Evidence map›Paper›PMID 36273173›Full record

ArticleTrials2022

Xanthohumol microbiome and signature in adults with Crohn's disease (the XMaS trial): a protocol for a phase II triple-masked, placebo-controlled clinical trial.

Blake O Langley, Jennifer Joan Ryan, John Phipps, Lita Buttolph, Brenna Bray, Joseph E Aslan, Thomas O Metz, Jan F Stevens, Ryan Bradley

Registry-linked trialOpen access · goldAbstract readClinical Trial Protocol
In one paragraph

Article in Trials, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04590508 (A Phase 2 Clinical Trial), which is not on this map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.9field-weighted citation impact, top 15% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04590508 phase2active not recruitingnot on this map

A Phase 2 Clinical Trial: Xanthohumol Metabolism and Signature (XMaS) in Crohn's Disease

TypeinterventionalSponsorNational University of Natural MedicineRan2020 to 2025Enrolled20ConditionsCrohn DiseaseArmsXanthohumol, Placebo
3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 12 citations in OpenAlex.

  1. Trial
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  4. Review
  5. Article
  6. The geroprotective potential of chalcones.Nature communications · 2025
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 5 institutions in 1 country.

Blake O LangleyHelfgott Research Institute, National University of Natural Medicine (NUNM), 2220 SW 1st Ave, Portland, OR, 97201, USA.
Jennifer Joan RyanHelfgott Research Institute, National University of Natural Medicine (NUNM), 2220 SW 1st Ave, Portland, OR, 97201, USA.
John PhippsHelfgott Research Institute, National University of Natural Medicine (NUNM), 2220 SW 1st Ave, Portland, OR, 97201, USA.
Lita ButtolphHelfgott Research Institute, National University of Natural Medicine (NUNM), 2220 SW 1st Ave, Portland, OR, 97201, USA.
Brenna BrayHelfgott Research Institute, National University of Natural Medicine (NUNM), 2220 SW 1st Ave, Portland, OR, 97201, USA.
Joseph E AslanSchool of Medicine, Oregon Health and Science University, 3303 S Bond Ave, Portland, OR, 97239, USA.
Thomas O MetzBiological Sciences Division, Pacific Northwest National Laboratory, 902 Battelle Blvd, Richland, WA, 99354, USA.
Jan F StevensCollege of Pharmacy and the Linus Pauling Institute, Oregon State University, 1601 SW Jefferson Way, Corvallis, OR, 97331, USA.
Ryan BradleyHelfgott Research Institute, National University of Natural Medicine (NUNM), 2220 SW 1st Ave, Portland, OR, 97201, USA. rbradley@nunm.edu.ORCID http://orcid.org/0000-0002-8073-3671
National University of Natural Medicine · USBattelle · USOregon Health & Science University · USOregon State University · USSeattle Pacific University · US

Funding

Building Research across Interdisciplinary Gaps (BRIDG) R90 Training Program - Administrative SupplementR90AT008924 · NCCIH · NATIONAL UNIVERSITY OF NATURAL MEDICINE · PI BRADLEY, RYAN D, ZWICKEY, HEATHER LEA · 2015 to 2025
$5.2M
Building Research across Interdisciplinary Gaps (BRIDG) T90/R90 Training ProgramT90AT008544 · NCCIH · UNIVERSITY OF WASHINGTON · PI BOOTH-LAFORCE, CATHRYN, BRADLEY, RYAN D · 2015 to 2023
$3.9M
Pathway Maps of Platelet Phenotype and FunctionR01HL146549 · NHLBI · OREGON HEALTH & SCIENCE UNIVERSITY · PI ASLAN, JOSEPH E · 2019 to 2023
$2.5M
Discovery and Biological Signatures of Microbiome-Derived Xanthohumol Metabolites and their Role in Ameliorating Inflammatory Bowel DiseaseR01AT010271 · NCCIH · OREGON STATE UNIVERSITY · PI BRADLEY, RYAN D, METZ, THOMAS O · 2018 to 2021
$1.8M
Mentorship in Clinical Complementary and Integrative Health ResearchK24AT011568 · NCCIH · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI BRADLEY, RYAN D · 2021 to 2025
$762k
NCCIH NIH HHS 1R01AT010271-01NCCIH NIH HHS K24 AT011568NCCIH NIH HHS R01 AT010271NCCIH NIH HHS R90 AT008924NCCIH NIH HHS T90 AT008544NHLBI NIH HHS L30 HL143718NHLBI NIH HHS R01 HL146549NHLBI NIH HHS R01HL146549
6 · The paper itself

Abstract

backgroundXanthohumol (XN), a bioactive flavonoid from Humulus lupulus with anti-inflammatory properties, has potential benefits for patients with Crohn's disease (CD), a type of inflammatory bowel disease. We recently completed and published results of a placebo-controlled phase I clinical trial demonstrating the safety and tolerability of 24 mg XN daily for 8 weeks. The present study aims to evaluate the safety and tolerability of the same dose of XN adults with clinically active CD in a placebo-controlled phase II clinical trial. Additional aims will assess the impact of XN on inflammatory biomarkers, platelet function, CD clinical activity, and stool microbial composition. The metabolism of XN will also be evaluated. This article provides a model protocol for consideration in investigations of XN or other natural products in disease states.

methodsA triple-masked, randomized, placebo-controlled trial will be conducted in adults with clinically active CD. Participants (n ≤ 32) will be randomized to either 24 mg encapsulated XN per day or placebo and followed for 8 weeks. Throughout the trial, participants will be queried for adverse events. Biomarkers of clinical safety, blood and stool markers of inflammation, platelet function, Crohn's Disease Activity Index score, stool microbial composition, and XN metabolite profiles in blood, urine, and stool will be assessed every 2 weeks. DISCUSSION: We describe the protocol for a phase II clinical trial that evaluates the safety and tolerability of XN in adults with active CD, as well as evaluate metabolism and mechanisms that are relevant to CD and other diseases with underlying inflammation and/or gut permeability. The effects of XN on inflammatory biomarkers, platelet function, the microbiota, and multi-omics biomarkers measured in this phase II trial of adults with CD will be compared to the effects of XN in healthy adults in our previous phase I trial. The results of the study will advance the evidence guiding the use of XN in patients with CD.

trial registrationClinialTrials.gov NCT04590508. Registered on October 19, 2020.

Indexed as

Biological ProductsCrohn DiseaseMicrobiotaAdultBiomarkersClinical Trials, Phase II as TopicFlavonoidsHumansInflammationPropiophenonesRandomized Controlled Trials as TopicBiological ProductsBiomarkersFlavonoidsPropiophenonesxanthohumolCrohn’s diseaseInflammationInflammatory bowel diseaseMicrobiomeNatural productRandomized controlled trialSafetyTolerabilityXanthohumol

Identifiers

PMID36273173
PMCPMC9587656
OpenAlexW4307135668

What OpenQuestion holds

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LicenceCC BY
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.