AzTrials
AzTrials

MalnutritionNCT03166371

Glutathione (GSH) Supplementation After Hospitalization

A study testing Liposomal Glutathione (GSH) in people with Malnutrition, run by Emory University.

Withdrawn

Withdrawn. The study stopped before anyone enrolled.

Official record
Search all trials

Trial summary

The purpose of this study is to see if oral liquid glutathione treatment, has any effect on improving health-related cellular protection, muscle size and strength, and fatigue, weakness, and quality of life in older adults with a history of malnutrition who have been hospitalized. Read more about this study

Who is it for?
Ages 60 years and older
Conditions the study is for
Malnutrition
What is being tested?
Liposomal Glutathione (GSH)
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
0 participants
Where
No sites listed yet
Study dates
Feb 2022to Feb 2023
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 60 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Admitted to Emory University Hospital (EUH) and residing at home (including assisted living settings) before and after hospitalization
  • Subject has voluntarily signed and dated an informed consent
  • Greater than or equal to 5 and no more than 15 consecutive overnight stays in an Emory University Hospital general ward and/or Surgical Intensive Care Unit (SICU) or Medical Intensive Care Unit (MICU) during the current hospital admission
  • Currently admitted to a general medical or surgical hospital ward at EUH and able to tolerate oral solid diet
  • Positive screening prior to entry for mild, moderate or severe malnutrition by standard Centers for Medicare/Medicaid Services (CMS) criteria after hospital admission
  • Currently mobile on hospital ward and able to be transported (wheelchair) to Clinical Research Unit for baseline testing
Show all 10Show fewer
  • Functionally ambulatory (self-reported ability to walk across a small room without assistance) during the 30 days prior to admission
  • Ability to stand without assistance at the time of baseline testing
  • Body mass index (BMI) >18.5, <40 mg/kg2
  • Living within 40 miles of EUH

Who cannot join

  • Subject not expected to be discharged to usual home or assisted living setting
  • Requires tube feeding and/or parenteral nutrition in home/assisted living setting
  • Planned or elective re-hospitalization within 90 days of discharge
  • Inability to return to the EUH Clinical Research Unit for follow up study visits at 30, 60 and 90 days after entry into study
  • History of acute or chronic gastrointestinal tract disorder that, in the opinion of the principal investigator would preclude ingestion or absorption of the study product (e.g., prior gastric bypass surgery, short bowel syndrome, inflammatory bowel disease, celiac disease, acute/chronic pancreatitis, or chronic upper gastrointestinal bleeding
  • Current dementia, acute/chronic altered mental status, encephalopathy, brain metastases, eating disorders, history of significant neurological or psychiatric disorder, alcoholism, substance abuse or other conditions that may interfere with study product consumption or compliance with study protocol procedures in the opinion of the principal investigator
Show all 12Show fewer
  • History of stroke with motor disability or other significant movement disorders precluding protocol functional strength testing
  • Acute hepatic failure during current hospitalization with total serum bilirubin > 3.5 mg/dL or transaminase values [alanine transaminase (ALT) and/or aspartate transaminase (AST) values > 3-fold the upper limit of normal range]
  • Chronic or acute renal failure requiring chronic dialysis in home/assisted living setting after discharge
  • Current active cancer or recently (within 6 months) treated cancer other than basal cell or squamous cell carcinoma of the skin or prostate cancer
  • Participation in another research protocol within 30 days of entry into the current study or within 60 days after entry
  • Any other condition or event considered exclusionary by the principal investigator

About this study

Official title: Bioavailable Glutathione Supplementation: During Hospitalization and Beyond

The purpose of this study is to see if oral liquid glutathione treatment, has any effect on improving health-related cellular protection, muscle size and strength, and fatigue, weakness, and quality of life in older adults with a history of malnutrition who have been hospitalized. Persons enrolled in this study will be those initially admitted to Emory University Hospital (EUH) in Atlanta, GA, but recovering and ready to be discharged home or to an assisted living facility to eat an oral diet. A combination of nutritional measures, blood markers and imaging tools will assess body composition. Study participants will complete questionnaires about quality of life and physical health, and do simple testing for physical strength and stamina. Information from this pilot study will increase understanding of a simple intervention which may prevent or reduce health risks related to hospital recovery in older adults.

Read the detailed description

This is a single-center randomized, double blind, placebo-controlled, intent-to-treat clinical trial to test the impact of oral administration of liposomal glutathione (GSH) in initially hospitalized, malnourished, older adults after discharge to the home setting. Study subjects will be clinically stable and able to complete serial study endpoint investigations. A total of 50 clinically stable subjects will be block-randomized to receive either oral liposomal GSH or identical placebo product for 90 days after discharge from Emory University Hospital (EUH). Plasma GSH redox status over time will be the primary study endpoint. Secondary study endpoints will include other thiol/disulfide indexes of oxidative stress, body composition, and measures of physical function, mobility, fatigue, frailty and quality of life. All endpoints will be determined at baseline (just prior to hospital discharge) and repeated at 30, 60 and 90 days after hospital discharge to the home or assisted living environment.

Conditions
Malnutrition
Being tested
Liposomal Glutathione (GSH), Placebo
Keywords
Endocrinology, Nutrition, Aging
Medical subject headings
Malnutrition

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Liposomal Glutathione (GSH)Dietary supplement

    Also called ReadiSorb®

    Two teaspoons (containing 840 mg GSH, 420 mg/tsp) liposomal GSH (ReadiSorb®) will be taken orally twice daily for a total daily dose of 1680 mg GSH/day. Liposomal GSH will be refrigerated until use and mixed in ≈ 250 mL water or juice for oral intake. The study product will be consumed daily for 90 consecutive days after hospital discharge.

  • PlaceboOther

    Two teaspoons of placebo product will be taken orally twice daily. The placebo will be refrigerated until use and mixed in ≈ 250 mL water or juice for oral intake. The placebo will be consumed daily for 90 consecutive days after hospital discharge.

Study groups in NCT03166371
Study groupRoleWhat they receive
Liposomal Glutathione (GSH)ExperimentalParticipants will be randomized to receive two teaspoons containing 840 mg GSH (420 mg/tsp) twice daily for 90 days after discharge from Emory University Hospital (EUH).
Receives: Dietary Supplement: Liposomal Glutathione (GSH)
PlaceboPlacebo comparatorParticipants will be randomized to receive a placebo product identical to liposomal glutathione (GSH) twice daily for 90 days after discharge from Emory University Hospital (EUH).
Receives: Other: Placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Change in Plasma Concentrations of GSH

    Plasma concentrations of GSH will be collected via blood draw.

    Measured: Baseline, Post Hospital Discharge (90 Days)

  2. Change in GSH/glutathione Disulfide (GSSG) Concentration Ratio

    GSH concentrations will be compared to glutathione disulfide. Concentrations will be collected and analyzed via blood draw.

    Measured: Baseline, Post Hospital Discharge (90 Days)

  3. Change in GSH/GSSH Pool Redox Potential (Eh)

    GSH and GSSH will be collected via blood draw. Redox potential is a measure of the tendency of a chemical species to acquire electrons and thereby be reduced. The more positive the potential, the greater the affinity for electrons and tendency to be reduced

    Measured: Baseline, Post Hospital Discharge (90 Days)

Secondary outcomes (19)
  1. Body Composition assessed by Dual Energy X-ray Absorptiometry (DEXA) Scan

    The DEXA scan will assess body composition by defining lean body mass, total fat mass, and visceral fat mass.

    Measured: Baseline, Post Hospital Discharge (90 Days)

  2. Change in Waist Circumference

    Waist circumference will be measured in centimeters. Change is defined as the difference in measurements from baseline to 90 days post discharge.

    Measured: Baseline, Post Hospital Discharge (90 Days)

  3. Change in Hip Circumference

    Hip circumference will be measured in centimeters. Change is defined as the difference in measurements from baseline to 90 days post discharge.

    Measured: Baseline, Post Hospital Discharge (90 Days)

  4. Change in Body Mass Index (BMI)

    Body mass index (BMI) is a measure of body fat based on height and weight. A BMI below 18.5 = Underweight; 18.5 - 24.9 = Normal; 25.0 - 29.9 = Overweight; 30.0 and Above = Obese.

    Measured: Baseline, Post Hospital Discharge (90 Days)

  5. Change in Total Body Water (TBW) Volume

    Body water is the water content that is contained in the tissues, the blood, the bones and elsewhere. The average TBW% ranges for a healthy adult are: Females - 45 to 60%, Males - 50 to 65%.

    Measured: Baseline, Post Hospital Discharge (90 Days)

  6. Change in Intracellular Water Volume assessed by Bioelectrical Impedance Analysis (BIA)

    Intracellular water volume refers to water located within the cell. This will be measured by BIA, a method used for estimating body composition.

    Measured: Baseline, Post Hospital Discharge (90 Days)

  7. Change in Extracellular Water Volume assessed by Bioelectrical Impedance Analysis (BIA)

    Extracellular water volume refers to water located outside of the cell. This will be measured by BIA, a method used for estimating body composition.

    Measured: Baseline, Post Hospital Discharge (90 Days)

  8. Change in Phase Angle Measurements assessed by Bioelectrical Impedance Analysis (BIA)

    Phase angle is an indicator of cellular health and integrity. A low phase angle is consistent with an inability of cells to store energy and an indication of breakdown in the selective permeability of cellular membranes. A high phase angle is consistent with large quantities of intact cell membranes and body cell mass.

    Measured: Baseline, Post Hospital Discharge (90 Days)

  9. Change in Short Physical Performance Battery Score

    The Short Physical Performance Battery (SPPB) is a tool to assess lower extremity physical performance status.The scores range from 0 (worst performance) to 12 (best performance).

    Measured: Baseline, Post Hospital Discharge (90 Days)

  10. Change in Timed Up and Go Test Score

    The Timed Up and Go Test assesses mobility. Participants are asked to walk to a line 9.8 feet away, turn around at the line, and walk back at a normal pace. An older adult who takes ≥12 seconds to complete the TUG is at high risk for falling.

    Measured: Baseline, Post Hospital Discharge (90 Days)

  11. Change in Grip Strength assessed by Hand-Grip Dynamometry

    Handgrip Dynamometers are instruments for measuring the maximum isometric strength of the hand and forearm muscles, used for testing handgrip strength. Hand muscle measurements are as follows:

    Grade 5: full active range of motion \& Normal muscle resistance Grade 4: full active range of motion \& Reduced muscle resistance Grade 3: full active range of motion \& No muscle resistance Grade 2: Reduced active range of motion \& No muscle resistance Grade 1: No active range of motion \& Palpable muscle contraction only Grade 0: No active range of motion \& No palpable muscle contraction

    Measured: Baseline, Post Hospital Discharge (90 Days)

  12. Change in Life Space Assessment Questionnaire Score

    The Life Space Assessment Questionnaire assesses how much the person gets out and about and the spatial extent of the person's typical life space, i.e., what is the usual range of places in which the person engages in activities within the designated time frame.

    Measured: Baseline, Post Hospital Discharge (90 Days)

  13. Change in Iowa Fatigue Scale Score

    The Iowa Fatigue Scale assesses fatigue over the past month. General fatigue is a score between 30 and 39. Severe fatigue is a defined as a score between 40 - 55.

    Measured: Baseline, Post Hospital Discharge (90 Days)

  14. Change in Edmonton Frail Scale Score

    The Edmonton Frail Scale assesses and stratifies frailty. Scores range from 0-5 "not frail", 6-7 "vulnerable", 8-9 "mild frailty", 10-11 "moderate frailty", and 12-17 "severe frailty".

    Measured: Baseline, Post Hospital Discharge (90 Days)

  15. Change in Fatigue Symptom Inventory (FSI) Score

    The Fatigue Symptom Inventory (FSI), is a 14-item self-report measure designed to assess the severity, frequency, and daily pattern of fatigue as well as its perceived interference with quality of life.

    Measured: Baseline, Post Hospital Discharge (90 Days)

  16. Plasma Concentrations of Cysteine (Cys)

    Plasma concentrations Cysteine (Cys) will be collected via blood draw.

    Measured: Baseline, Post Hospital Discharge (90 Days)

  17. Plasma Concentrations of Cistine (CySS)

    Plasma concentrations CySS will be collected via blood draw.

    Measured: Baseline, Post Hospital Discharge (90 Days)

  18. Cys/CySS Ratio

    Cys concentrations will be compared to CySS. Concentrations will be collected and analyzed via blood draw.

    Measured: Baseline, Post Hospital Discharge (90 Days)

  19. Cys/CySS Pool Redox Potential

    Cys and CySS will be collected via blood draw. Redox potential is a measure of the tendency of a chemical species to acquire electrons and thereby be reduced. The more positive the potential, the greater the affinity for electrons and tendency to be reduced

    Measured: Baseline, Post Hospital Discharge (90 Days)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted25 May 2017
  2. Study startFeb 2022 (estimated)
  3. Primary completionFeb 2023 (estimated)
  4. Study completionFeb 2023 (estimated)

Why it stopped: Study was withdrawn prior to enrolling participants after being suspended due to funding and staffing issues.

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
0 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03166371
Sponsor's protocol ID
IRB00095819
Status last verified
Jan 2022
First submitted
12 May 2017
Last updated
25 Jan 2022
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A study testing Liposomal Glutathione (GSH) in people with Malnutrition, run by Emory University.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 10 inclusion and 12 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: withdrawn, as of the sponsor's last update on 25 Jan 2022. Status can change between updates, so confirm with the study contact before making plans.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study was withdrawn before enrolling participants, so there are no results.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change in Plasma Concentrations of GSH (time frame: Baseline, Post Hospital Discharge (90 Days)). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 25 Jan 2022.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in