跳至主要内容
临床试验/NCT04641663
NCT04641663Enrolling By Invitation不适用

Clinical Trial to Assess Tolerability and Availability of a Multi-target Dietary Supplement in an Aging Population

Douglas Boreham2 个研究点 分布在 1 个国家目标入组 70 人开始时间: 2021年9月3日最近更新:
适应症
干预措施

试验速览

阶段
不适用
状态
Enrolling By Invitation
发起方
入组人数
70
试验地点
2
主要终点
Total Bilirubin (umol/L)

研究概览

简要总结

This study is being performed to determine if a multi-ingredient dietary supplement is safe and easy to take by healthy older adults. Participants will be required to take one of three different doses of the dietary supplement for 90 consecutive days and complete wellness surveys and a daily log while taking the supplement. Participants will also provide blood samples at the start of the study, after 30 days, and at the end of the study which will help determine how participants respond to the supplement.

详细描述

Likely because of the highly complex nature of aging, there has been little success reducing age-related physical and cognitive deterioration. The predominant approach has been to manage emergent symptoms rather than mitigate the cellular mechanisms driving the degenerative processes underlying aging. Additionally, the multifaceted and complex etiology of aging makes it extremely difficult to provide effective interventions within current treatment paradigms. The medical community has established that preventative measures are the most effective means of slowing the progression of age-associated deterioration, however effective methods or interventions have not been established.

The Multi-Target Dietary Supplement (MTDS) was designed to simultaneously target and support the cellular processes implicated in the progression of the aging phenotype (oxidative stress, inflammatory processes, insulin resistance, and membrane and mitochondrial deterioration). The MTDS is unique in that it was specifically designed as a multi-target intervention to support the complex cellular perturbations associated with aging. Components of the formulation were chosen based on scientific consensus of documented effectiveness for one or more of the targeted processes, long-term evidence of safety, and synergistic or additive interactions between components.

In more than 20 years of pre-clinical research, the MTDS has demonstrated significant beneficial impacts in animal models of aging and age-associated disease. The MTDS has resulted in significant reductions in both acute and chronic oxidative stress, greatly improved mitochondrial function and efficiency, significantly reduced inflammatory processes and improved glucose metabolism. Signal transduction is normalized to youthful levels in aged animals, including key pathways implicated in aging (unpublished data). On a functional level, MTDS treatment has resulted in increased longevity of 10 to 28% in normal and accelerated aging phenotypes, respectively. Concomitant improvements in mobility, activity levels, muscle strength (exercise mimetic) and overall body condition in aged animals were observed. Dramatic reductions in the incidence of muscle wasting, arthritic processes, and cataracts were also observed. Sensory and cognitive acuity were protected and frequently enhanced in aged animals, with significant improvements in visual and olfactory function observed in a broad range of tasks. MTDS treatment has demonstrated profound sparing from age-related neuronal losses and corresponding protection of neurogenesis and enhanced synaptogenesis, resulting in dramatically improved cognition in aged animals. The quantity of data indicating MTDS efficacy in pre-clinical studies is considerable, however the effects of the MTDS in humans, although positive, remains anecdotal. This tolerability study is the critical first step to begin assessment of the efficacy of the MTDS in human populations. If even a portion of these protective effects of the MTDS are translatable from mice to humans, the positive impacts for the aging population and Ontario's healthcare system could be profound.

This is a multi-center, three-arm study designed to evaluate the safety of a dietary supplement at three dosing regimes for 90 days. Initially, 45 healthy volunteers will be randomly assigned to one of three dose regimes: 1) 100% of recommended daily dose (RDD), 2) 80% of recommended daily dose or 3) 60% of recommended daily dose. Dosing regimes are based on levels of the MORNING tablet doses, all groups will receive the full recommended dose for both EVENING and OMEGA doses. Written informed consent will be obtained and a medical history and health assessment will be performed. The investigator will determine whether the subject meets all inclusion and exclusion criteria. Health assessments will be made at baseline, 30 days and 90 days. Adverse events, concomitant medications, and product administration will be recorded throughout the study.

Compliance, safety, and tolerability parameters are the primary focus of this study; however the probability of serious adverse events is extremely low given the long safety history of safety of the vitamins and nutraceuticals that comprise the MTDS.

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Treatment
盲法
None

入排标准

年龄范围
45 Years 至 85 Years(Adult, Older Adult)
性别
All
接受健康志愿者
是

入选标准

  • •Male or Female subjects ages of 45 and older.
  • •Capable of providing informed consent
  • •Patients currently taking fluconazole, 3-hydroxy-3-methyl-glutaryl-CoA reductase (HMG-CoA) reductase inhibitors (i.e. "statin" drugs), or any other drug known to interfere with serum transaminase (i.e. liver enzymes), must have history of stable liver function test since first taking such drugs.
  • •Patients who usually and customarily take dietary supplements, including vitamins, must undergo a two-week washout period

排除标准

  • •Exposure to any investigational drug within 90 days of the beginning of this study
  • •Known human immunodeficiency virus (HIV) seropositivity or Acquired Immunodeficiency Syndrome (AIDS); history of Hepatitis B (HBV), Hepatitis C (HCV) vital infection, unexplained elevated serum transaminase, or other hepatic disease. NOTE: HIV, HCV, and HBV testing will not be performed as part of screening.
  • •History of cancer within the last 5 years, except for basal or squamous cell cancer.
  • •Recent COVID-19 infection.
  • •Allergy to fish (specifically sardines, anchovies or mackerel) or any of the investigational product components
  • •Concomitant use, or use within less than a two-week period, of any other dietary supplement
  • •Concomitant use of any drug known to interfere with laboratory measures such as:
  • •Niaspan (extended release niacin)
  • •Lamisil (terbinafine HCl)
  • •Chronic use of acetaminophen (>1,500 mg/day) (occasional use for minor aches and pains is excluded from this restriction)
  • •Newly prescribed (< 90days) HMG-CoA reductase inhibitors ("statin medications"), or patients currently on statin medications who have previously shown evidence of elevated serum transaminases
  • •Currently diagnosed with multiple sclerosis, systemic lupus erythematosis, or other autoimmune disorders known to interfere with laboratory measures
  • •History of alcoholism or drug abuse, unless it is determined that such past use would not influence laboratory measures (DSN4 criteria)
  • •Any other active disease of a life-threatening nature or laboratory abnormality that, in the judgment of the investigator, may interfere with the interpretation, or increase risk of patient participation
  • •Conditions that require nutritional therapy, such as:
  • •Pernicious anemia
  • •Iron-deficiency anemia
  • •Hartnup Disease or Pellagra
  • •Beriberi-induced Endemic Neuritis

研究组 & 干预措施

100 RDD

Experimental

100% of recommended daily dose (RDD) of the MORNING tablet dose (5 tablets), all groups will receive the full recommended dose for both EVENING (3 tablets) and OMEGA (2 softgels) doses.

干预措施: Multi-target Dietary Supplement (MTDS) (Dietary Supplement)

80 RDD

Experimental

80% of recommended daily dose of the MORNING tablet dose (4 tablets), all groups will receive the full recommended dose for both EVENING (3 tablets) and OMEGA (2 softgels) doses.

干预措施: Multi-target Dietary Supplement (MTDS) (Dietary Supplement)

60 RDD

Experimental

60% of recommended daily dose of the MORNING tablet dose (3 tablets), all groups will receive the full recommended dose for both EVENING (3 tablets) and OMEGA (2 softgels) doses.

干预措施: Multi-target Dietary Supplement (MTDS) (Dietary Supplement)

结局指标

主要结局

Total Bilirubin (umol/L)

时间窗: out to 90 days

Safety Assessment in Serum Chemistry

High Sensitivity C-Reactive Protein (mg/L)

时间窗: out to 90 days

Safety Assessment in Serum Chemistry

Hematocrit (%)

时间窗: out to 90 days

Safety Assessment in Hematology

Eosinophils/Leukocytes (%)

时间窗: out to 90 days

Safety Assessment in Hematology

Lymphocytes/Leukocytes (%)

时间窗: out to 90 days

Safety Assessment in Hematology

Monocytes/Leukocytes (%)

时间窗: out to 90 days

Safety Assessment in Hematology

Number of Participants With Treatment-Related Adverse Events (AE) as Assessed by CTCAE v5.0

时间窗: out to 90 days

Subjects are instructed to log any AEs that occur at any time during the study in the study journal. Participants will be contacted by phone after 7 days on the MTDS to assess any occurrence of AEs. Reported or observed AEs will be documented and followed to resolution.

Hemoglobin (g/L)

时间窗: out to 90 days

Safety Assessment in Hematology

Monocytes (10^9/L)

时间窗: out to 90 days

Safety Assessment in Hematology

Serum Glucose (mmol/L)

时间窗: out to 90 days

Safety Assessment in Serum Chemistry

Alanine Transaminase (U/L)

时间窗: out to 90 days

Safety Assessment in Serum Chemistry

Erythrocytes (10^12/L)

时间窗: out to 90 days

Safety Assessment in Hematology

Direct Bilirubin (umol/L)

时间窗: out to 90 days

Safety Assessment in Serum Chemistry

Lactate Dehydrogenase (U/L)

时间窗: out to 90 days

Safety Assessment in Serum Chemistry

Lymphocytes (10^9/L)

时间窗: out to 90 days

Safety Assessment in Hematology

Neutrophils (10^9/L)

时间窗: out to 90 days

Safety Assessment in Hematology

Chloride (mmol/L)

时间窗: out to 90 days

Safety Assessment in Serum Chemistry

Urea (mmol/L)

时间窗: out to 90 days

Safety Assessment in Serum Chemistry

Albumin (g/L)

时间窗: out to 90 days

Safety Assessment in Serum Chemistry

Alkaline Phosphatase (U/L)

时间窗: out to 90 days

Safety Assessment in Serum Chemistry

Leukocytes (10^9/L)

时间窗: out to 90 days

Safety Assessment in Hematology

Basophils (10^3/uL)

时间窗: out to 90 days

Safety Assessment in Hematology

Basophils/Leukocytes (%)

时间窗: out to 90 days

Safety Assessment in Hematology

Eosinophils (10^9/L)

时间窗: out to 90 days

Safety Assessment in Hematology

Neutrophils/Leukocytes (%)

时间窗: out to 90 days

Safety Assessment in Hematology

Platelet Count (10^9/L)

时间窗: out to 90 days

Safety Assessment in Hematology

Sodium (mmol/L)

时间窗: out to 90 days

Safety Assessment in Serum Chemistry

Potassium (mmol/L)

时间窗: out to 90 days

Safety Assessment in Serum Chemistry

Urate (umol/L)

时间窗: out to 90 days

Safety Assessment in Serum Chemistry

Aspartate Phosphatase (U/L)

时间窗: out to 90 days

Safety Assessment in Serum Chemistry

Gamma Glutamyl Transpeptidase (U/L)

时间窗: out to 90 days

Safety Assessment in Serum Chemistry

Calcium (mmol/L)

时间窗: out to 90 days

Safety Assessment in Serum Chemistry

Creatinine (umol/L)

时间窗: out to 90 days

Safety Assessment in Serum Chemistry

次要结局

  • Vitamin K2 (mg/L)(out to 90 days)
  • Zinc (mg/L)(out to 90 days)
  • Vitamin B1 (mg/L)(out to 90 days)
  • Biotin (mg/L)(out to 90 days)
  • Vitamin B2 (mg/L)(out to 90 days)
  • Vitamin B3 (mg/L)(out to 90 days)
  • Vitamin B6 (mg/L)(out to 90 days)
  • Pantothenate (mg/L)(out to 90 days)
  • Vitamin C (mg/L)(out to 90 days)
  • Coenzyme Q10 (mg/L)(out to 90 days)
  • Vitamin A (mg/L)(out to 90 days)
  • Vitamin B12 (mg/L)(out to 90 days)
  • Glutathione (mg/L)(out to 90 days)
  • Vitamin D3 (mg/L)(out to 90 days)
  • Magnesium (mg/L)(out to 90 days)
  • Alpha Lipoic Acid (mg/L)(out to 90 days)
  • 36-Item Short Form Survey (SF-36)(up to 90 days)
  • Folate (mg/L)(out to 90 days)
  • Manganese (mg/L)(out to 90 days)
  • Copper (mg/L)(out to 90 days)
  • Glutamine (mg/L)(out to 90 days)
  • Carnitine (mg/L)(out to 90 days)
  • Choline (mg/L)(out to 90 days)
  • Inositol (mg/L)(out to 90 days)

研究者

发起方
Douglas Boreham
申办方类型
Other
责任方
Sponsor Investigator
主要研究者

Douglas Boreham

Professor/Director - Medical Sciences

Northern Ontario School of Medicine

研究点 (2)

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