Trial Outcomes & Findings for Early Phase Pre-Clinical and Initial Clinical Research on Epicatechin (NCT NCT02330276)

NCT ID: NCT02330276

Last Updated: 2017-04-17

Results Overview

This will be initial PK study on synthetic (+)-epicatechin in humans. Circulating and urinary concentrations of intact epicatechin and epicatechin metabolites, including specific enantiomers

Recruitment status

COMPLETED

Study phase

PHASE1

Target enrollment

12 participants

Primary outcome timeframe

Baseline and 24 hours

Results posted on

2017-04-17

Participant Flow

Participant milestones

Participant milestones
Measure
10 mg (+)-Epicatechin
4 subjects randomized to one dose of 10 mg (+)-epicatechin taken orally (+)-Epicatechin: The drug to be tested is (+)-epicatechin, synthesized under GMP standards. Subjects will be given a single oral dose of (+)- epicatechin and followed on an inpatient basis over 24 hours. Three (3) different dose levels will be tested in a randomized, double-blind design: (+)- epicatechin 10 mg, 30 mg, or 100 mg. As this is a pilot study, a placebo arm will not be included.
30 mg (+)-Epicatechin
4 subjects randomized to one dose of 30 mg (+)-epicatechin taken orally (+)-Epicatechin: The drug to be tested is (+)-epicatechin, synthesized under GMP standards. Subjects will be given a single oral dose of (+)- epicatechin and followed on an inpatient basis over 24 hours. Three (3) different dose levels will be tested in a randomized, double-blind design: (+)- epicatechin 10 mg, 30 mg, or 100 mg. As this is a pilot study, a placebo arm will not be included.
100 mg (+)-Epicatechin
4 subjects randomized to one dose of 100 mg (+)-epicatechin taken orally (+)-Epicatechin: The drug to be tested is (+)-epicatechin, synthesized under GMP standards. Subjects will be given a single oral dose of (+)- epicatechin and followed on an inpatient basis over 24 hours. Three (3) different dose levels will be tested in a randomized, double-blind design: (+)- epicatechin 10 mg, 30 mg, or 100 mg. As this is a pilot study, a placebo arm will not be included.
Overall Study
STARTED
4
4
4
Overall Study
COMPLETED
4
4
4
Overall Study
NOT COMPLETED
0
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Early Phase Pre-Clinical and Initial Clinical Research on Epicatechin

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
10 mg (+)-Epicatechin
n=4 Participants
4 subjects randomized to one dose of 10 mg (+)-epicatechin taken orally (+)-Epicatechin: The drug to be tested is (+)-epicatechin, synthesized under GMP standards. Subjects will be given a single oral dose of (+)- epicatechin and followed on an inpatient basis over 24 hours. Three (3) different dose levels will be tested in a randomized, double-blind design: (+)- epicatechin 10 mg, 30 mg, or 100 mg. As this is a pilot study, a placebo arm will not be included.
30 mg (+)-Epicatechin
n=4 Participants
4 subjects randomized to one dose of 30 mg (+)-epicatechin taken orally (+)-Epicatechin: The drug to be tested is (+)-epicatechin, synthesized under GMP standards. Subjects will be given a single oral dose of (+)- epicatechin and followed on an inpatient basis over 24 hours. Three (3) different dose levels will be tested in a randomized, double-blind design: (+)- epicatechin 10 mg, 30 mg, or 100 mg. As this is a pilot study, a placebo arm will not be included.
100 mg (+)-Epicatechin
n=4 Participants
4 subjects randomized to one dose of 100 mg (+)-epicatechin taken orally (+)-Epicatechin: The drug to be tested is (+)-epicatechin, synthesized under GMP standards. Subjects will be given a single oral dose of (+)- epicatechin and followed on an inpatient basis over 24 hours. Three (3) different dose levels will be tested in a randomized, double-blind design: (+)- epicatechin 10 mg, 30 mg, or 100 mg. As this is a pilot study, a placebo arm will not be included.
Total
n=12 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
Age, Categorical
Between 18 and 65 years
3 Participants
n=5 Participants
4 Participants
n=7 Participants
0 Participants
n=5 Participants
7 Participants
n=4 Participants
Age, Categorical
>=65 years
1 Participants
n=5 Participants
0 Participants
n=7 Participants
4 Participants
n=5 Participants
5 Participants
n=4 Participants
Sex: Female, Male
Female
1 Participants
n=5 Participants
2 Participants
n=7 Participants
1 Participants
n=5 Participants
4 Participants
n=4 Participants
Sex: Female, Male
Male
3 Participants
n=5 Participants
2 Participants
n=7 Participants
3 Participants
n=5 Participants
8 Participants
n=4 Participants
Race (NIH/OMB)
American Indian or Alaska Native
1 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
1 Participants
n=4 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
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
Race (NIH/OMB)
Black or African American
3 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
3 Participants
n=4 Participants
Race (NIH/OMB)
White
0 Participants
n=5 Participants
4 Participants
n=7 Participants
4 Participants
n=5 Participants
8 Participants
n=4 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 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
Region of Enrollment
United States
4 participants
n=5 Participants
4 participants
n=7 Participants
4 participants
n=5 Participants
12 participants
n=4 Participants

PRIMARY outcome

Timeframe: Baseline and 24 hours

Population: Intent to treat population (all participants who receive the medication). Last observation carried forward (LOCF) imputation method.

This will be initial PK study on synthetic (+)-epicatechin in humans. Circulating and urinary concentrations of intact epicatechin and epicatechin metabolites, including specific enantiomers

Outcome measures

Outcome measures
Measure
10 mg (+)-Epicatechin
n=4 Participants
4 subjects randomized to one dose of 10 mg (+)-epicatechin taken orally (+)-Epicatechin: The drug to be tested is (+)-epicatechin, synthesized under GMP standards. Subjects will be given a single oral dose of (+)- epicatechin and followed on an inpatient basis over 24 hours. Three (3) different dose levels will be tested in a randomized, double-blind design: (+)- epicatechin 10 mg, 30 mg, or 100 mg. As this is a pilot study, a placebo arm will not be included.
30 mg (+)-Epicatechin
n=4 Participants
4 subjects randomized to one dose of 30 mg (+)-epicatechin taken orally (+)-Epicatechin: The drug to be tested is (+)-epicatechin, synthesized under GMP standards. Subjects will be given a single oral dose of (+)- epicatechin and followed on an inpatient basis over 24 hours. Three (3) different dose levels will be tested in a randomized, double-blind design: (+)- epicatechin 10 mg, 30 mg, or 100 mg. As this is a pilot study, a placebo arm will not be included.
100 mg (+)-Epicatechin
n=4 Participants
4 subjects randomized to one dose of 100 mg (+)-epicatechin taken orally (+)-Epicatechin: The drug to be tested is (+)-epicatechin, synthesized under GMP standards. Subjects will be given a single oral dose of (+)- epicatechin and followed on an inpatient basis over 24 hours. Three (3) different dose levels will be tested in a randomized, double-blind design: (+)- epicatechin 10 mg, 30 mg, or 100 mg. As this is a pilot study, a placebo arm will not be included.
Change From Baseline in Circulating Urinary Concentrations of Intact Epicatechin and Epi Metabolites
Metabolites (AUC nM*hr)
105.8 nM*hr
Standard Deviation 122.2
132.7 nM*hr
Standard Deviation 148.0
162.3 nM*hr
Standard Deviation 209.8
Change From Baseline in Circulating Urinary Concentrations of Intact Epicatechin and Epi Metabolites
epicatechin-sulfate (AUC nM*hr)
291.3 nM*hr
Standard Deviation 119.2
1639 nM*hr
Standard Deviation 389.0
3031 nM*hr
Standard Deviation 1543
Change From Baseline in Circulating Urinary Concentrations of Intact Epicatechin and Epi Metabolites
epicatechin-glucuronide (AUC nM*hr)
3.375 nM*hr
Standard Deviation 2.488
47.18 nM*hr
Standard Deviation 39.41
398.3 nM*hr
Standard Deviation 292.7
Change From Baseline in Circulating Urinary Concentrations of Intact Epicatechin and Epi Metabolites
Methyl-epi-sulfate (AUC nM*hr)
457.8 nM*hr
Standard Deviation 211.5
3190 nM*hr
Standard Deviation 496.6
16699 nM*hr
Standard Deviation 7218
Change From Baseline in Circulating Urinary Concentrations of Intact Epicatechin and Epi Metabolites
Total parent compound and metabolites (AUC nM*hr)
840.3 nM*hr
Standard Deviation 311.1
4996 nM*hr
Standard Deviation 570.0
22563 nM*hr
Standard Deviation 10335

SECONDARY outcome

Timeframe: Baseline and 24 hours

Population: Intent to treat population (all participants who receive the medication). Last observation carried forward (LOCF) imputation method.

Clinically significant differences in the major safety endpoints are defined as: BP (10 mm Hg change), HR (10 bpm), creatinine (\>1.5 ULN), and highly conservative changes in alkaline phosphatase and liver transaminases (\>1.5 ULN).

Outcome measures

Outcome measures
Measure
10 mg (+)-Epicatechin
n=4 Participants
4 subjects randomized to one dose of 10 mg (+)-epicatechin taken orally (+)-Epicatechin: The drug to be tested is (+)-epicatechin, synthesized under GMP standards. Subjects will be given a single oral dose of (+)- epicatechin and followed on an inpatient basis over 24 hours. Three (3) different dose levels will be tested in a randomized, double-blind design: (+)- epicatechin 10 mg, 30 mg, or 100 mg. As this is a pilot study, a placebo arm will not be included.
30 mg (+)-Epicatechin
n=4 Participants
4 subjects randomized to one dose of 30 mg (+)-epicatechin taken orally (+)-Epicatechin: The drug to be tested is (+)-epicatechin, synthesized under GMP standards. Subjects will be given a single oral dose of (+)- epicatechin and followed on an inpatient basis over 24 hours. Three (3) different dose levels will be tested in a randomized, double-blind design: (+)- epicatechin 10 mg, 30 mg, or 100 mg. As this is a pilot study, a placebo arm will not be included.
100 mg (+)-Epicatechin
n=4 Participants
4 subjects randomized to one dose of 100 mg (+)-epicatechin taken orally (+)-Epicatechin: The drug to be tested is (+)-epicatechin, synthesized under GMP standards. Subjects will be given a single oral dose of (+)- epicatechin and followed on an inpatient basis over 24 hours. Three (3) different dose levels will be tested in a randomized, double-blind design: (+)- epicatechin 10 mg, 30 mg, or 100 mg. As this is a pilot study, a placebo arm will not be included.
Change From Baseline in Major Safety Endpoints
0 participants
0 participants
0 participants

SECONDARY outcome

Timeframe: Baseline and 24 hours

Population: Intent to treat population (all participants who receive the medication). Last observation carried forward (LOCF) imputation method.

Outcome measures

Outcome measures
Measure
10 mg (+)-Epicatechin
n=4 Participants
4 subjects randomized to one dose of 10 mg (+)-epicatechin taken orally (+)-Epicatechin: The drug to be tested is (+)-epicatechin, synthesized under GMP standards. Subjects will be given a single oral dose of (+)- epicatechin and followed on an inpatient basis over 24 hours. Three (3) different dose levels will be tested in a randomized, double-blind design: (+)- epicatechin 10 mg, 30 mg, or 100 mg. As this is a pilot study, a placebo arm will not be included.
30 mg (+)-Epicatechin
n=4 Participants
4 subjects randomized to one dose of 30 mg (+)-epicatechin taken orally (+)-Epicatechin: The drug to be tested is (+)-epicatechin, synthesized under GMP standards. Subjects will be given a single oral dose of (+)- epicatechin and followed on an inpatient basis over 24 hours. Three (3) different dose levels will be tested in a randomized, double-blind design: (+)- epicatechin 10 mg, 30 mg, or 100 mg. As this is a pilot study, a placebo arm will not be included.
100 mg (+)-Epicatechin
n=4 Participants
4 subjects randomized to one dose of 100 mg (+)-epicatechin taken orally (+)-Epicatechin: The drug to be tested is (+)-epicatechin, synthesized under GMP standards. Subjects will be given a single oral dose of (+)- epicatechin and followed on an inpatient basis over 24 hours. Three (3) different dose levels will be tested in a randomized, double-blind design: (+)- epicatechin 10 mg, 30 mg, or 100 mg. As this is a pilot study, a placebo arm will not be included.
Change From Baseline in Circulating Glucose Concentrations (mg/dL*24hr)
368.3 mg/dL*24hr
Standard Deviation 158.5
342.6 mg/dL*24hr
Standard Deviation 193.5
513.4 mg/dL*24hr
Standard Deviation 185.6

SECONDARY outcome

Timeframe: Baseline and 24 hours

Population: Intent to treat population (all participants who receive the medication). Last observation carried forward (LOCF) imputation method.

Outcome measures

Outcome measures
Measure
10 mg (+)-Epicatechin
n=4 Participants
4 subjects randomized to one dose of 10 mg (+)-epicatechin taken orally (+)-Epicatechin: The drug to be tested is (+)-epicatechin, synthesized under GMP standards. Subjects will be given a single oral dose of (+)- epicatechin and followed on an inpatient basis over 24 hours. Three (3) different dose levels will be tested in a randomized, double-blind design: (+)- epicatechin 10 mg, 30 mg, or 100 mg. As this is a pilot study, a placebo arm will not be included.
30 mg (+)-Epicatechin
n=4 Participants
4 subjects randomized to one dose of 30 mg (+)-epicatechin taken orally (+)-Epicatechin: The drug to be tested is (+)-epicatechin, synthesized under GMP standards. Subjects will be given a single oral dose of (+)- epicatechin and followed on an inpatient basis over 24 hours. Three (3) different dose levels will be tested in a randomized, double-blind design: (+)- epicatechin 10 mg, 30 mg, or 100 mg. As this is a pilot study, a placebo arm will not be included.
100 mg (+)-Epicatechin
n=4 Participants
4 subjects randomized to one dose of 100 mg (+)-epicatechin taken orally (+)-Epicatechin: The drug to be tested is (+)-epicatechin, synthesized under GMP standards. Subjects will be given a single oral dose of (+)- epicatechin and followed on an inpatient basis over 24 hours. Three (3) different dose levels will be tested in a randomized, double-blind design: (+)- epicatechin 10 mg, 30 mg, or 100 mg. As this is a pilot study, a placebo arm will not be included.
Change From Baseline in Circulating Insulin Concentrations (uU/mL*24hr)
1192 uU/mL*24 hr
Standard Deviation 488.5
707.2 uU/mL*24 hr
Standard Deviation 211.5
1334 uU/mL*24 hr
Standard Deviation 666.5

SECONDARY outcome

Timeframe: Baseline and 24 hours

Population: Intent to treat population (all participants who receive the medication). Last observation carried forward (LOCF) imputation method.

Outcome measures

Outcome measures
Measure
10 mg (+)-Epicatechin
n=4 Participants
4 subjects randomized to one dose of 10 mg (+)-epicatechin taken orally (+)-Epicatechin: The drug to be tested is (+)-epicatechin, synthesized under GMP standards. Subjects will be given a single oral dose of (+)- epicatechin and followed on an inpatient basis over 24 hours. Three (3) different dose levels will be tested in a randomized, double-blind design: (+)- epicatechin 10 mg, 30 mg, or 100 mg. As this is a pilot study, a placebo arm will not be included.
30 mg (+)-Epicatechin
n=4 Participants
4 subjects randomized to one dose of 30 mg (+)-epicatechin taken orally (+)-Epicatechin: The drug to be tested is (+)-epicatechin, synthesized under GMP standards. Subjects will be given a single oral dose of (+)- epicatechin and followed on an inpatient basis over 24 hours. Three (3) different dose levels will be tested in a randomized, double-blind design: (+)- epicatechin 10 mg, 30 mg, or 100 mg. As this is a pilot study, a placebo arm will not be included.
100 mg (+)-Epicatechin
n=4 Participants
4 subjects randomized to one dose of 100 mg (+)-epicatechin taken orally (+)-Epicatechin: The drug to be tested is (+)-epicatechin, synthesized under GMP standards. Subjects will be given a single oral dose of (+)- epicatechin and followed on an inpatient basis over 24 hours. Three (3) different dose levels will be tested in a randomized, double-blind design: (+)- epicatechin 10 mg, 30 mg, or 100 mg. As this is a pilot study, a placebo arm will not be included.
Change From Baseline in Circulating C-Peptide Concentrations (ng/mL*24hr)
61.74 ng/mL*24hr
Standard Deviation 27.64
57.56 ng/mL*24hr
Standard Deviation 28.56
64.23 ng/mL*24hr
Standard Deviation 27.11

Adverse Events

10 mg (+)-Epicatechin

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

30 mg (+)-Epicatechin

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

100 mg (+)-Epicatechin

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

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
10 mg (+)-Epicatechin
n=4 participants at risk
4 subjects randomized to one dose of 10 mg (+)-epicatechin taken orally (+)-Epicatechin: The drug to be tested is (+)-epicatechin, synthesized under GMP standards. Subjects will be given a single oral dose of (+)- epicatechin and followed on an inpatient basis over 24 hours. Three (3) different dose levels will be tested in a randomized, double-blind design: (+)- epicatechin 10 mg, 30 mg, or 100 mg. As this is a pilot study, a placebo arm will not be included.
30 mg (+)-Epicatechin
n=4 participants at risk
4 subjects randomized to one dose of 30 mg (+)-epicatechin taken orally (+)-Epicatechin: The drug to be tested is (+)-epicatechin, synthesized under GMP standards. Subjects will be given a single oral dose of (+)- epicatechin and followed on an inpatient basis over 24 hours. Three (3) different dose levels will be tested in a randomized, double-blind design: (+)- epicatechin 10 mg, 30 mg, or 100 mg. As this is a pilot study, a placebo arm will not be included.
100 mg (+)-Epicatechin
n=4 participants at risk
4 subjects randomized to one dose of 100 mg (+)-epicatechin taken orally (+)-Epicatechin: The drug to be tested is (+)-epicatechin, synthesized under GMP standards. Subjects will be given a single oral dose of (+)- epicatechin and followed on an inpatient basis over 24 hours. Three (3) different dose levels will be tested in a randomized, double-blind design: (+)- epicatechin 10 mg, 30 mg, or 100 mg. As this is a pilot study, a placebo arm will not be included.
Nervous system disorders
Intermittent Headaches
0.00%
0/4 • 9 days
0.00%
0/4 • 9 days
25.0%
1/4 • Number of events 1 • 9 days

Additional Information

Robert R. Henry, MD

Va San Diego Healthcare System

Phone: 8585528585

Results disclosure agreements

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