Development of a Polyphenol-rich Dietary Preparation for Treating Veterans With Gulf War Illness

NCT ID: NCT02915237

Last Updated: 2020-06-29

Study Results

Results pending

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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Recruitment Status

COMPLETED

Clinical Phase

PHASE1/PHASE2

Total Enrollment

36 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-08-31

Study Completion Date

2019-01-17

Brief Summary

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Gulf War Illness (GWI) is a multi-symptom disorder that is characterized by complex traits such as fatigue, headaches, joint pain, insomnia, and memory problems. With no treatment for GWI currently available, there is an urgent need to develop novel interventions to alleviate major GWI clinical complications. Recent evidence highlights the potential value of flavonoids, a subclass of organic chemical called polyphenols abundantly found in some plants and common dietary preparations, in helping relieve clinical complications in Veterans with GWI. The overall goal is to test whether daily consumption of commercially available Concord grape juice, which is very Flavonoid-rich, is effective for treating cognitive deficits and chronic fatigue in Veterans with GWI.

Detailed Description

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Gulf War Illness (GWI) is a multi-symptom disorder that is characterized by complex traits. Clinical complications of GWI typically persist over long-term, cause significant pain and suffering, and interfere with the ability of affected Veterans to successfully integrate back into civilian society. There is no treatment for GWI and there is an urgent need to develop novel interventions either to resolve underlying GWI mechanisms, or to alleviate major GWI clinical complications.

Recent Evidence highlights the potential value of flavonoids, a subclass of organic chemical called polyphenols that are abundantly found in some plants and common dietary preparations may help alleviate chronic fatigue and preserve cognitive functions. Based on this, the overall goal is to test whether the potential efficacy of dietary supplementation with a commercially available flavonoid-rich product, alleviates clinical complications in Veterans with GWI. In particular, the researchers propose a randomized, double-blind, placebo-controlled Phase I/IIA study to test the feasibility and potential efficacy of Concord grape juice dietary supplementation to treat cognitive deficits and chronic fatigue in Veterans with GWI.

Conditions

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Gulf War Illness

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Low Dose - Concord grape juice

Daily dietary supplementation with 4 oz. of a commercially available Concord grape juice.

Group Type EXPERIMENTAL

Concord grape juice

Intervention Type DIETARY_SUPPLEMENT

Daily dietary supplementation with a commercially available Concord grape juice.

Moderate Dose - Concord grape juice

Daily dietary supplementation with 8 oz. of a commercially available Concord grape juice.

Group Type EXPERIMENTAL

Concord grape juice

Intervention Type DIETARY_SUPPLEMENT

Daily dietary supplementation with a commercially available Concord grape juice.

High Dose - Concord grape juice

Daily dietary supplementation with 16 oz. of a commercially available Concord grape juice.

Group Type EXPERIMENTAL

Concord grape juice

Intervention Type DIETARY_SUPPLEMENT

Daily dietary supplementation with a commercially available Concord grape juice.

Low dose - placebo beverage

Daily dietary supplementation with 4 oz. of a placebo beverage

Group Type PLACEBO_COMPARATOR

Placebo Beverage

Intervention Type DIETARY_SUPPLEMENT

Daily dietary supplementation with a placebo beverage consisting of water, sugar, artificial flavoring and color that is formulated to look and taste like grape juice and have the same carbohydrate composition and energy load.

Moderate Dose - placebo beverage

Daily dietary supplementation with 8 oz. of a placebo beverage

Group Type PLACEBO_COMPARATOR

Placebo Beverage

Intervention Type DIETARY_SUPPLEMENT

Daily dietary supplementation with a placebo beverage consisting of water, sugar, artificial flavoring and color that is formulated to look and taste like grape juice and have the same carbohydrate composition and energy load.

High Dose - placebo beverage

Daily dietary supplementation with 16 oz. of a placebo beverage

Group Type PLACEBO_COMPARATOR

Placebo Beverage

Intervention Type DIETARY_SUPPLEMENT

Daily dietary supplementation with a placebo beverage consisting of water, sugar, artificial flavoring and color that is formulated to look and taste like grape juice and have the same carbohydrate composition and energy load.

Interventions

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Concord grape juice

Daily dietary supplementation with a commercially available Concord grape juice.

Intervention Type DIETARY_SUPPLEMENT

Placebo Beverage

Daily dietary supplementation with a placebo beverage consisting of water, sugar, artificial flavoring and color that is formulated to look and taste like grape juice and have the same carbohydrate composition and energy load.

Intervention Type DIETARY_SUPPLEMENT

Eligibility Criteria

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Inclusion Criteria

* Gulf War Veterans deployed to the Persian Gulf theatre between August 1990 and August 1991. GWI will be defined according to the Kansas Case Definition. The Kansas Case Definition identifies 6 symptom domains and requires endorsement of moderately severe and/or multiple symptoms in at least 3 of those domains. To meet the case definition, the Veterans must also indicate that each symptom first became problematic during or within one year of the Gulf War.

Exclusion Criteria

* Subjects who usually consume abnormally high contents of dietary polyphenol based on a self-reported diet diary will be excluded.
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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United States Department of Defense

FED

Sponsor Role collaborator

Department of Veterans Affairs, New Jersey

FED

Sponsor Role collaborator

Icahn School of Medicine at Mount Sinai

OTHER

Sponsor Role lead

Responsible Party

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Giulio Maria Pasinetti

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Giulio Maria Pasinetti, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Icahn School of Medicine at Mount Sinai

Brett Chaney, MD

Role: STUDY_DIRECTOR

United States Department of Defense

Locations

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VA- New Jersey Health Care System

East Orange, New Jersey, United States

Site Status

Countries

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United States

References

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Steele L. Prevalence and patterns of Gulf War illness in Kansas veterans: association of symptoms with characteristics of person, place, and time of military service. Am J Epidemiol. 2000 Nov 15;152(10):992-1002. doi: 10.1093/aje/152.10.992.

Reference Type BACKGROUND
PMID: 11092441 (View on PubMed)

Helmer DA, Van Doren WW, Litke DR, Tseng CL, Ho L, Osinubi O, Pasinetti GM. Safety, Tolerability and Efficacy of Dietary Supplementation with Concord Grape Juice in Gulf War Veterans with Gulf War Illness: A Phase I/IIA, Randomized, Double-Blind, Placebo-Controlled Trial. Int J Environ Res Public Health. 2020 May 19;17(10):3546. doi: 10.3390/ijerph17103546.

Reference Type BACKGROUND
PMID: 32438639 (View on PubMed)

Related Links

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Other Identifiers

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GCO 13-1398

Identifier Type: -

Identifier Source: org_study_id

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