Clinical Trial to Assess Tolerability and Availability of a Multi-target Dietary Supplement in an Aging Population
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
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
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
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
Douglas Boreham
Professor/Director - Medical Sciences
Northern Ontario School of Medicine
