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Antiorbital Calcium in Atrial Fibrillation (AntiAFib)

Primary Purpose

Atrial Fibrillation

Status
Not yet recruiting
Phase
Early Phase 1
Locations
Study Type
Interventional
Intervention
Ionic Calcium
Calcium Carbonate
Sponsored by
National University of Natural Medicine
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional other trial for Atrial Fibrillation focused on measuring atrial fibrillation, calcium, supplements, antiorbital ionic calcium, quality of life

Eligibility Criteria

18 Years - 70 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • ● Adults 18-70 years of age

    • Active diagnosis of non-valvular atrial fibrillation - including paroxysmal, persistent, or long-standing persistent AF with typical electrocardiographic characteristics (i.e., absence of identifiable p-waves with irregularly irregular ventricular rate) without known complications, heart disease, or congenital heart defects (e.g., rapid ventricular rate, recent myocardial infarction, heart failure, stroke, cardiomyopathy, etc.) and/or with a formal diagnosis from a healthcare professional.
    • A European Heart Rhythm Association (EHRA) score greater than 1 (i.e., mild symptoms, normal daily activity not affected).
    • On a stable dose of all medications prior to study entry (i.e., consistent dose for a minimum of three months)
    • Willing to be randomized to take daily ionized calcium as a dietary supplement or placebo over the 24-week study period
    • On a stable dose of dietary supplements for at least one month prior to enrollment
    • Willing to avoid initiation of new supplements and/or medications unless otherwise indicated by a healthcare professional
    • Willing to have blood drawn on 6 occasions, and fast for 10-12 hours before blood draws, over the study period
    • Able to communicate via email, complete computer-administered questionnaires, and to read and write in English.
    • Must be able to provide written informed consent
    • Non-smokers (including tobacco and cannabis products, combusted or vaporized)
    • Approved to be eligible for study participation at the discretion of the Principal Investigators, after review of the Formal Eligibility Screen results.
    • Willing to avoid taking dietary supplements containing the following ingredients for the 24 weeks of study involvement: additional supplemental calcium in any form, vitamin D, vitamin K, selenium, magnesium, or zinc.

Exclusion Criteria:

  • ● Individuals with a current or past diagnosis of permanent AF

    • Individuals with any thyroid or parathyroid disorders, or current use of thyroid medication for any reason.
    • Individuals with chronic kidney or liver disease, cancer, colorectal disease, and "other rare disorders".
    • Individuals with a current diagnosis of Congestive Heart Failure (CHF).
    • Individuals with a current or past diagnosis of Traumatic Brain Injury (TBI) or Cerebrovascular Accident (CVA)/Stroke.
    • Use of dihydropyridine or non-dihydropyridine calcium channel blockers for any reason
    • Not on a stable dose of anti-coagulant or anti-platelet prescription medications (i.e., consistent dose for a minimum of three months)
    • CHA2DS2-VASC score of ≥ 2 and NOT on a stable dose (i.e. stable for at least 3 months) of oral anti-coagulant medication/therapy.
    • HAS-BLED score ≥ 3
    • Abnormalities in coagulation studies (e.g., INR ≤ 2 or ≥ 3.0) or hypercalcemia at the clinical screening visit.
    • Blood pressure ≥ 140/90 mmHg at the clinical screening visit.
    • Current involvement or within 14 days prior to screening of a significant diet or weight loss program (such as NutriSystem, Jenny Craig, Atkin's or other low-carb diet programs) or very low-calorie liquid diet programs (such as Optifast, Medifast, and/or HMR)
    • Hospitalization (for any reason other than a scheduled medical procedure unrelated to AF) within 3 months prior to screening
    • Cardiac surgery within 3 months prior to screening
    • Malignancy within the last 5 years (with the exception of basal cell carcinoma, squamous cell carcinoma, and/or carcinoma in situ of the cervix)
    • Women who are lactating, pregnant or planning pregnancy within the next six months
    • Intake of ≥ 2 standardized alcohol-containing beverages per day, 14 per week, or ≥4 in any single day within the past 14 days.
    • Women of child-bearing age, who are sexually active and are unwilling to use an appropriate form of contraception during the duration of the trial.
    • Smoking tobacco or nicotine products (combusted or vaporized)
    • Use of illicit drugs/substances (such as but not limited to cocaine, phencyclidine (PCP), and methamphetamine) within 14 days of screening
    • Currently participating in another interventional research study, or participated in another interventional research study within 14 days of screening
    • Do not have an active primary care provider or specialist (i.e., cardiologist) managing their atrial fibrillation
    • Current use of: dietary supplements or medications utilized for chelation purposes (i.e., ethylenediaminetetraacetic acid; EDTA), or of chemotherapeutic agents.
    • Allergy to corn

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm Type

    Experimental

    Active Comparator

    Arm Label

    Ionic Calcium

    Calcium Carbonate

    Arm Description

    Ionic calcium (IC) is a calcium in a free ionic state. Participants will be instructed to take 8mg of IC/60kg body weight dissolved into approximately 500ml of purified water. Participants will titrate their dose at the start of the study as follows: days 1-3: 1 dose per day 30 min prior to a meal; Days 4-6: twice per day, 30 minutes before meals; from day seven onward, the full dosage of three times per day, 30 minutes before meals.

    Participants will be instructed to take 8mg of calcium carbonate/60kg body weight dissolved into approximately 500ml of purified water. Participants will titrate their dose at the start of the study as follows: days 1-3: 1 dose per day 30 min prior to a meal; Days 4-6: twice per day, 30 minutes before meals; from day seven onward, the full dosage of three times per day, 30 minutes before meals.

    Outcomes

    Primary Outcome Measures

    Rate of Biological Aging
    Dunedin PACE objective measure of the rate of epigenetic aging
    Rate of Biological Aging
    Dunedin PACE objective measure of the rate of epigenetic aging

    Secondary Outcome Measures

    Atrial fibrillation-specific health-related quality of life
    Atrial Fibrillation Effect on QualiTy-of-life (AFEQT) Questionnaire
    Atrial fibrillation-specific health-related quality of life
    Atrial Fibrillation Effect on QualiTy-of-life (AFEQT) Questionnaire

    Full Information

    First Posted
    March 16, 2022
    Last Updated
    March 29, 2022
    Sponsor
    National University of Natural Medicine
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    1. Study Identification

    Unique Protocol Identification Number
    NCT05302713
    Brief Title
    Antiorbital Calcium in Atrial Fibrillation
    Acronym
    AntiAFib
    Official Title
    Evaluating Changes in Epigenetic Methylation From Antiorbital Ionic Calcium in Adults With Atrial Fibrillation
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    March 2022
    Overall Recruitment Status
    Not yet recruiting
    Study Start Date
    April 2022 (Anticipated)
    Primary Completion Date
    December 2022 (Anticipated)
    Study Completion Date
    June 2023 (Anticipated)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Principal Investigator
    Name of the Sponsor
    National University of Natural Medicine

    4. Oversight

    Studies a U.S. FDA-regulated Drug Product
    No
    Studies a U.S. FDA-regulated Device Product
    No
    Data Monitoring Committee
    No

    5. Study Description

    Brief Summary
    The purpose of this study is to determine the mechanistic effects of an ionic calcium supplement in adults with atrial fibrillation. The study aims to determine if ionic calcium supplementation affects quality of life, rate of biological aging, fibrillation frequency, bone densitometry, and blood biomarkers of bone metabolism over a six month period compared to non-ionic calcium comparator supplement.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Atrial Fibrillation
    Keywords
    atrial fibrillation, calcium, supplements, antiorbital ionic calcium, quality of life

    7. Study Design

    Primary Purpose
    Other
    Study Phase
    Early Phase 1
    Interventional Study Model
    Parallel Assignment
    Model Description
    Participants will be randomized to take either an ionic calcium (IC) supplement or calcium carbonate (CC) supplement for 12 weeks. At the 12 week time point, all participants, whether having taken IC or CC for the first 12 weeks, will take the IC supplement for the final 12 weeks of the study in an open label fashion.
    Masking
    ParticipantCare ProviderInvestigatorOutcomes Assessor
    Allocation
    Randomized
    Enrollment
    104 (Anticipated)

    8. Arms, Groups, and Interventions

    Arm Title
    Ionic Calcium
    Arm Type
    Experimental
    Arm Description
    Ionic calcium (IC) is a calcium in a free ionic state. Participants will be instructed to take 8mg of IC/60kg body weight dissolved into approximately 500ml of purified water. Participants will titrate their dose at the start of the study as follows: days 1-3: 1 dose per day 30 min prior to a meal; Days 4-6: twice per day, 30 minutes before meals; from day seven onward, the full dosage of three times per day, 30 minutes before meals.
    Arm Title
    Calcium Carbonate
    Arm Type
    Active Comparator
    Arm Description
    Participants will be instructed to take 8mg of calcium carbonate/60kg body weight dissolved into approximately 500ml of purified water. Participants will titrate their dose at the start of the study as follows: days 1-3: 1 dose per day 30 min prior to a meal; Days 4-6: twice per day, 30 minutes before meals; from day seven onward, the full dosage of three times per day, 30 minutes before meals.
    Intervention Type
    Dietary Supplement
    Intervention Name(s)
    Ionic Calcium
    Intervention Description
    Ionic calcium (IC), a calcium in a free ionic state (i.e., non-protein bound), is purported to improve calcium uptake and homeostasis leading to improved cellular signaling that may have been disrupted through environmental and lifestyle stressors.
    Intervention Type
    Dietary Supplement
    Intervention Name(s)
    Calcium Carbonate
    Intervention Description
    Calcium carbonate supplementation in a solution identical in appearance, consistency, and taste to the intervention supplement.
    Primary Outcome Measure Information:
    Title
    Rate of Biological Aging
    Description
    Dunedin PACE objective measure of the rate of epigenetic aging
    Time Frame
    Week 12
    Title
    Rate of Biological Aging
    Description
    Dunedin PACE objective measure of the rate of epigenetic aging
    Time Frame
    Week 24
    Secondary Outcome Measure Information:
    Title
    Atrial fibrillation-specific health-related quality of life
    Description
    Atrial Fibrillation Effect on QualiTy-of-life (AFEQT) Questionnaire
    Time Frame
    Week 12
    Title
    Atrial fibrillation-specific health-related quality of life
    Description
    Atrial Fibrillation Effect on QualiTy-of-life (AFEQT) Questionnaire
    Time Frame
    Week 24
    Other Pre-specified Outcome Measures:
    Title
    Frequency of Fibrillation Episodes
    Description
    Kardia Mobile single lead ECG to measure fibrillation episodes; means over 1 week will be collected.
    Time Frame
    Week 12
    Title
    Frequency of Fibrillation Episodes
    Description
    Kardia Mobile single lead ECG to measure fibrillation episodes; means over 1 week will be collected.
    Time Frame
    Week 24
    Title
    Coronary Artery Calcium Score
    Description
    Composite CAC Score
    Time Frame
    Week 12
    Title
    Coronary Artery Calcium Score
    Description
    Composite CAC Score
    Time Frame
    Week 24
    Title
    DEXA Bone Densitometry
    Description
    Bone density T score resulting from DEXA
    Time Frame
    Week 12
    Title
    DEXA Bone Densitometry
    Description
    Bone density T score resulting from DEXA
    Time Frame
    Week 24
    Title
    Ultrasonometer Bone Densitometry
    Description
    Bone density T score resulting from ultrasound
    Time Frame
    Week 12
    Title
    Ultrasonometer Bone Densitometry
    Description
    Bone density T score resulting from ultrasound
    Time Frame
    Week 24
    Title
    Activated Partial Thromboplastin Time
    Description
    Measure of blood coagulation
    Time Frame
    Week 2
    Title
    Activated Partial Thromboplastin Time
    Description
    Measure of blood coagulation
    Time Frame
    Week 6
    Title
    Activated Partial Thromboplastin Time
    Description
    Measure of blood coagulation
    Time Frame
    Week 12
    Title
    Activated Partial Thromboplastin Time
    Description
    Measure of blood coagulation
    Time Frame
    Week 24
    Title
    Prothrombin Time and Internationalized Normalized Ratio
    Description
    Measure of blood coagulation
    Time Frame
    Week 2
    Title
    Prothrombin Time and Internationalized Normalized Ratio
    Description
    Measure of blood coagulation
    Time Frame
    Week 6
    Title
    Prothrombin Time and Internationalized Normalized Ratio
    Description
    Measure of blood coagulation
    Time Frame
    Week 12
    Title
    Prothrombin Time and Internationalized Normalized Ratio
    Description
    Measure of blood coagulation
    Time Frame
    Week 24
    Title
    Thrombin Time
    Description
    Measure of blood coagulation
    Time Frame
    Week 2
    Title
    Thrombin Time
    Description
    Measure of blood coagulation
    Time Frame
    Week 6
    Title
    Thrombin Time
    Description
    Measure of blood coagulation
    Time Frame
    Week 12
    Title
    Thrombin Time
    Description
    Measure of blood coagulation
    Time Frame
    Week 24
    Title
    Concentration of Serum Calcium (ionic)
    Description
    Measure of non-protein bound calcium concentration in the serum
    Time Frame
    Week 12
    Title
    Concentration of BUN (serum)
    Description
    Measure of renal function and protein turnover
    Time Frame
    Week 2
    Title
    Concentration of BUN (serum)
    Description
    Measure of renal function and protein turnover
    Time Frame
    Week 6
    Title
    Concentration of BUN (serum)
    Description
    Measure of renal function and protein turnover
    Time Frame
    Week 12
    Title
    Concentration of BUN (serum)
    Description
    Measure of renal function and protein turnover
    Time Frame
    Week 24
    Title
    Concentration of Creatinine (serum)
    Description
    Measure of renal function
    Time Frame
    Week 2
    Title
    Concentration of Creatinine (serum)
    Description
    Measure of renal function
    Time Frame
    Week 6
    Title
    Concentration of Creatinine (serum)
    Description
    Measure of renal function
    Time Frame
    Week 12
    Title
    Concentration of Creatinine (serum)
    Description
    Measure of renal function
    Time Frame
    Week 24
    Title
    Glomerular Filtration Rate, estimated (eGFR)
    Description
    Measure of renal function
    Time Frame
    Week 2
    Title
    Glomerular Filtration Rate, estimated (eGFR)
    Description
    Measure of renal function
    Time Frame
    Week 6
    Title
    Glomerular Filtration Rate, estimated (eGFR)
    Description
    Measure of renal function
    Time Frame
    Week 12
    Title
    Glomerular Filtration Rate, estimated (eGFR)
    Description
    Measure of renal function
    Time Frame
    Week 24
    Title
    Concentration of Alanine aminotransferase (serum)
    Description
    Measure of liver function
    Time Frame
    Week 2
    Title
    Concentration of Alanine aminotransferase (serum)
    Description
    Measure of liver function
    Time Frame
    Week 6
    Title
    Concentration of Alanine aminotransferase (serum)
    Description
    Measure of liver function
    Time Frame
    Week 12
    Title
    Concentration of Alanine aminotransferase (serum)
    Description
    Measure of liver function
    Time Frame
    Week 24
    Title
    Concentration of Aspartate aminotransferase (serum)
    Description
    Measure of liver function
    Time Frame
    Week 2
    Title
    Concentration of Aspartate aminotransferase (serum)
    Description
    Measure of liver function
    Time Frame
    Week 6
    Title
    Concentration of Aspartate aminotransferase (serum)
    Description
    Measure of liver function
    Time Frame
    Week 12
    Title
    Concentration of Aspartate aminotransferase (serum)
    Description
    Measure of liver function
    Time Frame
    Week 24
    Title
    Concentration of Thyroid Stimulating Hormone
    Description
    Measure of thyroid activity
    Time Frame
    Week 2
    Title
    Concentration of Thyroid Stimulating Hormone
    Description
    Measure of thyroid activity
    Time Frame
    Week 6
    Title
    Concentration of Thyroid Stimulating Hormone
    Description
    Measure of thyroid activity
    Time Frame
    Week 12
    Title
    Concentration of Thyroid Stimulating Hormone
    Description
    Measure of thyroid activity
    Time Frame
    Week 24
    Title
    Concentration of Calcitonin
    Description
    Measure of bone formation
    Time Frame
    Week 12
    Title
    Concentration of Osteocalcin
    Description
    Measure of bone formation
    Time Frame
    Week 12
    Title
    Concentration of Bone-Specific Alkaline Phosphatase
    Description
    Measure of bone turnover
    Time Frame
    Week 12
    Title
    Concentration of Procollagen Type I Intact N Terminal Propeptide (PINP)
    Description
    Measure of bone formation
    Time Frame
    Week 12
    Title
    Concentration of Collagen Type I C-Telopeptide (CTx)
    Description
    Measure of bone resorption
    Time Frame
    Week 12

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Maximum Age & Unit of Time
    70 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: ● Adults 18-70 years of age Active diagnosis of non-valvular atrial fibrillation - including paroxysmal, persistent, or long-standing persistent AF with typical electrocardiographic characteristics (i.e., absence of identifiable p-waves with irregularly irregular ventricular rate) without known complications, heart disease, or congenital heart defects (e.g., rapid ventricular rate, recent myocardial infarction, heart failure, stroke, cardiomyopathy, etc.) and/or with a formal diagnosis from a healthcare professional. A European Heart Rhythm Association (EHRA) score greater than 1 (i.e., mild symptoms, normal daily activity not affected). On a stable dose of all medications prior to study entry (i.e., consistent dose for a minimum of three months) Willing to be randomized to take daily ionized calcium as a dietary supplement or placebo over the 24-week study period On a stable dose of dietary supplements for at least one month prior to enrollment Willing to avoid initiation of new supplements and/or medications unless otherwise indicated by a healthcare professional Willing to have blood drawn on 6 occasions, and fast for 10-12 hours before blood draws, over the study period Able to communicate via email, complete computer-administered questionnaires, and to read and write in English. Must be able to provide written informed consent Non-smokers (including tobacco and cannabis products, combusted or vaporized) Approved to be eligible for study participation at the discretion of the Principal Investigators, after review of the Formal Eligibility Screen results. Willing to avoid taking dietary supplements containing the following ingredients for the 24 weeks of study involvement: additional supplemental calcium in any form, vitamin D, vitamin K, selenium, magnesium, or zinc. Exclusion Criteria: ● Individuals with a current or past diagnosis of permanent AF Individuals with any thyroid or parathyroid disorders, or current use of thyroid medication for any reason. Individuals with chronic kidney or liver disease, cancer, colorectal disease, and "other rare disorders". Individuals with a current diagnosis of Congestive Heart Failure (CHF). Individuals with a current or past diagnosis of Traumatic Brain Injury (TBI) or Cerebrovascular Accident (CVA)/Stroke. Use of dihydropyridine or non-dihydropyridine calcium channel blockers for any reason Not on a stable dose of anti-coagulant or anti-platelet prescription medications (i.e., consistent dose for a minimum of three months) CHA2DS2-VASC score of ≥ 2 and NOT on a stable dose (i.e. stable for at least 3 months) of oral anti-coagulant medication/therapy. HAS-BLED score ≥ 3 Abnormalities in coagulation studies (e.g., INR ≤ 2 or ≥ 3.0) or hypercalcemia at the clinical screening visit. Blood pressure ≥ 140/90 mmHg at the clinical screening visit. Current involvement or within 14 days prior to screening of a significant diet or weight loss program (such as NutriSystem, Jenny Craig, Atkin's or other low-carb diet programs) or very low-calorie liquid diet programs (such as Optifast, Medifast, and/or HMR) Hospitalization (for any reason other than a scheduled medical procedure unrelated to AF) within 3 months prior to screening Cardiac surgery within 3 months prior to screening Malignancy within the last 5 years (with the exception of basal cell carcinoma, squamous cell carcinoma, and/or carcinoma in situ of the cervix) Women who are lactating, pregnant or planning pregnancy within the next six months Intake of ≥ 2 standardized alcohol-containing beverages per day, 14 per week, or ≥4 in any single day within the past 14 days. Women of child-bearing age, who are sexually active and are unwilling to use an appropriate form of contraception during the duration of the trial. Smoking tobacco or nicotine products (combusted or vaporized) Use of illicit drugs/substances (such as but not limited to cocaine, phencyclidine (PCP), and methamphetamine) within 14 days of screening Currently participating in another interventional research study, or participated in another interventional research study within 14 days of screening Do not have an active primary care provider or specialist (i.e., cardiologist) managing their atrial fibrillation Current use of: dietary supplements or medications utilized for chelation purposes (i.e., ethylenediaminetetraacetic acid; EDTA), or of chemotherapeutic agents. Allergy to corn
    Central Contact Person:
    First Name & Middle Initial & Last Name or Official Title & Degree
    Ryan Bradley, ND, MPH
    Phone
    503-552-1862
    Email
    rbradley@nunm.edu
    First Name & Middle Initial & Last Name or Official Title & Degree
    Anders Gundersen, MS
    Phone
    503-552-1752
    Email
    agundersen@nunm.edu
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Ryan Bradley
    Organizational Affiliation
    National University of Natural Medicine
    Official's Role
    Principal Investigator

    12. IPD Sharing Statement

    Learn more about this trial

    Antiorbital Calcium in Atrial Fibrillation

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