search
Back to results

Study to Assess the Relationship Between Daily Dosing of NRPT and Changes in Liver Fat in Healthy Volunteers

Primary Purpose

Fatty Liver

Status
Completed
Phase
Not Applicable
Locations
United States
Study Type
Interventional
Intervention
Group 1 NRPT
Group 2 NRPT
Group 3 Placebo
Sponsored by
Elysium Health
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Fatty Liver

Eligibility Criteria

18 Years - 70 Years (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  1. MRI-PDFF of at least 15%, as measured at Visit 2 (Baseline).
  2. Men or women between the ages of 18 and 70 years.
  3. BMI between 25.0 and 39.9 kg/m2.
  4. Non-smokers (>3 months of non-smoking).
  5. If on a statin regimen, history (> 1 month) of stable dose.
  6. Able to understand and cooperate with study procedures, and have signed a written informed consent prior to any study procedures.

Exclusion Criteria:

  1. Diagnosis of NASH (Non-Alcoholic Steatohepatitis).
  2. Bilirubin >2x ULN
  3. Other causes of liver inflammation including Hepatitis A, B or C, HIV, confirmed or suspected cirrhosis, Wilson's disease, autoimmune hepatitis, hemochromatosis, alcoholic steatohepatitis, pancreatitis, or prescription medications known to cause liver damage, or known to be hepatotoxic. (Evidence of hepatocellular injury or hepatocyte ballooning.)
  4. Subjects with a history of bariatric surgery.
  5. Significant weight loss (> 5% body weight) or rapid weight loss (> 1.6kg/week), within six (6) months of the Screening Visit.
  6. Current or recent (within six (6) months of the Screening Visit) history of significant gastrointestinal, renal, pulmonary, hepatic or biliary disease, endocrine diseases (Type II Diabetes permitted) or other invasive weight loss treatments.
  7. Individual taking prescription or over-the-counter medications, including dietary supplements, known to alter lipid metabolism or liver function, within four (4) weeks of randomization.
  8. Use of supplements containing pterostilbene, resveratrol, nicotinamide, or niacin, or consumption of red wine (more than 8 oz. per week) or blueberries (more than one serving per week).
  9. Pregnant or lactating women or women of childbearing potential who are not using an approved method of contraception. A woman is considered to be of childbearing potential unless she is post-hysterectomy, one or more years postmenopausal, or one or more years following tubal ligation.
  10. History of significant cardiovascular or coronary heart disease (CVD or CHD, respectively) as defined as having had a coronary artery bypass procedure, coronary stent or angioplasty, or myocardial infarction in the previous six (6) months.
  11. History of cancer, other than non-melanoma skin cancer and basal cell carcinoma, within the previous five years.
  12. Poorly controlled or uncontrolled hypertension (systolic blood pressure ≥160 mmHg and/or diastolic blood pressure ≥95 mmHg).
  13. Recent history of prolonged alcohol (>3 months) use (within past six (6) months) or excessive alcohol use, defined as >14 drinks per week (one drink = 12 oz. beer, 4 oz. wine, 1.5 oz. hard liquor).
  14. Exposure to any investigational agent within four (4) weeks or five (5) half-lives, prior to the Screening Visit.
  15. Subjects planning to undergo surgery during the study period or up to 1 month after the study
  16. Any serious psychiatric disease or disorder, which, in the opinion of the investigator, would preclude the subject from participating in the study.
  17. Any known intolerance to the investigational ingredients of this investigational product.
  18. Has a condition the Investigator believes would interfere with the evaluation of the subject, or may put the subject at undue risk during the course of the study, including potentially abnormal lab results, due to a traumatic event.

Sites / Locations

  • Indago Research and Health Center
  • Altus Research, Inc.
  • Lone Star Research Center
  • Med-Care Research Corp
  • Legacy Clinical Solutions: Sensible Healthcare, LLC
  • IMIC, Inc
  • Lenus Research & Medical Group
  • Barrett Clinic, P.C.
  • Trial Management Associates, LLC

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Experimental

Placebo Comparator

Arm Label

Group 1: 1X dose of NRPT

Group 2: 2X dose of NRPT

Group 3: Placebo

Arm Description

250 mg of NR and 50 mg of PT

500 mg of NR and 100 mg of PT

Placebo capsules contain microcrystalline cellulose, silicon dioxide and magnesium stearate

Outcomes

Primary Outcome Measures

Change in Fatty Liver Index
Change from Baseline in Fatty Liver Index (FLI) will be evaluated within each subject and compared between treatment groups. FLI: = (e^0.953*loge (triglycerides) + 0.139*BMI + 0.718*loge (GGT) + 0.053*waist circumference - 15.745) / (1 + e^0.953*loge (triglycerides) + 0.139*BMI + 0.718*loge (GGT) + 0.053*waist circumference - 15.745) * 100.
Change in Hepatic Fat Fraction
Change from Baseline in mean percent HFF across all nine Couinaud segments will be evaluated within each subject and compared between treatment groups.
Change in Insulin Resistance (HOMA-IR)
Change from Baseline in HOMA-IR will be evaluated within each subject and compared between treatment groups. HOMA-IR: = ([glucose x insulin]/450) For this measure, the comparison is between the placebo and the two IP groups at end-of-study
Change in liver fat content
To determine if there is a dose effect of NRPT on changes from baseline in liver fat content compared to placebo, as determined by MRI-PDFF.

Secondary Outcome Measures

Safety: Adverse Events
To determine the safety of NRPT as measured by number of adverse events and serious adverse events.
Safety: LFT's
To determine the safety of NRPT as measured by change in liver function tests (AST U/L, ALT U/L, GGT U/L, Alk Phos U/L) from baseline.

Full Information

First Posted
March 20, 2018
Last Updated
October 23, 2020
Sponsor
Elysium Health
Collaborators
Nutrasource Pharmaceutical and Nutraceutical Services, Inc.
search

1. Study Identification

Unique Protocol Identification Number
NCT03513523
Brief Title
Study to Assess the Relationship Between Daily Dosing of NRPT and Changes in Liver Fat in Healthy Volunteers
Official Title
A Randomized, Double-Blind, Double-Dummy, Placebo-Controlled Study to Assess the Relationship Between Daily Dosing of NRPT and Changes in Liver Fat in Healthy Volunteers
Study Type
Interventional

2. Study Status

Record Verification Date
October 2020
Overall Recruitment Status
Completed
Study Start Date
April 18, 2018 (Actual)
Primary Completion Date
May 10, 2020 (Actual)
Study Completion Date
August 17, 2020 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Elysium Health
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 purpose of this study is to determine if there is a relationship between daily consumption of NRPT, over a six-month (26-week) period, and changes in liver fat accumulation, compared to placebo and change from Baseline in healthy volunteers. In addition, an exploratory assessment of markers of inflammation and liver fat metabolism will be examined.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Fatty Liver

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Factorial Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
111 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Group 1: 1X dose of NRPT
Arm Type
Experimental
Arm Description
250 mg of NR and 50 mg of PT
Arm Title
Group 2: 2X dose of NRPT
Arm Type
Experimental
Arm Description
500 mg of NR and 100 mg of PT
Arm Title
Group 3: Placebo
Arm Type
Placebo Comparator
Arm Description
Placebo capsules contain microcrystalline cellulose, silicon dioxide and magnesium stearate
Intervention Type
Dietary Supplement
Intervention Name(s)
Group 1 NRPT
Intervention Description
Two capsules of NRPT and two placebo will be taken once daily in the morning for 26 weeks. Each NRPT capsule will contain 125 mg NR and 25 mg PT.
Intervention Type
Dietary Supplement
Intervention Name(s)
Group 2 NRPT
Intervention Description
Four capsules of NRPT will be taken once daily in the morning for 26 weeks. Each NRPT capsule will contain 125 mg NR and 25 mg PT.
Intervention Type
Other
Intervention Name(s)
Group 3 Placebo
Intervention Description
Four placebo capsules will be taken once daily in the morning for 26 weeks.
Primary Outcome Measure Information:
Title
Change in Fatty Liver Index
Description
Change from Baseline in Fatty Liver Index (FLI) will be evaluated within each subject and compared between treatment groups. FLI: = (e^0.953*loge (triglycerides) + 0.139*BMI + 0.718*loge (GGT) + 0.053*waist circumference - 15.745) / (1 + e^0.953*loge (triglycerides) + 0.139*BMI + 0.718*loge (GGT) + 0.053*waist circumference - 15.745) * 100.
Time Frame
6 months
Title
Change in Hepatic Fat Fraction
Description
Change from Baseline in mean percent HFF across all nine Couinaud segments will be evaluated within each subject and compared between treatment groups.
Time Frame
6 months
Title
Change in Insulin Resistance (HOMA-IR)
Description
Change from Baseline in HOMA-IR will be evaluated within each subject and compared between treatment groups. HOMA-IR: = ([glucose x insulin]/450) For this measure, the comparison is between the placebo and the two IP groups at end-of-study
Time Frame
6 months
Title
Change in liver fat content
Description
To determine if there is a dose effect of NRPT on changes from baseline in liver fat content compared to placebo, as determined by MRI-PDFF.
Time Frame
6 months
Secondary Outcome Measure Information:
Title
Safety: Adverse Events
Description
To determine the safety of NRPT as measured by number of adverse events and serious adverse events.
Time Frame
6 months
Title
Safety: LFT's
Description
To determine the safety of NRPT as measured by change in liver function tests (AST U/L, ALT U/L, GGT U/L, Alk Phos U/L) from baseline.
Time Frame
6 months
Other Pre-specified Outcome Measures:
Title
Exploratory: Change in Inflammatory Marker (hsCRP)
Description
Change from Baseline in hsCRP will be evaluated within each subject and compared between treatment groups.
Time Frame
6 months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
70 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: MRI-PDFF of at least 15%, as measured at Visit 2 (Baseline). Men or women between the ages of 18 and 70 years. BMI between 25.0 and 39.9 kg/m2. Non-smokers (>3 months of non-smoking). If on a statin regimen, history (> 1 month) of stable dose. Able to understand and cooperate with study procedures, and have signed a written informed consent prior to any study procedures. Exclusion Criteria: Diagnosis of NASH (Non-Alcoholic Steatohepatitis). Bilirubin >2x ULN Other causes of liver inflammation including Hepatitis A, B or C, HIV, confirmed or suspected cirrhosis, Wilson's disease, autoimmune hepatitis, hemochromatosis, alcoholic steatohepatitis, pancreatitis, or prescription medications known to cause liver damage, or known to be hepatotoxic. (Evidence of hepatocellular injury or hepatocyte ballooning.) Subjects with a history of bariatric surgery. Significant weight loss (> 5% body weight) or rapid weight loss (> 1.6kg/week), within six (6) months of the Screening Visit. Current or recent (within six (6) months of the Screening Visit) history of significant gastrointestinal, renal, pulmonary, hepatic or biliary disease, endocrine diseases (Type II Diabetes permitted) or other invasive weight loss treatments. Individual taking prescription or over-the-counter medications, including dietary supplements, known to alter lipid metabolism or liver function, within four (4) weeks of randomization. Use of supplements containing pterostilbene, resveratrol, nicotinamide, or niacin, or consumption of red wine (more than 8 oz. per week) or blueberries (more than one serving per week). Pregnant or lactating women or women of childbearing potential who are not using an approved method of contraception. A woman is considered to be of childbearing potential unless she is post-hysterectomy, one or more years postmenopausal, or one or more years following tubal ligation. History of significant cardiovascular or coronary heart disease (CVD or CHD, respectively) as defined as having had a coronary artery bypass procedure, coronary stent or angioplasty, or myocardial infarction in the previous six (6) months. History of cancer, other than non-melanoma skin cancer and basal cell carcinoma, within the previous five years. Poorly controlled or uncontrolled hypertension (systolic blood pressure ≥160 mmHg and/or diastolic blood pressure ≥95 mmHg). Recent history of prolonged alcohol (>3 months) use (within past six (6) months) or excessive alcohol use, defined as >14 drinks per week (one drink = 12 oz. beer, 4 oz. wine, 1.5 oz. hard liquor). Exposure to any investigational agent within four (4) weeks or five (5) half-lives, prior to the Screening Visit. Subjects planning to undergo surgery during the study period or up to 1 month after the study Any serious psychiatric disease or disorder, which, in the opinion of the investigator, would preclude the subject from participating in the study. Any known intolerance to the investigational ingredients of this investigational product. Has a condition the Investigator believes would interfere with the evaluation of the subject, or may put the subject at undue risk during the course of the study, including potentially abnormal lab results, due to a traumatic event.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Oliver Chen, PhD
Organizational Affiliation
Biofortis Clinical Research, Inc.
Official's Role
Principal Investigator
Facility Information:
Facility Name
Indago Research and Health Center
City
Hialeah
State/Province
Florida
ZIP/Postal Code
33012
Country
United States
Facility Name
Altus Research, Inc.
City
Lake Worth
State/Province
Florida
ZIP/Postal Code
33461
Country
United States
Facility Name
Lone Star Research Center
City
Miami
State/Province
Florida
ZIP/Postal Code
33145
Country
United States
Facility Name
Med-Care Research Corp
City
Miami
State/Province
Florida
ZIP/Postal Code
33165
Country
United States
Facility Name
Legacy Clinical Solutions: Sensible Healthcare, LLC
City
Ocoee
State/Province
Florida
ZIP/Postal Code
34761
Country
United States
Facility Name
IMIC, Inc
City
Palmetto Bay
State/Province
Florida
ZIP/Postal Code
33157
Country
United States
Facility Name
Lenus Research & Medical Group
City
Sweetwater
State/Province
Florida
ZIP/Postal Code
33172
Country
United States
Facility Name
Barrett Clinic, P.C.
City
La Vista
State/Province
Nebraska
ZIP/Postal Code
68128
Country
United States
Facility Name
Trial Management Associates, LLC
City
Wilmington
State/Province
North Carolina
ZIP/Postal Code
28403
Country
United States

12. IPD Sharing Statement

Learn more about this trial

Study to Assess the Relationship Between Daily Dosing of NRPT and Changes in Liver Fat in Healthy Volunteers

We'll reach out to this number within 24 hrs