Participants
Microbial phylum abundance (% of total) in urolithin excretors after consumption of 1000 mg pomegranate extract daily for 4 weeks
Microbial Phylum Abundance in Non Excretors
n=6 Participants
Microbial phylum abundance (% of total) in urolithin excretors after consumption of 1000 mg pomegranate extract daily for 4 weeks.
Change in Percentage of Total Microflora Between Urolithin Excretors and Non-excretors
Percentage of phylum Firmecutes at baseline
60 percentage of total microflora
Standard Deviation 10.1
68 percentage of total microflora
Standard Deviation 17.2
Change in Percentage of Total Microflora Between Urolithin Excretors and Non-excretors
Percentage of phylum Firmecutes at week 4
56 percentage of total microflora
Standard Deviation 10.5
70 percentage of total microflora
Standard Deviation 9.3
Change in Percentage of Total Microflora Between Urolithin Excretors and Non-excretors
Percentage of phylum Proteobacteria at baseline
3.4 percentage of total microflora
Standard Deviation 2.5
2.5 percentage of total microflora
Standard Deviation 1.4
Change in Percentage of Total Microflora Between Urolithin Excretors and Non-excretors
Percentage of phylum Proteobacteria at week 4
6 percentage of total microflora
Standard Deviation 5.4
1.8 percentage of total microflora
Standard Deviation 0.5

Adverse Events

Microbial Phylum Abundance in Urolithin Excretors

Serious events: 0 serious events
Other events: 2 other events
Deaths: 0 deaths

Microbial Phylum Abundance in Urolithin Non Excretors

Serious events: 0 serious events
Other events: 1 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Microbial Phylum Abundance in Urolithin Excretors
n=14 participants at risk
microbial phylum abundance in urolithin excretors after consumption of 1000 mg pomegranate extract daily for 4 weeks
Microbial Phylum Abundance in Urolithin Non Excretors
n=6 participants at risk
The excretor status was determined by the analysis of urolithin A glucuronide in 24 hour urine after one dose of POMx. A blood sample and stool sample were obtained before administering the extract. PomX: 1000 mg POMx daily for 4 weeks
Gastrointestinal disorders
nausea after taking supplement on empty stomach
7.1%
1/14 • Number of events 1 • Adverse event data was collected over a 4 week period
Participants were monitored and questioned regarding the occurrence and nature of any adverse experiences.
16.7%
1/6 • Number of events 1 • Adverse event data was collected over a 4 week period
Participants were monitored and questioned regarding the occurrence and nature of any adverse experiences.
Gastrointestinal disorders
mild gastrointestinal discomfort after taking supplement on empty stomach
7.1%
1/14 • Number of events 1 • Adverse event data was collected over a 4 week period
Participants were monitored and questioned regarding the occurrence and nature of any adverse experiences.
0.00%
0/6 • Adverse event data was collected over a 4 week period
Participants were monitored and questioned regarding the occurrence and nature of any adverse experiences.

Additional Information

Zhaoping Li, Professor

UCLA Department of Medicine/Center for Human Nutrition

Phone: 310-206-1987

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place