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Nutritional Intervention With the Dietary Supplement, Immunocal® in MCI Patients: Promotion of Brain Health

Primary Purpose

Mild Cognitive Impairment (MCI)

Status
Recruiting
Phase
Not Applicable
Locations
Canada
Study Type
Interventional
Intervention
Immunocal
Sponsored by
Immunotec Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional health services research trial for Mild Cognitive Impairment (MCI) focused on measuring MCI, AD, MRI, GSH, Immunocal, brain health, neuropsychological evaluation

Eligibility Criteria

55 Years - 85 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

This study is recruiting Mild Cognitive Impaired (MCI) patients from the Memory Clinic of the Jewish General Hospital only.

Inclusion Criteria:

Subjects meeting diagnostic criteria for MCI:

  • Age 55-85
  • Male or female
  • Non-smoker

To ensure that the subject can physically fit in the scanner:

  1. body weight ≤ 120 kg and
  2. with a linear dimension max 55cm (shoulders or belly) Expected to remain in the greater Montreal area for the duration of study.

Exclusion Criteria:

  • Presence of an active, systemic illness (e.g., cancer, rheumatoid arthritis, etc.) or other chronic neurological (e.g. Parkinson's disease, multiple sclerosis) or psychiatric (e.g. major depression, schizophrenia) disease.
  • Subjects taking other experimental medications or psychotropic agents.
  • Subjects with MRI contraindications such as pacemaker, aneurysm clips, artificial heart valves, metal fragments, foreign objects or claustrophobia.
  • Ambulatory subjects: As wheelchair-bound subjects present additional difficulties for transportation and MRI scanning.

Musculoskeletal abnormalities that preclude the ability of the subject to lie on his/her back for 1hr during MRI scanning.

  • Subjects who have a protein restricted diet as per their medical history.
  • Pregnancy
  • Subjects using N-acetylcysteine, α-lipoic acid supplements, other whey protein supplements or Vitamin C, within 2 months of enrolment and during the entire 6 months study period.
  • Allergies to milk proteins/ Milk protein intolerance

Sites / Locations

  • Memory Clinic/Jewish General HospitalRecruiting

Arms of the Study

Arm 1

Arm Type

Other

Arm Label

Interventional

Arm Description

Immunocal 20gm daily

Outcomes

Primary Outcome Measures

Change in GSH levels in the brain
Change in cerebral Glutathione levels of MCI patients measured by MRI/MRS scans

Secondary Outcome Measures

Change in plasma GSH:GSSG ratios measured by HPLC
To evaluate positive correlation between plasma GSH:GSSG ratios and changes in cerebral GSH
Evaluation of neuropsychological and cognitive functions
The Memory Clinic of JGH Neuropsychological evaluation questionnaire will be used to measure both neuropsychological and cognitive functions

Full Information

First Posted
February 6, 2018
Last Updated
February 9, 2021
Sponsor
Immunotec Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT03448055
Brief Title
Nutritional Intervention With the Dietary Supplement, Immunocal® in MCI Patients: Promotion of Brain Health
Official Title
Nutritional Intervention With the Cysteine-rich Whey Protein Isolate Dietary Supplement Immunocal® in MCI Patients: Promotion of Brain Health & Wellness During Aging and Oxidative Stress
Study Type
Interventional

2. Study Status

Record Verification Date
February 2021
Overall Recruitment Status
Recruiting
Study Start Date
February 5, 2018 (Actual)
Primary Completion Date
November 25, 2022 (Anticipated)
Study Completion Date
November 25, 2023 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Immunotec 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
Alzheimer disease (AD) is a dementing illness characterized by progressive neuronal degeneration, gliosis, and the accumulation of intracellular inclusions and extracellular deposits of amyloid in discrete regions of the basal forebrain, hippocampus, and the association cortices. Mild cognitive impairment (MCI) refers to individuals with cognitive impairment (often memory loss) that fails to meet clinical criteria for AD or another dementing illness.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Mild Cognitive Impairment (MCI)
Keywords
MCI, AD, MRI, GSH, Immunocal, brain health, neuropsychological evaluation

7. Study Design

Primary Purpose
Health Services Research
Study Phase
Not Applicable
Interventional Study Model
Single Group Assignment
Model Description
Nutritional supplemetation with Immunocal 20gm daily for 6 months (180 days)
Masking
None (Open Label)
Allocation
N/A
Enrollment
25 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Interventional
Arm Type
Other
Arm Description
Immunocal 20gm daily
Intervention Type
Dietary Supplement
Intervention Name(s)
Immunocal
Intervention Description
cysteine-rich whey protein isolate
Primary Outcome Measure Information:
Title
Change in GSH levels in the brain
Description
Change in cerebral Glutathione levels of MCI patients measured by MRI/MRS scans
Time Frame
Baseline compared to month 6 (180 days)
Secondary Outcome Measure Information:
Title
Change in plasma GSH:GSSG ratios measured by HPLC
Description
To evaluate positive correlation between plasma GSH:GSSG ratios and changes in cerebral GSH
Time Frame
Baseline compared to month 6 (180 days)
Title
Evaluation of neuropsychological and cognitive functions
Description
The Memory Clinic of JGH Neuropsychological evaluation questionnaire will be used to measure both neuropsychological and cognitive functions
Time Frame
Baseline compared to month 6 (180 days)

10. Eligibility

Sex
All
Minimum Age & Unit of Time
55 Years
Maximum Age & Unit of Time
85 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
This study is recruiting Mild Cognitive Impaired (MCI) patients from the Memory Clinic of the Jewish General Hospital only. Inclusion Criteria: Subjects meeting diagnostic criteria for MCI: Age 55-85 Male or female Non-smoker To ensure that the subject can physically fit in the scanner: body weight ≤ 120 kg and with a linear dimension max 55cm (shoulders or belly) Expected to remain in the greater Montreal area for the duration of study. Exclusion Criteria: Presence of an active, systemic illness (e.g., cancer, rheumatoid arthritis, etc.) or other chronic neurological (e.g. Parkinson's disease, multiple sclerosis) or psychiatric (e.g. major depression, schizophrenia) disease. Subjects taking other experimental medications or psychotropic agents. Subjects with MRI contraindications such as pacemaker, aneurysm clips, artificial heart valves, metal fragments, foreign objects or claustrophobia. Ambulatory subjects: As wheelchair-bound subjects present additional difficulties for transportation and MRI scanning. Musculoskeletal abnormalities that preclude the ability of the subject to lie on his/her back for 1hr during MRI scanning. Subjects who have a protein restricted diet as per their medical history. Pregnancy Subjects using N-acetylcysteine, α-lipoic acid supplements, other whey protein supplements or Vitamin C, within 2 months of enrolment and during the entire 6 months study period. Allergies to milk proteins/ Milk protein intolerance
Facility Information:
Facility Name
Memory Clinic/Jewish General Hospital
City
Montréal
State/Province
Quebec
ZIP/Postal Code
H3T 1E2
Country
Canada
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Chris Hosein, M.Ed, CCRP
Phone
514-340-8222
Ext
23621
Email
chosein@jgh.mcgill.ca
First Name & Middle Initial & Last Name & Degree
Hyman M. Schipper, MD, PhD, FRCPC

12. IPD Sharing Statement

Plan to Share IPD
No
Citations:
PubMed Identifier
28603087
Citation
Song W, Tavitian A, Cressatti M, Galindez C, Liberman A, Schipper HM. Cysteine-rich whey protein isolate (Immunocal(R)) ameliorates deficits in the GFAP.HMOX1 mouse model of schizophrenia. Free Radic Biol Med. 2017 Sep;110:162-175. doi: 10.1016/j.freeradbiomed.2017.05.025. Epub 2017 Jun 8.
Results Reference
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PubMed Identifier
28894506
Citation
Winter AN, Ross EK, Daliparthi V, Sumner WA, Kirchhof DM, Manning E, Wilkins HM, Linseman DA. A Cystine-Rich Whey Supplement (Immunocal(R)) Provides Neuroprotection from Diverse Oxidative Stress-Inducing Agents In Vitro by Preserving Cellular Glutathione. Oxid Med Cell Longev. 2017;2017:3103272. doi: 10.1155/2017/3103272. Epub 2017 Aug 15.
Results Reference
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Nutritional Intervention With the Dietary Supplement, Immunocal® in MCI Patients: Promotion of Brain Health

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