Clinical trial NCT05599282: The Efficacy and Safety of an Amino Acid Supplement in Adults
Official title: A 90-day, Double-blind, Placebo-controlled, Randomized, Parallel-Group Efficacy and Safety Study of an Amino Acid Supplement in Adults
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: PHASE2
Conditions: Insulin-Like Growth Factor I
Healthy
Keywords: Safety and Efficacy
Amino Acid Supplement
Lead sponsor: ZandA Technologies, llc
Sponsor class: OTHER
Collaborators: name: KGK Science Inc.
First posted: 2022-10-31
Enrollment: 120
Sex: ALL
Minimum age (years): 35
Maximum age (years): 75
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: The primary objective of this clinical trial is to determine the efficacy of once daily oral AAS use, as compared to placebo, in increasing serum IGF-1 concentrations within adults aged 35-75 years for up to 90 days. Additionally, the safety and tolerability of the AAS, as compared to placebo, will be measured by the occurrence of and/or changes in treatment-emergent adverse events (AEs).

For the study population, the eligibility criteria limit the presence of confounding variables that could influence study outcomes. Participants will be men and women between 35 and 75 years of age to account for the age range in which humans experience a decline in HGH/IGF-1. Each participant will be deemed eligible to participate by the Qualified Investigator (QI) by means of an extensive review of medical history, laboratory results, and physical examination. Participants will be required to have body mass index (BMI) measurements between 18.5 and 35.0 kg/m2 to ensure that their body weight/composition will not have a confounding effect on their HGH levels (18, 19) and to facilitate generalizability. Participants will be required to maintain current medication and supplements use and sleep throughout the study. They must also abstain from any over-the counter (OTC) medications and/or supplements that may affect the efficacy or safety of the AAS.


Eligibility criteria: Inclusion Criteria:

1. Males and females between 35-75 years of age at baseline
2. Weigh at least 52 kg for males and 45 kg for females
3. BMI between 18.5-35.0 kg/m2, inclusive at screening
4. Serum IGF-1 concentrations within ≤ 2 SDs of age-adjusted reference range as defined by the clinical laboratory
5. Individual is not of child-bearing potential, defined as those who have undergone a sterilization procedure (e.g. hysterectomy, bilateral oophorectomy, bilateral tubal ligation, complete endometrial ablation) or have been post-menopausal for at least 1 year prior to screening

   Or,

   Individuals of child-bearing potential must have a negative baseline urine pregnancy test and agree to use a medically approved method of birth control for the duration of the study. All hormonal birth control must have been in use for a minimum of three months. Acceptable methods of birth control include:
   * Hormonal contraceptives including oral contraceptives, hormone birth control patch (Ortho Evra), vaginal contraceptive ring (NuvaRing), injectable contraceptives (Depo-Provera, Lunelle), or hormone implant (Norplant System)
   * Double-barrier method
   * Intrauterine devices
   * Non-heterosexual lifestyle or agrees to use contraception if planning on changing to heterosexual partner(s)
   * Vasectomy of partner at least 6 months prior to screening
6. Provided voluntary, written, informed consent to participate in the study.
7. Agrees to maintain current lifestyle habits throughout the study, including medications, supplements, and sleep.
8. Agrees to avoid taking new supplements.
9. Willingness to complete study assessments, journals, and all clinic visits
10. Deemed eligible to participate as determined by medical history, laboratory results, and physical exam as assessed by QI

Exclusion Criteria:

1. Individuals who are pregnant, breast feeding, or planning to become pregnant during the study
2. Allergy, sensitivity, or intolerance to investigational product (IP) and/or placebo active or inactive ingredients
3. Has a condition known to directly involve and/or affect IGF-1, including acromegaly, dwarfism, malnutrition, pituitary disorders, and Laron Syndrome
4. Current or history of any significant diseases involving dementia (e.g., Alzheimer's disease, vascular dementia, etc.)
5. Cancer, except skin basal cell carcinoma completely excised with no chemotherapy or radiation with a follow up that is negative. Volunteers with cancer in full remission for more than five years after diagnosis are acceptable.
6. Current diagnosis or history of chronic kidney disease (creatinine levels \> 1.1 mg/dl for women; \> 1.2 mg/dl for men)
7. Current diagnosis or history of a thyroid-related disorder and/or disease
8. Current diagnosis of liver diseases
9. Current diagnosis of primary hypercholesterolemia (LDL-C 160-189 mg/dl \[4.1-4.8 mmol/l\]; non-HDL-C 190-219 mg/dl \[4.9-5.6 mmol/l\])
10. Current diagnosis of primary hypertriglyceridemia (triglycerides \>150 mg/dl, fasting)
11. Current diagnosis of stage 2 hypertension (\> 140/90 mmHg)
12. Current diagnosis of type 1 or type 2 diabetes mellitus (HbA1c \> 6.5%)
13. History or presence of gastrointestinal (including prior bariatric bypass surgery), hepatic or renal disease, or any other condition that may interfere with the absorption, distribution, metabolism, or excretion of IPs, based on the opinion of the QI
14. History of cardiovascular disease and/or significant cardiovascular event in the past 6 months. Participants with no significant cardiovascular event on stable medication may be included after assessment by the QI on a case-by-case basis
15. History (within past two years at screening) or presence of diagnosis of alcohol abuse, a substance abuse disorder, known drug dependence, or seeking treatment for alcohol or substance abuse related disorder.
16. Current use of prescribed medications, over-the-counter (OTC) medications, or supplements which may affect the efficacy and/or safety of the IP
17. Individuals who work or plan to work night shifts
18. Individuals who have travelled to other time zones within two weeks prior to baseline or plan to travel to other time zones during the study
19. Alcohol intake average of \> 2 standard drinks per day as assessed by the QI
20. Clinically significant abnormal laboratory results at screening as assessed by the QI
21. Participation in other clinical research studies 30 days prior to enrollment will be assessed on a case-by-case basis by the QI
22. Individuals who are unable to give informed consent
23. Any other condition or lifestyle factor, that, in the opinion of the QI, may adversely affect the participant's ability to complete the study or its measures or pose significant risk to the participant

Primary outcomes:
measure: The difference in serum IGF-1 concentrations from baseline up to 30 days of supplementation between Amino Acid Supplement (AAS) compared to placebo.
timeFrame: baseline (day 1) and 31 days
measure: The difference in serum IGF-1 concentrations from baseline up to 60 days of supplementation between Amino Acid Supplement (AAS) compared to placebo.
timeFrame: baseline (day 1) and 61 days
measure: The difference in serum IGF-1 concentrations from baseline up to 90 days of supplementation between Amino Acid Supplement (AAS) compared to placebo.
timeFrame: baseline (day 1) and 91 days
Secondary outcomes:
measure: Incidence of pre-emergent adverse events following 90 days of supplementation with Amino Acid Supplement (AAS) compared to placebo
timeFrame: 105 days
measure: Incidence of post-emergent adverse events following 90 days of supplementation with Amino Acid Supplement (AAS) compared to placebo
timeFrame: 105 days
Other outcomes:
Locations:
city: London
country: Canada
facility: KGK Science Inc.
state: Ontario
Study officials:
affiliation: KGK Science Inc.
name: David Crowley, MD
role: PRINCIPAL_INVESTIGATOR
References: