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| ID | Type | Description | Link |
|---|---|---|---|
| 0021 | Other Grant/Funding Number | Robert J. Coury Family - Mylan Foundation |
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| Name | Class |
|---|---|
| Robert J. Coury Family - Mylan Foundation | UNKNOWN |
| Inid Research Lab | UNKNOWN |
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The goal of this study is to evaluate the safety and tolerability of Gamma Glutamylcysteine (GGC) supplement at different doses (400mg/day or 800mg/day or 1200mg/day) when administered orally to patients with MCI over 3 months. This study is designed to generate preliminary clinical safety data to inform the feasibility and design of larger controlled trials.
Oxidative Stress (OS) plays a key role in aging and neurodegenerative diseases, including Alzheimer's Disease. The brain's primary antioxidant, GSH, is essential for combating Reactive Oxygen Species (ROS).This study is designed as an open-label, single-center, dose escalation clinical trial to evaluate the safety and tolerability of GGC supplementation in patients with MCI. This will enable the investigators to identify maximum tolerated or recommended dose for further clinical evaluation.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Gamma - Glutamylcystiene 400 | Experimental | Each participant will receive gamma-glutamyl cysteine (GGC) capsules orally 400mg once a day for 3 months. |
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| Gamma - Glutamylcystiene 800 | Experimental | Each participant will receive gamma-glutamyl cysteine (GGC) capsules orally 400mg two times(morning-evening) a day for 3 months |
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| Gamma - Glutamylcystiene 1200 | Experimental | Each participant will receive gamma-glutamyl cysteine (GGC) capsules orally 400mg three times (morning-afternoon - evening) a day for 3 months |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Gamma- Glutamylcysteine | Drug | 400mg capsules once a day |
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| Measure | Description | Time Frame |
|---|---|---|
| No. of participants with abnormal kidney and liver function tests after 30 days of supplementation. | Safety: Creatinine not more than 1.5mg/dL, AST and ALT levels not more than 1.5 X ULN. | 1 month |
| Number of participants with treatment-related adverse events with one dose of GGC as assessed by CTCAE. | Safety and Tolerability | 3 months |
| Number of participants with treatment-related adverse events with two doses of GGC as assessed by CTCAE. | Safety and tolerability | 3 months |
| Number of participants with treatment-related adverse events with three doses of GGC as assessed by CTCAE. | Safety and tolerabitily | 3 months |
| Number of participants with abnormal laboratory test results after 3 months of GGC supplementation. | Safety and tolerability: The number of participants experiencing clinically significant abnormal laboratory test results (hematology, kidney, and liver function tests) during 3 months of GGC supplementation, compared with baseline. | 3 months |
| Measure | Description | Time Frame |
|---|---|---|
| Changes in baseline blood glutathione levels (µmol/l) in people with MCI due to GGC supplementation. | 3.5 months | |
| Changes in blood iron levels(ng/μl) in people with MCI due to GGC supplementation. | 3.5 months |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Pravat Pravat K MANDAL | Contact | 4126999561 | mandalpk@pitt.edu | |
| Nazia Pillar | Contact | 878-670-3123 | clinic55@pitt.edu |
| Name | Affiliation | Role |
|---|---|---|
| Pravat Mandal, PhD | University of Pittsburgh | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| UPMC Presbyterian Hospital | Recruiting | Pittsburgh | Pennsylvania | 15213 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 26003861 | Background | Mandal PK, Saharan S, Tripathi M, Murari G. Brain glutathione levels--a novel biomarker for mild cognitive impairment and Alzheimer's disease. Biol Psychiatry. 2015 Nov 15;78(10):702-10. doi: 10.1016/j.biopsych.2015.04.005. Epub 2015 Apr 14. | |
| 37257017 | Background | Mandal PK, Dwivedi D, Joon S, Goel A, Ahasan Z, Maroon JC, Singh P, Saxena R, Roy RG. Quantitation of Brain and Blood Glutathione and Iron in Healthy Age Groups Using Biophysical and In Vivo MR Spectroscopy: Potential Clinical Application. ACS Chem Neurosci. 2023 Jun 21;14(12):2375-2384. doi: 10.1021/acschemneuro.3c00168. Epub 2023 May 31. |
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De-identified individual participant data underlying the primary and secondary outcome analyses will be provided after the study data is analyzed and published. A comprehensive report will be sent to the IRB. The respective agency will be reported accordingly. Requests for the release of data must be submitted in writing to the PI, clearly stating the purpose of the request, the specific data needed, and the intended use. The PI, in collaboration with the research team, will review each request to ensure compliance with institutional policies, ethical standards, and any relevant data use agreements.
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| ID | Term |
|---|---|
| D060825 | Cognitive Dysfunction |
| ID | Term |
|---|---|
| D003072 | Cognition Disorders |
| D019965 | Neurocognitive Disorders |
| D001523 | Mental Disorders |
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| ID | Term |
|---|---|
| C017341 | gamma-glutamylcysteine |
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This study is designed as an open-label, single-center, dose escalation clinical trial to evaluate the safety and tolerability of GGC supplementation in patients with MCI.
The participants will be given the GGC supplement: Group A: 400mg once a day/ Group B: 400 mg two times per day/ Group C: 400mg three times a day for three months. Group B starts after Group A's 30-day safety review. Group C starts after Group B's 30-day safety review is cleared. If 1 participant within the cohort(n=3) experiences dose-limiting toxicity (DLT) or clinically significant intolerance, the event will be reviewed by the clinician for severity, relatedness, and significance. Dose escalation may proceed if the event is not indicative of an overall safety concern (Creatinine not more than 1.5mg/dL, AST and ALT levels not more than 1.5 X ULN).If 2 or all of the participants experience DLTs or clinically significant adverse events related to the study supplement, dose escalation will be halted.
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| Gamma- Glutamylcysteine |
| Drug |
400mg capsules orally (two times) per day |
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| Gamma- Glutamylcusteine | Drug | 400mg capsules orally (three times) per day |
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