- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04994561
VIAging Deceleration Trial Using Metformin, Dasatinib, Rapamycin and Nutritional Supplements
Pilot Study to Test the Safety and Efficacy of Metformin, Dasatinib, Rapamycin and Nutritional Supplements (Bio-quercetin; Bio-fisetin; Glucosamine; Nicotinamide Riboside; Trans-resveratrol) in Reducing Clinical Measures of Aging in Older Adults
Study Overview
Status
Conditions
Intervention / Treatment
Study Type
Phase
- Phase 1
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Male or female subjects 65 years of age or older
- Received full dose of COVID-19 vaccine
- Fasting Glucose: > 60 - < 125 mg/dl;
- HbA1C: </= 6.4
- Vitamin D: > 30 ng/mL
- Homocysteine < 14 mol/L
- B12 levels >232 pg/mL
- Ferritin: > 30 ng/mL
- Cystatin C: > 0.62 mg/L
- eGFR > 45 mL/min/1.73 m2
- BMI > 18 kg/m2 < 35 kg/m²
- Stable body weight (+/-10 lbs.) over last 6 months
- Be willing to travel to the study facility as required for this study
- Be willing to avoid taking antacids 2 hours prior and 2 hours after taking dasatinib
- Be willing to discontinue proton pump inhibitors
- Be willing to discontinue St. John's Wort
- Be willing to discontinue medication/supplements, if applicable, for a washout period and while participating on this study.
- If taking metformin for anti-aging, willing to washout for 2 months prior to initiating protocol intervention.
- Be willing to take the investigational product(s) according to schedule and keep a diary for compliance monitoring.
- Has not participated in another clinical trial within last 30 days
- If applicable, five years or more post cancer treatment and disease free (define as tumor free or 5 years of clean PET/CT scans).
- Able to provide signed written informed consent prior to any study specific procedures being performed.
Exclusion Criteria:
- Inability to provide written informed consent.
- ECOG score >/= 2
- More than 1 alcoholic drinks consumed per day.
- Anemic (defined as hemoglobin (Hb) levels < 12.0 g/dL in women and < 13.0 g/dL in men)
- Thrombocytopenia (defined as platelet count < 100 × 10^9/L
- Neutropenia (defined as < 1.0-1.5 × 10^9 neutrophils/L (mild))
- Any allergy to any medications or supplements used on this trial.
- Shellfish or iodine allergy (note: glucosamine sulfate supplement contains shellfish (shrimp, crab)
- Clinically significant vital signs (e.g. uncontrolled hypertension >/= 180/100) or lab abnormalities (defined as platelet count < 100 × 10^9/L; absolute granulocyte count < 1,000/mm3; ALT (SGOT) > 2.0 times the upper limit of normal range; total bilirubin > 2.5 times the upper limit of normal range) at baseline
- HIV and/or Hepatitis infection
- Immunosuppressed due to any condition (e.g. transplant).
- Taking concurrent medications that may interfere with the drugs or supplements used on this study.
- Any concurrent uncontrolled medical condition or psychiatric illness which could place the patient at unacceptable risk of study treatment.
- Other concerns that in the PI's judgment will be a potential safety issue for the subject or that precludes the ability to provide informed consent or complete the study.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Subjects receiving study drugs and nutritional supplements
All eligible and consented subjects will receive study drugs and nutritional supplements as described in the intervention.
|
Step 1: 500 mg of metformin and increase their dose 500 mg every 2 weeks up to 2000 mg or until tolerable. Step 2: Once at tolerable daily metformin dose, subjects will take 140 mg of dasatinib along with 58 mg to 174 mg (based on body weight) bio-quercetin and 44.5 mg bio-fisetin. Subjects will take dasatinib, bio-quercetin and bio-fisetin for 2 consecutive days as described 4 times over one year (every 3 months) while participating on this study. Step 3: Two weeks after the first dasatinib dose is complete, subjects will start taking daily nutritional supplements of 1,500 mg glucosamine, 600 mg nicotinamide riboside and 500 mg trans-resveratrol. Step 4: Two weeks after starting daily supplements in Step 3, subjects will take a once weekly 6 mg dose of rapamycin. Once subject is taking rapamycin, they will continue on this intervention for 12 months.
Other Names:
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Incidence of treatment-emergent adverse events as assessed by CTCAE v5.0
Time Frame: through study completion, up to post treatment phone (approx. Day 532)
|
through study completion, up to post treatment phone (approx. Day 532)
|
|
Visceral adipose tissue fat tissue (volume (in^3)) physiological parameter value measured by DEXA scan
Time Frame: Change from baseline to Visit 20 (approx. Day 502)
|
Change from baseline to Visit 20 (approx. Day 502)
|
|
Systolic blood pressure physiological parameter value measured with a blood pressure cuff
Time Frame: Change from baseline to Visit 20 (approx. Day 502)
|
Change from baseline to Visit 20 (approx. Day 502)
|
|
Senescent cell-cycle arrest physiological parameter value measured by MMP-9 laboratory test
Time Frame: Change from baseline to Visit 20 (approx. Day 502)
|
Change from baseline to Visit 20 (approx. Day 502)
|
|
Glucose control (insulin resistance) physiological parameter as measured by HOMA-IR (mg/dL) calculation value
Time Frame: Change from baseline to Visit 20 (approx. Day 502)
|
insulin and glucose laboratory values are collected to computer the measurement used
|
Change from baseline to Visit 20 (approx. Day 502)
|
DNA Methylation physiological parameter as measured by 2019 GrimAge Clock laboratory test
Time Frame: Change from baseline to Visit 20 (approx. Day 502)
|
Change from baseline to Visit 20 (approx. Day 502)
|
Collaborators and Investigators
Investigators
- Study Director: Elizabeth Anne Weinstock, Vitality in Aging
Study record dates
Study Major Dates
Study Start (Anticipated)
Primary Completion (Anticipated)
Study Completion (Anticipated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Hypoglycemic Agents
- Physiological Effects of Drugs
- Molecular Mechanisms of Pharmacological Action
- Enzyme Inhibitors
- Platelet Aggregation Inhibitors
- Antineoplastic Agents
- Protective Agents
- Micronutrients
- Protein Kinase Inhibitors
- Vitamins
- Antioxidants
- Vitamin B Complex
- Metformin
- Dasatinib
- Niacinamide
- Quercetin
- Resveratrol
Other Study ID Numbers
- VIA-004
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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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