ISRCTN ISRCTN39867491
DOI https://doi.org/10.1186/ISRCTN39867491
Submission date
25/02/2022
Registration date
03/03/2022
Last edited
18/12/2023
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Other
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Background and study aims
Grape seeds (Vitis vinifera) are a rich source of oligomeric proanthocyanidins (PAC), a class of polyphenols with potential health-promoting effects. However, these polyphenols are poorly absorbed and reach the large intestine where they are transformed by bacteria. These metabolic products could be responsible for the beneficial effects. The aims of this study are: i) to identify and quantify the main components/metabolites of grape seed in the urine of healthy volunteers; ii) to evaluate the activation of genes involved in the antioxidant and inflammatory response. The results will improve our understanding of the metabolism of PAC and the potential health effects of these components and their metabolic products on the antioxidant response.

Who can participate?
Healthy men and women aged 18-40 years with a normal weight (body mass index 18-25 kg/m²)

What does the study involve?
Participants will be randomly allocated to take two capsules per day of oligomeric proanthocyanidin or placebo (dummy capsules) for 7 days. Blood and urine samples will be collected at the start of the study and after 7 days. After a 1-week break, participants swap to the opposite capsules for 7 days and urine and blood samples are collected again. Body measurements and tests will be carried out at the start of the study.

What are the possible benefits and risks of participating?
Oligomeric proanthocyanidin (PAC) may be broken down and activate the body's defence mechanisms against oxidative stress and inflammation. There are no expected risks.

Where is the study run from?
1. Department of Pharmaceutical Sciences, DiSFARM- Università degli Studi di Milano (Italy)
2. Department of Food, Environmental and Nutritional Sciences, DeFENS-Università degli Studi di Milano (Italy)

When is the study starting and how long is it expected to run for?
September 2021 to November 2022

Who is funding the study?
Distillerie Bonollo S.p.A, Formigine (Italy)

Who is the main contact?
1. Prof. Giancarlo Aldini, Giancarlo.aldini@unimi.it
2. Dr Cristian Del Bo’, cristian.delbo@unimi.it

Contact information

Prof Giancarlo Aldini
Principal Investigator

University of Milan-Department of Pharmaceutical Sciences
Milano
20133
Italy

ORCiD logoORCID ID 0000-0002-2355-6744
Phone +39 (0)250319296
Email giancarlo.aldini@unimi.it
Dr Cristian Del Bo'
Scientific

Via Luigi Mangiagalli 25
Milan
20133
Italy

ORCiD logoORCID ID 0000-0001-7562-377X
Phone +39 (0)250316730
Email cristian.delbo@unimi.it

Study information

Study designRandomized controlled crossover intervention study
Primary study designInterventional
Secondary study designRandomised cross over trial
Study setting(s)Home
Study typePrevention
Participant information sheet Not available in web format, please use the contact details to request a patient information sheet.
Scientific titleMetabolic profile of a standardized extract of oligomeric procyanidins (PACs) from Vitis vinifera seeds in the urine and plasma of healthy volunteers and application of omic sciences for a better understanding of the biological action
Study acronymMETAPAC
Study objectivesThis pilot study aims to test the hypothesis that oligomeric procyanidins from a standardized Vitis vinifera seed extract are absorbed and metabolized, and can induce the activation of genes involved in the antioxidants and anti-inflammatory response.
Ethics approval(s)Approved 15/09/2021, the Ethics Committee of the University of Milan (Via Festa del Perdono 7, 20122, Milano, Italia; +39 (0)2 503.12667; comitato.etico@unimi.it), ref: 94/21
Health condition(s) or problem(s) studiedMetabolism and biological activity of oligomeric procyanidins
InterventionTen healthy volunteers will be enrolled and randomized by block randomization to consume two capsules per day (one in the morning and one in the evening) of Vitis vinifera extract (300 mg oligomeric procyanidins) or placebo (dicalcium phosphate, cellulose, silicon dioxide, magnesium salts of fatty acids, titanium dioxide). Each treatment will be 7 days and separated by at least a 1-week wash-out period.
Intervention typeSupplement
Primary outcome measureUrinary excretion of oligomeric proanthocyanidin-derived human phenyl-γ-valerolactone metabolite from Vitis vinifera, measured using high-resolution mass spectrometry techniques at baseline and at 1, 2, 4, 6, 10, 12, 14, 24 and 48 hours after the intervention and reported as absolute urinary concentration (nmoles/ml)
Secondary outcome measures1. Lipidomic, proteomic and metabolomic status measured by using omics approaches (e.g., proteomic, lipidomic, metabolomic) in the buffy coat at baseline, after 2 hours, and 7 days post-intervention. Values will be reported semi-quantitatively as fold-change.
2. Levels of DNA damage in the buffy coat measured by comet assay at baseline, after 2 hours and 7 days post intervention
3. Levels of 8-hydroxy-2'-deoxyguanosine (8-OHdG) in plasma and urine measured using ELISA kit at baseline, after 2 hours and 7 days post intervention
Overall study start date15/09/2021
Completion date30/11/2022

Eligibility

Participant type(s)Healthy volunteer
Age groupAdult
Lower age limit18 Years
Upper age limit40 Years
SexBoth
Target number of participants10
Total final enrolment10
Key inclusion criteria1. Women and men
2. Aged 18-40 years
3. BMI 18-25 kg/m²
4. Healthy
5. No smokers
Key exclusion criteria1. Smokers
2. Allergy to grape
3. Gastrointestinal disorder
4. Liver and renal disease
5. Antibiotic treatment
5. Use of supplements
Date of first enrolment10/03/2022
Date of final enrolment30/03/2022

Locations

Countries of recruitment

  • Italy

Study participating centre

University of Milan - DISFARM-DeFENS
Via Luigi Mangiagalli 25
Milano
20133
Italy

Sponsor information

University of Milan
University/education

Via Festa del Perdono, 7
Milano
20122
Italy

Phone +39 (0)2 5032 5032
Email unimi@postecert.it
Website https://www.unimi.it/it
ROR logo "ROR" https://ror.org/00wjc7c48

Funders

Funder type

Industry

Distillerie Bonollo Umberto S.p.A

No information available

Results and Publications

Intention to publish date01/05/2023
Individual participant data (IPD) Intention to shareYes
IPD sharing plan summaryAvailable on request
Publication and dissemination planPlanned publication of study results in high-impact peer-reviewed journals following trial completion. A protocol will be uploaded in the next few months.
IPD sharing planThe datasets generated during and/or analysed during the current study are/will be available upon request from:
1. Prof. Giancarlo Aldini (giancarlo.aldini@unimi.it)
2. Dr Cristian Del Bo' (cristian.delbo@unimi.it)
Data are anonymous and consent was obtained from participants.

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article 07/12/2023 18/12/2023 Yes No

Editorial Notes

18/12/2023: Publication reference added.
15/07/2022: The following changes have been made:
1. The final enrolment number has been added.
2. The overall trial end date has been changed from 01/07/2022 to 30/11/2022 and the plain English summary updated accordingly.
3. The intention to publish date has been changed from 30/09/2022 to 01/05/2023.
28/02/2022: Trial's existence confirmed by the Ethics Committee of the University of Milan.