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Evaluation of the Pharmacokinetics, Safety and Effects of NutriterraTM in Healthy Adults

19 de diciembre de 2019 actualizado por: Nuseed Americas Inc.

A Randomized, Double-Blind, Placebo-Controlled Dose Ranging Study to Evaluate the Pharmacokinetics, Safety and Effects of NutriterraTM in Healthy Adult Subjects

The blood lipid profile plays a role in health and disease states and is affected by many genetic and lifestyle factors. On the more extreme side, hyperlipidemia (a condition characterized by hypertriglyceridemia, hypercholesteremia, or both) is a risk factor for coronary heart disease (CHD) 1. CHD is the most common form of cardiovascular disease (CVD); it is characterized by arterial obstructions or blockages, and is a leading cause of heart attacks and strokes 2. Specifically, blood lipids including triglycerides (TG), total cholesterol (TC), low density lipoprotein-cholesterol (LDL-C), and the ratio of TC: high density lipoprotein (HDL) cholesterol, are key modifiable risk factors for CHD. Hyperlipidemia is thought to be caused or promoted by sedentary lifestyle, obesity, or uncontrolled type 2 diabetes 2. Therefore, lifestyle factors, like the modification of dietary lipids to maintain a healthy blood lipid profile are warranted.

There are many beneficial effects of omega-3 fatty acids in terms of cardiovascular disease and the nervous system in general, as well as emerging research on DHA supplementation in acute brain and spinal cord injury. Demand for dietary omega-3's, either through increased fish consumption or through DHA supplementation, is expected to increase, particularly as the baby boomer population adds to the ranks of senior citizens concerned about and/or susceptible to health issues such as dementia and Alzheimer's Disease. Availability of EPA and DHA in circulation is an important parameter in understanding biologic properties of fatty acids.

The purpose of this study is to evaluate the pharmacokinetic characteristics of ascending doses of NutriterraTM, as measured by plasma levels of total EPA, DHA, DPA and ALA under fed conditions. In addition, after a two-week (minimum) washout period, subjects will take product for 16 weeks to evaluate effects on cardiovascular markers as a measure of efficacy.

Descripción general del estudio

Estado

Terminado

Condiciones

Tipo de estudio

Intervencionista

Inscripción (Actual)

132

Fase

  • Fase 2
  • Fase 1

Contactos y Ubicaciones

Esta sección proporciona los datos de contacto de quienes realizan el estudio e información sobre dónde se lleva a cabo este estudio.

Ubicaciones de estudio

    • Ontario
      • Guelph, Ontario, Canadá, N1G 0B4
        • Nutrasource

Criterios de participación

Los investigadores buscan personas que se ajusten a una determinada descripción, denominada criterio de elegibilidad. Algunos ejemplos de estos criterios son el estado de salud general de una persona o tratamientos previos.

Criterio de elegibilidad

Edades elegibles para estudiar

18 años a 80 años (Adulto, Adulto Mayor)

Acepta Voluntarios Saludables

No

Géneros elegibles para el estudio

Todos

Descripción

Inclusion Criteria:

  • Adults 18 years to 80 years (inclusive) at time of screening with suitable veins for cannulation or repeated venipuncture.
  • BMI ≥ 18.5 to ≤ 34.9 kg/m2 at the time of Screening
  • Female participants of childbearing potential (i.e. not surgically sterilized or post-menopausal greater than one year) must have negative urine pregnancy test and must be using an effective birth control method, defined as:

    • Continuous use of oral or long acting injected contraceptive for at least 2 months prior to study entry, or
    • Use of an intra-uterine device or implantable contraceptive, or
    • Use of double barrier methods of birth control, or
    • Abstinence from heterosexual intercourse
  • Willing to avoid alcohol consumption for 24 h prior to every clinic visit
  • Willing to avoid moderate to intense exercise 24 h prior to every clinic visit
  • Consume less than 200 mg omega-3 per day based on validated Questionnaire
  • Agrees to stop taking any vitamins, minerals, or any fatty acid containing dietary/herbal supplements that could potentially interfere with the study endpoints and will be washed out for two weeks prior to study product administration and throughout the study.
  • Willing to maintain a stable diet and level of activity throughout the trial.
  • Willing to keep a daily journal describing impact of dosage and tolerability.
  • Able to comply with all protocol activities.
  • Willing and able to provide informed written consent.

Exclusion Criteria:

  • Consumption of fish within two weeks prior to the first investigational product administration and for the duration of the study.
  • Used canola oil, fish oil, other omega-3 fatty acids (EPA and/or DHA) containing supplements within one (1) month of baseline (Visit 2) or any time during the study, other than the product being evaluated in this study.
  • Have a known sensitivity or allergy to canola or any other ingredients in the test products.
  • Individuals taking prescription or non-prescription health products that may affect the study endpoint (e.g. corticosteroids, prescription anti-inflammatory drugs, blood lipid-lowering drugs (e.g. statins, fibrates, bile acid exchanger resin, phytosterols, niacin or its analogues, carnitine, etc.) in the previous 6 months.
  • Individuals taking any supplements with phytosterols, polyglucosamines (Chitosan) or other lipid-binding ingredients in the previous 3 months.
  • Unstable use (i.e. initiation or change in dose) of antihypertensive medications or thyroid hormone replacement medications within 3 months prior to visit 1.
  • Use of any weight-loss programs or weight-loss medications (prescription or over-the counter) including, but not limited to, lipase inhibitors, within 6 months prior to visit 1 and throughout the study.
  • Pregnancy or lactation, or participant unwilling to take appropriate contraceptives for the duration of the study.
  • History of blood clotting disorders or use of coagulation-inhibiting drugs (e.g. warfarin).
  • History or presence of gastrointestinal, hepatic or renal disease, or any other condition known to interfere with absorption, distribution, metabolism, or excretion of drugs (i.e. Crohn's disease, short bowel, acute or chronic pancreatitis or pancreatic insufficiency).
  • Presence of major diseases such as diabetes, endocrine, cardiovascular, renal, or liver disease.
  • History of neurological disease (e.g. Parkinson's disease, stroke, traumatic brain injury, etc.).
  • History of cancer (excluding non-melanoma skin cancer and basal cell carcinoma) in the past 5 years.
  • Uncontrolled hypertension defined as a seated resting systolic blood pressure ≥140 mmHg and/or diastolic blood pressure ≥90 mmHg.
  • Active psychiatric disease (hospitalized within the past 12 months of Screening).
  • Documented medical history of immune disorder (such as HIV/aids, hepatitis B or hepatitis C) or positive laboratory results within 28 days of dosing.
  • History of a surgical procedure for the treatment of obesity (i.e., gastric bypass, gastric banding).
  • Taking potent CYP3A4 inhibitors (e.g., itraconazole, ketoconazole, posaconazole, voriconazole, erythromycin, clarithromycin, telithromycin and nefazodone) within two weeks prior to first investigational product administration and throughout the study.

Plan de estudios

Esta sección proporciona detalles del plan de estudio, incluido cómo está diseñado el estudio y qué mide el estudio.

¿Cómo está diseñado el estudio?

Detalles de diseño

  • Propósito principal: Prevención
  • Asignación: Aleatorizado
  • Modelo Intervencionista: Asignación paralela
  • Enmascaramiento: Triple

Armas e Intervenciones

Grupo de participantes/brazo
Intervención / Tratamiento
Experimental: Low Dose
Low Dose (300mg TG Omega-3) - 1 capsule containing 1000mg NutriterraTM per capsule + 3 capsules containing 1000mg corn oil per capsule
Nutriterra 1000mg
Otros nombres:
  • Canola Oil
Corn Oil 1000mg
Experimental: Mid Dose
Mid Dose (600mg TG Omega-3) - 2 capsules containing 1000mg NutriterraTM per capsule + 2 capsules containing 1000mg corn oil per capsule
Nutriterra 1000mg
Otros nombres:
  • Canola Oil
Corn Oil 1000mg
Experimental: High Dose
High Dose (1200mg TG Omega-3) - 4 capsules containing 1000mg NutriterraTM per capsule
Nutriterra 1000mg
Otros nombres:
  • Canola Oil
Comparador de placebos: Placebo
Placebo (0mg TG Omega-3) - 4 capsules containing 1000mg corn oil per capsule
Corn Oil 1000mg

¿Qué mide el estudio?

Medidas de resultado primarias

Medida de resultado
Medida Descripción
Periodo de tiempo
EPA Area Under the Curve
Periodo de tiempo: 72 hours
To determine the pharmacokinetics over a 72-hour period of NutriterraTM at three doses under fed conditions in healthy subjects
72 hours
DHA Area Under the Curve
Periodo de tiempo: 72 hours
To determine the pharmacokinetics over a 72-hour period of NutriterraTM at three doses under fed conditions in healthy subjects
72 hours
Triglycerides
Periodo de tiempo: 16 weeks
To evaluate the dose response and effect of NutriterraTM on triglyceride (TG) levels in healthy subjects
16 weeks

Medidas de resultado secundarias

Medida de resultado
Medida Descripción
Periodo de tiempo
Total Cholesterol
Periodo de tiempo: 16 weeks
To determine the effect of daily use of NutriterraTM on total cholesterol
16 weeks
HDL-C
Periodo de tiempo: 16 weeks
To determine the effect of daily use of NutriterraTM on HDL-C
16 weeks
LDL-C
Periodo de tiempo: 16 weeks
To determine the effect of daily use of NutriterraTM on LDL-C
16 weeks
LDL-C/HDL-C ratio
Periodo de tiempo: 16 weeks
To determine the effect of daily use of NutriterraTM on LDL-C/HDL-C ratio
16 weeks
non-HDL-C
Periodo de tiempo: 16 weeks
To determine the effect of daily use of NutriterraTM on non-HDL-C
16 weeks
Omega-3 fatty acid profile in whole blood
Periodo de tiempo: 4 weeks
To determine the effect of daily use of NutriterraTM on whole blood omega-3 fatty acid profile
4 weeks
Omega-3 fatty acid profile in red blood cells
Periodo de tiempo: 16 weeks
To determine the effect of daily use of NutriterraTM on red blood cell omega-3 fatty acid profile
16 weeks
C-reactive protein
Periodo de tiempo: 4 and 16 weeks
To determine the effect of daily use of NutriterraTM on high sensitivity C-reactive protein (hs-CRP)
4 and 16 weeks

Colaboradores e Investigadores

Aquí es donde encontrará personas y organizaciones involucradas en este estudio.

Fechas de registro del estudio

Estas fechas rastrean el progreso del registro del estudio y los envíos de resultados resumidos a ClinicalTrials.gov. Los registros del estudio y los resultados informados son revisados ​​por la Biblioteca Nacional de Medicina (NLM) para asegurarse de que cumplan con los estándares de control de calidad específicos antes de publicarlos en el sitio web público.

Fechas importantes del estudio

Inicio del estudio (Actual)

1 de mayo de 2019

Finalización primaria (Actual)

13 de diciembre de 2019

Finalización del estudio (Actual)

13 de diciembre de 2019

Fechas de registro del estudio

Enviado por primera vez

1 de mayo de 2019

Primero enviado que cumplió con los criterios de control de calidad

1 de mayo de 2019

Publicado por primera vez (Actual)

3 de mayo de 2019

Actualizaciones de registros de estudio

Última actualización publicada (Actual)

23 de diciembre de 2019

Última actualización enviada que cumplió con los criterios de control de calidad

19 de diciembre de 2019

Última verificación

1 de diciembre de 2019

Más información

Términos relacionados con este estudio

Otros números de identificación del estudio

  • NUSERPD-160001-RPD01

Plan de datos de participantes individuales (IPD)

¿Planea compartir datos de participantes individuales (IPD)?

No

Información sobre medicamentos y dispositivos, documentos del estudio

Estudia un producto farmacéutico regulado por la FDA de EE. UU.

No

Estudia un producto de dispositivo regulado por la FDA de EE. UU.

No

Esta información se obtuvo directamente del sitio web clinicaltrials.gov sin cambios. Si tiene alguna solicitud para cambiar, eliminar o actualizar los detalles de su estudio, comuníquese con register@clinicaltrials.gov. Tan pronto como se implemente un cambio en clinicaltrials.gov, también se actualizará automáticamente en nuestro sitio web. .

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