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Bioavailability of Magnesium Supplements

Primary Purpose

Healthy, Magnesium Deficiency

Status
Completed
Phase
Not Applicable
Locations
Canada
Study Type
Interventional
Intervention
Magnesium
Placebo
Sponsored by
Natural Calm Canada
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional other trial for Healthy

Eligibility Criteria

35 Years - 65 Years (Adult, Older Adult)FemaleAccepts Healthy Volunteers

Inclusion Criteria:

  • Female 35-65 years of age
  • Post-menopausal (greater than 1 year since last menses)
  • Healthy as determined by blood chemistry, hematology, urinalysis and past medical history
  • BMI 18-27.5 kg/m2
  • Normal blood magnesium between 0.65 and 1.05mmol/L
  • Normal urinary creatinine clearance 1.18 - 2.18mL/s
  • Non-smoker or ex-smoker for greater than 6 months
  • Agrees to maintain current dietary and physical activity habits for the duration of the study period except as instructed during run-in periods and on test days
  • Willing and able to provide voluntary, written, informed consent

Exclusion Criteria:

  • Woman who is peri-menopausal, premenopausal, pregnant, breastfeeding, or planning to become pregnant during the course of the trial
  • Significant cardiac history defined as a history of myocardial infarction (MI); coronary angioplasty or bypass graft(s); valvular disease or repair; unstable angina pectoris; trans ischemic attack (TIA); cerebrovascular accidents (CVA); congestive heart failure; or coronary artery disease (CAD)
  • Uncontrolled hypertension defined as untreated systolic blood pressure > 160 mmHg and/or diastolic blood pressure > 100 mmHg
  • Uncontrolled diabetes defined as fasting blood glucose > 7 mmol/L
  • Treated or untreated thyroid disorders
  • History of renal and/or liver disease
  • History of clinically significant gastrointestinal pathology (e.g. chronic diarrhea, inflammatory bowel disease) unresolved gastrointestinal symptoms (e. g. diarrhea, vomiting) or other diseases known to interfere with absorption, distribution, metabolism or excretion of the IP or comparators
  • History of (in previous 5 years), or currently being treated for cancer (excluding basal cell skin carcinoma)
  • Unstable psychiatric disorder
  • Acute illness, as judged by the Investigator, within 2 weeks of the first treatment period (Visit 3a)
  • Immunocompromised individuals such as participants that have undergone organ transplantation or participants diagnosed with human immunodeficiency virus (HIV)
  • History of hemoglobinopathies such as sickle cell anemia or thalassemia, sideroblastic anemia
  • Significant abnormal liver function as defined as AST and/or ALT > 2x the upper limit of normal (ULN), and/or bilirubin > 2 x the ULN
  • Serum creatinine > 95 umol/L
  • Anemia of any etiology defined as hemoglobin < 110 g/L for females
  • Use of anticoagulants, statins, or any other medication for the treatment of hypercholesterolemia and/or hypertension
  • Use of prescribed medication or over the counter supplements for weight loss
  • Use of acute medication, including antacids, within 72 hours of study supplement dose
  • Use of over the counter or prescription products containing magnesium and/or calcium (e.g. multivitamins, calcium carbonate, etc.) within 2 weeks of screening (Visit 1a)
  • Use of medications known to interact or interfere with magnesium absorption (See section 3.8.2)
  • Use of nicotine-containing products in any form (eg, chewing tobacco, gum, patch) within 30 days of the first test period (Visit 3a)
  • Use of caffeine supplements
  • Consumption of more than 50g of chocolate per day
  • Excessive consumption of caffeinated beverages (e.g. >2 cups of any combination of tea, coffee, energy drinks, caffeinated soda, etc. per day) or participants who experience caffeine withdrawal headaches
  • Allergy or sensitivity to study supplement ingredients
  • Food allergies or sensitivities to any of the foods outlined in Appendix 2.
  • Vegan or vegetarian
  • Recent change in weight (up or down more than 10 % of usual body weight, within the past year)
  • Participants who work, evening or night shifts
  • Donation or loss of whole blood prior to the administration of the study product as follows: 50-300 mL of whole blood within 30 days, 301-500 mL of whole blood within 45 days or more than 500 mL within 56 days prior to the administration of the IP or comparators
  • Presence or history (past 6 months) of alcohol or drug abuse; alcohol use of >2 standard alcoholic drinks per day
  • Participant is unwilling or unable to abide by the requirements of the protocol
  • Any condition that would interfere with the participant's ability to comply with study instructions, might confound the interpretation of the study, or put the participant at risk
  • Participant has taken an investigational medicine or has participated in a research study within 30 days prior to the run-in period (Visit 2a)

Sites / Locations

  • Nutrasource

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm Type

Experimental

Active Comparator

Active Comparator

Active Comparator

Placebo Comparator

Arm Label

Natural Calm Magnesium

Magnesium Bis-glycinate

MAGSmart

Magnesium citrate

Placebo

Arm Description

150mg elemental magnesium in a single oral dose

150mg elemental magnesium in a single oral dose

150mg elemental magnesium in a single oral dose

150mg elemental magnesium in a single oral dose

Outcomes

Primary Outcome Measures

Serum Magnesium AUC
serum magnesium area under the concentration time curve
Urinary Magnesium AUC
urine magnesium area under the concentration time curve

Secondary Outcome Measures

Serum Magnesium AUC
serum magnesium area under the concentration time curve
Urine Magnesium AUC
urine magnesium area under the concentration time curve
Urine Magnesium AUC
urine magnesium area under the concentration time curve
Serum Magnesium Cmax
serum magnesium maximum concentration
Serum Magnesium Tmax
serum magnesium time of maximum concentration
Urine Magnesium Cmax
urine magnesium maximum concentration
Urine Magnesium Tmax
urine magnesium time of maximum concentration
Total urine magnesium
total amount of magnesium collected in urine over 24h bioavailability period

Full Information

First Posted
November 21, 2017
Last Updated
November 27, 2017
Sponsor
Natural Calm Canada
Collaborators
Nutrasource Pharmaceutical and Nutraceutical Services, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT03353636
Brief Title
Bioavailability of Magnesium Supplements
Official Title
A Randomized, Double-blind, Placebo-controlled, Crossover Trial to Compare the Bioavailability of Magnesium From Magnesium Carbonate Powder With Three Marketed Magnesium Supplements
Study Type
Interventional

2. Study Status

Record Verification Date
November 2017
Overall Recruitment Status
Completed
Study Start Date
June 27, 2016 (Actual)
Primary Completion Date
February 3, 2017 (Actual)
Study Completion Date
February 6, 2017 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Natural Calm Canada
Collaborators
Nutrasource Pharmaceutical and Nutraceutical Services, Inc.

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 primary objective of this clinical trial is to demonstrate the superiority of Natural Calm magnesium powder with respect to absorption when compared to three marketed forms of magnesium (two magnesium bisglycinate powders and magnesium citrate capsules). The primary endpoints were serum magnesium AUC (0-8h) and urine magnesium AUC (0-8h) after a single dose of 150 mg elemental magnesium.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Healthy, Magnesium Deficiency

7. Study Design

Primary Purpose
Other
Study Phase
Not Applicable
Interventional Study Model
Crossover Assignment
Model Description
Five period crossover study
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
12 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Natural Calm Magnesium
Arm Type
Experimental
Arm Description
150mg elemental magnesium in a single oral dose
Arm Title
Magnesium Bis-glycinate
Arm Type
Active Comparator
Arm Description
150mg elemental magnesium in a single oral dose
Arm Title
MAGSmart
Arm Type
Active Comparator
Arm Description
150mg elemental magnesium in a single oral dose
Arm Title
Magnesium citrate
Arm Type
Active Comparator
Arm Description
150mg elemental magnesium in a single oral dose
Arm Title
Placebo
Arm Type
Placebo Comparator
Intervention Type
Dietary Supplement
Intervention Name(s)
Magnesium
Intervention Description
150mg elemental magnesium
Intervention Type
Dietary Supplement
Intervention Name(s)
Placebo
Intervention Description
Rice flour
Primary Outcome Measure Information:
Title
Serum Magnesium AUC
Description
serum magnesium area under the concentration time curve
Time Frame
0-8 hours
Title
Urinary Magnesium AUC
Description
urine magnesium area under the concentration time curve
Time Frame
0-12 hours
Secondary Outcome Measure Information:
Title
Serum Magnesium AUC
Description
serum magnesium area under the concentration time curve
Time Frame
0-12 hours
Title
Urine Magnesium AUC
Description
urine magnesium area under the concentration time curve
Time Frame
0-12 hours
Title
Urine Magnesium AUC
Description
urine magnesium area under the concentration time curve
Time Frame
0-24 hours
Title
Serum Magnesium Cmax
Description
serum magnesium maximum concentration
Time Frame
12 hours
Title
Serum Magnesium Tmax
Description
serum magnesium time of maximum concentration
Time Frame
12 hours
Title
Urine Magnesium Cmax
Description
urine magnesium maximum concentration
Time Frame
24 hours
Title
Urine Magnesium Tmax
Description
urine magnesium time of maximum concentration
Time Frame
24 hours
Title
Total urine magnesium
Description
total amount of magnesium collected in urine over 24h bioavailability period
Time Frame
24 hours

10. Eligibility

Sex
Female
Minimum Age & Unit of Time
35 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Female 35-65 years of age Post-menopausal (greater than 1 year since last menses) Healthy as determined by blood chemistry, hematology, urinalysis and past medical history BMI 18-27.5 kg/m2 Normal blood magnesium between 0.65 and 1.05mmol/L Normal urinary creatinine clearance 1.18 - 2.18mL/s Non-smoker or ex-smoker for greater than 6 months Agrees to maintain current dietary and physical activity habits for the duration of the study period except as instructed during run-in periods and on test days Willing and able to provide voluntary, written, informed consent Exclusion Criteria: Woman who is peri-menopausal, premenopausal, pregnant, breastfeeding, or planning to become pregnant during the course of the trial Significant cardiac history defined as a history of myocardial infarction (MI); coronary angioplasty or bypass graft(s); valvular disease or repair; unstable angina pectoris; trans ischemic attack (TIA); cerebrovascular accidents (CVA); congestive heart failure; or coronary artery disease (CAD) Uncontrolled hypertension defined as untreated systolic blood pressure > 160 mmHg and/or diastolic blood pressure > 100 mmHg Uncontrolled diabetes defined as fasting blood glucose > 7 mmol/L Treated or untreated thyroid disorders History of renal and/or liver disease History of clinically significant gastrointestinal pathology (e.g. chronic diarrhea, inflammatory bowel disease) unresolved gastrointestinal symptoms (e. g. diarrhea, vomiting) or other diseases known to interfere with absorption, distribution, metabolism or excretion of the IP or comparators History of (in previous 5 years), or currently being treated for cancer (excluding basal cell skin carcinoma) Unstable psychiatric disorder Acute illness, as judged by the Investigator, within 2 weeks of the first treatment period (Visit 3a) Immunocompromised individuals such as participants that have undergone organ transplantation or participants diagnosed with human immunodeficiency virus (HIV) History of hemoglobinopathies such as sickle cell anemia or thalassemia, sideroblastic anemia Significant abnormal liver function as defined as AST and/or ALT > 2x the upper limit of normal (ULN), and/or bilirubin > 2 x the ULN Serum creatinine > 95 umol/L Anemia of any etiology defined as hemoglobin < 110 g/L for females Use of anticoagulants, statins, or any other medication for the treatment of hypercholesterolemia and/or hypertension Use of prescribed medication or over the counter supplements for weight loss Use of acute medication, including antacids, within 72 hours of study supplement dose Use of over the counter or prescription products containing magnesium and/or calcium (e.g. multivitamins, calcium carbonate, etc.) within 2 weeks of screening (Visit 1a) Use of medications known to interact or interfere with magnesium absorption (See section 3.8.2) Use of nicotine-containing products in any form (eg, chewing tobacco, gum, patch) within 30 days of the first test period (Visit 3a) Use of caffeine supplements Consumption of more than 50g of chocolate per day Excessive consumption of caffeinated beverages (e.g. >2 cups of any combination of tea, coffee, energy drinks, caffeinated soda, etc. per day) or participants who experience caffeine withdrawal headaches Allergy or sensitivity to study supplement ingredients Food allergies or sensitivities to any of the foods outlined in Appendix 2. Vegan or vegetarian Recent change in weight (up or down more than 10 % of usual body weight, within the past year) Participants who work, evening or night shifts Donation or loss of whole blood prior to the administration of the study product as follows: 50-300 mL of whole blood within 30 days, 301-500 mL of whole blood within 45 days or more than 500 mL within 56 days prior to the administration of the IP or comparators Presence or history (past 6 months) of alcohol or drug abuse; alcohol use of >2 standard alcoholic drinks per day Participant is unwilling or unable to abide by the requirements of the protocol Any condition that would interfere with the participant's ability to comply with study instructions, might confound the interpretation of the study, or put the participant at risk Participant has taken an investigational medicine or has participated in a research study within 30 days prior to the run-in period (Visit 2a)
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Anthony Bier, MD
Organizational Affiliation
Nutrasource Pharmaceutical and Nutraceutical Services, Inc.
Official's Role
Principal Investigator
Facility Information:
Facility Name
Nutrasource
City
Guelph
State/Province
Ontario
ZIP/Postal Code
N1G 0B4
Country
Canada

12. IPD Sharing Statement

Plan to Share IPD
No

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Bioavailability of Magnesium Supplements

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