Trial Outcomes & Findings for Study to Investigate the Effects of Different Doses of S-adenosyl-L-methionine (SAMe) in Subjects With Nonalcoholic Fatty Liver Disease and Non-treated Matched Healthy Volunteers as Control Group (NCT NCT01754714)

NCT ID: NCT01754714

Last Updated: 2016-02-19

Results Overview

After the methionine load, blood samples will be obtained at 0.5, 1, 1.5, 3, 4.5, 6, 7.5 and 9 hours. Plasma will be analyzed for methionine.

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

108 participants

Primary outcome timeframe

0.5, 1, 1.5, 3, 4.5, 6, 7.5 and 9 hours*at Week 7*

Results posted on

2016-02-19

Participant Flow

Participant milestones

Participant milestones
Measure
1000 mg SAMe (S-adenosyl-L-methionine)
SAMe 1000 mg: 1000 mg dose group: one 500 mg capsule fasting in the morning and one 500 mg capsule before dinner
1500 mg SAMe
SAMe 1500 mg: 1500 mg dose group: two 500 mg capsules fasting in the morning and one 500 mg capsule before dinner
2000 mg SAMe
SAMe 2000 mg: 2000 mg dose group: two 500 mg capsules fasting in the morning and two 500 mg capsules before dinner
No Treatment
No study drug was administered
Overall Study
STARTED
27
27
26
28
Overall Study
COMPLETED
27
26
24
27
Overall Study
NOT COMPLETED
0
1
2
1

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Study to Investigate the Effects of Different Doses of S-adenosyl-L-methionine (SAMe) in Subjects With Nonalcoholic Fatty Liver Disease and Non-treated Matched Healthy Volunteers as Control Group

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
1000 mg SAMe (S-adenosyl-L-methionine)
n=27 Participants
SAMe 1000 mg: 1000 mg dose group: one 500 mg capsule fasting in the morning and one 500 mg capsule before dinner
1500 mg SAMe
n=27 Participants
SAMe 1500 mg: 1500 mg dose group: two 500 mg capsules fasting in the morning and one 500 mg capsule before dinner
2000 mg SAMe
n=26 Participants
SAMe 2000 mg: 2000 mg dose group: two 500 mg capsules fasting in the morning and two 500 mg capsules before dinner
No Treatment
n=28 Participants
no study drug was administered
Total
n=108 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
Age, Categorical
Between 18 and 65 years
23 Participants
n=5 Participants
24 Participants
n=7 Participants
23 Participants
n=5 Participants
21 Participants
n=4 Participants
91 Participants
n=21 Participants
Age, Categorical
>=65 years
4 Participants
n=5 Participants
3 Participants
n=7 Participants
3 Participants
n=5 Participants
7 Participants
n=4 Participants
17 Participants
n=21 Participants
Age, Continuous
51.2 years
STANDARD_DEVIATION 13.8 • n=5 Participants
50.0 years
STANDARD_DEVIATION 12.3 • n=7 Participants
49.5 years
STANDARD_DEVIATION 14.2 • n=5 Participants
56.6 years
STANDARD_DEVIATION 11.6 • n=4 Participants
51.9 years
STANDARD_DEVIATION 13.1 • n=21 Participants
Sex: Female, Male
Female
15 Participants
n=5 Participants
10 Participants
n=7 Participants
9 Participants
n=5 Participants
11 Participants
n=4 Participants
45 Participants
n=21 Participants
Sex: Female, Male
Male
12 Participants
n=5 Participants
17 Participants
n=7 Participants
17 Participants
n=5 Participants
17 Participants
n=4 Participants
63 Participants
n=21 Participants
Region of Enrollment
Russian Federation
5 participants
n=5 Participants
6 participants
n=7 Participants
5 participants
n=5 Participants
2 participants
n=4 Participants
18 participants
n=21 Participants
Region of Enrollment
Poland
3 participants
n=5 Participants
2 participants
n=7 Participants
6 participants
n=5 Participants
6 participants
n=4 Participants
17 participants
n=21 Participants
Region of Enrollment
France
6 participants
n=5 Participants
5 participants
n=7 Participants
4 participants
n=5 Participants
9 participants
n=4 Participants
24 participants
n=21 Participants
Region of Enrollment
Germany
13 participants
n=5 Participants
14 participants
n=7 Participants
11 participants
n=5 Participants
11 participants
n=4 Participants
49 participants
n=21 Participants

PRIMARY outcome

Timeframe: 0.5, 1, 1.5, 3, 4.5, 6, 7.5 and 9 hours*at Week 7*

After the methionine load, blood samples will be obtained at 0.5, 1, 1.5, 3, 4.5, 6, 7.5 and 9 hours. Plasma will be analyzed for methionine.

Outcome measures

Outcome measures
Measure
1000 mg SAMe (S-adenosyl-L-methionine)
n=27 Participants
SAMe 1000 mg: 1000 mg dose group: one 500 mg capsule fasting in the morning and one 500 mg capsule before dinner
1500 mg SAMe
n=26 Participants
SAMe 1500 mg: 1500 mg dose group: two 500 mg capsules fasting in the morning and one 500 mg capsule before dinner
2000 mg SAMe
n=24 Participants
SAMe 2000 mg: 2000 mg dose group: two 500 mg capsules fasting in the morning and two 500 mg capsules before dinner
No Treatment
n=27 Participants
No study drug was administered
Methionine Elimination Half-life Measured in Blood.
4.29 hour
Standard Deviation 1.86
4.66 hour
Standard Deviation 1.57
4.25 hour
Standard Deviation 1.64
4.26 hour
Standard Deviation 1.44

SECONDARY outcome

Timeframe: 0.5, 1, 1.5, 3, 4.5, 6, 7.5 and 9 hours*at Week 7*

After the methionine load, blood samples will be obtained at 0.5, 1, 1.5, 3, 4.5, 6, 7.5 and 9 hours. Plasma will be analyzed for methionine.

Outcome measures

Outcome measures
Measure
1000 mg SAMe (S-adenosyl-L-methionine)
n=27 Participants
SAMe 1000 mg: 1000 mg dose group: one 500 mg capsule fasting in the morning and one 500 mg capsule before dinner
1500 mg SAMe
n=26 Participants
SAMe 1500 mg: 1500 mg dose group: two 500 mg capsules fasting in the morning and one 500 mg capsule before dinner
2000 mg SAMe
n=24 Participants
SAMe 2000 mg: 2000 mg dose group: two 500 mg capsules fasting in the morning and two 500 mg capsules before dinner
No Treatment
n=27 Participants
No study drug was administered
Fasting Methionine Concentration of Average Methionine Concentration Versus Time Curve.
4.02 mcg/mL
Standard Deviation 0.92
3.81 mcg/mL
Standard Deviation 0.67
5.68 mcg/mL
Standard Deviation 10.13
5.62 mcg/mL
Standard Deviation 8.53

SECONDARY outcome

Timeframe: 0.5, 1, 1.5, 3, 4.5, 6, 7.5 and 9 hours*at Week 7*

parameters cumulative percentage dose of 13 carbon recovered after 30, 60, 90 minutes (cPDR30, cPDR60, cPDR 90) will be evaluated

Outcome measures

Outcome measures
Measure
1000 mg SAMe (S-adenosyl-L-methionine)
n=27 Participants
SAMe 1000 mg: 1000 mg dose group: one 500 mg capsule fasting in the morning and one 500 mg capsule before dinner
1500 mg SAMe
n=26 Participants
SAMe 1500 mg: 1500 mg dose group: two 500 mg capsules fasting in the morning and one 500 mg capsule before dinner
2000 mg SAMe
n=24 Participants
SAMe 2000 mg: 2000 mg dose group: two 500 mg capsules fasting in the morning and two 500 mg capsules before dinner
No Treatment
n=27 Participants
No study drug was administered
13 Carbon (Natural, Stable Isotope of Carbon) Methionine Breath Test
13C methionine breath test recovery at 30 min (%)
0.93 percentage of recovery
Standard Deviation 0.73
0.77 percentage of recovery
Standard Deviation 0.51
0.88 percentage of recovery
Standard Deviation 0.66
0.69 percentage of recovery
Standard Deviation 0.55
13 Carbon (Natural, Stable Isotope of Carbon) Methionine Breath Test
13C methionine breath test recovery at 60 min (%)
3.66 percentage of recovery
Standard Deviation 1.99
3.49 percentage of recovery
Standard Deviation 1.74
3.61 percentage of recovery
Standard Deviation 1.78
2.98 percentage of recovery
Standard Deviation 1.72
13 Carbon (Natural, Stable Isotope of Carbon) Methionine Breath Test
13C methionine breath test recovery at 90 min (%)
6.69 percentage of recovery
Standard Deviation 2.75
6.60 percentage of recovery
Standard Deviation 2.56
6.68 percentage of recovery
Standard Deviation 2.48
5.74 percentage of recovery
Standard Deviation 2.56

SECONDARY outcome

Timeframe: change from baseline at 6 weeks

Serum Total Bilirubin (STB), Serum Conjugated Bilirubin (SCB), liver-alkaline phosphatase (ALP), alanine aminotransferase (ALT), aspartate aminotransferase (AST), Gamma Glutamyl Transpeptidase (GGT)

Outcome measures

Outcome measures
Measure
1000 mg SAMe (S-adenosyl-L-methionine)
n=27 Participants
SAMe 1000 mg: 1000 mg dose group: one 500 mg capsule fasting in the morning and one 500 mg capsule before dinner
1500 mg SAMe
n=26 Participants
SAMe 1500 mg: 1500 mg dose group: two 500 mg capsules fasting in the morning and one 500 mg capsule before dinner
2000 mg SAMe
n=24 Participants
SAMe 2000 mg: 2000 mg dose group: two 500 mg capsules fasting in the morning and two 500 mg capsules before dinner
No Treatment
n=27 Participants
No study drug was administered
Hepatic Panel (Liver Laboratory Parameters)
ALP
1.9 U/L
Standard Deviation 7.9
-0.1 U/L
Standard Deviation 13.7
3.4 U/L
Standard Deviation 24.1
-6.0 U/L
Standard Deviation 16.9
Hepatic Panel (Liver Laboratory Parameters)
ALT
-6.2 U/L
Standard Deviation 19.5
-6.3 U/L
Standard Deviation 23.5
-4.9 U/L
Standard Deviation 32.2
-11.9 U/L
Standard Deviation 33.4
Hepatic Panel (Liver Laboratory Parameters)
AST
-5.1 U/L
Standard Deviation 15.7
-3.0 U/L
Standard Deviation 16.5
-1.2 U/L
Standard Deviation 10.7
-11.6 U/L
Standard Deviation 27.7
Hepatic Panel (Liver Laboratory Parameters)
GGT
-1.1 U/L
Standard Deviation 33.7
-10.6 U/L
Standard Deviation 62.7
-2.7 U/L
Standard Deviation 35.7
-12.3 U/L
Standard Deviation 48.1

SECONDARY outcome

Timeframe: change from baseline at 6 weeks

Fasting lipid profile (cholesterol, HDL (High Density Lipoprotein), LDL (Low Density Lipoprotein)), amino acid profile, homeostasis model assessment (HOMA-R) and fasting glucose.

Outcome measures

Outcome measures
Measure
1000 mg SAMe (S-adenosyl-L-methionine)
n=27 Participants
SAMe 1000 mg: 1000 mg dose group: one 500 mg capsule fasting in the morning and one 500 mg capsule before dinner
1500 mg SAMe
n=26 Participants
SAMe 1500 mg: 1500 mg dose group: two 500 mg capsules fasting in the morning and one 500 mg capsule before dinner
2000 mg SAMe
n=24 Participants
SAMe 2000 mg: 2000 mg dose group: two 500 mg capsules fasting in the morning and two 500 mg capsules before dinner
No Treatment
n=27 Participants
No study drug was administered
Metabolic Panel (Metabolic Laboratory Parameters)
Cholesterol
-0.131 mmol/L
Standard Deviation 0.593
0.046 mmol/L
Standard Deviation 0.921
-0.265 mmol/L
Standard Deviation 0.601
-0.134 mmol/L
Standard Deviation 0.659
Metabolic Panel (Metabolic Laboratory Parameters)
HDL
-0.094 mmol/L
Standard Deviation 0.166
-0.046 mmol/L
Standard Deviation 0.254
-0.098 mmol/L
Standard Deviation 0.169
-0.075 mmol/L
Standard Deviation 0.188
Metabolic Panel (Metabolic Laboratory Parameters)
LDL
0.125 mmol/L
Standard Deviation 0.452
0.182 mmol/L
Standard Deviation 0.762
-0.202 mmol/L
Standard Deviation 0.589
-0.112 mmol/L
Standard Deviation 0.558
Metabolic Panel (Metabolic Laboratory Parameters)
HOMA-R
0.837 mmol/L
Standard Deviation 13.232
0.127 mmol/L
Standard Deviation 3.763
-1.549 mmol/L
Standard Deviation 13.321
3.432 mmol/L
Standard Deviation 10.837
Metabolic Panel (Metabolic Laboratory Parameters)
Glucose
-0.068 mmol/L
Standard Deviation 0.968
0.490 mmol/L
Standard Deviation 1.486
-0.163 mmol/L
Standard Deviation 1.009
-0.121 mmol/L
Standard Deviation 1.610

SECONDARY outcome

Timeframe: 0.5, 1, 1.5, 3, 4.5, 6, 7.5 and 9 hours*at Week 7*

After the methionine load, blood samples will be obtained at 0.5, 1, 1.5, 3, 4.5, 6, 7.5 and 9 hours. Plasma will be analyzed for methionine.

Outcome measures

Outcome measures
Measure
1000 mg SAMe (S-adenosyl-L-methionine)
n=27 Participants
SAMe 1000 mg: 1000 mg dose group: one 500 mg capsule fasting in the morning and one 500 mg capsule before dinner
1500 mg SAMe
n=26 Participants
SAMe 1500 mg: 1500 mg dose group: two 500 mg capsules fasting in the morning and one 500 mg capsule before dinner
2000 mg SAMe
n=24 Participants
SAMe 2000 mg: 2000 mg dose group: two 500 mg capsules fasting in the morning and two 500 mg capsules before dinner
No Treatment
n=27 Participants
No study drug was administered
The Metabolic Clearance Rate Measured in the Blood.
8.86 L/h
Standard Deviation 2.93
9.83 L/h
Standard Deviation 3.27
10.05 L/h
Standard Deviation 4.32
8.23 L/h
Standard Deviation 2.30

SECONDARY outcome

Timeframe: 0.5, 1, 1.5, 3, 4.5, 6, 7.5 and 9 hours*at Week 7*

After the methionine load, blood samples will be obtained at 0.5, 1, 1.5, 3, 4, 5, 6, 7.5 and 9 hours. Plasma will be analyzed for methionine.

Outcome measures

Outcome measures
Measure
1000 mg SAMe (S-adenosyl-L-methionine)
n=27 Participants
SAMe 1000 mg: 1000 mg dose group: one 500 mg capsule fasting in the morning and one 500 mg capsule before dinner
1500 mg SAMe
n=26 Participants
SAMe 1500 mg: 1500 mg dose group: two 500 mg capsules fasting in the morning and one 500 mg capsule before dinner
2000 mg SAMe
n=24 Participants
SAMe 2000 mg: 2000 mg dose group: two 500 mg capsules fasting in the morning and two 500 mg capsules before dinner
No Treatment
n=27 Participants
No study drug was administered
Methionine Volume of Distribution at Week 7 (L)
54.40 L
Standard Deviation 18.43
62.84 L
Standard Deviation 14.04
64.58 L
Standard Deviation 17.77
8.23 L
Standard Deviation 53.98

SECONDARY outcome

Timeframe: 0.5, 1, 1.5, 3, 4.5, 6, 7.5 and 9 hours*at Week 7*

Peak

Outcome measures

Outcome measures
Measure
1000 mg SAMe (S-adenosyl-L-methionine)
n=27 Participants
SAMe 1000 mg: 1000 mg dose group: one 500 mg capsule fasting in the morning and one 500 mg capsule before dinner
1500 mg SAMe
n=26 Participants
SAMe 1500 mg: 1500 mg dose group: two 500 mg capsules fasting in the morning and one 500 mg capsule before dinner
2000 mg SAMe
n=24 Participants
SAMe 2000 mg: 2000 mg dose group: two 500 mg capsules fasting in the morning and two 500 mg capsules before dinner
No Treatment
n=27 Participants
No study drug was administered
13 Carbon (Natural, Stable Isotope of Carbon) Methionine Breath Test
1.0972 Atom %C13
Standard Deviation 0.0062
1.0964 Atom %C13
Standard Deviation 0.0052
1.0964 Atom %C13
Standard Deviation 0.0053
1.0949 Atom %C13
Standard Deviation 0.0045

SECONDARY outcome

Timeframe: 0.5, 1, 1.5, 3, 4.5, 6, 7.5 and 9 hours*at Week 7*

Time to peak

Outcome measures

Outcome measures
Measure
1000 mg SAMe (S-adenosyl-L-methionine)
n=27 Participants
SAMe 1000 mg: 1000 mg dose group: one 500 mg capsule fasting in the morning and one 500 mg capsule before dinner
1500 mg SAMe
n=26 Participants
SAMe 1500 mg: 1500 mg dose group: two 500 mg capsules fasting in the morning and one 500 mg capsule before dinner
2000 mg SAMe
n=24 Participants
SAMe 2000 mg: 2000 mg dose group: two 500 mg capsules fasting in the morning and two 500 mg capsules before dinner
No Treatment
n=27 Participants
No study drug was administered
13 Carbon (Natural, Stable Isotope of Carbon) Methionine Breath Test
70.0 minutes
Interval 50.0 to 80.0
70.0 minutes
Interval 60.0 to 90.0
70.0 minutes
Interval 50.0 to 80.0
70.0 minutes
Interval 60.0 to 90.0

SECONDARY outcome

Timeframe: Change from baseline at 6 weeks

Fasting plasma insulin

Outcome measures

Outcome measures
Measure
1000 mg SAMe (S-adenosyl-L-methionine)
n=27 Participants
SAMe 1000 mg: 1000 mg dose group: one 500 mg capsule fasting in the morning and one 500 mg capsule before dinner
1500 mg SAMe
n=26 Participants
SAMe 1500 mg: 1500 mg dose group: two 500 mg capsules fasting in the morning and one 500 mg capsule before dinner
2000 mg SAMe
n=24 Participants
SAMe 2000 mg: 2000 mg dose group: two 500 mg capsules fasting in the morning and two 500 mg capsules before dinner
No Treatment
n=27 Participants
No study drug was administered
Metabolic Panel (Metabolic Laboratory Parameters)
0.3 pmol/L
Standard Deviation 191.0
-13.6 pmol/L
Standard Deviation 115.5
-13.1 pmol/L
Standard Deviation 248
69.1 pmol/L
Standard Deviation 309.0

SECONDARY outcome

Timeframe: change from baseline at 6 weeks

glycosylated hemoglobin (HbA1c)

Outcome measures

Outcome measures
Measure
1000 mg SAMe (S-adenosyl-L-methionine)
n=27 Participants
SAMe 1000 mg: 1000 mg dose group: one 500 mg capsule fasting in the morning and one 500 mg capsule before dinner
1500 mg SAMe
n=26 Participants
SAMe 1500 mg: 1500 mg dose group: two 500 mg capsules fasting in the morning and one 500 mg capsule before dinner
2000 mg SAMe
n=24 Participants
SAMe 2000 mg: 2000 mg dose group: two 500 mg capsules fasting in the morning and two 500 mg capsules before dinner
No Treatment
n=27 Participants
No study drug was administered
Metabolic Panel (Metabolic Laboratory Parameters)
-0.08 Percentage
Standard Deviation 0.28
-0.06 Percentage
Standard Deviation 0.36
-0.05 Percentage
Standard Deviation 0.32
0.02 Percentage
Standard Deviation 0.33

SECONDARY outcome

Timeframe: change from baseline at 6 weeks

Adiponectin

Outcome measures

Outcome measures
Measure
1000 mg SAMe (S-adenosyl-L-methionine)
n=27 Participants
SAMe 1000 mg: 1000 mg dose group: one 500 mg capsule fasting in the morning and one 500 mg capsule before dinner
1500 mg SAMe
n=26 Participants
SAMe 1500 mg: 1500 mg dose group: two 500 mg capsules fasting in the morning and one 500 mg capsule before dinner
2000 mg SAMe
n=24 Participants
SAMe 2000 mg: 2000 mg dose group: two 500 mg capsules fasting in the morning and two 500 mg capsules before dinner
No Treatment
n=27 Participants
No study drug was administered
Metabolic Panel (Metabolic Laboratory Parameters)
0.754 mcg/mL
Standard Deviation 4.191
0.425 mcg/mL
Standard Deviation 1.199
0.219 mcg/mL
Standard Deviation 1.661
0.045 mcg/mL
Standard Deviation 1.515

SECONDARY outcome

Timeframe: change from baseline at 6 weeks

C-reactive Protein (CRP)

Outcome measures

Outcome measures
Measure
1000 mg SAMe (S-adenosyl-L-methionine)
n=27 Participants
SAMe 1000 mg: 1000 mg dose group: one 500 mg capsule fasting in the morning and one 500 mg capsule before dinner
1500 mg SAMe
n=26 Participants
SAMe 1500 mg: 1500 mg dose group: two 500 mg capsules fasting in the morning and one 500 mg capsule before dinner
2000 mg SAMe
n=24 Participants
SAMe 2000 mg: 2000 mg dose group: two 500 mg capsules fasting in the morning and two 500 mg capsules before dinner
No Treatment
n=27 Participants
No study drug was administered
Immunological/Anti-oxidant Panel (Immunological and Anti-oxidant Laboratory Parameters)
-0.79 nmol/L
Standard Deviation 15.51
-0.80 nmol/L
Standard Deviation 14.90
-8.02 nmol/L
Standard Deviation 20.40
-4.80 nmol/L
Standard Deviation 12.8

SECONDARY outcome

Timeframe: change from baseline at 6 weeks

glutathione in erythrocytes

Outcome measures

Outcome measures
Measure
1000 mg SAMe (S-adenosyl-L-methionine)
n=27 Participants
SAMe 1000 mg: 1000 mg dose group: one 500 mg capsule fasting in the morning and one 500 mg capsule before dinner
1500 mg SAMe
n=26 Participants
SAMe 1500 mg: 1500 mg dose group: two 500 mg capsules fasting in the morning and one 500 mg capsule before dinner
2000 mg SAMe
n=24 Participants
SAMe 2000 mg: 2000 mg dose group: two 500 mg capsules fasting in the morning and two 500 mg capsules before dinner
No Treatment
n=27 Participants
No study drug was administered
Immunological/Anti-oxidant Panel (Immunological and Anti-oxidant Laboratory Parameters)
-0.24 mcmol/g
Standard Deviation 2.06
-0.21 mcmol/g
Standard Deviation 1.01
0.05 mcmol/g
Standard Deviation 1.41
-0.30 mcmol/g
Standard Deviation 1.33

SECONDARY outcome

Timeframe: change from baseline at 6 weeks

oxidative stress marker (isoprostane level)

Outcome measures

Outcome measures
Measure
1000 mg SAMe (S-adenosyl-L-methionine)
n=27 Participants
SAMe 1000 mg: 1000 mg dose group: one 500 mg capsule fasting in the morning and one 500 mg capsule before dinner
1500 mg SAMe
n=26 Participants
SAMe 1500 mg: 1500 mg dose group: two 500 mg capsules fasting in the morning and one 500 mg capsule before dinner
2000 mg SAMe
n=24 Participants
SAMe 2000 mg: 2000 mg dose group: two 500 mg capsules fasting in the morning and two 500 mg capsules before dinner
No Treatment
n=27 Participants
No study drug was administered
Immunological/Anti-oxidant Panel (Immunological and Anti-oxidant Laboratory Parameters)
-0.223 ng/mg Crea
Standard Deviation 0.801
0.116 ng/mg Crea
Standard Deviation 0.699
0.290 ng/mg Crea
Standard Deviation 0.691
-0.223 ng/mg Crea
Standard Deviation 0.641

SECONDARY outcome

Timeframe: change from baseline at 6 weeks

Caspase-cleaved cytokeratin (CK 18)

Outcome measures

Outcome measures
Measure
1000 mg SAMe (S-adenosyl-L-methionine)
n=27 Participants
SAMe 1000 mg: 1000 mg dose group: one 500 mg capsule fasting in the morning and one 500 mg capsule before dinner
1500 mg SAMe
n=26 Participants
SAMe 1500 mg: 1500 mg dose group: two 500 mg capsules fasting in the morning and one 500 mg capsule before dinner
2000 mg SAMe
n=24 Participants
SAMe 2000 mg: 2000 mg dose group: two 500 mg capsules fasting in the morning and two 500 mg capsules before dinner
No Treatment
n=27 Participants
No study drug was administered
Fibrosis and Apoptosis Markers (Fibrosis and Apoptosis Laboratory Markers)
-126.8 U/L
Standard Deviation 401.1
-136.6 U/L
Standard Deviation 257.3
-47.0 U/L
Standard Deviation 157.3
-143.2 U/L
Standard Deviation 532.5

SECONDARY outcome

Timeframe: change from baseline at 6 weeks

Hyaluronic acid

Outcome measures

Outcome measures
Measure
1000 mg SAMe (S-adenosyl-L-methionine)
n=27 Participants
SAMe 1000 mg: 1000 mg dose group: one 500 mg capsule fasting in the morning and one 500 mg capsule before dinner
1500 mg SAMe
n=26 Participants
SAMe 1500 mg: 1500 mg dose group: two 500 mg capsules fasting in the morning and one 500 mg capsule before dinner
2000 mg SAMe
n=24 Participants
SAMe 2000 mg: 2000 mg dose group: two 500 mg capsules fasting in the morning and two 500 mg capsules before dinner
No Treatment
n=27 Participants
No study drug was administered
Fibrosis and Apoptosis Markers (Fibrosis and Apoptosis Laboratory Markers)
4.67 ng/mL
Standard Deviation 48.52
2.03 ng/mL
Standard Deviation 32.26
9.40 ng/mL
Standard Deviation 59.63
3.02 ng/mL
Standard Deviation 46.56

SECONDARY outcome

Timeframe: 0.5, 1, 1.5, 3, 4, 5, 6, 7.5 and 9 hours *at Week 7*

After the methionine load, blood samples will be obtained at 0.5, 1, 1.5, 3, 4, 5, 6, 7.5 and 9 hours. Plasma will be analyzed for methionine.

Outcome measures

Outcome measures
Measure
1000 mg SAMe (S-adenosyl-L-methionine)
n=27 Participants
SAMe 1000 mg: 1000 mg dose group: one 500 mg capsule fasting in the morning and one 500 mg capsule before dinner
1500 mg SAMe
n=26 Participants
SAMe 1500 mg: 1500 mg dose group: two 500 mg capsules fasting in the morning and one 500 mg capsule before dinner
2000 mg SAMe
n=24 Participants
SAMe 2000 mg: 2000 mg dose group: two 500 mg capsules fasting in the morning and two 500 mg capsules before dinner
No Treatment
n=27 Participants
No study drug was administered
Area Under Curve (AUC) of Average Methionine Concentration Versus Time Curve
440.09 mcg/mL
Standard Deviation 149.96
399.30 mcg/mL
Standard Deviation 148.90
425.24 mcg/mL
Standard Deviation 231.88
460.57 mcg/mL
Standard Deviation 135.63

SECONDARY outcome

Timeframe: change from baseline at 6 weeks

ALT/AST ratio

Outcome measures

Outcome measures
Measure
1000 mg SAMe (S-adenosyl-L-methionine)
n=27 Participants
SAMe 1000 mg: 1000 mg dose group: one 500 mg capsule fasting in the morning and one 500 mg capsule before dinner
1500 mg SAMe
n=26 Participants
SAMe 1500 mg: 1500 mg dose group: two 500 mg capsules fasting in the morning and one 500 mg capsule before dinner
2000 mg SAMe
n=24 Participants
SAMe 2000 mg: 2000 mg dose group: two 500 mg capsules fasting in the morning and two 500 mg capsules before dinner
No Treatment
n=27 Participants
No study drug was administered
Hepatic Panel (Liver Laboratory Parameters)
-0.02 Ratio
Standard Deviation 0.23
0.01 Ratio
Standard Deviation 0.21
0.03 Ratio
Standard Deviation 0.18
-0.01 Ratio
Standard Deviation 0.27

OTHER_PRE_SPECIFIED outcome

Timeframe: change from baseline at 6 weeks

Cytokine profile ( Interleukin-6, IL-8, IL-10 (IL), Tumor Necrosis Factor (TNF -α), monocyte chemoattractant protein (MCP-1), and Granulocyte-colony stimulating factor (G-CSF ).

Outcome measures

Outcome measures
Measure
1000 mg SAMe (S-adenosyl-L-methionine)
n=27 Participants
SAMe 1000 mg: 1000 mg dose group: one 500 mg capsule fasting in the morning and one 500 mg capsule before dinner
1500 mg SAMe
n=26 Participants
SAMe 1500 mg: 1500 mg dose group: two 500 mg capsules fasting in the morning and one 500 mg capsule before dinner
2000 mg SAMe
n=24 Participants
SAMe 2000 mg: 2000 mg dose group: two 500 mg capsules fasting in the morning and two 500 mg capsules before dinner
No Treatment
n=27 Participants
No study drug was administered
Immunological/Anti-oxidant Panel (Immunological and Anti-oxidant Laboratory Parameters)
IL-6: n= (27,24,23,27)
0.0603 pg/mL
Standard Deviation 2.0263
-0.9254 pg/mL
Standard Deviation 6.4599
-1.3194 pg/mL
Standard Deviation 4.5779
0.1597 pg/mL
Standard Deviation 1.6243
Immunological/Anti-oxidant Panel (Immunological and Anti-oxidant Laboratory Parameters)
IL-8: n= (8,6,7,9)
-14.41 pg/mL
Standard Deviation 41.07
0.65 pg/mL
Standard Deviation 13.37
-78.73 pg/mL
Standard Deviation 187.51
-6.17 pg/mL
Standard Deviation 16.94
Immunological/Anti-oxidant Panel (Immunological and Anti-oxidant Laboratory Parameters)
IL-10: n= (1,2,1,2)
0.270 pg/mL
Standard Deviation NA
not calculated as there was data of only 1 patient available
-0.045 pg/mL
Standard Deviation 0.106
-0.300 pg/mL
Standard Deviation NA
not calculated as there was data of only 1 patient available
1.600 pg/mL
Standard Deviation 1.146
Immunological/Anti-oxidant Panel (Immunological and Anti-oxidant Laboratory Parameters)
TNF-alpha: n= (24,24,20,27)
-0.127 pg/mL
Standard Deviation 0.414
-1.083 pg/mL
Standard Deviation 4.782
-0.601 pg/mL
Standard Deviation 2.136
-0.187 pg/mL
Standard Deviation 1.114
Immunological/Anti-oxidant Panel (Immunological and Anti-oxidant Laboratory Parameters)
MCP-1: n= (27,25,24,27)
-29.75 pg/mL
Standard Deviation 154.75
-20.60 pg/mL
Standard Deviation 79.71
-40.15 pg/mL
Standard Deviation 96.21
-44.51 pg/mL
Standard Deviation 114.85
Immunological/Anti-oxidant Panel (Immunological and Anti-oxidant Laboratory Parameters)
G-CSF: n= (5,4,1,0)
-20.0 pg/mL
Standard Deviation 52.8
-0.5 pg/mL
Standard Deviation 9.7
20.0 pg/mL
Standard Deviation NA
not calculated as there was data of only 1 patient available
NA pg/mL
Standard Deviation NA
not calculated as there was no data of patients available

OTHER_PRE_SPECIFIED outcome

Timeframe: change from baseline at 6 weeks

Non-invasive test for liver disease (ActiTest)/Fibrotest FibroTest® : diagnoses hepatic fibrosis ActiTest® : assesses viral necro-inflammatory activity Scores between 0 and 1, the higher the score the worse The FibroTest score is calculated from the results of a six-parameter blood test, combining six serum markers with the age and gender of the patient:Alpha-2-macroglobulin, Haptoglobin, Apolipoprotein A1, Gamma-glutamyl transpeptidase (GGT), Total bilirubin, and Alanine transaminase (ALT). ALT is used in a second assessment called ActiTest that is part of FibroTest.

Outcome measures

Outcome measures
Measure
1000 mg SAMe (S-adenosyl-L-methionine)
n=27 Participants
SAMe 1000 mg: 1000 mg dose group: one 500 mg capsule fasting in the morning and one 500 mg capsule before dinner
1500 mg SAMe
n=26 Participants
SAMe 1500 mg: 1500 mg dose group: two 500 mg capsules fasting in the morning and one 500 mg capsule before dinner
2000 mg SAMe
n=24 Participants
SAMe 2000 mg: 2000 mg dose group: two 500 mg capsules fasting in the morning and two 500 mg capsules before dinner
No Treatment
n=27 Participants
No study drug was administered
Fibrosis and Apoptosis Markers (Fibrosis and Apoptosis Laboratory Markers)
ActiTest Score
-0.017 scores on a scale
Standard Deviation 0.098
-0.022 scores on a scale
Standard Deviation 0.137
-0.002 scores on a scale
Standard Deviation 0.168
-0.042 scores on a scale
Standard Deviation 0.096
Fibrosis and Apoptosis Markers (Fibrosis and Apoptosis Laboratory Markers)
Fibrotest Score
0.036 scores on a scale
Standard Deviation 0.097
0.028 scores on a scale
Standard Deviation 0.093
0.050 scores on a scale
Standard Deviation 0.125
0.020 scores on a scale
Standard Deviation 0.068

Adverse Events

1000 mg SAMe (S-adenosyl-L-methionine)

Serious events: 0 serious events
Other events: 7 other events
Deaths: 0 deaths

1500 mg SAMe

Serious events: 0 serious events
Other events: 4 other events
Deaths: 0 deaths

2000 mg SAMe

Serious events: 0 serious events
Other events: 7 other events
Deaths: 0 deaths

No Treatment

Serious events: 1 serious events
Other events: 2 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
1000 mg SAMe (S-adenosyl-L-methionine)
n=27 participants at risk
SAMe 1000 mg: 1000 mg dose group: one 500 mg capsule fasting in the morning and one 500 mg capsule before dinner
1500 mg SAMe
n=27 participants at risk
SAMe 1500 mg: 1500 mg dose group: two 500 mg capsules fasting in the morning and one 500 mg capsule before dinner
2000 mg SAMe
n=24 participants at risk
SAMe 2000 mg: 2000 mg dose group: two 500 mg capsules fasting in the morning and two 500 mg capsules before dinner
No Treatment
n=28 participants at risk
No study drug was administered
Injury, poisoning and procedural complications
head injury and neck injury before start of treatment
0.00%
0/27
0.00%
0/27
0.00%
0/24
3.6%
1/28 • Number of events 1

Other adverse events

Other adverse events
Measure
1000 mg SAMe (S-adenosyl-L-methionine)
n=27 participants at risk
SAMe 1000 mg: 1000 mg dose group: one 500 mg capsule fasting in the morning and one 500 mg capsule before dinner
1500 mg SAMe
n=27 participants at risk
SAMe 1500 mg: 1500 mg dose group: two 500 mg capsules fasting in the morning and one 500 mg capsule before dinner
2000 mg SAMe
n=24 participants at risk
SAMe 2000 mg: 2000 mg dose group: two 500 mg capsules fasting in the morning and two 500 mg capsules before dinner
No Treatment
n=28 participants at risk
No study drug was administered
Gastrointestinal disorders
DIARRHOEA
11.1%
3/27 • Number of events 3
7.4%
2/27 • Number of events 2
16.7%
4/24 • Number of events 4
0.00%
0/28
Gastrointestinal disorders
Abdominal Pain
0.00%
0/27
3.7%
1/27 • Number of events 1
12.5%
3/24 • Number of events 3
7.1%
2/28 • Number of events 2
Nervous system disorders
Headache
7.4%
2/27 • Number of events 2
3.7%
1/27 • Number of events 1
4.2%
1/24 • Number of events 1
0.00%
0/28
General disorders
Fatigue
7.4%
2/27 • Number of events 2
0.00%
0/27
0.00%
0/24
0.00%
0/28

Additional Information

Associate Director Clinical Services

Abbott

Phone: +31 29-44-79-196

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place