Colorectal Adenoma Clinical Trial
Official title:
Pilot Trial to Examine the Effect of Ginger on the Gut Microbiome (GINGER)
Estimate the impact of a 6‐week daily intake of 2000 mg of ginger extract on the composition of the gut microbiome using a randomized placebo-controlled double-blinded design, i.e. examine the change of microbiome over time within and between the subjects..
This is a pilot trial to evaluate the feasibility of conducting a large randomized trial and
estimate the effects of ginger extract on the gut microbiome. The pilot study will recruit
from multiple sites 95-100 subjects aged 50-75 years old who were diagnosed with colorectal
adenoma within the last five years. There will be 47-50 subjects in the treatment group and
47-50 in the placebo group. The subjects will be randomized to receive either 2000 mg of
ginger extract per day (1000 mg twice a day) or matching placebo.
Subjects will provide three stool specimens for analysis of the intestinal microbiome over a
12-week period at the following intervals: Week 0 (Day 1), Week 6, and Week 12. Although the
gut microbiome is stable within a period of 1-2 months, a control arm will be included to
account for potential dietary and other changes that may affect the gut microbiome. Gut
microbiome composition - the presence, abundance, and diversity of bacterial taxa - will be
derived by sequencing microbial 16S ribosomal RNA genes.
Primary Aims:
Aim 1 is to estimate the impact of a 6-week daily intake of 2000 mg of ginger extract on the
composition of the gut microbiome using a randomized placebo-controlled double-blinded
design, i.e. examine the change of microbiome over time within and between the subjects.
Aim 2 will examine the correlation between the ginger-related changes in microbiome profile
with the levels of circulating biomarkers: urinary Prostaglandin E (PGE) metabolites.
Hypothesis: In the ginger versus placebo arm, gut microbiome will shift towards a lower
proportion of pro-inflammatory, bacteria associated with colorectal cancer (CRC) and higher
proportion of anti-inflammatory, CRC-protective bacteria.
Secondary Aim:
1. At the end of the study, we expect to show that ginger decreases the relative abundance
of pro-inflammatory, CRC-predisposing taxa and increases the abundance of
anti-inflammatory, CRC-protective taxa, i.e., demonstrate that ginger boosts changes in
gut microbiome that are protective against CRC, as well as assess ginger-induced changes
in immune response.
2. The similarities of bacterial profiles will be compared between three time points
baseline and 6 Weeks and 12 Weeks to estimate whether 6-week is a sufficient time for
washout.
;
Status | Clinical Trial | Phase | |
---|---|---|---|
Completed |
NCT04192565 -
A Prospective Investigation of the ColubrisMX ELS System
|
N/A | |
Completed |
NCT04516785 -
Reducing Colonoscopies in Patients Without Significant Bowel Disease
|
||
Recruiting |
NCT05381792 -
Serial Gut Microbiome and Bacterial Gene Markers Changes After Endoscopic Resection of Colorectal Advanced Neoplasia
|
||
Withdrawn |
NCT05606081 -
Predicting Risk for Post-polypectomy Colorectal Cancer
|
N/A | |
Recruiting |
NCT05576506 -
Application of Hyperspectral Imaging Analysis Technology in the Diagnosis of Colorectal Cancer Based on Colonoscopic Biopsy
|
||
Active, not recruiting |
NCT03796884 -
Linaclotide in Treating Patients With Stages 0-3 Colorectal Cancer
|
Phase 2 | |
Completed |
NCT05508503 -
A Study on a Blood-based Dual-target Test for CRC Detection
|
||
Recruiting |
NCT02935049 -
Evaluation of the Resection of Adenoma and Colic Adenocarcinoma by EMR Piecemeal or EMR/ESD Hybrid Technique
|
N/A | |
Completed |
NCT05477836 -
Feasibility and Safety of MiWEndo-assisted Colonoscopy
|
N/A | |
Active, not recruiting |
NCT05754229 -
Accuracy of Real Time Characterization in Artificial Intelligence-assisted Colonoscopy
|
N/A | |
Active, not recruiting |
NCT05740137 -
Adenoma Detection Rate in Artificial Intelligence-assisted Colonoscopy
|
N/A | |
Completed |
NCT03234725 -
Analysis of New Endoscopic Features and Variable Stiffness in Colonoscopy: Prospective Randomised Trial
|
||
Completed |
NCT05913453 -
Technical Failure During Colorectal Endoscopic Full Thickness Resection (EFTR): The "Through Thick and Thin" Study
|
||
Recruiting |
NCT05261932 -
Research on Endoscopic Precision Biopsy.
|
||
Completed |
NCT02521727 -
To Investigate Risk of Colorectal Neoplasms in First-degree Relatives of Patients With Non-advanced Adenomas
|
||
Completed |
NCT02226185 -
Study of Berberine Hydrochloride in Prevention of Colorectal Adenomas Recurrence
|
Phase 2/Phase 3 | |
Completed |
NCT00298545 -
Effect of Vitamin D and Calcium on Genes in the Colon
|
Phase 1 | |
Active, not recruiting |
NCT04952129 -
Optimal Selenium for Bowel Polyps (OSCAR)
|
Phase 1 | |
Recruiting |
NCT04444908 -
Development and Validation of an Artificial Intelligence-assisted Strategy Selection System for Colonoscopy Cleaning
|
||
Completed |
NCT03943758 -
a Low-residue Diet for Bowel Preparation
|
N/A |