Furanocoumarin metabolites as dietary biomarkers of grapefruit consumption

ISRCTN ISRCTN78596053
DOI https://doi.org/10.1186/ISRCTN78596053
Secondary identifying numbers N/A
Submission date
07/02/2014
Registration date
13/05/2014
Last edited
13/05/2014
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Other
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Background and study aims
Grapefruit contains high amounts of furanocoumarins, a group of compounds that are known to reduce the activity of intestinal enzymes. As a result, grapefruit juice can interact with a variety of drugs that are taken orally. The aim of this study is to find out whether the breakdown products of furanocoumarin can be used as markers of grapefruit juice consumption.

Who can participate?
Healthy men aged 20-35 years.

What does the study involve?
Participants will be randomly allocated to drink 250 mL of either orange, lemon or grapefruit juice at dinner time. There will then be a 7-day break in which participants are requested to avoid consuming citric-based products. Participants will then repeat this process twice with the second and third juices. Urine samples will be collected the day before the first intervention and in the morning following each intervention.

What are the possible benefits and risks of participating?
The study was conducted according to the Declaration of Helsinki of the World Medical Association. The study was explained to subjects through verbal and written instructions, and written informed consent was obtained before participation.

Where is the study run from?
This study involved the Department of Nutrition and Food Science of the University of Barcelona (Spain).

When is the study starting and how long is it expected to run for?
This study will take place between May 2013 and March 2014.

Who is funding the study?
This study is supported by CIBERobn.

Who is the main contact?
Dr Rosa Lamuela-Raventós
lamuela@ub.edu

Contact information

Dr Rosa Lamuela-Raventós
Scientific

Nutrition and Food Science Department
School of Pharmacy
University of Barcelona
Av. Joan XXIII, s/n
Barcelona
08028
Spain

Phone +34 (0) 934 034 843
Email lamuela@ub.edu

Study information

Study designOpen controlled clinical trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Other
Study typeOther
Participant information sheet Not available in web format, please use the contact details below to request a patient information sheet
Scientific titleTargeted metabolomics approach for the determination of furanocoumarin metabolites in urine after grapefruit juice consumption
Study objectivesGrapefruit contains considerable amounts of furanocoumarins, a family of compounds which are known to strongly inhibit intestinal cytochrome P450 (CYP) enzymes, namely CYP3A4. As a result, grapefruit juice can interact with a variety of orally administered drugs by increasing their bioavailability. This study aims to study the potential of furanocoumarin metabolites as specific biomarkers of grapefruit juice consumption.
Ethics approval(s)Ethics Committee of Clinical Investigation of the University of Barcelona (Spain),18/12/2014, ref: IRB00003099
Health condition(s) or problem(s) studiedConcentration of furanocoumarin metabolites in urine
InterventionParticipants are randomly assigned following simple randomization procedures (computerized random numbers) to one of three treatment groups. The study is a randomized crossover feeding trial. Participants will cross over and undergo all three of the interventions.

Intervention 1: Administration of 250 mL orange juice.
Intervention 2: Administration of 250 mL lemon juice.
Intervention 3: Administration of 250 mL grapefruit juice

Before each intervention, participants will follow a 7-day washout period, avoiding consuming citric or citric-based products
Intervention typeOther
Primary outcome measureFuranocoumarin metabolites will be identified through liquid chromatography coupled to Orbitrap mass spectrometry. Concentrations of furanocoumarins will be determined by liquid chromatography coupled to tandem mass spectrometry (LC–MS/MS). These determinations will be carried out in first morning urine samples collected the day before the first intervention and in the morning following each intervention.
Secondary outcome measuresN/A
Overall study start date01/05/2013
Completion date01/04/2014

Eligibility

Participant type(s)Patient
Age groupAdult
SexMale
Target number of participants15
Key inclusion criteriaHealthy adult males aged 20-35 years
Key exclusion criteria1. Previous history of cardiovascular disease (ischemic heart disease - angina or recent or old myocardial infarction, cerebral vascular accident, or peripheral vascular disease)
2. Homeostatic disorders
3. Any several chronic diseases
4. Hypertension or dyslipidemia
5. Smoking subjects
6. Alcoholism
7. Other toxic abuse
Date of first enrolment01/05/2013
Date of final enrolment01/04/2014

Locations

Countries of recruitment

  • Spain

Study participating centre

Nutrition and Food Science Department
Barcelona
08028
Spain

Sponsor information

Centros de Investigación Biomédica en Red Fisiopatología de la Obesidad y la Nutrición (CIBERobn) (Spain)
Research organisation

Centro Hospitalario Universitario de Santiago de Compostela
Edificio "D" 1ª
Planata
Choupana, S/N
Santiago de Compostela
15706
Spain

Email gerencia@ciberobn.es
Website http://www.ciberobn.es/
ROR logo "ROR" https://ror.org/02s65tk16

Funders

Funder type

Research organisation

Centros de Investigación Biomédica en Red Fisiopatología de la Obesidad y la Nutrición (Centers of Biomedical Research Network Pathophysiology of Obesity and Nutrition) (CIBERobn) (Spain)

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