Efficacy of an organic pomegranate polyphenol complex (VIQUA®) in type 1 primary osteoporosis in post-menopausal women

ISRCTN ISRCTN13473651
DOI https://doi.org/10.1186/ISRCTN13473651
Secondary identifying numbers IL-213678
Submission date
22/06/2023
Registration date
07/07/2023
Last edited
04/07/2023
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Musculoskeletal Diseases
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Background and study aims
Osteoporosis is characterized by the decline of bone mass and microarchitecture, leading to increased fragility fractures. Though there are many types and causes, Oxidative stress and inflammatory reactions are major factors that induce osteoporosis by promoting bone resorption and inhibiting bone formation. Current treatment options for osteoporosis have limitations and side effects and there is a requirement for effective, safe, and natural supplements to reduce and prevent this condition. This study aims to evaluate a supplement called VIQUA®, a natural polyphenol complex with a high concentration of unique metabolites derived from organic pomegranate, sourced from a microbiome-rich biodynamic plantation, in postmenopausal women with osteoporosis.

Who can participate?
Healthy postmenopausal women aged between 45 and 70 years old

What does the study involve?
Participants will be randomly assigned to a once-daily supplement or a placebo/dummy supplement for 36 weeks. The study objectives included assessing changes in bone mineral density, bone turnover markers, and antioxidant and inflammatory markers over the 36-week period.

What are the possible benefits and risks of participating?
The results of this study will provide valuable insights into the potential benefits of VIQUA® in improving bone health in postmenopausal women. There is no known risk, no side effect was detected using the trial product.

Where is the study run from?
INNOVATION LABO Sciences Co., Ltd (Japan)

When is the study starting and how long is it expected to run for?
July 2021 to July 2023

Who is funding the study?
INNOVATION LABO Sciences Co., Ltd (Japan)

Who is the main contact?
Dr Yuki Ikeda, development@innovationlabo.com (Japan)

Contact information

Dr Yuki Ikeda
Scientific

Shintomi HJ bldg 5F
1-12-7 Shintomi
Tokyo
104-0041
Japan

ORCiD logoORCID ID 0000-0001-6067-4574
Phone +81 (0)3 3552 5335
Email development@innovationlabo.com

Study information

Study designDouble-blind interventional randomized placebo-controlled trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Home, Hospital, Medical and other records
Study typeQuality of life, Treatment, Efficacy
Participant information sheet Not available in web format, please use contact details to request a participant information sheet
Scientific titleDouble-blind, placebo-controlled clinical study to analyze the efficacy of an organic pomegranate polyphenol complex supplementation on bone mineral density, bone turnover markers, inflammatory status, and antioxidant status in post-menopausal women
Study acronymVIQOSTEO
Study objectivesVIQUA® increases bone mineral density, bone turnover markers, inflammatory status, and antioxidant status
Ethics approval(s)

Approved 08/02/2022, Japanese Society of Anti-Aging Nutrition (Ginza, Chuo-ku, Tokyo 6-6-1, 104-0061, Japan; +81 3 3552 5277; coordinator@jaan.jp), ref: ILOS210617-N713

Health condition(s) or problem(s) studiedPrevention of osteoporosis in postmenopausal women
InterventionSubjects were randomly assigned in a 1:1 ratio to receive either the trial product VIQUA® (250mg in capsules) or Placebo (Dextrin 250mg in capsules) once daily (daily dosage of 300mg) for 36 weeks. Patients were asked to take Viqua or the placebo orally in the morning before breakfast.

Block randomization is used to divide potential patients into m blocks of size 2n, randomize each block such that n patients are allocated to A and n to B then choose the blocks randomly. This method ensures equal treatment allocation within each block if the complete block is used.

The primary outcome measure is the change in bone mineral density (BMD) from baseline to 36 weeks. BMD of the lumbar spine and proximal femur were assessed by dual-energy x-ray absorptiometry at baseline, 12 weeks, 24 weeks, and 36 weeks.

The secondary outcome measures include bone turnover markers, inflammatory status, and antioxidant status of the body. Bone turnover markers tested are osteocalcin, bone-specific alkaline phosphatase (BAP), receptor activator of nuclear factor kappa-B ligand (RANKL), and C-terminal telopeptide. For the analysis of these blood markers, blood samples were collected after 12h overnight fasting and samples were immediately centrifuged and stored for biochemical analysis. All blood markers were tested at baseline, and 12, 24, and 36 weeks.
Intervention typeSupplement
Primary outcome measureChange in bone mineral density (BMD) from baseline to 36 weeks. BMD of the lumbar spine and proximal femur are assessed by dual-energy x-ray absorptiometry at baseline, 12 weeks, 24 weeks, and 36 weeks
Secondary outcome measuresThe following secondary outcome measures are assessed at baseline, and 12, 24, and 36 weeks:
1. Serum levels of bone turnover markers, osteocalcin, bone-specific alkaline phosphatase (BAP), receptor activator of nuclear factor kappa-B ligand (RANKL), and C-terminal telopeptide measured using biochemical analysis of blood
2. Inflammatory status measured using hs-CRP analysis in blood
3. Antioxidant status measured using Total Antioxidant Status analysis in blood
Overall study start date19/07/2021
Completion date31/07/2023

Eligibility

Participant type(s)Healthy volunteer
Age groupMixed
Lower age limit45 Years
Upper age limit70 Years
SexFemale
Target number of participants60
Total final enrolment60
Key inclusion criteria1. Post-menopausal female subjects
2. Aged between 45 and 70 years old
3. Subjects with at least 12 months of amenorrhea
4. T-score of −2.5 or less in bone mineral density analysis
Key exclusion criteria1. History of cancer or thyroid dysfunction
2. Hormone replacement therapy (HRT) within the last 6 months
3. Known allergy to any of the ingredients in the test product
4. Consumed any nutritional supplements within 1 month from the start of the study
5. Any serious mental or physical illnesses that might interfere with the outcome of the study
Date of first enrolment02/09/2022
Date of final enrolment14/10/2022

Locations

Countries of recruitment

  • Japan

Study participating centre

Medica Tokyo Laboratories
14-5 Kusunokichō, Nishi-ku
Yokohama-shi
Kanagawa-ken
Yokohama
220-0003
Japan

Sponsor information

INNOVATION LABO Sciences Co., Ltd
Industry

Shintomi HJ bldg 5F
1-12-7 Shintomi
Tokyo
104-0041 Chuo-ku
Japan

Phone +81 (0)3 3552 5335
Email tokyo@innovationlabo.com
Website https://www.innovationlabo.com

Funders

Funder type

Industry

INNOVATION LABO Sciences Co., Ltd

No information available

Results and Publications

Intention to publish date31/01/2024
Individual participant data (IPD) Intention to shareYes
IPD sharing plan summaryAvailable on request
Publication and dissemination planPlanned publication in a high-impact peer-reviewed journal
IPD sharing planThe datasets generated during and/or analysed during the current study are/will be available upon request from Dr Yuki Ikeda, development@innovationlabo.com. Anonymised IPD will be available upon publication of results and for a period of 2 years. Consent from participants was required and obtained.

Editorial Notes

04/07/2023: Trial's existence confirmed by the Ethics Review Committee of the Japanese Society of Anti-Aging Nutrition (Japan).