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Safety and Efficacy of Orally Administered NUV001 Nutraceutical Supplement in Sickle Cell Disease Patients

Primary Purpose

Sickle Cell Disease

Status
Recruiting
Phase
Not Applicable
Locations
India
Study Type
Interventional
Intervention
NUV001 - IR
NUV001 - GR
Placebo
Sponsored by
LGD
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional other trial for Sickle Cell Disease focused on measuring Hb-SS, Hb S/β0-Thal

Eligibility Criteria

18 Years - 65 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria: Men or women over 18 to 65 years, both inclusive. Non-smokers. BMI > 18 kg/m2 Patients diagnosed with sickle cell disease (documented by haemoglobin electrophoresis) and carrying SS or Sbeta0 versions of the beta globin gene (documented by genotyping, known through medical history). Haemoglobin levels between 5.5 and 10.5 g/dl during Screening (for newly diagnosed or patients not on any treatment for SCD). If the patient has been treated with an anti-sickling agent within three months of the Screening visit, the therapy must have been continuous for at least three months with the intent to continue for the duration of the study. Available to attend on an outpatient basis for visits provided for in the protocol and able to complete the data collection documents (compliance and quality of life scale) Patient or the patient's legally authorized representative has given written informed consent. Exclusion Criteria: Patients with known or suspected allergy to any ingredient of the food supplement Patient having consumed vitamin or food supplements containing NAD+ precursors (niacin, tryptophan, nicotinamide, NMN, NR etc...) during the month before selection. Patient has a significant medical condition that required hospitalization (other than sickle cell crisis) within two months of the screening visit. Patient has prothrombin time INR > 2.0. Patient has serum albumin less than 3.0 g/dl. Patient has received any blood products within three months of the Screening visit. Patients hospitalized for acute vaso-occlusive crisis within one month of the Screening visit. Patient has clinically significant, cardiovascular or liver disease or renal insufficiency or lymphopenia , evident in medical history (with clinically significant abnormal results on the Screening bioassays for eg.: Complete blood count, Aspartate transaminases, Alanine transaminases, Gamma glutamyl transferase, Alkaline Phosphatase, Bilirubin, Creatinine, Creatinine Phosphokinase, Blood Glucose, HbA1c, Lipid Profile). Patient with diagnosed cancer in the past 2 years. Patients participating simultaneously in another clinical research protocol or having recently participated in another research for which the exclusion period has not been completed. Pregnant, lactating or parturient women. Persons deprived of their liberty by a judicial or administrative decision, hospitalized without consent or admitted to a health or social establishment for purposes other than that of research. Majors under legal protection or unable to express their consent. People in an emergency situation unable to express their prior consent.

Sites / Locations

  • Aman Hospital and Research CenterRecruiting
  • Kingsway HospitalRecruiting
  • Shree Samarth HospitalRecruiting

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Experimental

Placebo Comparator

Arm Label

NUV001 - IR

NUV001 - GR

Placebo

Arm Description

Sickle cell disease patients receiving NUV001 Immediate release gel capsule formulation

Sickle cell disease patients receiving NUV001 Gastro resistant gel capsule formulation

Sickle cell disease patients receiving Placebo

Outcomes

Primary Outcome Measures

Safety as measured by subject incident of treatment-emergent adverse events
Subject incidence of treatment-emergent adverse events
Safety as measured by subject incident of treatment-emergent adverse events
Subject incidence of treatment-emergent adverse events
Safety as measured by subject incident of treatment-emergent adverse events
Subject incidence of treatment-emergent adverse events
Safety as measured by subject incident of treatment-emergent clinically significant changes in clinical laboratory safety tests
Subject incidence of treatment-emergent clinically significant changes in clinical laboratory safety tests (Complete Blood Count (absolute counts and %), Random blood glucose concentration and Serum concentrations in Calcium, Electrolytes, Protein, Albumin, Alkaline Phosphatase, Bilirubin, Blood urea nitrogen, Creatinine, Aspartate Aminotransferase, Alanine Aminotransferase)
Safety as measured by subject incident of treatment-emergent clinically significant changes in clinical laboratory safety tests
Subject incidence of treatment-emergent clinically significant changes in clinical laboratory safety tests (Complete Blood Count (absolute counts and %), Random blood glucose concentration and Serum concentrations in Calcium, Electrolytes, Protein, Albumin, Alkaline Phosphatase, Bilirubin, Blood urea nitrogen, Creatinine, Aspartate Aminotransferase, Alanine Aminotransferase)
Safety as measured by subject incident of treatment-emergent clinically significant changes in clinical laboratory safety tests
Subject incidence of treatment-emergent clinically significant changes in clinical laboratory safety tests (Complete Blood Count (absolute counts and %), Random blood glucose concentration and Serum concentrations in Calcium, Electrolytes, Protein, Albumin, Alkaline Phosphatase, Bilirubin, Blood urea nitrogen, Creatinine, Aspartate Aminotransferase, Alanine Aminotransferase)
Safety as measured by subject incident of treatment-emergent clinically significant changes in vital signs
Subject incidence of treatment-emergent clinically significant changes in vital signs (Systolic and Diastolic Blood Pressure in millimeters of mercury (mmHg), Pulse Rate in beats per minute (bpm), Respiration Rate in number of breaths per minute and Body temperature in Celsius)
Safety as measured by subject incident of treatment-emergent clinically significant changes in vital signs
Subject incidence of treatment-emergent clinically significant changes in vital signs (Systolic and Diastolic Blood Pressure in millimeters of mercury (mmHg), Pulse Rate in beats per minute (bpm), Respiration Rate in number of breaths per minute and Body temperature in Celsius)
Safety as measured by subject incident of treatment-emergent clinically significant changes in vital signs
Subject incidence of treatment-emergent clinically significant changes in vital signs (Systolic and Diastolic Blood Pressure in millimeters of mercury (mmHg), Pulse Rate in beats per minute (bpm), Respiration Rate in number of breaths per minute and Body temperature in Celsius)

Secondary Outcome Measures

Change in the % of F-hemoglobin positive cells
Change in F-Hb content in RBCs
% of total hemoglobin measured by HP-LC
Change in RBC sickling
% of circulating irreversibly sickled cells
Change in hematocrit
% of RBC in blood
Change in indirect bilirubin level
Indirect bilirubin level expressed in mg/dL
Change in reticulocyte level
reticulocytes count expressed in percentage of red blood cells
Change in serum lactate dehydrogenase level
Serum lactate dehydrogenase expressed in international units per liter (IU/L)
ASCQ-Me Questionnaire (Adult Sickle Cell Quality of Life Measurement Information System)
Questionnaire on acute and/or chronic pain, energy level, usage of pain medications and activity levels
Change in pain perception
Evaluation of pain intensity for each body location (using a numeric pain rating scale from 0, no pain to 10 worst possible pain)
Pain relief assessment
Evaluation and evaluation of pain relief (pain relief scale in percent from 0%, no relief to 100% complete relief)

Full Information

First Posted
February 21, 2023
Last Updated
April 24, 2023
Sponsor
LGD
Collaborators
ProRelix Services LLP
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1. Study Identification

Unique Protocol Identification Number
NCT05791591
Brief Title
Safety and Efficacy of Orally Administered NUV001 Nutraceutical Supplement in Sickle Cell Disease Patients
Official Title
A Multicenter, Randomized, Double Blind, Placebo Controlled Study to Evaluate Safety and Efficacy of Orally Administered NUV001 Nutraceutical Supplement in Sickle Cell Disease Patients.
Study Type
Interventional

2. Study Status

Record Verification Date
April 2023
Overall Recruitment Status
Recruiting
Study Start Date
April 15, 2023 (Actual)
Primary Completion Date
November 1, 2023 (Anticipated)
Study Completion Date
December 31, 2023 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
LGD
Collaborators
ProRelix Services LLP

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
A total of 170 patients male or female who are carrying SS or Sbeta0 versions of the beta globin gene will be included in the study. The subjects will be assigned with 1:1:1 ratio of either NUV001 Immediate release IR or NUV001 Gastro resistant GR or Placebo. The treatment duration of the study will be 90 days which has in total 5 visits. The primary end point of this study is to check the safety and tolerance of the orally administered nutraceutical supplement. This endpoint will be checked by assessing the Adverse events, Vital signs of the subject and the Change in hematological parameters from Baseline to Final visit.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Sickle Cell Disease
Keywords
Hb-SS, Hb S/β0-Thal

7. Study Design

Primary Purpose
Other
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
170 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
NUV001 - IR
Arm Type
Experimental
Arm Description
Sickle cell disease patients receiving NUV001 Immediate release gel capsule formulation
Arm Title
NUV001 - GR
Arm Type
Experimental
Arm Description
Sickle cell disease patients receiving NUV001 Gastro resistant gel capsule formulation
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Sickle cell disease patients receiving Placebo
Intervention Type
Dietary Supplement
Intervention Name(s)
NUV001 - IR
Intervention Description
Daily supplementation with 1000 mg of NUV001 (in two administration orally) immediate release gel capsule formulation for 90 days in total
Intervention Type
Dietary Supplement
Intervention Name(s)
NUV001 - GR
Intervention Description
Daily supplementation with 1000 mg of NUV001 (in two administration orally) gastro resistant gel capsule formulation for 90 days in total
Intervention Type
Dietary Supplement
Intervention Name(s)
Placebo
Intervention Description
Placebo containing starch Powder (1000 mg, daily in two administration orally for 90 days)
Primary Outcome Measure Information:
Title
Safety as measured by subject incident of treatment-emergent adverse events
Description
Subject incidence of treatment-emergent adverse events
Time Frame
between Day 0 and Day 30
Title
Safety as measured by subject incident of treatment-emergent adverse events
Description
Subject incidence of treatment-emergent adverse events
Time Frame
between Day 0 and Day 60
Title
Safety as measured by subject incident of treatment-emergent adverse events
Description
Subject incidence of treatment-emergent adverse events
Time Frame
between Day 0 and Day 90
Title
Safety as measured by subject incident of treatment-emergent clinically significant changes in clinical laboratory safety tests
Description
Subject incidence of treatment-emergent clinically significant changes in clinical laboratory safety tests (Complete Blood Count (absolute counts and %), Random blood glucose concentration and Serum concentrations in Calcium, Electrolytes, Protein, Albumin, Alkaline Phosphatase, Bilirubin, Blood urea nitrogen, Creatinine, Aspartate Aminotransferase, Alanine Aminotransferase)
Time Frame
between Day 0 and Day 30
Title
Safety as measured by subject incident of treatment-emergent clinically significant changes in clinical laboratory safety tests
Description
Subject incidence of treatment-emergent clinically significant changes in clinical laboratory safety tests (Complete Blood Count (absolute counts and %), Random blood glucose concentration and Serum concentrations in Calcium, Electrolytes, Protein, Albumin, Alkaline Phosphatase, Bilirubin, Blood urea nitrogen, Creatinine, Aspartate Aminotransferase, Alanine Aminotransferase)
Time Frame
between Day 0 and Day 60
Title
Safety as measured by subject incident of treatment-emergent clinically significant changes in clinical laboratory safety tests
Description
Subject incidence of treatment-emergent clinically significant changes in clinical laboratory safety tests (Complete Blood Count (absolute counts and %), Random blood glucose concentration and Serum concentrations in Calcium, Electrolytes, Protein, Albumin, Alkaline Phosphatase, Bilirubin, Blood urea nitrogen, Creatinine, Aspartate Aminotransferase, Alanine Aminotransferase)
Time Frame
between Day 0 and Day 90
Title
Safety as measured by subject incident of treatment-emergent clinically significant changes in vital signs
Description
Subject incidence of treatment-emergent clinically significant changes in vital signs (Systolic and Diastolic Blood Pressure in millimeters of mercury (mmHg), Pulse Rate in beats per minute (bpm), Respiration Rate in number of breaths per minute and Body temperature in Celsius)
Time Frame
between Day 0 and Day 30
Title
Safety as measured by subject incident of treatment-emergent clinically significant changes in vital signs
Description
Subject incidence of treatment-emergent clinically significant changes in vital signs (Systolic and Diastolic Blood Pressure in millimeters of mercury (mmHg), Pulse Rate in beats per minute (bpm), Respiration Rate in number of breaths per minute and Body temperature in Celsius)
Time Frame
between Day 0 and Day 60
Title
Safety as measured by subject incident of treatment-emergent clinically significant changes in vital signs
Description
Subject incidence of treatment-emergent clinically significant changes in vital signs (Systolic and Diastolic Blood Pressure in millimeters of mercury (mmHg), Pulse Rate in beats per minute (bpm), Respiration Rate in number of breaths per minute and Body temperature in Celsius)
Time Frame
between Day 0 and Day 90
Secondary Outcome Measure Information:
Title
Change in the % of F-hemoglobin positive cells
Time Frame
Day 0, Day 30, Day 60, Day 90
Title
Change in F-Hb content in RBCs
Description
% of total hemoglobin measured by HP-LC
Time Frame
Day 0, Day 30, Day 60, Day 90
Title
Change in RBC sickling
Description
% of circulating irreversibly sickled cells
Time Frame
Day 0, Day 30, Day 60, Day 90
Title
Change in hematocrit
Description
% of RBC in blood
Time Frame
Day 0, Day 30, Day 60, Day 90
Title
Change in indirect bilirubin level
Description
Indirect bilirubin level expressed in mg/dL
Time Frame
Day 0, Day 30, Day 60, Day 90
Title
Change in reticulocyte level
Description
reticulocytes count expressed in percentage of red blood cells
Time Frame
Day 0, Day 30, Day 60, Day 90
Title
Change in serum lactate dehydrogenase level
Description
Serum lactate dehydrogenase expressed in international units per liter (IU/L)
Time Frame
Day 0, Day 30, Day 60, Day 90
Title
ASCQ-Me Questionnaire (Adult Sickle Cell Quality of Life Measurement Information System)
Description
Questionnaire on acute and/or chronic pain, energy level, usage of pain medications and activity levels
Time Frame
Day 0, Day 30, Day 60, Day 90
Title
Change in pain perception
Description
Evaluation of pain intensity for each body location (using a numeric pain rating scale from 0, no pain to 10 worst possible pain)
Time Frame
Day 0, Day 30, Day 60, Day 90
Title
Pain relief assessment
Description
Evaluation and evaluation of pain relief (pain relief scale in percent from 0%, no relief to 100% complete relief)
Time Frame
Day 0, Day 30, Day 60, Day 90

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Men or women over 18 to 65 years, both inclusive. Non-smokers. BMI > 18 kg/m2 Patients diagnosed with sickle cell disease (documented by haemoglobin electrophoresis) and carrying SS or Sbeta0 versions of the beta globin gene (documented by genotyping, known through medical history). Haemoglobin levels between 5.5 and 10.5 g/dl during Screening (for newly diagnosed or patients not on any treatment for SCD). If the patient has been treated with an anti-sickling agent within three months of the Screening visit, the therapy must have been continuous for at least three months with the intent to continue for the duration of the study. Available to attend on an outpatient basis for visits provided for in the protocol and able to complete the data collection documents (compliance and quality of life scale) Patient or the patient's legally authorized representative has given written informed consent. Exclusion Criteria: Patients with known or suspected allergy to any ingredient of the food supplement Patient having consumed vitamin or food supplements containing NAD+ precursors (niacin, tryptophan, nicotinamide, NMN, NR etc...) during the month before selection. Patient has a significant medical condition that required hospitalization (other than sickle cell crisis) within two months of the screening visit. Patient has prothrombin time INR > 2.0. Patient has serum albumin less than 3.0 g/dl. Patient has received any blood products within three months of the Screening visit. Patients hospitalized for acute vaso-occlusive crisis within one month of the Screening visit. Patient has clinically significant, cardiovascular or liver disease or renal insufficiency or lymphopenia , evident in medical history (with clinically significant abnormal results on the Screening bioassays for eg.: Complete blood count, Aspartate transaminases, Alanine transaminases, Gamma glutamyl transferase, Alkaline Phosphatase, Bilirubin, Creatinine, Creatinine Phosphokinase, Blood Glucose, HbA1c, Lipid Profile). Patient with diagnosed cancer in the past 2 years. Patients participating simultaneously in another clinical research protocol or having recently participated in another research for which the exclusion period has not been completed. Pregnant, lactating or parturient women. Persons deprived of their liberty by a judicial or administrative decision, hospitalized without consent or admitted to a health or social establishment for purposes other than that of research. Majors under legal protection or unable to express their consent. People in an emergency situation unable to express their prior consent.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Aditi Vaidya
Phone
+91 8602571013
Email
a.vaidya@prorelixresearch.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Matthias Canault, PhD
Organizational Affiliation
LGD
Official's Role
Study Director
Facility Information:
Facility Name
Aman Hospital and Research Center
City
Vadodara
State/Province
Gujarat
ZIP/Postal Code
Vadodara-390021
Country
India
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Aman Khanna, MD
Phone
9904402122
Email
amankhanna1974@gmail.com
Facility Name
Kingsway Hospital
City
Nagpur
State/Province
Maharashtra
ZIP/Postal Code
Nagpur-440001
Country
India
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Riya Ballikar, MD
Facility Name
Shree Samarth Hospital
City
Pune
State/Province
Maharashtra
ZIP/Postal Code
Pune-411011
Country
India
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Kannan Subramanian, MD
Phone
9860335084
Email
dockannan@gmail.com

12. IPD Sharing Statement

Plan to Share IPD
No

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Safety and Efficacy of Orally Administered NUV001 Nutraceutical Supplement in Sickle Cell Disease Patients

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