NCT03180775

Brief Summary

Recently, the investigators have been screening for anti-atherogenic or pro-atherogenic amino acids (AAs) in the macrophage model system to better understand their role in atherogenesis. The findings so far suggest that specific AAs induce selective anti-atherogenic effects (glycine, alanine, leucine and cysteine) or pro-atherogenic effects (glutamate and glutamine) in macrophages. Taking together the above previous reports with the mechanisms behind macrophage foam cell formation and atherogenesis, it is possible that AAs could be anti-atherogenic or pro-atherogenic via their mechanism of action on macrophage foam cell formation. This paradigm may serve as a basis for the development of novel cardio-protective, anti-atherogenic nutritional, or therapeutic approaches, that should be studied in human trials.

Trial Health

35
At Risk

Trial Health Score

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

Trial has exceeded expected completion date
Enrollment
110

participants targeted

Target at P50-P75 for not_applicable

Timeline
Completed

Started Jul 2017

Shorter than P25 for not_applicable

Status
unknown

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

First Submitted

Initial submission to the registry

May 25, 2017

Completed
14 days until next milestone

First Posted

Study publicly available on registry

June 8, 2017

Completed
23 days until next milestone

Study Start

First participant enrolled

July 1, 2017

Completed
6 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 15, 2017

Completed
5 months until next milestone

Study Completion

Last participant's last visit for all outcomes

May 1, 2018

Completed
Last Updated

June 8, 2017

Status Verified

June 1, 2017

Enrollment Period

6 months

First QC Date

May 25, 2017

Last Update Submit

June 7, 2017

Conditions

Keywords

Amino acidsMacrophage atherogenicityTriglyceridesCholesterolLipoproteins

Outcome Measures

Primary Outcomes (1)

  • Serum atherogenicity

    Macrophage lipids (triglycerides and cholesterol) content (μg/mg cell protein) following incubation with serum derived from the subjects.

    1 year

Secondary Outcomes (3)

  • Serum triglyceride concentration

    1 year

  • Macrophage cholesterol content

    1 year

  • Serum oxidation

    1 year

Study Arms (11)

Control

SHAM COMPARATOR

Other: Cellulose (control): cellulose, water soluble powder, 2 g in one daily dose, during 30 days

Other: Cellulose (control)

Glycine (Trade name: Glycine)

EXPERIMENTAL

Dietary Supplement: Glycine, water soluble powder, 7.8 g daily in one dose, during 30 days.

Dietary Supplement: Glycine

Alanine (Trade name: L-Alanine)

EXPERIMENTAL

Dietary Supplement: Alanine, water soluble powder, 8.5 g daily in one dose, during 30 days.

Dietary Supplement: Alanine

Leucine (Trade name: L-Leucine)

EXPERIMENTAL

Dietary Supplement: Leucine, water soluble powder, 14 g daily in one dose, during 30 days.

Dietary Supplement: Leucine

Isoleucine (Trade name: L-Isoleucine)

EXPERIMENTAL

Dietary Supplement: Isoleucine, water soluble powder, 8.2 g daily in one dose, during 30 days.

Dietary Supplement: Isoleucine

Valine (Trade name: L-Valine)

EXPERIMENTAL

Dietary Supplement: Valine, water soluble powder, 9 g daily in one dose, during 30 days.

Dietary Supplement: Valine

Cysteine (Trade name: L-Cysteine)

EXPERIMENTAL

Dietary Supplement: Cysteine, water soluble powder, 2.2 g daily in one dose, during 30 days.

Dietary Supplement: Cysteine

Arginine (Trade name: L-Arginine)

EXPERIMENTAL

Dietary Supplement: Arginine, water soluble powder, 10 g daily in one dose, during 30 days.

Dietary Supplement: Arginine

Methionine (Trade name: DL-Methionine)

EXPERIMENTAL

Dietary Supplement: Methionine, water soluble powder, 4 g daily in one dose, during 30 days.

Dietary Supplement: Methionine

Glutamate (Trade name: L-Glutamic acid)

EXPERIMENTAL

Dietary Supplement: Glutamate, water soluble powder, 33 g daily in one dose, during 30 days.

Dietary Supplement: Glutamate

Glutamine (Trade name: L-Glutamine)

EXPERIMENTAL

Dietary Supplement: Glutamine, water soluble powder, 30 g daily in one dose, during 30 days.

Dietary Supplement: Glutamine

Interventions

Cellulose (a vegetal product, in powder form, used as dietary fiber, that is not digested or absorbed in the intestines), will be supplemented in the form of water soluble powder.

Control
GlycineDIETARY_SUPPLEMENT

Amino acids are the building blocks of proteins, they are essential organic compounds in the normal diet, and are also individually administered as nutritional supplements. Glycine will be supplied in the form of water soluble powder (the commercial form), for one daily dose. The corresponding amino acid doses were established based on the highest intakes at the 99th percentile in adult men (Institute of Medicine. 2005. Dietary Reference Intakes for Energy, Carbohydrate, Fiber, Fat, Fatty Acids, Cholesterol, Protein, and Amino Acids. Washington, D.C.: The National Academies Press. doi.org/10.17226/10490).

Also known as: Trade name: Glycine (Manufacturer Fagron Inc)
Glycine (Trade name: Glycine)
AlanineDIETARY_SUPPLEMENT

Amino acids are the building blocks of proteins, they are essential organic compounds in the normal diet, and are also individually administered as nutritional supplements. Alanine will be supplied in the form of water soluble powder (the commercial form), for one daily dose. The corresponding amino acid doses were established based on the highest intakes at the 99th percentile in adult men (Institute of Medicine. 2005. Dietary Reference Intakes for Energy, Carbohydrate, Fiber, Fat, Fatty Acids, Cholesterol, Protein, and Amino Acids. Washington, D.C.: The National Academies Press. doi.org/10.17226/10490).

Also known as: Trade name: L-Alanine (Manufacturer Fagron Inc)
Alanine (Trade name: L-Alanine)
LeucineDIETARY_SUPPLEMENT

Amino acids are the building blocks of proteins, they are essential organic compounds in the normal diet, and are also individually administered as nutritional supplements. Leucine will be supplied in the form of water soluble powder (the commercial form), for one daily dose. The corresponding amino acid doses were established based on the highest intakes at the 99th percentile in adult men (Institute of Medicine. 2005. Dietary Reference Intakes for Energy, Carbohydrate, Fiber, Fat, Fatty Acids, Cholesterol, Protein, and Amino Acids. Washington, D.C.: The National Academies Press. doi.org/10.17226/10490).

Also known as: Trade name: L-Leucine (Manufacturer Fagron Inc)
Leucine (Trade name: L-Leucine)
IsoleucineDIETARY_SUPPLEMENT

Amino acids are the building blocks of proteins, they are essential organic compounds in the normal diet, and are also individually administered as nutritional supplements. Isoleucine will be supplied in the form of water soluble powder (the commercial form), for one daily dose. The corresponding amino acid doses were established based on the highest intakes at the 99th percentile in adult men (Institute of Medicine. 2005. Dietary Reference Intakes for Energy, Carbohydrate, Fiber, Fat, Fatty Acids, Cholesterol, Protein, and Amino Acids. Washington, D.C.: The National Academies Press. doi.org/10.17226/10490).

Also known as: Trade name: L-Isoleucine (Manufacturer Fagron Inc)
Isoleucine (Trade name: L-Isoleucine)
ValineDIETARY_SUPPLEMENT

Amino acids are the building blocks of proteins, they are essential organic compounds in the normal diet, and are also individually administered as nutritional supplements. Valine will be supplied in the form of water soluble powder (the commercial form), for one daily dose. The corresponding amino acid doses were established based on the highest intakes at the 99th percentile in adult men (Institute of Medicine. 2005. Dietary Reference Intakes for Energy, Carbohydrate, Fiber, Fat, Fatty Acids, Cholesterol, Protein, and Amino Acids. Washington, D.C.: The National Academies Press. doi.org/10.17226/10490).

Also known as: Trade name: L-Valine (Manufacturer Fagron Inc)
Valine (Trade name: L-Valine)
CysteineDIETARY_SUPPLEMENT

Amino acids are the building blocks of proteins, they are essential organic compounds in the normal diet, and are also individually administered as nutritional supplements. Cysteine will be supplied in the form of water soluble powder (the commercial form), for one daily dose. The corresponding amino acid doses were established based on the highest intakes at the 99th percentile in adult men (Institute of Medicine. 2005. Dietary Reference Intakes for Energy, Carbohydrate, Fiber, Fat, Fatty Acids, Cholesterol, Protein, and Amino Acids. Washington, D.C.: The National Academies Press. doi.org/10.17226/10490).

Also known as: Trade name: L-Cysteine (Manufacturer Fagron Inc)
Cysteine (Trade name: L-Cysteine)
ArginineDIETARY_SUPPLEMENT

Amino acids are the building blocks of proteins, they are essential organic compounds in the normal diet, and are also individually administered as nutritional supplements. Arginine will be supplied in the form of water soluble powder (the commercial form), for one daily dose. The corresponding amino acid doses were established based on the highest intakes at the 99th percentile in adult men (Institute of Medicine. 2005. Dietary Reference Intakes for Energy, Carbohydrate, Fiber, Fat, Fatty Acids, Cholesterol, Protein, and Amino Acids. Washington, D.C.: The National Academies Press. doi.org/10.17226/10490).

Also known as: Trade name: L-Arginine (Manufacturer Fagron Inc)
Arginine (Trade name: L-Arginine)
MethionineDIETARY_SUPPLEMENT

Amino acids are the building blocks of proteins, they are essential organic compounds in the normal diet, and are also individually administered as nutritional supplements. Methionine will be supplied in the form of water soluble powder (the commercial form), for one daily dose. The corresponding amino acid doses were established based on the highest intakes at the 99th percentile in adult men (Institute of Medicine. 2005. Dietary Reference Intakes for Energy, Carbohydrate, Fiber, Fat, Fatty Acids, Cholesterol, Protein, and Amino Acids. Washington, D.C.: The National Academies Press. doi.org/10.17226/10490).

Also known as: Trade name: DL-Methionine (Manufacturer Fagron Inc)
Methionine (Trade name: DL-Methionine)
GlutamateDIETARY_SUPPLEMENT

Amino acids are the building blocks of proteins, they are essential organic compounds in the normal diet, and are also individually administered as nutritional supplements. Glutamate will be supplied in the form of water soluble powder (the commercial form), for one daily dose. The corresponding amino acid doses were established based on the highest intakes at the 99th percentile in adult men (Institute of Medicine. 2005. Dietary Reference Intakes for Energy, Carbohydrate, Fiber, Fat, Fatty Acids, Cholesterol, Protein, and Amino Acids. Washington, D.C.: The National Academies Press. doi.org/10.17226/10490).

Also known as: Trade name: L-Glutamic acid (Manufacturer Fagron Inc)
Glutamate (Trade name: L-Glutamic acid)
GlutamineDIETARY_SUPPLEMENT

Amino acids are the building blocks of proteins, they are essential organic compounds in the normal diet, and are also individually administered as nutritional supplements. Glutamine will be supplied in the form of water soluble powder (the commercial form), for one daily dose. The corresponding amino acid doses were established based on the highest intakes at the 99th percentile in adult men (Institute of Medicine. 2005. Dietary Reference Intakes for Energy, Carbohydrate, Fiber, Fat, Fatty Acids, Cholesterol, Protein, and Amino Acids. Washington, D.C.: The National Academies Press. doi.org/10.17226/10490).

Also known as: Trade name: L-Glutamine (Manufacturer Fagron Inc)
Glutamine (Trade name: L-Glutamine)

Eligibility Criteria

Age18 Years - 50 Years
Sexmale
Healthy VolunteersYes
Age GroupsAdult (18-64)

You may qualify if:

  • healthy adult males between the ages of 18-50 after signing informed consent

You may not qualify if:

  • pregnancy, renal, pulmonary, cardiovascular or endocrinal diseases, diabetes, cancer, morbid obesity (body mass index, BMI \> 40 kg/m2), heavy smoking (\> 20 cigarettes/day), or consumption of more than two alcoholic drinks per day. Subjects from the same hospital unit or from the laboratory where this study is conducted are also excluded

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Related Publications (26)

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  • Trumbo P, Schlicker S, Yates AA, Poos M; Food and Nutrition Board of the Institute of Medicine, The National Academies. Dietary reference intakes for energy, carbohydrate, fiber, fat, fatty acids, cholesterol, protein and amino acids. J Am Diet Assoc. 2002 Nov;102(11):1621-30. doi: 10.1016/s0002-8223(02)90346-9. No abstract available.

MeSH Terms

Conditions

AtherosclerosisDisease

Interventions

CelluloseGlycineAlanineLeucineIsoleucineValineCysteineArginineMethionineGlutamic AcidGlutamine

Condition Hierarchy (Ancestors)

ArteriosclerosisArterial Occlusive DiseasesVascular DiseasesCardiovascular DiseasesPathologic ProcessesPathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

GlucansBiopolymersPolymersMacromolecular SubstancesPolysaccharidesCarbohydratesBiomedical and Dental MaterialsManufactured MaterialsTechnology, Industry, and AgricultureAmino AcidsAmino Acids, Peptides, and ProteinsAmino Acids, Branched-ChainAmino Acids, EssentialAmino Acids, SulfurSulfur CompoundsOrganic ChemicalsSulfhydryl CompoundsAmino Acids, NeutralAmino Acids, BasicAmino Acids, DiaminoGlutamatesAmino Acids, AcidicAmino Acids, DicarboxylicExcitatory Amino Acids

Study Officials

  • Tony Hayek, Prof

    Rambam Health Care Center

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Claudia Grajeda Iglesias, PhD

CONTACT

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
OTHER
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Director, Department of Internal Medicine E

Study Record Dates

First Submitted

May 25, 2017

First Posted

June 8, 2017

Study Start

July 1, 2017

Primary Completion

December 15, 2017

Study Completion

May 1, 2018

Last Updated

June 8, 2017

Record last verified: 2017-06