NCT02348762

Brief Summary

The investigators have previously reported that older patients with HIV are deficient in glutathione (GSH) due to decreased availability of cysteine and glycine, and that oral supplementation with cysteine (as n-acetylcysteine) and glycine for 2-weeks corrects their own levels, and improves concentrations of red-cell GSH. The investigators also found that when GSH deficient, subjects had impaired mitochondrial energetics and this improved with an increase in intracellular GSH concentrations. The current proposal will investigate if cysteine and glycine supplementation for a duration of 24 weeks will result in changes in : (a) GSH levels; (b) body composition/anthropometry; (c) strength and function; (d) quality of life; (e) mitochondrial energetics; (f) biochemistry (including dyslipidemia and oxidative stress); (g) protein and glucose metabolism; (h) cognition and memory. 3 months after completing supplementation, measurement of GSH concentrations, strength, function, mitochondrial energetics and neurocognitive tests will be done to determine the effects of washout.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
16

participants targeted

Target at below P25 for phase_1

Timeline
Completed

Started Nov 2014

Longer than P75 for phase_1

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

November 1, 2014

Completed
3 months until next milestone

First Submitted

Initial submission to the registry

January 15, 2015

Completed
13 days until next milestone

First Posted

Study publicly available on registry

January 28, 2015

Completed
3.8 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

November 1, 2018

Completed
2.3 years until next milestone

Study Completion

Last participant's last visit for all outcomes

March 1, 2021

Completed
Last Updated

February 11, 2022

Status Verified

January 1, 2022

Enrollment Period

4 years

First QC Date

January 15, 2015

Last Update Submit

January 28, 2022

Conditions

Outcome Measures

Primary Outcomes (1)

  • Red blood cell concentrations of Glutathione measured by HPLC

    8 months

Study Arms (1)

Glycine and N-acetylcysteine

EXPERIMENTAL

Older subjects will be studied before and after taking oral cysteine (as n-acetylcysteine) and glycine for 6 months

Dietary Supplement: Cysteine (as n-acetylcysteine) and Glycine

Interventions

Older subjects will be studied before and after receiving cysteine and glycine

Glycine and N-acetylcysteine

Eligibility Criteria

Age21 Years - 80 Years
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Older subjects:
  • age 70-80 years;
  • Younger subjects:
  • age 21-30 years

You may not qualify if:

  • No known diabetes, liver disease, kidney disease, coronary heart disease, stroke, or cancer;
  • Any limitations in ability to walk;
  • Triglyceride concentrations greater than 500 mg/dl (if lipid lowering medications are stopped);
  • BMI less than 20.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Baylor Metabolic Research Unit (MRU)

Houston, Texas, 77030, United States

Location

MeSH Terms

Conditions

Muscle Weakness

Interventions

CysteineGlycine

Condition Hierarchy (Ancestors)

Muscular DiseasesMusculoskeletal DiseasesNeuromuscular ManifestationsNeurologic ManifestationsNervous System DiseasesPathologic ProcessesPathological Conditions, Signs and SymptomsSigns and Symptoms

Intervention Hierarchy (Ancestors)

Amino Acids, SulfurSulfur CompoundsOrganic ChemicalsSulfhydryl CompoundsAmino Acids, NeutralAmino AcidsAmino Acids, Peptides, and Proteins

Study Officials

  • R V Sekhar, M.D.

    Baylor College of Medicine

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
phase 1
Allocation
NA
Masking
NONE
Purpose
BASIC SCIENCE
Intervention Model
SINGLE GROUP
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Principal Investigator

Study Record Dates

First Submitted

January 15, 2015

First Posted

January 28, 2015

Study Start

November 1, 2014

Primary Completion

November 1, 2018

Study Completion

March 1, 2021

Last Updated

February 11, 2022

Record last verified: 2022-01

Data Sharing

IPD Sharing
Will not share

Locations