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| Name | Class |
|---|---|
| BioTeSys GmbH | OTHER |
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The goal of this clinical trial is to compare the uptake of two different omega-3 fatty acid preparations in healthy adults. The main question it aims to answer is whether the two different preparations have the same uptake after single dose supplementation.
Participants will be asked to take capsules of the new "phospholipids+" (PL+) omega-3 product (a combination product of krill oil and fish oil) in the morning with a low-fat breakfast. This product contains around 1250 mg eicosapentaenoic acid (EPA) + docosahexaenoic acid (DHA).
Researchers will compare this group with another group that takes standard fish oil (FO) ethyl esters (EE, with the same amount of EPA+DHA) to see if there are differences in pharmacokinetic parameters, including incremental area under the curve (iAUC), the maximum concentration of (Cmax) and the time it takes for EPA, DHA and EPA+DHA to reach the maximum concentration (Tmax) in plasma.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Active group | Active Comparator | This group will receive a single dose of the PL+ omega 3 fatty acids capsules first, then receive a single dose of the standard FO EE omega 3 fatty acids capsules. Wash-out period is 2 weeks between treatments. |
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| Placebo group | Placebo Comparator | This group will receive a single dose of the standard FO EE omega 3 fatty acids capsules first, then receive a single dose of the PL+ omega 3 fatty acids capsules. Wash-out period is 2 weeks between treatments. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| PL+ omega 3 fatty acids | Dietary Supplement | PL+ omega 3 fatty acids is a food supplement that combines krill oil and FO EE. The dose will be around 1250 mg EPA+DHA. |
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| Measure | Description | Time Frame |
|---|---|---|
| Comparison of iAUC of EPA+DHA from 0 to 12 hours (iAUC0-12h) between two study products | Blood concentrations of EPA + DHA in plasma at 0h and 12h will be analyzed, and determination of iAUC0-12h will be calculated. After getting the iAUC0-12h, difference of AUC curves between groups will be calculated. The time point 0h is defined as the time when study subjects is taking the supplement, while time point 12h is defined as 12 hours after the intake of supplement. | 0h-12h (on Day 1 and Day 15) |
| Measure | Description | Time Frame |
|---|---|---|
| Comparison of iAUC of EPA+DHA from 0 to 24hours (iAUC0-24h) between two study products | Blood concentrations for EPA+DHA in plasma at 0h and 24h will be analyzed, and iAUC0-24h will be calculated. After getting the iAUC0-24h, difference of AUC curves between groups will be calculated. The time point 0h is defined as the time when study subjects is taking the supplement, while time point 24h is defined as 24 hours after the intake of supplement. |
| Measure | Description | Time Frame |
|---|---|---|
| Number of participants with treatment-related adverse events (AE) as assessed by Common Terminology Criteria for Adverse Events (CTCAE) v4.0 | During the study period, any changes in physical conditions will be evaluated by investigator using CTCAE v4.0 criteria and will be recorded as AEs or serious adverse events (SAEs). Number of participants with treatment-related AEs and SAEs will be reported to sponsor listed in the study report. |
Inclusion Criteria:
Exclusion Criteria:
Omega-3 supplementation history within the last 4 weeks
Have clinical evidence of significant unstable or uncontrolled acute or chronic diseases, i.e., diabetes, cardiovascular, pulmonary, hematologic, gastrointestinal, neurological, or infectious diseases which could confound the results of the study or put the subject at undue risk
Have current drug or alcohol abuse or dependence, or a history of drug or alcohol abuse or dependence within 365 days prior to baseline
Pregnancy, breast feeding or intention to become pregnant during the study (a pregnancy test will be conducted during screening and visits 1-2)
General Safety & Laboratory Exclusion Criteria. Patients will be excluded from the study based on the following criteria:
Significant changes in lifestyle or medication (within last 2 months)
Chronic intake of substances affecting blood coagulation (e.g. acetylic acid, anticoagulants (e.g. Marcumar), diuretics, thiazides), which in the investigator's opinion would impact subject safety
Difficulty swallowing capsules or predicted inability to swallow the study products
Individuals who have made a blood donation in excess of 500 mL or who had excess blood loss within the 4 months before the study starts
Individuals who are currently enrolled in an ongoing clinical trial or who have been an active participant in a clinical trial within the last 4 weeks
A known allergy or hypersensitivity to any of the ingredients of the study products
Not willing to abstain from fish consumption or foods/oils high in omega-3 fatty acids
Subjects considered inappropriate for the study by investigators, including subjects who are unable or unwilling to show compliance with the protocol
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| Name | Affiliation | Role |
|---|---|---|
| Daniel Menzel | BioTeSys GmbH | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| BioTeSys GmbH | Esslingen am Neckar | Germany |
Data will not be shared
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randomized, two-way cross-over study
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The clinical study will be performed unblinded. However, analysis of blood samples at analysis partner will be performed blinded. After closure of data base, data will be unblinded and evaluated according to product affiliation.
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| FO EE fatty acids | Dietary Supplement | A conventional fish oil food supplement containing EPA and DHA in the EE form. The dose will be 1250 mg EPA+DHA. |
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| 0h-24h (on Day 2 and Day 16) |
| Comparison of iAUC EPA+DHA from 0 to 72hours (iAUC0-72h) between two study products | Blood concentrations for EPA+DHA in plasma at 0h and 72h will be analyzed, and iAUC0-72h will be calculated. After getting the iAUC0-72h, difference of AUC curves between groups will be calculated. The time point 0h is defined as the time when study subjects is taking the supplement, while time point 72h is defined as 72 hours after the intake of supplement. | 0h-72h (on Day 4 and Day 18) |
| Comparison of iAUC EPA from 0 to 12hours (iAUC0-12h) between two study products | Blood concentrations for EPA in plasma at 0h and 12h will be analyzed, and iAUC0-12h will be calculated. After getting the iAUC0-12h, difference of AUC curves between groups will be calculated. The time point 0h is defined as the time when study subjects is taking the supplement, while time point 12h is defined as 12 hours after the intake of supplement. | 0h-12h (on Day 1 and Day 15) |
| Comparison of iAUC DHA from 0 to 12hours (iAUC0-12h) between two study products | Blood concentrations for DHA in plasma at 0h and 12h will be analyzed, and iAUC0-12h will be calculated. After getting the iAUC0-12h, difference of AUC curves between groups will be calculated. The time point 0h is defined as the time when study subjects is taking the supplement, while time point 12h is defined as 12 hours after the intake of supplement. | 0h-12h (on Day 1 and Day 15) |
| Comparison of iAUC EPA from 0 to 24hours (iAUC0-24h) between two study products | Blood concentrations for EPA in plasma at 0h and 24h will be analyzed, and iAUC0-24h will be calculated. After getting the iAUC0-24h, difference of AUC curves between groups will be calculated. The time point 0h is defined as the time when study subjects is taking the supplement, while time point 24h is defined as 24 hours after the intake of supplement. | 0h-24h (on Day 2 and Day 16) |
| Comparison of iAUC DHA from 0 to 24hours (iAUC0-24h) between two study products | Blood concentrations for DHA in plasma at 0h and 24h will be analyzed, and iAUC0-24h will be calculated. After getting the iAUC0-24h, difference of AUC curves between groups will be calculated. The time point 0h is defined as the time when study subjects is taking the supplement, while time point 24h is defined as 24 hours after the intake of supplement. | 0h-24h (on Day 2 and Day 16) |
| Comparison of iAUC EPA from 0 to 72hours (iAUC0-72h) between two study products | Blood concentrations for EPA in plasma at 0h and 72h will be analyzed, and iAUC0-72h will be calculated. After getting the iAUC0-72h, difference of AUC curves between groups will be calculated. The time point 0h is defined as the time when study subjects is taking the supplement, while time point 72h is defined as 72 hours after the intake of supplement. | 0h-72h (on Day 4 and Day 18) |
| Comparison of iAUC DHA from 0 to 72hours (iAUC0-72h) between two study products | Blood concentrations for DHA in plasma at 0h and 72h will be analyzed, and iAUC0-72h will be calculated. After getting the iAUC0-72h, difference of AUC curves between groups will be calculated. The time point 0h is defined as the time when study subjects is taking the supplement, while time point 72h is defined as 72 hours after the intake of supplement. | 0h-72h (on Day 4 and Day 18) |
| Difference on Cmax of EPA+DHA between two products | Cmax of EPA+DHA will be calculated for both products, and the difference will be compared between the products. | Day 1 and Day 15 |
| Difference on Cmax of EPA between two products | Cmax of EPA will be calculated for both products, and the difference will be compared between the products. | Day 1 and Day 15 |
| Difference on Cmax of DHA between two products | Cmax of DHA will be calculated for both products, and the difference will be compared between the products. | Day 1 and Day 15 |
| Difference on Tmax of EPA+DHA between two products | Tmax of EPA+DHA will be calculated for both products, and the difference will be compared between the products. | Day 1 and Day 15 |
| Difference on Tmax of EPA between two products | Tmax of EPA will be calculated for both products, and the difference will be compared between the products. | Day 1 and Day 15 |
| Difference on Tmax of DHA between two products | Tmax of DHA will be calculated for both products, and the difference will be compared between the products. | Day 1 and Day 15 |
| Difference on total omega 6 fatty acids vs total omega 3 fatty acid ratio (n-6/n-3) in plasma at 12 hours between two products | Total omega 6 fatty acids include: linoleic acid, γ-Linolenic acid, eicosadienoic acid, eicosatrienoic acid, arachidonic acid, adrenic acid, and docosapentaenoic acid. Total omega 3 fatty acids include: α-Linolenic acid, EPA, docosapentaenoate acid and DHA. The difference on n-6/n-3 ratio will be calculated between two products. The time point 12h is defined as 12 hours after the intake of supplement. | Day 1 and Day 15 |
| Difference on total omega 6 fatty acids vs total omega 3 fatty acid ratio (n-6/n-3) in plasma at 24 hours between two products | Total omega 6 fatty acids include: linoleic acid, γ-Linolenic acid, eicosadienoic acid, eicosatrienoic acid, arachidonic acid, adrenic acid, and docosapentaenoic acid. Total omega 3 fatty acids include: α-Linolenic acid, EPA, docosapentaenoate acid and DHA. The difference on n-6/n-3 ratio will be calculated between two products. The time point 24h is defined as 24 hours after the intake of supplement. | Day 2 and Day 16 |
| Difference on total omega 6 fatty acids vs total omega 3 fatty acid ratio (n-6/n-3) in plasma at 72 hours between two products | Total omega 6 fatty acids include: linoleic acid, γ-Linolenic acid, eicosadienoic acid, eicosatrienoic acid, arachidonic acid, adrenic acid, and docosapentaenoic acid. Total omega 3 fatty acids include: α-Linolenic acid, EPA, docosapentaenoate acid and DHA. The difference on n-6/n-3 ratio will be calculated between two products. The time point 72h is defined as 72 hours after the intake of supplement. | Day 4 and Day 18 |
| Day 1 to Day 3 and Day 15 to Day 18 |
| Number of participants with abnormal blood routine parameters as assessed by clinical reference values | During the study, blood samples from 2h sample time point will be used for safety check. The following parameters will be assessed: AST, ALT, gammaglutamyltransferase, alkaline phosphatase, total cholesterol, low-density lipoprotein- and high-density lipoprotein-cholesterol, triglycerides; creatinine and uric acid. Participants with abnormal values of any of the above-mentioned parameters that fall out of the clinical reference range will be listed and reported. | Day 1 and Day 15 |