Soy genistein supplements for infants at risk of asthma

Soy Isoflavones for Inner City Infants at Risk for Asthma (SIRA)

['FUNDING_U01'] · LURIE CHILDREN'S HOSPITAL OF CHICAGO · NIH-11310166

Researchers will give a soy compound called genistein or a placebo to infants who carry a common PAI‑1 gene variant and are at high risk for asthma to try to lower their chance of developing asthma.

Quick facts

Phase['FUNDING_U01']
Study typeNih_funding
SexAll
SponsorLURIE CHILDREN'S HOSPITAL OF CHICAGO (nih funded)
Locations1 site (CHICAGO, UNITED STATES)
Trial IDNIH-11310166 on ClinicalTrials.gov

What this research studies

If your baby carries a common PAI‑1 gene change linked to higher asthma risk, this trial will randomly give them either a soy-based genistein supplement or a placebo during the first year of life. The trial is quadruple-masked and conducted at Lurie Children's Hospital in Chicago, with doses chosen to match amounts in soy formula. Doctors will follow infants with clinic visits and lab tests to measure immune markers such as IgE, interferon responses, and signs of Th2 airway inflammation and allergic sensitization. The aim is to see whether early genistein exposure changes immune responses and lowers the likelihood of developing asthma.

Who could benefit from this research

Good fit: Ideal candidates are inner-city infants in their first year of life who carry the PAI‑1 gain-of-function variant that is linked to higher asthma risk.

Not a fit: Older children, people without the PAI‑1 risk variant, infants already diagnosed with asthma, or those with soy allergy are unlikely to benefit from this trial.

Why it matters

Potential benefit: If successful, this approach could lower allergic inflammation and reduce the chance that high-risk infants go on to develop asthma.

How similar studies have performed: Prior work showed soy isoflavones reduced asthma exacerbations by a large amount in people with the PAI‑1 genotype, but giving genistein to infants to prevent asthma is a new preventive approach.

Where this research is happening

CHICAGO, UNITED STATES

Researchers

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page below.

View on NIH RePORTER →

Last reviewed 2026-05-15 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.