Trial Outcomes & Findings for Examination of Zinc, S-adenosylmethionine, and Combination Therapy Versus Placebo in Alcoholics (NCT NCT01899521)

NCT ID: NCT01899521

Last Updated: 2024-09-19

Results Overview

Improvement in alveolar macrophage phagocytic index. Phagocytic index will be measured before and after treatment phase. Phagocytic index is calculated using isolated alveolar macrophages from the bronchoscopy procedure such that phagocytic index = (total number of engulfed cells/total number of counted macrophages) x (number of macrophages containing engulfed cells/total number of counted macrophages) x 100.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

113 participants

Primary outcome timeframe

Initial bronchoscopy to second bronchoscopy (Initial bronchoscopy performed prior to treatment and second bronchoscopy done 2-3 weeks after starting treatment)

Results posted on

2024-09-19

Participant Flow

Participants are enrolled when they sign consent, however, only get randomized after completing first bronchoscopy procedure. Therefore, there were some participants who enrolled but never completed the procedure in order to be randomized into a group. This is the reason for the discrepancy in numbers.

Participant milestones

Participant milestones
Measure
Placebo Zinc and Placebo SAMe
Placebo tablet of zinc sulfate once daily and placebo tablet of s-adenosylmethionine twice daily Bronchoscopy: Involves flexible fiberoptic bronchoscopy with standardized bronchoalveolar lavage (BAL) technique (isotonic saline in a sub-segment of the right middle lobe or lingula) using standard conscious sedation techniques.
Active Zinc and Placebo SAMe
Zinc sulfate 220 mg once daily and placebo tablet of s-adenosylmethionine twice daily Bronchoscopy: Involves flexible fiberoptic bronchoscopy with standardized bronchoalveolar lavage (BAL) technique (isotonic saline in a sub-segment of the right middle lobe or lingula) using standard conscious sedation techniques. Zinc sulfate 220 mg once daily
Placebo Zinc and Active SAMe
Placebo tablet of zinc sulfate once daily and s-adenosylmethionine 400 mg twice daily Bronchoscopy: Involves flexible fiberoptic bronchoscopy with standardized bronchoalveolar lavage (BAL) technique (isotonic saline in a sub-segment of the right middle lobe or lingula) using standard conscious sedation techniques. S-adenosylmethionine 400 mg twice daily
Active Zinc and Active SAMe
Zinc sulfate 220 mg once daily and s-adenosylmethionine 400 mg twice daily Bronchoscopy: Involves flexible fiberoptic bronchoscopy with standardized bronchoalveolar lavage (BAL) technique (isotonic saline in a sub-segment of the right middle lobe or lingula) using standard conscious sedation techniques. Zinc sulfate 220 mg once daily S-adenosylmethionine 400 mg twice daily
Overall Study
STARTED
23
25
25
22
Overall Study
COMPLETED
18
24
24
20
Overall Study
NOT COMPLETED
5
1
1
2

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Examination of Zinc, S-adenosylmethionine, and Combination Therapy Versus Placebo in Alcoholics

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Placebo Zinc and Placebo SAMe
n=23 Participants
Placebo tablet of zinc sulfate once daily and placebo tablet of s-adenosylmethionine twice daily Bronchoscopy: Involves flexible fiberoptic bronchoscopy with standardized bronchoalveolar lavage (BAL) technique (isotonic saline in a sub-segment of the right middle lobe or lingula) using standard conscious sedation techniques.
Active Zinc and Placebo SAMe
n=25 Participants
Zinc sulfate 220 mg once daily and placebo tablet of s-adenosylmethionine twice daily Bronchoscopy: Involves flexible fiberoptic bronchoscopy with standardized bronchoalveolar lavage (BAL) technique (isotonic saline in a sub-segment of the right middle lobe or lingula) using standard conscious sedation techniques. Zinc sulfate 220 mg once daily
Placebo Zinc and Active SAMe
n=25 Participants
Placebo tablet of zinc sulfate once daily and s-adenosylmethionine 400 mg twice daily Bronchoscopy: Involves flexible fiberoptic bronchoscopy with standardized bronchoalveolar lavage (BAL) technique (isotonic saline in a sub-segment of the right middle lobe or lingula) using standard conscious sedation techniques. S-adenosylmethionine 400 mg twice daily
Active Zinc and Active SAMe
n=22 Participants
Zinc sulfate 220 mg once daily and s-adenosylmethionine 400 mg twice daily Bronchoscopy: Involves flexible fiberoptic bronchoscopy with standardized bronchoalveolar lavage (BAL) technique (isotonic saline in a sub-segment of the right middle lobe or lingula) using standard conscious sedation techniques. Zinc sulfate 220 mg once daily S-adenosylmethionine 400 mg twice daily
Total
n=95 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
25 Participants
n=7 Participants
25 Participants
n=5 Participants
22 Participants
n=4 Participants
95 Participants
n=21 Participants
Age, Categorical
>=65 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, Continuous
46 years
n=5 Participants
47 years
n=7 Participants
47 years
n=5 Participants
51 years
n=4 Participants
48 years
n=21 Participants
Sex: Female, Male
Female
2 Participants
n=5 Participants
4 Participants
n=7 Participants
5 Participants
n=5 Participants
4 Participants
n=4 Participants
15 Participants
n=21 Participants
Sex: Female, Male
Male
21 Participants
n=5 Participants
21 Participants
n=7 Participants
20 Participants
n=5 Participants
18 Participants
n=4 Participants
80 Participants
n=21 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
1 Participants
n=4 Participants
3 Participants
n=21 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
22 Participants
n=5 Participants
25 Participants
n=7 Participants
24 Participants
n=5 Participants
21 Participants
n=4 Participants
92 Participants
n=21 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
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
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
1 Participants
n=4 Participants
1 Participants
n=21 Participants
Race (NIH/OMB)
Asian
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
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
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
Race (NIH/OMB)
Black or African American
17 Participants
n=5 Participants
20 Participants
n=7 Participants
21 Participants
n=5 Participants
19 Participants
n=4 Participants
77 Participants
n=21 Participants
Race (NIH/OMB)
White
4 Participants
n=5 Participants
2 Participants
n=7 Participants
2 Participants
n=5 Participants
2 Participants
n=4 Participants
10 Participants
n=21 Participants
Race (NIH/OMB)
More than one race
2 Participants
n=5 Participants
3 Participants
n=7 Participants
2 Participants
n=5 Participants
0 Participants
n=4 Participants
7 Participants
n=21 Participants
Race (NIH/OMB)
Unknown or Not Reported
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
Region of Enrollment
United States
23 participants
n=5 Participants
25 participants
n=7 Participants
25 participants
n=5 Participants
22 participants
n=4 Participants
95 participants
n=21 Participants
Smoking Status
Smoker
14 Participants
n=5 Participants
15 Participants
n=7 Participants
15 Participants
n=5 Participants
14 Participants
n=4 Participants
58 Participants
n=21 Participants
Smoking Status
Non-smoker
9 Participants
n=5 Participants
10 Participants
n=7 Participants
10 Participants
n=5 Participants
8 Participants
n=4 Participants
37 Participants
n=21 Participants

PRIMARY outcome

Timeframe: Initial bronchoscopy to second bronchoscopy (Initial bronchoscopy performed prior to treatment and second bronchoscopy done 2-3 weeks after starting treatment)

Improvement in alveolar macrophage phagocytic index. Phagocytic index will be measured before and after treatment phase. Phagocytic index is calculated using isolated alveolar macrophages from the bronchoscopy procedure such that phagocytic index = (total number of engulfed cells/total number of counted macrophages) x (number of macrophages containing engulfed cells/total number of counted macrophages) x 100.

Outcome measures

Outcome measures
Measure
Placebo Zinc and Placebo SAMe
n=18 Participants
Placebo tablet of zinc sulfate once daily and placebo tablet of s-adenosylmethionine twice daily Bronchoscopy: Involves flexible fiberoptic bronchoscopy with standardized bronchoalveolar lavage (BAL) technique (isotonic saline in a sub-segment of the right middle lobe or lingula) using standard conscious sedation techniques.
Active Zinc and Placebo SAMe
n=24 Participants
Zinc sulfate 220 mg once daily and placebo tablet of s-adenosylmethionine twice daily Bronchoscopy: Involves flexible fiberoptic bronchoscopy with standardized bronchoalveolar lavage (BAL) technique (isotonic saline in a sub-segment of the right middle lobe or lingula) using standard conscious sedation techniques. Zinc sulfate 220 mg once daily
Placebo Zinc and Active SAMe
n=24 Participants
Placebo tablet of zinc sulfate once daily and s-adenosylmethionine 400 mg twice daily Bronchoscopy: Involves flexible fiberoptic bronchoscopy with standardized bronchoalveolar lavage (BAL) technique (isotonic saline in a sub-segment of the right middle lobe or lingula) using standard conscious sedation techniques. S-adenosylmethionine 400 mg twice daily
Active Zinc and Active SAMe
n=20 Participants
Zinc sulfate 220 mg once daily and s-adenosylmethionine 400 mg twice daily Bronchoscopy: Involves flexible fiberoptic bronchoscopy with standardized bronchoalveolar lavage (BAL) technique (isotonic saline in a sub-segment of the right middle lobe or lingula) using standard conscious sedation techniques. Zinc sulfate 220 mg once daily S-adenosylmethionine 400 mg twice daily
Primary Endpoint
Pre-treatment PI
13518 Phagocytic Index (PI)
Standard Deviation 11677
15892 Phagocytic Index (PI)
Standard Deviation 18961
10849 Phagocytic Index (PI)
Standard Deviation 11087
15530 Phagocytic Index (PI)
Standard Deviation 17627
Primary Endpoint
Post-treatment PI
16704 Phagocytic Index (PI)
Standard Deviation 15412
23850 Phagocytic Index (PI)
Standard Deviation 47703
10734 Phagocytic Index (PI)
Standard Deviation 9709
13955 Phagocytic Index (PI)
Standard Deviation 14511

SECONDARY outcome

Timeframe: Initial bronchoscopy to second bronchoscopy (Initial bronchoscopy performed prior to treatment and second bronchoscopy done 2-3 weeks after starting treatment)

Improvement in alveolar macrophage intracellular zinc. Intracellular zinc will be measured before and after treatment phase using isolated alveolar macrophages. The units of measure are relative fluorescence units/cell (RFU/cell) and measured using confocal microscopy techniques.

Outcome measures

Outcome measures
Measure
Placebo Zinc and Placebo SAMe
n=18 Participants
Placebo tablet of zinc sulfate once daily and placebo tablet of s-adenosylmethionine twice daily Bronchoscopy: Involves flexible fiberoptic bronchoscopy with standardized bronchoalveolar lavage (BAL) technique (isotonic saline in a sub-segment of the right middle lobe or lingula) using standard conscious sedation techniques.
Active Zinc and Placebo SAMe
n=24 Participants
Zinc sulfate 220 mg once daily and placebo tablet of s-adenosylmethionine twice daily Bronchoscopy: Involves flexible fiberoptic bronchoscopy with standardized bronchoalveolar lavage (BAL) technique (isotonic saline in a sub-segment of the right middle lobe or lingula) using standard conscious sedation techniques. Zinc sulfate 220 mg once daily
Placebo Zinc and Active SAMe
n=24 Participants
Placebo tablet of zinc sulfate once daily and s-adenosylmethionine 400 mg twice daily Bronchoscopy: Involves flexible fiberoptic bronchoscopy with standardized bronchoalveolar lavage (BAL) technique (isotonic saline in a sub-segment of the right middle lobe or lingula) using standard conscious sedation techniques. S-adenosylmethionine 400 mg twice daily
Active Zinc and Active SAMe
n=20 Participants
Zinc sulfate 220 mg once daily and s-adenosylmethionine 400 mg twice daily Bronchoscopy: Involves flexible fiberoptic bronchoscopy with standardized bronchoalveolar lavage (BAL) technique (isotonic saline in a sub-segment of the right middle lobe or lingula) using standard conscious sedation techniques. Zinc sulfate 220 mg once daily S-adenosylmethionine 400 mg twice daily
Secondary Endpoint
Pre-treatment Intracellular Zinc
2816 RFU/cell
Standard Deviation 2149
3410 RFU/cell
Standard Deviation 2655
3883 RFU/cell
Standard Deviation 2723
4174 RFU/cell
Standard Deviation 3386
Secondary Endpoint
Post-treatment Intracellular Zinc
2710 RFU/cell
Standard Deviation 1980
3510 RFU/cell
Standard Deviation 2590
4327 RFU/cell
Standard Deviation 3092
3103 RFU/cell
Standard Deviation 2823

OTHER_PRE_SPECIFIED outcome

Timeframe: Initial bronchoscopy to second bronchoscopy (Initial bronchoscopy performed prior to treatment and second bronchoscopy done 2-3 weeks after starting treatment)

Improvement in redox potential in the alveolar space. Redox potential will be measured before and after treatment phase using lavage fluid and blood plasma.

Outcome measures

Outcome measures
Measure
Placebo Zinc and Placebo SAMe
n=18 Participants
Placebo tablet of zinc sulfate once daily and placebo tablet of s-adenosylmethionine twice daily Bronchoscopy: Involves flexible fiberoptic bronchoscopy with standardized bronchoalveolar lavage (BAL) technique (isotonic saline in a sub-segment of the right middle lobe or lingula) using standard conscious sedation techniques.
Active Zinc and Placebo SAMe
n=24 Participants
Zinc sulfate 220 mg once daily and placebo tablet of s-adenosylmethionine twice daily Bronchoscopy: Involves flexible fiberoptic bronchoscopy with standardized bronchoalveolar lavage (BAL) technique (isotonic saline in a sub-segment of the right middle lobe or lingula) using standard conscious sedation techniques. Zinc sulfate 220 mg once daily
Placebo Zinc and Active SAMe
n=24 Participants
Placebo tablet of zinc sulfate once daily and s-adenosylmethionine 400 mg twice daily Bronchoscopy: Involves flexible fiberoptic bronchoscopy with standardized bronchoalveolar lavage (BAL) technique (isotonic saline in a sub-segment of the right middle lobe or lingula) using standard conscious sedation techniques. S-adenosylmethionine 400 mg twice daily
Active Zinc and Active SAMe
n=20 Participants
Zinc sulfate 220 mg once daily and s-adenosylmethionine 400 mg twice daily Bronchoscopy: Involves flexible fiberoptic bronchoscopy with standardized bronchoalveolar lavage (BAL) technique (isotonic saline in a sub-segment of the right middle lobe or lingula) using standard conscious sedation techniques. Zinc sulfate 220 mg once daily S-adenosylmethionine 400 mg twice daily
Secondary Endpoint
Pre-treatment GSSG
33.0 GSSG percentage (measure of oxidation)
Standard Deviation 30.5
28.0 GSSG percentage (measure of oxidation)
Standard Deviation 29.2
21.6 GSSG percentage (measure of oxidation)
Standard Deviation 25.3
28.5 GSSG percentage (measure of oxidation)
Standard Deviation 30.6
Secondary Endpoint
Post-treatment GSSG
28.9 GSSG percentage (measure of oxidation)
Standard Deviation 29.2
19.7 GSSG percentage (measure of oxidation)
Standard Deviation 23.8
20.5 GSSG percentage (measure of oxidation)
Standard Deviation 26.8
33.5 GSSG percentage (measure of oxidation)
Standard Deviation 35.2

OTHER_PRE_SPECIFIED outcome

Timeframe: Initial bronchoscopy to second bronchoscopy (Initial bronchoscopy performed prior to treatment and second bronchoscopy done 2-3 weeks after starting treatment)

Population: The cells were not stained appropriately, so this secondary measure could not be completed because the results were not analyzable.

Improvement in alveolar macrophage granulocyte macrophage - colony stimulating factor (GM-CSF) receptor expression. GM-CSF receptor expression will be measured before and after treatment phase using isolated alveolar macrophages. The units of measure are relative fluorescence units/cell (RFU/cell) and measured using confocal microscopy techniques. Both alpha- and beta-subunits of the receptor will be measured.

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: Initial bronchoscopy to second bronchoscopy (Initial bronchoscopy performed prior to treatment and second bronchoscopy done 2-3 weeks after starting treatment)

Improvement in serum zinc level. Serum zinc will be measured before and after treatment phase by collecting blood plasma. The units of measure are mcg/dl.

Outcome measures

Outcome measures
Measure
Placebo Zinc and Placebo SAMe
n=18 Participants
Placebo tablet of zinc sulfate once daily and placebo tablet of s-adenosylmethionine twice daily Bronchoscopy: Involves flexible fiberoptic bronchoscopy with standardized bronchoalveolar lavage (BAL) technique (isotonic saline in a sub-segment of the right middle lobe or lingula) using standard conscious sedation techniques.
Active Zinc and Placebo SAMe
n=24 Participants
Zinc sulfate 220 mg once daily and placebo tablet of s-adenosylmethionine twice daily Bronchoscopy: Involves flexible fiberoptic bronchoscopy with standardized bronchoalveolar lavage (BAL) technique (isotonic saline in a sub-segment of the right middle lobe or lingula) using standard conscious sedation techniques. Zinc sulfate 220 mg once daily
Placebo Zinc and Active SAMe
n=24 Participants
Placebo tablet of zinc sulfate once daily and s-adenosylmethionine 400 mg twice daily Bronchoscopy: Involves flexible fiberoptic bronchoscopy with standardized bronchoalveolar lavage (BAL) technique (isotonic saline in a sub-segment of the right middle lobe or lingula) using standard conscious sedation techniques. S-adenosylmethionine 400 mg twice daily
Active Zinc and Active SAMe
n=20 Participants
Zinc sulfate 220 mg once daily and s-adenosylmethionine 400 mg twice daily Bronchoscopy: Involves flexible fiberoptic bronchoscopy with standardized bronchoalveolar lavage (BAL) technique (isotonic saline in a sub-segment of the right middle lobe or lingula) using standard conscious sedation techniques. Zinc sulfate 220 mg once daily S-adenosylmethionine 400 mg twice daily
Secondary Endpoint
Pre-treatment Serum Zinc
79.5 mcg/dl
Standard Deviation 18.5
76.9 mcg/dl
Standard Deviation 12.0
78.5 mcg/dl
Standard Deviation 12.1
75.0 mcg/dl
Standard Deviation 11.0
Secondary Endpoint
Post-treatment Serum Zinc
71.2 mcg/dl
Standard Deviation 9.7
95.6 mcg/dl
Standard Deviation 36.3
80.1 mcg/dl
Standard Deviation 14.9
92.0 mcg/dl
Standard Deviation 34.8

Adverse Events

Placebo Zinc and Placebo SAMe

Serious events: 1 serious events
Other events: 17 other events
Deaths: 0 deaths

Active Zinc and Placebo SAMe

Serious events: 0 serious events
Other events: 21 other events
Deaths: 0 deaths

Placebo Zinc and Active SAMe

Serious events: 1 serious events
Other events: 16 other events
Deaths: 0 deaths

Active Zinc and Active SAMe

Serious events: 0 serious events
Other events: 16 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Placebo Zinc and Placebo SAMe
n=23 participants at risk
Placebo tablet of zinc sulfate once daily and placebo tablet of s-adenosylmethionine twice daily Bronchoscopy: Involves flexible fiberoptic bronchoscopy with standardized bronchoalveolar lavage (BAL) technique (isotonic saline in a sub-segment of the right middle lobe or lingula) using standard conscious sedation techniques.
Active Zinc and Placebo SAMe
n=25 participants at risk
Zinc sulfate 220 mg once daily and placebo tablet of s-adenosylmethionine twice daily Bronchoscopy: Involves flexible fiberoptic bronchoscopy with standardized bronchoalveolar lavage (BAL) technique (isotonic saline in a sub-segment of the right middle lobe or lingula) using standard conscious sedation techniques. Zinc sulfate 220 mg once daily
Placebo Zinc and Active SAMe
n=25 participants at risk
Placebo tablet of zinc sulfate once daily and s-adenosylmethionine 400 mg twice daily Bronchoscopy: Involves flexible fiberoptic bronchoscopy with standardized bronchoalveolar lavage (BAL) technique (isotonic saline in a sub-segment of the right middle lobe or lingula) using standard conscious sedation techniques. S-adenosylmethionine 400 mg twice daily
Active Zinc and Active SAMe
n=22 participants at risk
Zinc sulfate 220 mg once daily and s-adenosylmethionine 400 mg twice daily Bronchoscopy: Involves flexible fiberoptic bronchoscopy with standardized bronchoalveolar lavage (BAL) technique (isotonic saline in a sub-segment of the right middle lobe or lingula) using standard conscious sedation techniques. Zinc sulfate 220 mg once daily S-adenosylmethionine 400 mg twice daily
Vascular disorders
Subarachnoid hemorrhage
4.3%
1/23 • Number of events 1 • Up to one month following the final bronchoscopy procedure, a total of about two months. Subjects were assessed while they were enrolled and taking study medications and completed all study procedures after the second bronchoscopy. They were contacted from day following procedure up to a total 4 weeks after the final procedure date to assess for any additional adverse events. The total time period is about two months, including time during the study and after the final bronchoscopy procedure.
0.00%
0/25 • Up to one month following the final bronchoscopy procedure, a total of about two months. Subjects were assessed while they were enrolled and taking study medications and completed all study procedures after the second bronchoscopy. They were contacted from day following procedure up to a total 4 weeks after the final procedure date to assess for any additional adverse events. The total time period is about two months, including time during the study and after the final bronchoscopy procedure.
0.00%
0/25 • Up to one month following the final bronchoscopy procedure, a total of about two months. Subjects were assessed while they were enrolled and taking study medications and completed all study procedures after the second bronchoscopy. They were contacted from day following procedure up to a total 4 weeks after the final procedure date to assess for any additional adverse events. The total time period is about two months, including time during the study and after the final bronchoscopy procedure.
0.00%
0/22 • Up to one month following the final bronchoscopy procedure, a total of about two months. Subjects were assessed while they were enrolled and taking study medications and completed all study procedures after the second bronchoscopy. They were contacted from day following procedure up to a total 4 weeks after the final procedure date to assess for any additional adverse events. The total time period is about two months, including time during the study and after the final bronchoscopy procedure.
Psychiatric disorders
Alcohol withdrawal
0.00%
0/23 • Up to one month following the final bronchoscopy procedure, a total of about two months. Subjects were assessed while they were enrolled and taking study medications and completed all study procedures after the second bronchoscopy. They were contacted from day following procedure up to a total 4 weeks after the final procedure date to assess for any additional adverse events. The total time period is about two months, including time during the study and after the final bronchoscopy procedure.
0.00%
0/25 • Up to one month following the final bronchoscopy procedure, a total of about two months. Subjects were assessed while they were enrolled and taking study medications and completed all study procedures after the second bronchoscopy. They were contacted from day following procedure up to a total 4 weeks after the final procedure date to assess for any additional adverse events. The total time period is about two months, including time during the study and after the final bronchoscopy procedure.
4.0%
1/25 • Number of events 1 • Up to one month following the final bronchoscopy procedure, a total of about two months. Subjects were assessed while they were enrolled and taking study medications and completed all study procedures after the second bronchoscopy. They were contacted from day following procedure up to a total 4 weeks after the final procedure date to assess for any additional adverse events. The total time period is about two months, including time during the study and after the final bronchoscopy procedure.
0.00%
0/22 • Up to one month following the final bronchoscopy procedure, a total of about two months. Subjects were assessed while they were enrolled and taking study medications and completed all study procedures after the second bronchoscopy. They were contacted from day following procedure up to a total 4 weeks after the final procedure date to assess for any additional adverse events. The total time period is about two months, including time during the study and after the final bronchoscopy procedure.

Other adverse events

Other adverse events
Measure
Placebo Zinc and Placebo SAMe
n=23 participants at risk
Placebo tablet of zinc sulfate once daily and placebo tablet of s-adenosylmethionine twice daily Bronchoscopy: Involves flexible fiberoptic bronchoscopy with standardized bronchoalveolar lavage (BAL) technique (isotonic saline in a sub-segment of the right middle lobe or lingula) using standard conscious sedation techniques.
Active Zinc and Placebo SAMe
n=25 participants at risk
Zinc sulfate 220 mg once daily and placebo tablet of s-adenosylmethionine twice daily Bronchoscopy: Involves flexible fiberoptic bronchoscopy with standardized bronchoalveolar lavage (BAL) technique (isotonic saline in a sub-segment of the right middle lobe or lingula) using standard conscious sedation techniques. Zinc sulfate 220 mg once daily
Placebo Zinc and Active SAMe
n=25 participants at risk
Placebo tablet of zinc sulfate once daily and s-adenosylmethionine 400 mg twice daily Bronchoscopy: Involves flexible fiberoptic bronchoscopy with standardized bronchoalveolar lavage (BAL) technique (isotonic saline in a sub-segment of the right middle lobe or lingula) using standard conscious sedation techniques. S-adenosylmethionine 400 mg twice daily
Active Zinc and Active SAMe
n=22 participants at risk
Zinc sulfate 220 mg once daily and s-adenosylmethionine 400 mg twice daily Bronchoscopy: Involves flexible fiberoptic bronchoscopy with standardized bronchoalveolar lavage (BAL) technique (isotonic saline in a sub-segment of the right middle lobe or lingula) using standard conscious sedation techniques. Zinc sulfate 220 mg once daily S-adenosylmethionine 400 mg twice daily
Gastrointestinal disorders
GI upset
21.7%
5/23 • Number of events 5 • Up to one month following the final bronchoscopy procedure, a total of about two months. Subjects were assessed while they were enrolled and taking study medications and completed all study procedures after the second bronchoscopy. They were contacted from day following procedure up to a total 4 weeks after the final procedure date to assess for any additional adverse events. The total time period is about two months, including time during the study and after the final bronchoscopy procedure.
32.0%
8/25 • Number of events 10 • Up to one month following the final bronchoscopy procedure, a total of about two months. Subjects were assessed while they were enrolled and taking study medications and completed all study procedures after the second bronchoscopy. They were contacted from day following procedure up to a total 4 weeks after the final procedure date to assess for any additional adverse events. The total time period is about two months, including time during the study and after the final bronchoscopy procedure.
28.0%
7/25 • Number of events 8 • Up to one month following the final bronchoscopy procedure, a total of about two months. Subjects were assessed while they were enrolled and taking study medications and completed all study procedures after the second bronchoscopy. They were contacted from day following procedure up to a total 4 weeks after the final procedure date to assess for any additional adverse events. The total time period is about two months, including time during the study and after the final bronchoscopy procedure.
50.0%
11/22 • Number of events 16 • Up to one month following the final bronchoscopy procedure, a total of about two months. Subjects were assessed while they were enrolled and taking study medications and completed all study procedures after the second bronchoscopy. They were contacted from day following procedure up to a total 4 weeks after the final procedure date to assess for any additional adverse events. The total time period is about two months, including time during the study and after the final bronchoscopy procedure.
Injury, poisoning and procedural complications
Procedure-related
34.8%
8/23 • Number of events 13 • Up to one month following the final bronchoscopy procedure, a total of about two months. Subjects were assessed while they were enrolled and taking study medications and completed all study procedures after the second bronchoscopy. They were contacted from day following procedure up to a total 4 weeks after the final procedure date to assess for any additional adverse events. The total time period is about two months, including time during the study and after the final bronchoscopy procedure.
36.0%
9/25 • Number of events 10 • Up to one month following the final bronchoscopy procedure, a total of about two months. Subjects were assessed while they were enrolled and taking study medications and completed all study procedures after the second bronchoscopy. They were contacted from day following procedure up to a total 4 weeks after the final procedure date to assess for any additional adverse events. The total time period is about two months, including time during the study and after the final bronchoscopy procedure.
32.0%
8/25 • Number of events 9 • Up to one month following the final bronchoscopy procedure, a total of about two months. Subjects were assessed while they were enrolled and taking study medications and completed all study procedures after the second bronchoscopy. They were contacted from day following procedure up to a total 4 weeks after the final procedure date to assess for any additional adverse events. The total time period is about two months, including time during the study and after the final bronchoscopy procedure.
27.3%
6/22 • Number of events 6 • Up to one month following the final bronchoscopy procedure, a total of about two months. Subjects were assessed while they were enrolled and taking study medications and completed all study procedures after the second bronchoscopy. They were contacted from day following procedure up to a total 4 weeks after the final procedure date to assess for any additional adverse events. The total time period is about two months, including time during the study and after the final bronchoscopy procedure.
Investigations
Other
26.1%
6/23 • Up to one month following the final bronchoscopy procedure, a total of about two months. Subjects were assessed while they were enrolled and taking study medications and completed all study procedures after the second bronchoscopy. They were contacted from day following procedure up to a total 4 weeks after the final procedure date to assess for any additional adverse events. The total time period is about two months, including time during the study and after the final bronchoscopy procedure.
36.0%
9/25 • Up to one month following the final bronchoscopy procedure, a total of about two months. Subjects were assessed while they were enrolled and taking study medications and completed all study procedures after the second bronchoscopy. They were contacted from day following procedure up to a total 4 weeks after the final procedure date to assess for any additional adverse events. The total time period is about two months, including time during the study and after the final bronchoscopy procedure.
32.0%
8/25 • Up to one month following the final bronchoscopy procedure, a total of about two months. Subjects were assessed while they were enrolled and taking study medications and completed all study procedures after the second bronchoscopy. They were contacted from day following procedure up to a total 4 weeks after the final procedure date to assess for any additional adverse events. The total time period is about two months, including time during the study and after the final bronchoscopy procedure.
22.7%
5/22 • Up to one month following the final bronchoscopy procedure, a total of about two months. Subjects were assessed while they were enrolled and taking study medications and completed all study procedures after the second bronchoscopy. They were contacted from day following procedure up to a total 4 weeks after the final procedure date to assess for any additional adverse events. The total time period is about two months, including time during the study and after the final bronchoscopy procedure.

Additional Information

Dr. Ashish Mehta

Atlanta VA Medical Center

Phone: 404-321-6111

Results disclosure agreements

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