Relative Bioavailability of Two Different Milk Thistle Formulations
1 other identifier
interventional
12
1 country
1
Brief Summary
This is a single dose, randomized, cross-over pharmacokinetic study in healthy volunteers (n=12) of two dietary supplement formulations. The Product B® IsaGenesis® formulation represents a newer reformulation of an existing product known simply as IsaGenesis®. Beyond some changes in the relative abundance of some of the constituents of the earlier IsaGenesis® formulation, the Product B® IsaGenesis® product has been formulated as a liquid-gel formulation (rather than a dried powder extract) which is theorized to enhance the absorption and bioavailability of the contained botanical constituents. The purpose of this study is to compare the two dietary supplement formulations relative to the absorption of two compounds contained within the supplement known as the flavonolignans silybin A and silybin B into the bloodstream after oral administration of capsules.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for not_applicable healthy
Started Sep 2015
Typical duration for not_applicable healthy
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
August 17, 2015
CompletedFirst Posted
Study publicly available on registry
August 20, 2015
CompletedStudy Start
First participant enrolled
September 1, 2015
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 1, 2017
CompletedStudy Completion
Last participant's last visit for all outcomes
June 1, 2017
CompletedJune 19, 2018
June 1, 2018
1.8 years
August 17, 2015
June 15, 2018
Conditions
Keywords
Outcome Measures
Primary Outcomes (2)
Area under the plasma concentration versus time curve (AUC) of Product B® IsaGenesis® versus IsaGenesis®
0.0, 0.5, 1, 1.5, 2, 3, 4, 6, 8 hours post dose
Peak Plasma Concentration (Cmax) of Product B® Isagenesis® versus IsaGenesis®
0.0, 0.5, 1, 1.5, 2, 3, 4, 6, 8 hours post dose
Secondary Outcomes (1)
Number of Participants With Response to Product B® Isagenesis® versus IsaGenesis®
6 weeks
Study Arms (2)
Product B® IsaGenesis®, Then IsaGenesis®
ACTIVE COMPARATORParticipants will come into the clinic in a fasting state to receive the Product B® IsaGenesis®, which will be a one time dose of the liquid-gel formulation contained in 2 capsules, 1280 mg per capsule. After a washout period of 7 days, they will then come back to the clinic in a fasting state to receive the IsaGenesis®. This will be given for a comparison in a one time dose of the dried powder extract contained in 2 capsules; 1070 mg per capsule.
IsaGenesis®, Then Product B® IsaGenesis®
ACTIVE COMPARATORParticipants will come into the clinic in a fasting state to receive the IsaGenesis®, which will be a one time dose of the dried powder extract contained in 2 capsules; 1070 mg per capsule. After a washout period of 7 days, they will then come back to the clinic in a fasting state to receive the Product B® IsaGenesis®. This will be given for a comparison in a one time dose of the liquid-gel formulation contained in 2 capsules; 1280 mg/capsule.
Interventions
This will be a crossover comparison of a one time dose of the liquid-gel formulation contained in 2 capsules; 1280 mg/capsule.
This will be a crossover comparison of a one time dose of the dried powder extract contained in 2 capsules; 1070 mg /capsule.
Eligibility Criteria
You may qualify if:
- Signed Informed Consent
- Race or ethnicity: no restrictions
- Body Mass Index (BMI) between 18.5 to 28 kg/m2 (inclusive)
- Satisfactory completion of the screening medical history, physical exam, and laboratory evaluations.
- Females of child-bearing potential must have a negative urine pregnancy test prior to enrollment and avoid pregnancy during study participation.
- With the exception of oral contraceptives, subjects must not be taking prescription or over the counter medication for the duration of study participation
- Subjects must have no ongoing use of any botanical/nutritional supplement, vitamin, or energy drink for the duration of study participation
You may not qualify if:
- The presence of a known allergy to ragweed and related plants from the Asteraceae/Compositae plant family. Members of this family include ragweed, chrysanthemums, marigolds, daisies, and some others. Milk thistle may cause an allergic reaction in people who are sensitive to these plants.
- A history (within the past year) or presence of clinically significant cardiovascular, cerebrovascular, renal, hepatic, gastrointestinal, pulmonary, immunological, hematological, endocrine, or neurologic disease will render subjects ineligible for the study.
- The presence of any surgical or medical condition (active or chronic) that may interfere with drug absorption, distribution, metabolism, or excretion including;
- Gastric bezoar
- Swallowing disorders
- Strictures
- Fistulas
- GI obstruction
- Severe dysphagia
- Crohn's disease
- Diverticulitis
- A positive urine pregnancy test.
- Any concomitant prescription medication, over-the-counter medication, herbal or other supplements, and vitamins during the study period.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- University of Floridalead
- Isagenix International LLCcollaborator
Study Sites (1)
Uf Ctsi Crc
Gainesville, Florida, 32610, United States
Related Publications (1)
Li WY, Yu G, Hogan RM, Mohandas R, Frye RF, Gumpricht E, Markowitz JS. Relative Bioavailability of Silybin A and Silybin B From 2 Multiconstituent Dietary Supplement Formulations Containing Milk Thistle Extract: A Single-dose Study. Clin Ther. 2018 Jan;40(1):103-113.e1. doi: 10.1016/j.clinthera.2017.11.013. Epub 2017 Dec 19.
PMID: 29273470DERIVED
MeSH Terms
Interventions
Study Officials
- PRINCIPAL INVESTIGATOR
John S Markowitz, Pharm.D.
University of Florida
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- BASIC SCIENCE
- Intervention Model
- CROSSOVER
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
August 17, 2015
First Posted
August 20, 2015
Study Start
September 1, 2015
Primary Completion
June 1, 2017
Study Completion
June 1, 2017
Last Updated
June 19, 2018
Record last verified: 2018-06