The effect of red meat consumption on the formation of N-nitroso compounds, a group of compounds which may be harmful to humans, in relation to colorectal cancer

ISRCTN ISRCTN32977454
DOI https://doi.org/10.1186/ISRCTN32977454
Secondary identifying numbers N/A
Submission date
15/11/2010
Registration date
14/12/2010
Last edited
14/12/2010
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Cancer
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Not provided at time of registration

Contact information

Dr Theo de Kok
Scientific

Universiteitssingel 50
Maastricht
6229 ER
Netherlands

Phone +31 (0)43 3881091
Email t.dekok@grat.unimaas.nl

Study information

Study designNon-randomised interventional multicentre study
Primary study designInterventional
Secondary study designNon randomised controlled trial
Study setting(s)Hospital
Study typeTreatment
Participant information sheet Not available in web format, please use contact details below to request a patient information sheet
Scientific titleA non-randomised controlled trial to compare the effect of colon inflammation in combination with a 7-day 300 grams/day red meat diet on the endogenous formation of potentially carcinogenic N-nitroso compounds in the colon of inflammatory bowel disease patients versus non-inflamed irritable bowel syndrome patients, in relation to colorectal cancer risk
Study objectivesWe hypothesise that both colon inflammation and a diet high in red meat increase the endogenous formation of potentially carcinogenic N-nitroso compounds in the human colon and that these compounds increase the colorectal cancer risk, which could (partially) explain the increased colorectal cancer risk that is associated with inflammatory bowel disease and diets high in red meat.

Inflammatory bowel disease is characterised by a chronic inflammation within the gastrointestinal tract, which, in case of ulcerative colitis, is present in the colon and rectum.
Ethics approval(s)The Medical Ethical Approval Committee (METC) Atrium Orbis Zuyd in Heerlen approved on the 23rd January 2007 (ref: METC 04-P-04A; reg no: NL13359.096.06)
Health condition(s) or problem(s) studiedInflammatory bowel disease; colorectal cancer risk
InterventionBoth inflammatory bowel disease patients and irritable bowel syndrome control patients participate in a 7-day dietary intervention in which 300 grams of red meat products (steak, etc) are consumed daily. Collection of colon biopsies by endoscopic examination, blood collection by venipuncture, and urine and faecal matter collection takes place at the beginning and the end of the dietary intervention.
Intervention typeOther
Primary outcome measure1. Whole genome gene expression modifications by microarray analysis (4x44K Agilent platform)
2. Apparent total nitroso compounds in faecal matter by thermal energy analysis
3. Faecal water genotoxicity (30 minute exposure to 10% faecal water) by comet assay analysis in the adenocarcinoma cell line Caco-2

All outcomes are measured at baseline and post intervention.
Secondary outcome measures1. Calprotectin levels in faecal matter as a measure of inflammation
2. Analysis of food frequency questionnaires recorded during intervention period
3. Possible determination of N-nitroso compound levels by thermal energy analysis in urine and blood

All outcomes are measured at baseline and post intervention.
Overall study start date23/01/2007
Completion date31/12/2010

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit18 Years
SexBoth
Target number of participants80 participants in total, of whom 40 inflammatory bowel disease (ulcerative colitis) patients and 40 control patients with irritable bowel syndrome.
Key inclusion criteria1. Inflammatory bowel disease patients with an active form of ulcerative colitis with a moderate exacerbation of their disease and in whom the inflammation does not go beyond the flexure lienalis
2. Irritable bowel syndrome control patients with endoscopically proven absence of inflammation and adenomas
3. Participants of any age (above 18 years) and either sex are included
Key exclusion criteria1. Inflammatory bowel disease patients with severe inflammation, including Crohn's disease and pancolitis
2. Irritable bowel syndrome control patients with medical complaints and/or use of anti-inflammatory medication
Date of first enrolment23/01/2007
Date of final enrolment31/12/2010

Locations

Countries of recruitment

  • Netherlands

Study participating centre

Universiteitssingel 50
Maastricht
6229 ER
Netherlands

Sponsor information

Maastricht University (Netherlands)
University/education

Universiteitssingel 50
Maastricht
6229 ER
Netherlands

Phone +31 (0)43 3881091
Email t.dekok@grat.unimaas.nl
Website http://www.maastrichtuniversity.nl/
ROR logo "ROR" https://ror.org/02jz4aj89

Funders

Funder type

University/education

Maastricht University (Netherlands) - internal funding

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan