- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04488601
Participatory Evaluation (of) Aging (With) Rapamycin (for) Longevity Study (PEARL)
January 23, 2024 updated by: AgelessRx
Participatory Evaluation (of) Aging (With) Rapamycin (for) Longevity Study (PEARL): A Prospective, Double-Blind, Placebo-Controlled Trial for Rapamycin in Healthy Individuals Assessing Safety and Efficacy in Reducing Aging Effects
This is a randomized, placebo-controlled trial into the safety and efficacy in reducing clinical measures of aging in an older adult population.
Study Overview
Detailed Description
A randomized, double-blind, placebo-controlled trial assessing the effects of low and high doses of intermittent Rapamycin on a weekly schedule.
The researchers aim to establish a long-term safety profile, determine the long-term efficacy of Rapamycin in reducing clinical aging measures, and biochemical and physiological endpoints associated with declining health and aging in healthy older adults.
Study Type
Interventional
Enrollment (Actual)
129
Phase
- Phase 2
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
-
-
Illinois
-
Chicago, Illinois, United States, 60605
- AgelessRx
-
-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
48 years to 83 years (Adult, Older Adult)
Accepts Healthy Volunteers
Yes
Description
Inclusion Criteria:
- Age 50-85
- Any sex
- Any ethnicity
- Interest in taking Rapamycin off-label
- Willing to undergo tests
- Relatively good health with only well-managed chronic diseases (hypertension, coronary artery disease, type II diabetes, etc.) clinically stable
- Adequate cognitive function to be able to give informed consent
- Technologically competent to complete web forms and perform video calls with the PI
Exclusion Criteria:
- Anemia - Hg < 9.0 g/dl, Leukopenia - white blood cells (WBC) < 3,500/mm3 , Neutropenia - absolute neutrophil count < 2,000/mm3 , or Platelet count - platelet count < 125,000/mm3
- Premenopausal females (due to menstruation-induced anemia, etc.)
- Patients scheduled to undergo major surgery in the next 12 months
- Patients undergoing or scheduled to undergo chemotherapy or any other treatment for malignancy
- Patients scheduled for immunosuppressant therapy for transplant
- Patients with impaired wound healing or history of a chronic open wound
- Untreated dyslipidemia with LDL-c > 190 and family history of dyslipidemia, Total cholesterol > 350 mg/dl, or triglycerides > 880 mg/dl.
- Impaired hepatic function, including elevated alkaline Phosphatase levels, aspartate aminotransferase (AST), alanine aminotransferase (ALT), Albumin, or T. Bili.
- HIV/AIDS, chronic Lyme, Babesia, Ehrlichiosis, Anaplasmosis, or other chronic infections that require ongoing treatment or monitoring
- Allergy to Rapamycin
- Any form of clinically relevant primary or secondary immune dysfunction or deficiency (e.g. X-linked agammaglobulinemia (XLA), common variable immunodeficiency (CVID))
- Chronic oral corticosteroid or immunosuppressive medication use (e.g. Enbrel, Humira, methotrexate).
- Fibromyalgia or Chronic Fatigue Syndrome/Myalgic Encephalomyelitis, Breast Implant Illness,
- Congestive heart failure: self-assessed functional status of heart failure New York Heart Association (NYHA) classification III or IV
- Impaired renal function, as defined as glomerular filtration rate (GFR) < 30
- Poorly controlled diabetes, as defined as HbA1c > 7%
- Type I Diabetes, or Insulin-dependent Type II diabetes
- Substance abuse disorder either untreated or if treated within the last 5 years
- PTSD, Bipolar disorder, Schizophrenia, or any other untreated or poorly controlled mental health or mood disorder, or history of hospitalization due to mental health condition
Those who have taken metformin, rapamycin, or rapalogs in the past 6 months
- (volunteers who were on metformin for aging can participate, provided they agree to stop taking metformin before and during the trial)
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Prevention
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Quadruple
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Rapamycin 5
Rapamycin 5 mg/week
|
Rapamycin in 2 different dosage forms.
Other Names:
|
Experimental: Rapamycin 10
Rapamycin 10 mg/week
|
Rapamycin in 2 different dosage forms.
Other Names:
|
Placebo Comparator: Placebo 1
Placebo once per week
|
Placebo capsules
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Changes in visceral fat as measured by dual-energy x-ray absorptiometry (DXA) scan
Time Frame: 6 month interim analysis of the data, 12 month safety profile will be established
|
Visceral fat changes from baseline as determined by DXA scan.
|
6 month interim analysis of the data, 12 month safety profile will be established
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
bone density
Time Frame: 6 month interim analysis of the data, 12 month safety profile will be established
|
Changes in bone density from baseline as determined by DXA scan
|
6 month interim analysis of the data, 12 month safety profile will be established
|
lean body mass
Time Frame: 6 month interim analysis of the data, 12 month safety profile will be established
|
Changes in lean body mass from baseline as determined by DXA scan
|
6 month interim analysis of the data, 12 month safety profile will be established
|
adverse events
Time Frame: 6 month interim analysis of the data, 12 month safety profile will be established
|
Number of patients with adverse events using standard AE reporting (FDA regulations 21CFR314.80
and 1CFR213.32(s))
|
6 month interim analysis of the data, 12 month safety profile will be established
|
complete blood count (CBC)
Time Frame: 6 month interim analysis of the data, 12 month safety profile will be established
|
changes in CBC from baseline
|
6 month interim analysis of the data, 12 month safety profile will be established
|
Change of blood electrolytes(serum potassium, sodium, chloride, and carbon dioxide in mmol/L)measured at baseline and after 6 and 12 months.
Time Frame: 6 month interim analysis of the data, 12 month safety profile will be established
|
Difference in the change of blood electrolytes(serum potassium, sodium, chloride, and carbon dioxide in mmol/L) compared with the baseline at 6 and 12 months between the intervention and control group is to be analyzed.
|
6 month interim analysis of the data, 12 month safety profile will be established
|
Change of liver function as measured by serum globulin in g/dL, measured at baseline and after 6 and 12 months.
Time Frame: 6 month interim analysis of the data, 12 month safety profile will be established
|
Difference in the change of liver function as measured by serum globulin in g/dL compared with the baseline at 6 and 12 months between the intervention and control group is to be analyzed.
|
6 month interim analysis of the data, 12 month safety profile will be established
|
Change of liver function as measured by serum bilirubin in mg/dL, measured at baseline and after 6 and 12 months.
Time Frame: 6 month interim analysis of the data, 12 month safety profile will be established
|
Difference in the change of liver function as measured by serum bilirubin in mg/dL compared with the baseline at 6 and 12 months between the intervention and control group is to be analyzed.
|
6 month interim analysis of the data, 12 month safety profile will be established
|
Change of liver function as measured by serum alkaline phosphatase, AST, and ALT in IU/L, measured at baseline and after 6 and 12 months.
Time Frame: 6 month interim analysis of the data, 12 month safety profile will be established
|
Difference in the change of liver function as measured by serum alkaline phosphatase, AST, and ALT in IU/L compared with the baseline at 6 and 12 months between the intervention and control group is to be analyzed.
|
6 month interim analysis of the data, 12 month safety profile will be established
|
Change of renal function as measured by serum albumin in g/dL, measured at baseline and after 6 and 12 months.
Time Frame: 6 month interim analysis of the data, 12 month safety profile will be established
|
Difference in the change of renal function as measured by serum albumin in g/dL compared with the baseline at 6 and 12 months between the intervention and control group is to be analyzed.
|
6 month interim analysis of the data, 12 month safety profile will be established
|
Change of renal function as measured by serum creatinine and uric acid in mg/dL, measured at baseline and after 6 and 12 months.
Time Frame: 6 month interim analysis of the data, 12 month safety profile will be established
|
Difference in the change of renal function as measured by serum creatinine and uric acid in mg/dL compared with the baseline at 6 and 12 months between the intervention and control group is to be analyzed.
|
6 month interim analysis of the data, 12 month safety profile will be established
|
Change in lipids (serum total cholesterol, triglycerides, HDL, and LDL cholesterol in mg/dL) measured at baseline and after 6 and 12 months.
Time Frame: 6 month interim analysis of the data, 12 month safety profile will be established
|
Difference in the change of lipids(serum total cholesterol, triglycerides, HDL and LDL cholesterol in mg/dL) compared with the baseline at 6 and 12 months between the intervention and control group is to be analyzed.
|
6 month interim analysis of the data, 12 month safety profile will be established
|
Change in fasting serum glucose in mg/dL, measured at baseline and after 6 and 12 months.
Time Frame: 6 month interim analysis of the data, 12 month safety profile will be established
|
Difference in the change of fasting serum glucose in mg/dL compared with baseline at 6 and 12 months between the intervention and control group is to be analyzed.
|
6 month interim analysis of the data, 12 month safety profile will be established
|
Change in insulin in uIU/mL, measured at baseline and after 6 and 12 months.
Time Frame: 6 month interim analysis of the data, 12 month safety profile will be established
|
Difference in the change of fasting serum insulin in uIU/mL compared with baseline at 6 and 12 months between the intervention and control group is to be analyzed.
|
6 month interim analysis of the data, 12 month safety profile will be established
|
Change in fasting serum IGF-1 in ng/mL, measured at baseline and after 6 and 12 months.
Time Frame: 6 month interim analysis of the data, 12 month safety profile will be established
|
Difference in the change of fasting serum IGF-1 in ng/mL compared with baseline at 6 and 12 months between the intervention and control group is to be analyzed.
|
6 month interim analysis of the data, 12 month safety profile will be established
|
Change in serum Hemoglobin A1c in % of total hemoglobin, measured at baseline and after 6 and 12 months.
Time Frame: 6 month interim analysis of the data, 12 month safety profile will be established
|
Difference in the change of serum Hemoglobin A1c in % of total hemoglobin compared with baseline at 6 and 12 months between the intervention and control group is to be analyzed.
|
6 month interim analysis of the data, 12 month safety profile will be established
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Collaborators
Investigators
- Study Director: Sajad Zalzala, MD, AgelessRx
- Principal Investigator: James Watson, MD, University of California, Los Angeles
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
January 1, 2020
Primary Completion (Actual)
December 30, 2023
Study Completion (Actual)
December 30, 2023
Study Registration Dates
First Submitted
July 13, 2020
First Submitted That Met QC Criteria
July 26, 2020
First Posted (Actual)
July 28, 2020
Study Record Updates
Last Update Posted (Actual)
January 24, 2024
Last Update Submitted That Met QC Criteria
January 23, 2024
Last Verified
October 1, 2022
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- ALRx001
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
YES
IPD Sharing Time Frame
as soon as available
IPD Sharing Access Criteria
Institutional review board (IRB) approval or at the discretion of PI/sponsor
IPD Sharing Supporting Information Type
- STUDY_PROTOCOL
- SAP
- ICF
- ANALYTIC_CODE
- CSR
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Yes
Studies a U.S. FDA-regulated device product
No
product manufactured in and exported from the U.S.
No
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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