The Effect of 12-week Dietary Intake of Food Supplements Containing Collagen on Dermis Density and Other Skin Parameters

Study Overview
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Brief Summary
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The aim of the randomized, double-blind, placebo-controlled, one-period effectiveness study is to compare the effects of multiple-dose 12 weeks daily dietary supplementation with 10 g collagen alone or 5 g or 10 g of collagen in combination with MSM on skin in healthy human subjects in comparison to placebo product. The main objective is to show that test products have beneficial effects on dermis density, and also on other skin parameters and to investigate differences in the effects among test products.

Detailed Description
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This is a double-blind, randomized, placebo-controlled four-way study comparing the efficacy of multiple-dose dietary intake of three test products on skin parameters, that will be conducted in Slovenia in one research center. The study will be performed on 109 adult women, between the ages 40 and 65 years and will include daily dietary supplementation over 12-weeks period. Subjects will be divided in four study groups . Test group 1 (TG1) will receive investigational product 1 (IP1, daily dose 25 mL: collagen 5 g, MSM: 1,5 g, vitamin C: 80 mg), test group 2 (TG2) will receive investigational product 2 (IP2, daily dose 25 mL: collagen 10 g, vitamin C: 80 mg), test group 3 (TG3) will receive investigational product 3 (TP3, daily dose 25 mL: collagen 10 g, MSM: 1,5 g, , vitamin C: 80 mg) and the placebo group (PG) will receive placebo product without those active ingredients (25 mL: 0 g collagen, 0 g MSM). Participants will test continuous administration of placebo or investigational products for 12 weeks in order to demonstrate and assess multiple-dose effects. Their influence on skin appendages via self-evaluations questionnaires will also be assessed.

Official Title
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The Effect of 12-week Dietary Intake of Food Supplements Containing Collagen on Dermis Density and Other Skin Parameters: Double Blind, Placebo-controlled, Randomised Four-way Study Comparing the Efficacy of Three Test Products

Conditions
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Dermis Density, Wrinkles, Skin Hydration, Trans Epidermal Water Loss (TEWL), Dermis Thickness, Skin Texture, Skin Elasticity

Intervention / Treatment
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* Dietary Supplement: Investigational product 1
* Dietary Supplement: Placebo syrup
* Dietary Supplement: Investigational product 2
* Dietary Supplement: Investigational product 3


Participation Criteria
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Eligibility Criteria
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Inclusion criteria: Caucasian female volunteers aged between 40 and 65 years at the time of the signature of Informed consent form (ICF), Signed Informed consent form (ICF), Fitzpatrick skin phototypes I-IV, Signs of skin aging, In good general health condition, Body mass index (BMI) < 35 Willingness to avoid a consumption of any food supplements containing methylsulfonylmethane (MSM), antioxidants, collagen and other protein-based food supplements during the study, Willingness to follow all study procedures and keeping a diary during the study (to follow their compliance and palatability). Willingness to maintain their living habits and to not begin or change any estrogen or progesterone therapies, Willingness to avoid shaving/depilation of their arms during the study, Willingness not to change cosmetic treatment routine during the study, Willingness to avoid rejuvenation treatments during the study. Exclusion criteria: Pregnancy or breastfeeding, Known or suspected allergy to any ingredient of the tested products, Changes in dietary habits and dietary supplementation in the last three months prior to inclusion, Regular use of food supplements containing MSM, antioxidants, collagen or other protein-based food supplements in the last three months prior to inclusion, Veganism, Changes in cosmetic facial and body care routine in the last month prior to inclusion, Diagnosed and uncontrolled/unregulated disease, Any clinically significant history of serious metabolic disease, digestive tract disease, liver disease, kidney disease, hematological disease, Intake of drugs with any impact on skin reactions (e.g., glucocorticoids, antihistamines, and immunomodulators), Any clinically significant acute or chronic skin diseases, Skin pigmentation disorders on measuring sites, Anticipated sunbathing or solarium visits before or during the study, Invasive rejuvenation treatments (e.g. needle rollers, needle mesotherapy, deep/medium-deep chemical peels, laser therapy etc.) in the last 4 months prior to study entry, Non-invasive rejuvenation treatments (e.g. radiofrequency, electrotherapy, ultrasound, intense pulsed light therapy (IPL)) in the last month prior to study entry, Shaving/depilation of the arms in the last 14 days before inclusion, Mental incapacity that precludes adequate understanding or cooperation.

Ages Eligible for Study
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Minimum Age: 40 Years
Maximum Age: 65 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Quadruple


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: CoMSM LD<br>Participants will receive investigational product 1 containing collagen (5 g/ 25 mL), MSM (1.5 g/ 25 mL) and vitamin C (80 mg/ 25 mL). | Dietary Supplement: Investigational product 1<br>* Test group 1 will receive investigational product 1 containing collagen (5 g/ 25 mL), MSM (1.5 g/ 25 mL) and vitamin C (80 mg/ 25 mL); continuous administration of investigational product for 12 weeks.<br>|
| Placebo Comparator: Placebo group<br>Placebo group participants will receive placebo syrup without active ingredients. (daily dose 10 mL: fish collagen: 0 mg, vitamin C: 0 mg); continous administration of placebo product for 12 weeks. | Dietary Supplement: Placebo syrup<br>* Placebo group will receive placebo syrup without active ingredients. (daily dose 25 mL: collagen: 0 mg, MSM: 0 mg, vitamin C: 0 mg; continous administration of placebo product for 12 weeks.<br>|
| Active Comparator: Co HD<br>Participants will receive investigational product 2 containing collagen (10 g/ 25 mL) and vitamin C (80 mg/ 25 mL). | Dietary Supplement: Investigational product 2<br>* Test group 2 will receive investigational product 2 containing collagen (10 g/ 25 mL) and vitamin C (80 mg/ 25 mL); continuous administration of investigational product for 12 weeks.<br>|
| Active Comparator: CoMSM HD<br>Participants will receive investigational product 3 containing collagen (10 g/ 25 mL), MSM (1.5 g/ 25 mL) and vitamin C (80 mg/ 25 mL). | Dietary Supplement: Investigational product 3<br>* Test group 3 will receive investigational product 3 containing collagen (10 g/ 25 mL), MSM (1.5 g/ 25 mL) and vitamin C (80 mg/ 25 mL); continuous administration of investigational product for 12 weeks.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change of dermis density from baseline in all test groups in comparison to placebo group after 12 weeks of dietary supplementation | Significant change of dermis density from baseline in test groups, in comparison to placebo group after 12 weeks of dietary supplementation with study product is expected. Dermis density will be assessed through ultrasonographic dermis intensity measurement. Differences in change of dermis density between test groups under primary objective conditions will also be evaluated. | 12 weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change of wrinkle volume from baseline in test groups, in comparison to placebo group after 12 weeks of dietary supplementation | Assessment of the effects of investigational product on periorbital wrinkles after 12 weeks of dietary supplementation will be done using topography measurements. Differences between test groups will also be evaluated. | 12 weeks | 
| Change of skin texture from baseline in test groups, in comparison to placebo group after 12 weeks of dietary supplementation | For assessments of skin texture topography roughness measurements (Ra, Rq) will be performed. Significant changes from baseline in test groups, in comparison to placebo group after 12 weeks of dietary supplementation is expected. Differences between test groups will also be evaluated. | 12 weeks | 
| Change of skin hydration from baseline in test groups, in comparison to placebo group after 12 weeks of dietary supplementation | Assessment of the effects of the investigational product on skin hydration after 12 weeks of dietary supplementation. Skin hydration measurements will be performed using conductance principle. Differences between test groups will also be evaluated. | 12 weeks | 
| Change of TEWL from baseline in test groups, in comparison to placebo group after 12 weeks of dietary supplementation | Assessment of the effects of investigational product on transepidermal water loss (TEWL) after 12 weeks of dietary supplementation. TEWL measurements will be performed using open chamber principle.Differences between test groups will also be evaluated. | 12 weeks | 
| Change of dermis thickness from baseline in test groups, in comparison to placebo group after 12 weeks of dietary supplementation | Significant change of dermis thickness from baseline in test group, in comparison to placebo group after 12 weeks of dietary supplementation with study product is expected. Dermis density will be assessed using ultrasonography. Differences between test groups will also be evaluated. | 12 weeks | 
| Change of skin elasticity from baseline in test groups, in comparison to placebo group after 12 weeks of dietary supplementation | For assessments of elasticity viscoelasticity measurements will be performed. Significant changes from baseline in test groups, in comparison to placebo group after 12 weeks of dietary supplementation is expected. Differences between test groups will also be evaluated. Along viscoelasticity the measurement sinchronosusly gives also retraction and Young modulus values, as well as U-values: Uf (final deformation), Ue (skin exstensibility), Uv (delayed distension), Ur (immediate retraction), Ua (total recovery). R5 (Ur/Ue) parameter will also be calculated. | 12 weeks |