Oxaloacetate Supplementation for Emotional PMS

NCT ID: NCT03509714

Last Updated: 2018-04-26

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

48 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-10-17

Study Completion Date

2017-09-01

Brief Summary

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Emotional Premenstrual Syndrome (PMS) affects millions of women worldwide. For Emotional PMS, including depression, anxiety, perceived stress and aggression, there are very few options. Recent observational data suggest that nutritional supplementation with oxaloacetate, a human energy metabolite, greatly reduced the symptoms of Emotional PMS. The aim of this study was to confirm these observations on the effects of oxaloacetate on Emotional PMS symptom severity within a controlled clinical trial setting.

Detailed Description

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Oxaloacetate is an energy metabolite found in every cell of the human body. It holds a key place in the Krebs Cycle within the mitochondria, providing energy to the cells. It is also a critical early metabolite in gluconeogenesis, which provides glucose for the heart and brain during times of low glucose. It is critical to human metabolism, proper cellular function and it is central to energy production and use in the body.

Oxaloacetate may affect Emotional PMS through multiple mechanisms. During PMS, there is a large increase in glucose utilization in the cerebellum of the brain in women who are affected with emotional mood swings. Oxaloacetate supplementation has been shown to support proper glucose levels in the body. Having an excess of oxaloacetate allows gluconeogenesis take place upon demand, thereby fueling the brain, and perhaps meeting cerebellum glucose need.

In addition to oxaloacetate's ability to support proper glucose regulation, oxaloacetate affects two chemicals in the brain, GABA and glutamate. Altering the GABA/Glutamate ratio can affect mood. Oxaloacetate supplementation can reduce glutamate levels in the brain via a process called "Glutamate Scavenging". In addition, oxaloacetate supplementation was shown to increase GABA levels in animal models. By both lowering glutamate and increasing GABA, the GABA/Glutamate ratio is affected, which may also help women with Emotional PMS.

This study will investigate oxaloacetate's effect on Emotional PMS using patient completed surveys to measure depression, anxiety, perceived stress, and aggression, and statistically compare these results against placebo (rice flour) and baseline measurements.

Conditions

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Premenstrual Syndrome (PMS)

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Baseline measurement of all participants. Randomized double-blinded placebo controlled crossover study for Phase 1. Due to carry-over effects, Phase 2 of the study started each participant with placebo.
Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Caregivers Investigators
Oxaloacetate/Vitamin C capsules were bottled in 30 count HDPE bottles. Placebo capsules (rice flour) were manufactured to similar size capsules and bottles. Bottles were labeled either Group A or Group 1. Code was broken at the end of Phase 1 of the study.

Study Groups

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Experimental: Part 1 Oxaloacetate Random

Participants take 2 capsules Jubilance 100 mg Oxaloacetate/150 mg Ascorbic Acid blend per day during their entire menstrual cycle (approximately 28 days) or 2 capsules of 250 mg rice flour (Placebo). After one menstrual cycle, they cross-over to the other option.

Group Type ACTIVE_COMPARATOR

Jubilance (100 mg Oxaloacetate/150 mg Ascorbic Acid)

Intervention Type DIETARY_SUPPLEMENT

2 Pills to be taken orally per day during their entire menstrual cycle

rice flour (Placebo)

Intervention Type DIETARY_SUPPLEMENT

250 mg rice flour (Placebo)

Experimental: Part 2 Oxaloacetate Second

Participants take 2 capsules of 250 mg rice flour (Placebo) per day during their entire menstrual cycle (approximately 28 days). After one menstrual cycle, they cross-over to 2 capsules of Jubilance 100 mg Oxaloacetate/150 mg Ascorbic Acid blend.

Group Type ACTIVE_COMPARATOR

Jubilance (100 mg Oxaloacetate/150 mg Ascorbic Acid)

Intervention Type DIETARY_SUPPLEMENT

2 Pills to be taken orally per day during their entire menstrual cycle

rice flour (Placebo)

Intervention Type DIETARY_SUPPLEMENT

250 mg rice flour (Placebo)

Interventions

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Jubilance (100 mg Oxaloacetate/150 mg Ascorbic Acid)

2 Pills to be taken orally per day during their entire menstrual cycle

Intervention Type DIETARY_SUPPLEMENT

rice flour (Placebo)

250 mg rice flour (Placebo)

Intervention Type DIETARY_SUPPLEMENT

Other Intervention Names

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Jubilance for Emotional PMS

Eligibility Criteria

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Inclusion Criteria

* Women with Emotional Premenstrual Syndrome (PMS),
* Women who speak English as their primary language
* Women who understand the Human Consent Form
* Ability to swallow capsules

Exclusion Criteria

* Formal diagnosis of clinical depression
* Formal diagnosis of premenstrual dysphoric disorder (PMDD).
Minimum Eligible Age

18 Years

Maximum Eligible Age

50 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Terra Biological LLC

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Lisa Tully, PhD

Role: STUDY_DIRECTOR

Energy Medicine research Institute

References

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Williams DS, Cash A, Hamadani L, Diemer T. Oxaloacetate supplementation increases lifespan in Caenorhabditis elegans through an AMPK/FOXO-dependent pathway. Aging Cell. 2009 Dec;8(6):765-8. doi: 10.1111/j.1474-9726.2009.00527.x. Epub 2009 Sep 30.

Reference Type BACKGROUND
PMID: 19793063 (View on PubMed)

Yoshikawa K. Studies on the anti-diabetic effect of sodium oxaloacetate. Tohoku J Exp Med. 1968 Oct;96(2):127-41. doi: 10.1620/tjem.96.127. No abstract available.

Reference Type BACKGROUND
PMID: 4884771 (View on PubMed)

Rapkin AJ, Berman SM, Mandelkern MA, Silverman DH, Morgan M, London ED. Neuroimaging evidence of cerebellar involvement in premenstrual dysphoric disorder. Biol Psychiatry. 2011 Feb 15;69(4):374-80. doi: 10.1016/j.biopsych.2010.09.029. Epub 2010 Nov 18.

Reference Type BACKGROUND
PMID: 21092938 (View on PubMed)

Schmahmann JD. The role of the cerebellum in cognition and emotion: personal reflections since 1982 on the dysmetria of thought hypothesis, and its historical evolution from theory to therapy. Neuropsychol Rev. 2010 Sep;20(3):236-60. doi: 10.1007/s11065-010-9142-x. Epub 2010 Sep 7.

Reference Type BACKGROUND
PMID: 20821056 (View on PubMed)

Wilkins HM, Harris JL, Carl SM, E L, Lu J, Eva Selfridge J, Roy N, Hutfles L, Koppel S, Morris J, Burns JM, Michaelis ML, Michaelis EK, Brooks WM, Swerdlow RH. Oxaloacetate activates brain mitochondrial biogenesis, enhances the insulin pathway, reduces inflammation and stimulates neurogenesis. Hum Mol Genet. 2014 Dec 15;23(24):6528-41. doi: 10.1093/hmg/ddu371. Epub 2014 Jul 15.

Reference Type BACKGROUND
PMID: 25027327 (View on PubMed)

Tully L, Humiston J, Cash A. Oxaloacetate reduces emotional symptoms in premenstrual syndrome (PMS): results of a placebo-controlled, cross-over clinical trial. Obstet Gynecol Sci. 2020 Mar;63(2):195-204. doi: 10.5468/ogs.2020.63.2.195. Epub 2020 Feb 25.

Reference Type DERIVED
PMID: 32206660 (View on PubMed)

Other Identifiers

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TV-OX-108

Identifier Type: OTHER

Identifier Source: secondary_id

EmotionalPMS1

Identifier Type: -

Identifier Source: org_study_id

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