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Clinical Trials/NCT07304921
NCT07304921CompletedPhase 1

The Intake of Omega-3 Fatty Acids and the Inhibition of Their Mitochondrial Metabolism Increase EPA and DHA Levels in Healthy Volunteers

Riga Stradins University1 site in 1 country48 target enrollmentStarted: April 6, 2023Last updated:
Interventions
Drugs

Trial Snapshot

Phase
Phase 1
Status
Completed
Enrollment
48
Locations
1
Primary Endpoint
Changes in the plasma concentrations of EPA and DHA

Study Overview

Brief Summary

The goal of this intervention trial is to evaluate whether combining meldonium therapy with PUFAs (polyunsaturated fatty acids) supplements containing eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA) changes the plasma (blood component) concentration of EPA and DHA, as well as the acylcarnitine (fatty acid metabolite) profile in healthy volunteers. The main questions it aims to answer are:

Does using meldonium together with PUFA supplements increase PUFA (EPA and DHA) concentrations in blood plasma? Does meldonium therapy change change the fatty acid metabolite (acylcarnitine) profile, if used together with PUFA supplements?

Researchers compared plasma metabolic parameters in the beginning, middle and end of study period in a group who received only PUFA supplements, with a group which got PUFA supplements at the beginning, but after one month meldonium therapy was added and a group which got meldonium therapy at the beginning, but after one month PUFA supplements were added.

Participants:

  1. Received detailed information about the study and signed an informed consent form.
  2. They were assigned to one of three study groups and received PUFAs and/or meldonium for the duration of the study.
  3. Plasma samples were collected at the beginning, middle and end of the study period.

Study Design

Study Type
Interventional
Allocation
Randomized
Intervention Model
Sequential
Primary Purpose
Basic Science
Masking
None

Eligibility Criteria

Ages
18 Years to — (Adult, Older Adult)
Sex
All
Accepts Healthy Volunteers
Yes

Inclusion Criteria

  • Healthy adults (age 18 and older)

Exclusion Criteria

  • Previously diagnosed serious chronic diseases (diabetes mellitus, atherosclerotic cardiovascular diseases, chronic kidney and liver diseases, cancer)
  • PUFA supplement usage and/or meldonium therapy at least 6 months before inclusion in the study
  • Participation in other clinical drug trials
  • Pregnancy and breastfeeding

Arms & Interventions

Arm 1: PUFAs supplementation only

Experimental

Participants received only PUFA supplements, metabolic parameters measured in plasma in the beginning, middle and end of study period

Intervention: PUFA supplementation only (Dietary Supplement)

Arm 2: PUFAs followed by PUFAs+ meldonium

Experimental

Participants received PUFA supplements at the beginning, but after one month meldonium therapy was added to PUFA supplementation. Metabolic parameters measured in plasma in the beginning, middle and end of study period

Intervention: PUFA + meldonium (Dietary Supplement)

Arm 3: Meldonium followed by meldonium+ PUFAs

Experimental

Participants received meldonium therapy at the beginning, but after one month PUFAs supplementation was added to meldonium therapy. Metabolic parameters measured in plasma in the beginning, middle and end of study period

Intervention: Meldonium + PUFA (Drug)

Outcomes

Primary Outcomes

Changes in the plasma concentrations of EPA and DHA

Time Frame: From enrollment moment to the end of 8 week study period

Changes in the plasma concentrations of EPA and DPA

Time Frame: From enrollment moment to the end of 8 week study period

Changes in plasma acetylcarnitine concentrations

Time Frame: From the enrollment moment to the end of 8 week study period

Acetylcarnitine contains acyl group with 2 carbon atoms

Changes in plasma medium-chain acylcarnitine concentration

Time Frame: From enrollment moment to the end of 8 week study period

Medium- chain acylcarnitines are defined as containing acyl groups with 6-12 carbon atoms

Changes in plasma long-chain acylcarnitine concentration

Time Frame: Time Frame: From the enrollment moment to the end of 8 week study period

Long-chain acylcarnitines contain acyl groups with 14-18 carbon atoms

Secondary Outcomes

  • Changes in plasma meldonium concentration(From the enrollment moment to the end of 8 week study period)
  • Changes in plasma gamma-butyrobetaine (GBB) concentrations(From the enrollment moment to the end of 8 week study period)

Investigators

Sponsor Class
Other
Responsible Party
Principal Investigator
Principal Investigator

Ilze Konrade

PhD, MD

Riga Stradins University

Study Sites (1)

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