Study to Assess the Relationship Between Daily Dosing of NRPT and Changes in Liver Fat in Healthy Volunteers

NCT ID: NCT03513523

Last Updated: 2020-10-26

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

111 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-04-18

Study Completion Date

2020-08-17

Brief Summary

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The purpose of this study is to determine if there is a relationship between daily consumption of NRPT, over a six-month (26-week) period, and changes in liver fat accumulation, compared to placebo and change from Baseline in healthy volunteers. In addition, an exploratory assessment of markers of inflammation and liver fat metabolism will be examined.

Detailed Description

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Conditions

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Fatty Liver

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

FACTORIAL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Group 1: 1X dose of NRPT

250 mg of NR and 50 mg of PT

Group Type EXPERIMENTAL

Group 1 NRPT

Intervention Type DIETARY_SUPPLEMENT

Two capsules of NRPT and two placebo will be taken once daily in the morning for 26 weeks. Each NRPT capsule will contain 125 mg NR and 25 mg PT.

Group 2: 2X dose of NRPT

500 mg of NR and 100 mg of PT

Group Type EXPERIMENTAL

Group 2 NRPT

Intervention Type DIETARY_SUPPLEMENT

Four capsules of NRPT will be taken once daily in the morning for 26 weeks. Each NRPT capsule will contain 125 mg NR and 25 mg PT.

Group 3: Placebo

Placebo capsules contain microcrystalline cellulose, silicon dioxide and magnesium stearate

Group Type PLACEBO_COMPARATOR

Group 3 Placebo

Intervention Type OTHER

Four placebo capsules will be taken once daily in the morning for 26 weeks.

Interventions

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Group 1 NRPT

Two capsules of NRPT and two placebo will be taken once daily in the morning for 26 weeks. Each NRPT capsule will contain 125 mg NR and 25 mg PT.

Intervention Type DIETARY_SUPPLEMENT

Group 2 NRPT

Four capsules of NRPT will be taken once daily in the morning for 26 weeks. Each NRPT capsule will contain 125 mg NR and 25 mg PT.

Intervention Type DIETARY_SUPPLEMENT

Group 3 Placebo

Four placebo capsules will be taken once daily in the morning for 26 weeks.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

1. MRI-PDFF of at least 15%, as measured at Visit 2 (Baseline).
2. Men or women between the ages of 18 and 70 years.
3. BMI between 25.0 and 39.9 kg/m2.
4. Non-smokers (\>3 months of non-smoking).
5. If on a statin regimen, history (\> 1 month) of stable dose.
6. Able to understand and cooperate with study procedures, and have signed a written informed consent prior to any study procedures.

Exclusion Criteria

1. Diagnosis of NASH (Non-Alcoholic Steatohepatitis).
2. Bilirubin \>2x ULN
3. Other causes of liver inflammation including Hepatitis A, B or C, HIV, confirmed or suspected cirrhosis, Wilson's disease, autoimmune hepatitis, hemochromatosis, alcoholic steatohepatitis, pancreatitis, or prescription medications known to cause liver damage, or known to be hepatotoxic. (Evidence of hepatocellular injury or hepatocyte ballooning.)
4. Subjects with a history of bariatric surgery.
5. Significant weight loss (\> 5% body weight) or rapid weight loss (\> 1.6kg/week), within six (6) months of the Screening Visit.
6. Current or recent (within six (6) months of the Screening Visit) history of significant gastrointestinal, renal, pulmonary, hepatic or biliary disease, endocrine diseases (Type II Diabetes permitted) or other invasive weight loss treatments.
7. Individual taking prescription or over-the-counter medications, including dietary supplements, known to alter lipid metabolism or liver function, within four (4) weeks of randomization.
8. Use of supplements containing pterostilbene, resveratrol, nicotinamide, or niacin, or consumption of red wine (more than 8 oz. per week) or blueberries (more than one serving per week).
9. Pregnant or lactating women or women of childbearing potential who are not using an approved method of contraception. A woman is considered to be of childbearing potential unless she is post-hysterectomy, one or more years postmenopausal, or one or more years following tubal ligation.
10. History of significant cardiovascular or coronary heart disease (CVD or CHD, respectively) as defined as having had a coronary artery bypass procedure, coronary stent or angioplasty, or myocardial infarction in the previous six (6) months.
11. History of cancer, other than non-melanoma skin cancer and basal cell carcinoma, within the previous five years.
12. Poorly controlled or uncontrolled hypertension (systolic blood pressure ≥160 mmHg and/or diastolic blood pressure ≥95 mmHg).
13. Recent history of prolonged alcohol (\>3 months) use (within past six (6) months) or excessive alcohol use, defined as \>14 drinks per week (one drink = 12 oz. beer, 4 oz. wine, 1.5 oz. hard liquor).
14. Exposure to any investigational agent within four (4) weeks or five (5) half-lives, prior to the Screening Visit.
15. Subjects planning to undergo surgery during the study period or up to 1 month after the study
16. Any serious psychiatric disease or disorder, which, in the opinion of the investigator, would preclude the subject from participating in the study.
17. Any known intolerance to the investigational ingredients of this investigational product.
18. Has a condition the Investigator believes would interfere with the evaluation of the subject, or may put the subject at undue risk during the course of the study, including potentially abnormal lab results, due to a traumatic event.
Minimum Eligible Age

18 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Nutrasource Pharmaceutical and Nutraceutical Services, Inc.

NETWORK

Sponsor Role collaborator

Elysium Health

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Oliver Chen, PhD

Role: PRINCIPAL_INVESTIGATOR

Biofortis Clinical Research, Inc.

Locations

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Indago Research and Health Center

Hialeah, Florida, United States

Site Status

Altus Research, Inc.

Lake Worth, Florida, United States

Site Status

Lone Star Research Center

Miami, Florida, United States

Site Status

Med-Care Research Corp

Miami, Florida, United States

Site Status

Legacy Clinical Solutions: Sensible Healthcare, LLC

Ocoee, Florida, United States

Site Status

IMIC, Inc

Palmetto Bay, Florida, United States

Site Status

Lenus Research & Medical Group

Sweetwater, Florida, United States

Site Status

Barrett Clinic, P.C.

La Vista, Nebraska, United States

Site Status

Trial Management Associates, LLC

Wilmington, North Carolina, United States

Site Status

Countries

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United States

References

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Dellinger RW, Holmes HE, Hu-Seliger T, Butt RW, Harrison SA, Mozaffarian D, Chen O, Guarente L. Nicotinamide riboside and pterostilbene reduces markers of hepatic inflammation in NAFLD: A double-blind, placebo-controlled clinical trial. Hepatology. 2023 Sep 1;78(3):863-877. doi: 10.1002/hep.32778. Epub 2022 Nov 22.

Reference Type DERIVED
PMID: 36082508 (View on PubMed)

Other Identifiers

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ELYS-170004-FL-PR

Identifier Type: -

Identifier Source: org_study_id