Multi-target Dietary Supplement Tolerability in an Aging Population (MTDSST) (MTDSST)

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

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.

Study Overview

• Status: Enrolling by invitation
• Conditions: Aging; Age-related Cognitive Decline
• Intervention / Treatment: Dietary supplement: Multi-target Dietary Supplement (MTDS)

Detailed Description

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.

The primary objective is to evaluate the safety and tolerability of the MTDS regimen in terms of its administration at 3 dosing regimes for 90 consecutive days with respect to micronutrient levels, laboratory tests and adverse events.

The secondary objectives include:

1. monitoring compliance of taking the MTDS,
2. monitoring wellness as measured by the 36-Item Short Form Survey (SF-36) scale and daily journal, over the 90-day administration of the MTDS, and
3. to assess MTDS absorption through plasma micronutrient testing, at baseline, 30 days and 90 days following administration of the test agent.

• Study Type: Interventional
• Enrollment (Anticipated): 70
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Canada
  • Ontario
    • Elliot Lake, Ontario, Canada, P5A 1X2
      • Northern Ontario School of Medicine - Elliot Lake site
    • Hamilton, Ontario, Canada, L8S 4K1
      • McMaster University - Behavioural Neurosciences

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 45 years to 85 years (Adult, Older Adult)
• Accepts Healthy Volunteers: Yes

Description

Inclusion Criteria:

1. Male or Female subjects ages of 45 and older.
2. Capable of providing informed consent
3. 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.
4. Patients who usually and customarily take dietary supplements, including vitamins, must undergo a two-week washout period

Exclusion Criteria:

1. Exposure to any investigational drug within 90 days of the beginning of this study
2. 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.
3. History of cancer within the last 5 years, except for basal or squamous cell cancer.
4. Recent COVID-19 infection.
5. Allergy to fish (specifically sardines, anchovies or mackerel) or any of the investigational product components
6. Concomitant use, or use within less than a two-week period, of any other dietary supplement

7. Concomitant use of any drug known to interfere with laboratory measures such as:

   1. Niaspan (extended release niacin)
   2. Lamisil (terbinafine HCl)
   3. Chronic use of acetaminophen (>1,500 mg/day) (occasional use for minor aches and pains is excluded from this restriction)
   4. Newly prescribed (< 90days) HMG-CoA reductase inhibitors ("statin medications"), or patients currently on statin medications who have previously shown evidence of elevated serum transaminases
8. Currently diagnosed with multiple sclerosis, systemic lupus erythematosis, or other autoimmune disorders known to interfere with laboratory measures
9. History of alcoholism or drug abuse, unless it is determined that such past use would not influence laboratory measures (DSN4 criteria)
10. 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

11. Conditions that require nutritional therapy, such as:

    1. Pernicious anemia
    2. Iron-deficiency anemia
    3. Hartnup Disease or Pellagra
    4. Scurvy
    5. Beriberi-induced Endemic Neuritis

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Treatment
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: None (Open Label)

Number of Arms

3

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: 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.	Dietary supplement: Multi-target Dietary Supplement (MTDS); The Multi-Target Dietary Supplement (MTDS) is comprised of 51 ingredients 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. The MTDS is divided into morning and evening doses to maximize availability of the components to the peak activity level of the cellular processes that require those components.; Other Names: AS-10 Plus
Experimental: 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.	Dietary supplement: Multi-target Dietary Supplement (MTDS); The Multi-Target Dietary Supplement (MTDS) is comprised of 51 ingredients 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. The MTDS is divided into morning and evening doses to maximize availability of the components to the peak activity level of the cellular processes that require those components.; Other Names: AS-10 Plus
Experimental: 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.	Dietary supplement: Multi-target Dietary Supplement (MTDS); The Multi-Target Dietary Supplement (MTDS) is comprised of 51 ingredients 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. The MTDS is divided into morning and evening doses to maximize availability of the components to the peak activity level of the cellular processes that require those components.; Other Names: AS-10 Plus

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Number of Participants With Treatment-Related Adverse Events (AE) as Assessed by CTCAE v5.0	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.	out to 90 days
Hematocrit (%)	Safety Assessment in Hematology	out to 90 days
Hemoglobin (g/L)	Safety Assessment in Hematology	out to 90 days
Erythrocytes (10^12/L)	Safety Assessment in Hematology	out to 90 days
Leukocytes (10^9/L)	Safety Assessment in Hematology	out to 90 days
Basophils (10^3/uL)	Safety Assessment in Hematology	out to 90 days
Basophils/Leukocytes (%)	Safety Assessment in Hematology	out to 90 days
Eosinophils (10^9/L)	Safety Assessment in Hematology	out to 90 days
Eosinophils/Leukocytes (%)	Safety Assessment in Hematology	out to 90 days
Lymphocytes (10^9/L)	Safety Assessment in Hematology	out to 90 days
Lymphocytes/Leukocytes (%)	Safety Assessment in Hematology	out to 90 days
Monocytes (10^9/L)	Safety Assessment in Hematology	out to 90 days
Monocytes/Leukocytes (%)	Safety Assessment in Hematology	out to 90 days
Neutrophils (10^9/L)	Safety Assessment in Hematology	out to 90 days
Neutrophils/Leukocytes (%)	Safety Assessment in Hematology	out to 90 days
Platelet Count (10^9/L)	Safety Assessment in Hematology	out to 90 days
Serum Glucose (mmol/L)	Safety Assessment in Serum Chemistry	out to 90 days
Sodium (mmol/L)	Safety Assessment in Serum Chemistry	out to 90 days
Potassium (mmol/L)	Safety Assessment in Serum Chemistry	out to 90 days
Calcium (mmol/L)	Safety Assessment in Serum Chemistry	out to 90 days
Chloride (mmol/L)	Safety Assessment in Serum Chemistry	out to 90 days
Urea (mmol/L)	Safety Assessment in Serum Chemistry	out to 90 days
Creatinine (umol/L)	Safety Assessment in Serum Chemistry	out to 90 days
Urate (umol/L)	Safety Assessment in Serum Chemistry	out to 90 days
Albumin (g/L)	Safety Assessment in Serum Chemistry	out to 90 days
Alkaline Phosphatase (U/L)	Safety Assessment in Serum Chemistry	out to 90 days
Aspartate Phosphatase (U/L)	Safety Assessment in Serum Chemistry	out to 90 days
Alanine Transaminase (U/L)	Safety Assessment in Serum Chemistry	out to 90 days
Gamma Glutamyl Transpeptidase (U/L)	Safety Assessment in Serum Chemistry	out to 90 days
Total Bilirubin (umol/L)	Safety Assessment in Serum Chemistry	out to 90 days
Direct Bilirubin (umol/L)	Safety Assessment in Serum Chemistry	out to 90 days
Lactate Dehydrogenase (U/L)	Safety Assessment in Serum Chemistry	out to 90 days
High Sensitivity C-Reactive Protein (mg/L)	Safety Assessment in Serum Chemistry	out to 90 days

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Vitamin A (mg/L)	Plasma Micronutrient Levels	out to 90 days
Vitamin B1 (mg/L)	Plasma Micronutrient Levels	out to 90 days
Vitamin B2 (mg/L)	Plasma Micronutrient Levels	out to 90 days
Vitamin B3 (mg/L)	Plasma Micronutrient Levels	out to 90 days
Vitamin B6 (mg/L)	Plasma Micronutrient Levels	out to 90 days
Vitamin B12 (mg/L)	Plasma Micronutrient Levels	out to 90 days
Biotin (mg/L)	Plasma Micronutrient Levels	out to 90 days
Folate (mg/L)	Plasma Micronutrient Levels	out to 90 days
Pantothenate (mg/L)	Plasma Micronutrient Levels	out to 90 days
Vitamin C (mg/L)	Plasma Micronutrient Levels	out to 90 days
Vitamin D3 (mg/L)	Plasma Micronutrient Levels	out to 90 days
Vitamin K2 (mg/L)	Plasma Micronutrient Levels	out to 90 days
Magnesium (mg/L)	Plasma Micronutrient Levels	out to 90 days
Manganese (mg/L)	Plasma Micronutrient Levels	out to 90 days
Zinc (mg/L)	Plasma Micronutrient Levels	out to 90 days
Copper (mg/L)	Plasma Micronutrient Levels	out to 90 days
Alpha Lipoic Acid (mg/L)	Plasma Micronutrient Levels	out to 90 days
Glutamine (mg/L)	Plasma Micronutrient Levels	out to 90 days
Glutathione (mg/L)	Plasma Micronutrient Levels	out to 90 days
Carnitine (mg/L)	Plasma Micronutrient Levels	out to 90 days
Choline (mg/L)	Plasma Micronutrient Levels	out to 90 days
Inositol (mg/L)	Plasma Micronutrient Levels	out to 90 days
Coenzyme Q10 (mg/L)	Plasma Micronutrient Levels	out to 90 days
36-Item Short Form Survey (SF-36)	The SF-36 wellness questionnaire will be used to assess the health status of subjects. There are 36 individual questions which identify eight different facets of wellness. These have been described as physical functioning, role-physical, bodily pain, general health, vitality, social functioning, role-emotional, and mental health. These facets are further collapsed into physical and mental component summaries. The eight scaled scores, which are the weighted sums of the questions in their section. Each scale is directly transformed into a 0-100 scale on the assumption that each question carries equal weight. The lower the score the more disability. The higher the score the less disability i.e., a score of zero is equivalent to maximum disability and a score of 100 is equivalent to no disability. This questionnaire will be included in the study booklet given to each subject, and will be self administered.	up to 90 days

Collaborators and Investigators

• Sponsor: Douglas Boreham
• Collaborators: McMaster University
• Investigators: Principal Investigator: Douglas Boreham, PhD, Northern Ontario School of Medicine

Study record dates

Study Major Dates

• Study Start (Actual): September 3, 2021
• Primary Completion (Anticipated): September 21, 2023
• Study Completion (Anticipated): December 15, 2023

Study Registration Dates

• First Submitted: November 12, 2020
• First Submitted That Met QC Criteria: November 17, 2020
• First Posted (Actual): November 24, 2020

Study Record Updates

• Last Update Posted (Actual): May 17, 2023
• Last Update Submitted That Met QC Criteria: May 16, 2023
• Last Verified: May 1, 2023

More Information

Terms related to this study

• Keywords: Safety; Aging; Tolerability; Dietary Supplement
• Additional Relevant MeSH Terms: Mental Disorders; Neurocognitive Disorders; Cognition Disorders; Cognitive Dysfunction
• Other Study ID Numbers: MTDS-001

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO
• IPD Plan Description: IPD will not be shared with researchers outside the study team.

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No