Ginger and Gut Microbiome (GINGER)

NCT ID: NCT03268655

Last Updated: 2020-07-22

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

NA

Total Enrollment

68 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-11-14

Study Completion Date

2020-06-26

Brief Summary

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Estimate the impact of a 6-week daily intake of 2000 mg of ginger extract on the composition of the gut microbiome using a randomized placebo-controlled double-blinded design, i.e. examine the change of microbiome over time within and between the subjects..

Detailed Description

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This is a pilot trial to evaluate the feasibility of conducting a large randomized trial and estimate the effects of ginger extract on the gut microbiome. The pilot study will recruit from multiple sites 95-100 subjects aged 50-75 years old who were diagnosed with colorectal adenoma within the last five years. There will be 47-50 subjects in the treatment group and 47-50 in the placebo group. The subjects will be randomized to receive either 2000 mg of ginger extract per day (1000 mg twice a day) or matching placebo.

Subjects will provide three stool specimens for analysis of the intestinal microbiome over a 12-week period at the following intervals: Week 0 (Day 1), Week 6, and Week 12. Although the gut microbiome is stable within a period of 1-2 months, a control arm will be included to account for potential dietary and other changes that may affect the gut microbiome. Gut microbiome composition - the presence, abundance, and diversity of bacterial taxa - will be derived by sequencing microbial 16S ribosomal RNA genes.

Primary Aims:

Aim 1 is to estimate the impact of a 6-week daily intake of 2000 mg of ginger extract on the composition of the gut microbiome using a randomized placebo-controlled double-blinded design, i.e. examine the change of microbiome over time within and between the subjects.

Aim 2 will examine the correlation between the ginger-related changes in microbiome profile with the levels of circulating biomarkers: urinary Prostaglandin E (PGE) metabolites.

Hypothesis: In the ginger versus placebo arm, gut microbiome will shift towards a lower proportion of pro-inflammatory, bacteria associated with colorectal cancer (CRC) and higher proportion of anti-inflammatory, CRC-protective bacteria.

Secondary Aim:

1. At the end of the study, we expect to show that ginger decreases the relative abundance of pro-inflammatory, CRC-predisposing taxa and increases the abundance of anti-inflammatory, CRC-protective taxa, i.e., demonstrate that ginger boosts changes in gut microbiome that are protective against CRC, as well as assess ginger-induced changes in immune response.
2. The similarities of bacterial profiles will be compared between three time points baseline and 6 Weeks and 12 Weeks to estimate whether 6-week is a sufficient time for washout.

Conditions

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Colorectal Adenoma

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Pilot. Double-blind placebo-controlled randomized trial
Primary Study Purpose

BASIC_SCIENCE

Blinding Strategy

DOUBLE

Participants Investigators
Double blind

Study Groups

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Ginger extract

Ginger extract, 2000 mg daily for 6 weeks, followed by 6 week washout.

Group Type EXPERIMENTAL

Ginger extract

Intervention Type DIETARY_SUPPLEMENT

2000 mg ginger extract daily for 6 weeks, plus 6 weeks washout

Placebo

Placebo, daily for 6 weeks, followed by 6 week washout.

Group Type EXPERIMENTAL

Placebo

Intervention Type OTHER

2000 mg ginger extract daily for 6 weeks, plus 6 weeks washout

Interventions

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Ginger extract

2000 mg ginger extract daily for 6 weeks, plus 6 weeks washout

Intervention Type DIETARY_SUPPLEMENT

Placebo

2000 mg ginger extract daily for 6 weeks, plus 6 weeks washout

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Colorectal adenoma diagnosis

Exclusion Criteria

* Allergy or sensitivity to ginger
* Active cancer
* Unstable medical condition
* Unstable diet or weight
Minimum Eligible Age

50 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Minnesota

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Anna Prizment, PhD, MPH

Role: PRINCIPAL_INVESTIGATOR

University of Minnesota, Epidemiology and Community Health

Locations

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Mayo Clinic Cancer Center

Albert Lea, Minnesota, United States

Site Status

Mayo Clinic Cancer Center

Austin, Minnesota, United States

Site Status

Essentia Health - Deer River

Deer River, Minnesota, United States

Site Status

Essentia Health St Mary's - Detroit Lakes

Detroit Lakes, Minnesota, United States

Site Status

Essentia Health - Fosston Clinic

Fosston, Minnesota, United States

Site Status

Fairview Grand Itasca Clinic & Hospital

Grand Rapids, Minnesota, United States

Site Status

Fairview Range Medical Center

Hibbing, Minnesota, United States

Site Status

Mayo Clinic Cancer System

Mankato, Minnesota, United States

Site Status

Epidemiology Clinical Research Center

Minneapolis, Minnesota, United States

Site Status

Monticello Cancer Center

Monticello, Minnesota, United States

Site Status

Essentia Health - Park Rapids Clinic

Park Rapids, Minnesota, United States

Site Status

Fairview Northland Medical Center

Princeton, Minnesota, United States

Site Status

Essentia Health -Virgina Clinic

Virginia, Minnesota, United States

Site Status

Countries

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United States

Other Identifiers

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Anna-CPRC-TBD

Identifier Type: OTHER

Identifier Source: secondary_id

SPH-2017-25928

Identifier Type: -

Identifier Source: org_study_id

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