NCT02775890

Brief Summary

This is a clinical research protocol to determine the feasibility of assessing lead levels in hunters who use lead projectiles. This study will determine if it is possible to perform an interventional double-blind placebo-controlled study of lead levels in hunters using lead or lead-free projectiles following consumption of self-harvested wild game. The hypothesis for the subsequent study is that minute lead particles from shrapnel dispersed through the animal during harvest are ingested and result in increased lead serum levels. This current observational study establishes if this conclusive interventional study is possible through establishing if hunters using lead projectiles in New Zealand have elevated lead levels after eating animals harvested with lead projectiles. This study will be conducted in compliance with the protocol, Good Clinical Practice Standards, associated regulations and institutional research requirements. This study aims to assess if hunters eating meat shot with lead projectiles experience elevated lead levels. Hunters will be asked to provide blood samples 2-4 days after they eat meat harvested with lead bullets and provide a subsequent sample when they have abstained from eating wild game harvested with lead bullets. We have chosen to use deer as the species for this study to reduce variation and New Zealand is the ideal place to conduct this study because of year-round hunting of deer. This design will allows paired testing of subject lead levels.

Trial Health

35
At Risk

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Enrollment
68

participants targeted

Target at P25-P50 for all trials

Timeline
Completed

Started Feb 2019

Typical duration for all trials

Status
unknown

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

May 10, 2016

Completed
8 days until next milestone

First Posted

Study publicly available on registry

May 18, 2016

Completed
2.7 years until next milestone

Study Start

First participant enrolled

February 1, 2019

Completed
2 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

February 1, 2021

Completed
2 months until next milestone

Study Completion

Last participant's last visit for all outcomes

April 1, 2021

Completed
Last Updated

September 18, 2017

Status Verified

September 1, 2017

Enrollment Period

2 years

First QC Date

May 10, 2016

Last Update Submit

September 14, 2017

Conditions

Outcome Measures

Primary Outcomes (1)

  • Lead levels

    A paired t-test will be conducted comparing lead levels in participants when eating wild game harvested with lead projectiles and when participants have not eaten wild game harvested with lead projectiles.

    Within one year, after participants have eaten a meal (>85grams) of lead-shot meat

Secondary Outcomes (3)

  • Complete blood cell counts

    Within one year, after participants have eaten a meal (>85grams) of lead-shot meat

  • Correlation between lead levels and complete blood cell counts

    At close of study, within one year

  • Correlation between lead bullet mass and blood lead levels

    At close of study, within one year

Study Arms (2)

Eating lead-shot wild game

Hunters that have eaten lead-shot in the past week will have blood lead levels measured.

Behavioral: Eating wild game shot with lead bullets

Not eating lead-shot wild game

Hunters that have not eaten lead-shot in the past week will have blood lead levels measured.

Interventions

Participants will eat meat harvested with lead bullets, prepare mince meat and eat at least a standard serving (\>85 grams).

Eating lead-shot wild game

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)
Sampling MethodNon-Probability Sample
Study Population

Hunters eating self-harvested wild game with lead bullets.

You may qualify if:

  • New Zealand firearms license

You may not qualify if:

  • Smoker
  • Any type of kidney dysfunction
  • Individuals working in the following industries that may entail lead exposure:
  • lead-acid battery manufacture
  • lead smelting
  • non-ferrous smelting and casting (e.g. brass)
  • steel scrap smelting
  • scrap lead metal handling
  • cutting/welding steel scrap
  • machining or polishing lead-containing alloys
  • plastic production (where lead compounds are used as stabilisers)
  • demolition
  • lead soldering
  • plastic recycling
  • panel beating
  • +8 more criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Related Publications (5)

  • Buenz EJ. Lead Exposure Through Eating Wild Game. Am J Med. 2016 May;129(5):457-8. doi: 10.1016/j.amjmed.2015.12.022. Epub 2016 Jan 18. No abstract available.

    PMID: 26797078BACKGROUND
  • Buenz EJ. Eliminating potential lead exposure in imported New Zealand wild game. Public Health. 2016 Oct;139:236-237. doi: 10.1016/j.puhe.2016.06.025. Epub 2016 Jul 22. No abstract available.

    PMID: 27456932BACKGROUND
  • Buenz EJ, Parry GJ, Peacey M. Consumption of wild-harvested meat from New Zealand feral animals provides a unique opportunity to study the health effects of lead exposure in hunters. Ambio. 2016 Sep;45(5):629-31. doi: 10.1007/s13280-016-0798-1. Epub 2016 Jun 25. No abstract available.

    PMID: 27344321BACKGROUND
  • Buenz EJ. Non-lead ammunition may reduce lead levels in wild game. Environ Sci Pollut Res Int. 2016 Aug;23(15):15773. doi: 10.1007/s11356-016-7020-7. Epub 2016 Jun 8. No abstract available.

    PMID: 27272923BACKGROUND
  • Buenz EJ, Parry GJ, Bauer BA, Matheny LM, Breukel K. A prospective observational study assessing the feasibility of measuring blood lead levels in New Zealand hunters eating meat harvested with lead projectiles. Contemp Clin Trials Commun. 2017 Feb 8;5:137-143. doi: 10.1016/j.conctc.2017.02.002. eCollection 2017 Mar.

Study Officials

  • Eric J Buenz, PhD

    Nelson Marlborough Institute of Technology

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Study Design

Study Type
observational
Observational Model
CASE CROSSOVER
Time Perspective
PROSPECTIVE
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

May 10, 2016

First Posted

May 18, 2016

Study Start

February 1, 2019

Primary Completion

February 1, 2021

Study Completion

April 1, 2021

Last Updated

September 18, 2017

Record last verified: 2017-09

Data Sharing

IPD Sharing
Will not share