Pharmacokinetics Study of Gamma-aminobutyric Acid

Study Overview
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Brief Summary
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The purpose of this study is to determine upon administering GABA orally to a person how it is absorbed, distributed, as well as the drug's pharmacological effects on the body such as glucose levels, serum C-peptide and/or insulin levels (referred to as pharmacokinetics/pharmacodynamics). We will conduct experiments in normal subjects to address these questions.

Detailed Description
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Type 1 diabetes is an autoimmune disease resulting from the progressive loss of pancreatic insulin-secreting beta-cells. This consequently leads to a lack of insulin and elevation of blood sugar, namely hyperglycemia, which is a major cause for the development of diabetes and its acute or chronic complications. The current treatment for type 1 diabetes requires a life-long dependency on daily insulin injections, causing inconvenience and burden to patients. Drug-induced hypoglycemia is also common as it presents a major challenge in insulin therapy. Furthermore, although insulin therapy is lifesaving, it is not a cure as it neither reverses the progression of the disease nor prevents the development of serious complications associated with this disease. New treatments are urgently needed. Recent studies have demonstrated that a natural chemical found in the brain, gamma-aminobutyric acid (GABA), which is also produced in large quantities by pancreatic beta-cells, has beta-cell regenerative and immunoregulatory effects. Importantly, GABA prevented and partially reversed diabetes in type 1 diabetes mouse models. It is important to address essential questions regarding the potential effects of GABA in diabetic patients in humans. Given the largely unknown mechanism of action of GABA in the pancreas, and the limited information on how GABA is absorbed, distributed and eliminated from the human body, we plan to examine these issues (referred to as pharmacokinetics/pharmacodynamics) in normal subjects. The outcome of this study will provide useful information on the mechanism of action of GABA in human subjects.

Official Title
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The Pharmacokinetics of Gamma-aminobutyric Acid in Healthy Volunteers.

Conditions
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Diabetes Mellitus, Diabetes Mellitus, Type 1, Glucose Metabolism Disorders, Metabolic Diseases, Endocrine System Diseases, Autoimmune Diseases, Immune System Diseases

Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Volunteers in good health condition between 19 and 40 years of age (inclusive) at the time of signing the informed consent. Body mass index (BMI) between 18.5 and 24 kg/m2 (inclusive), with weight greater than 50 kg. Not on any medication 2 weeks before screening. No blood donation within 3 months before screening. Must sign the informed consent. Note: Blood and biochemical tests must be normal during the screening. However, if the participant's test-results were beyond the normal range, the individual can still be recruited as long as the results do not affect the experiment. Exclusion Criteria: Abnormalities of physical examination, laboratory tests, or ECG in screening, which may influence the results of the study. Previous or existing history of severe heart, liver, kidney, gastrointestinal, nervous system, mental, or metabolic abnormalities as well as other diseases which can affect drug absorption, circulation, metabolism, or excretion. History of alcoholism, smoking, or drug abuse within the past 1 year. Participation in any clinical drug study within the past 30 days. Any definite or suspected allergy or family history of allergy to GABA or any other similar drugs.

Ages Eligible for Study
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Minimum Age: 19 Years
Maximum Age: 40 Years

Sexes Eligible for Study
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All

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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What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| pharmacokinetic characteristics of γ-aminobutyric acid (GABA) | The primary endpoint of this study is to obtain the pharmacokinetic characteristics of γ-aminobutyric acid (GABA), including: Area under the plasma concentration-time curve from time 0 to the last quantifiable concentration (AUC0-t), Area under the plasma concentration-time curve from time 0 extrapolated to infinity (AUC0-∞), Maximum observed plasma concentration (Cmax), Time to maximum plasma concentration (Tmax), and Terminal elimination half-life in plasma (t½) | baseline and up to 30 days | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| serological characteristics | plasma glucose levels, insulin, C-peptide and glucagon levels will be measured | baseline and up to 30 days | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Gamma-aminobutyric acid, Pharmacokinetics, Pharmacodynamics, Insulin, C-peptide, Glucagon