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Trial registered on ANZCTR
Registration number
ACTRN12623000591651
Ethics application status
Approved
Date submitted
9/05/2023
Date registered
31/05/2023
Date last updated
9/05/2024
Date data sharing statement initially provided
31/05/2023
Type of registration
Prospectively registered
Titles & IDs
Public title
Assessment of maternal-fetal transfer of sulforaphane and metabolites
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Scientific title
Assessment of maternal-fetal transfer of sulforaphane and metabolites in umbilical cord blood and expressed breast milk
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Secondary ID [1]
309630
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Nil known
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Universal Trial Number (UTN)
U1111-1290-8991
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Trial acronym
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Linked study record
This study is paired with ACTRN12623000592640 as it is investigating the maternal-fetal transfer of broccoli sprout supplements. This study is looking at the placental transfer of broccoli sprout and metabolites where as the other study is looking at the pharmacokinetic curve in pregnant participants.
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Health condition
Health condition(s) or problem(s) studied:
Preeclampsia
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Condition category
Condition code
Reproductive Health and Childbirth
326865
326865
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0
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Fetal medicine and complications of pregnancy
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Two capsules of broccoli sprout extract GeneActiv Formulation E by Cell-Logic (1400mg)
Total sulforaphane dose 21mg
Two doses per trial participant
Dose 1 - At least 2 hours prior to planned elective caesarean section
Dose 2 - At least 2 hours prior to planned breast feed on post-natal day 2 or 3
Participants will be observed at the time of capsule consumption for compliance at both time points for the two doses.
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Intervention code [1]
326060
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Treatment: Drugs
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Comparator / control treatment
No control group
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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Concentration of sulforaphane and metabolites in umbilical cord blood at time of caesarean section
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Assessment method [1]
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Timepoint [1]
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At least two hours post dose 1
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Secondary outcome [1]
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Concentration of sulforaphane and metabolites in post-natal expressed breast milk
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Assessment method [1]
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Timepoint [1]
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At least 2 hours post dose 2 on post-natal day 2 or 3
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Secondary outcome [2]
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Concentration of sulforaphane and metabolites in peripheral maternal blood sample
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Assessment method [2]
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Timepoint [2]
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Pre-dose (baseline)
At time of caesarean section (at least 2-hours post dose)
Post-natal day 1-3
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Secondary outcome [3]
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Concentration of sulforaphane and metabolites in urine
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Assessment method [3]
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Timepoint [3]
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Pre-dose (baseline)
At time of caesarean section (at least 2-hours post dose)
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Secondary outcome [4]
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Histological assessment of placenta
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Assessment method [4]
421834
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Timepoint [4]
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At least two hours post dose
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Eligibility
Key inclusion criteria
- Singleton pregnancy.
- Planned elective caesarean section.
- Gestation greater than 37+0 weeks.
- Normal mid-trimester morphology scan, with no detectable significant anomalies.
- Deemed capable of understanding the information provided and able to give written informed consent (with interpreter use as required).
- Greater than or equal to 18 years of age.
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Females
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Can healthy volunteers participate?
No
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Key exclusion criteria
- Major complications of pregnancy including, but not limited to, fetal growth restriction, preeclampsia, gestational diabetes on insulin.
- Renal or hepatic dysfunction.
- Current use of broccoli sprout extract supplement.
- Contraindications to use (e.g., intolerance of broccoli).
- Significant uncertainty in ensuring gestational age is within limits.
- Unwillingness or inability to follow the procedures outlined in the PI and CF.
- Mentally, cognitively or legally incapacitated or ineligible to provide informed consent.
- Co-recruitment/participation in another clinical trial where there is a pharmaceutical or herbal or nutritional intervention (such trial interventions would also include: multi-vitamins, minerals, complementary and alternative medicines).
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Single group
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Other design features
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Phase
Phase 0
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Type of endpoint/s
Bio-availability
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Statistical methods / analysis
A convenience n-number of 8 has been used based on previous work investigating sulforaphane concentrations in pregnant individuals. Demographics will be reported as median and IOR (25th to 75th centile). Paired t-test will be used if normally distributed pharmacokinetic outcomes to determine statistical significance (p < 0.05). Time to maximum concentration (T max) is presented as median and range and tested with Wilcoxon rank-sum test.
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Recruitment
Recruitment status
Recruiting
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Date of first participant enrolment
Anticipated
5/06/2023
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Actual
31/07/2023
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
8
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Accrual to date
1
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Final
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Recruitment in Australia
Recruitment state(s)
VIC
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Recruitment hospital [1]
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Monash Medical Centre - Clayton campus - Clayton
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Recruitment hospital [2]
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Jessie McPherson Private Hospital - Clayton
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Recruitment postcode(s) [1]
40319
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3168 - Clayton
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Funding & Sponsors
Funding source category [1]
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University
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Name [1]
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Monash University
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Address [1]
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Wellington Road
CLAYTON VIC 3168
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Country [1]
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Australia
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Primary sponsor type
Hospital
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Name
Monash Health
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Address
246 Clayton Road
CLAYTON VIC 3168
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
315649
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Address [1]
315649
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Country [1]
315649
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Monash Health Human Research and Ethics Committee
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Ethics committee address [1]
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Monash Medical Centre 246 Clayton Road CLAYTON VIC 3168
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
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25/11/2022
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Approval date [1]
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24/07/2023
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Ethics approval number [1]
312974
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RES-22-0000-732A
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Summary
Brief summary
Broccoli sprout extracts contain glucurophanin which converts into a compound called sulforaphane. Sulforaphane is a natural inducer of nuclear related ECH-like related factor 2 (Nrf2) activity which promotes production of endogenous anti-oxidant enzymes and anti-inflammatory cytokines. Numerous disorders of pregnancy result in states of oxidative stress and inflammation including fetal growth restriction and preeclampsia with risks of resultant neuroinflammation on the fetus and possibly adverse neurodevelopment. This study aims to investigate the possibility of sulforaphane transfer via the placenta and in expressed breast milk.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Dr Neville Fields
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Address
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Monash Medical Centre
246 Clayton Road
CLAYTON VIC 3168
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Country
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Australia
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Phone
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+61458 439 896
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Neville Fields
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Address
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The Ritchie Centre
27-31 Wright Street
CLAYTON VIC 3168
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Country
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Australia
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Phone
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+61 3 9594 5145
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Sarah Marshall
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Address
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The Ritchie Centre
Monash University
27-31 Wright Street
CLAYTON VIC 3168
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Country
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Australia
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Phone
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+61 3 9594 5145
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Fax
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Email
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
Yes
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What data in particular will be shared?
Individual patient data after publication will be shared following application to the chief investigator. Results will be deidentified and provided for circulating concentration of sulforaphane and metabolites after approval.
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When will data be available (start and end dates)?
Following publication of the study results with no end date
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Available to whom?
Will be made accessible following application to the Chief Principal Investigator and with approval
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Available for what types of analyses?
Primary outcome of sulforaphane and metabolite concentration in umbilical cord blood
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How or where can data be obtained?
Via contact to the study chief principal investigator Dr Neville Fields on email
[email protected]
or Dr Sarah Marshall on
[email protected]
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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