AzTrials
AzTrials

AgingMTDSSTNCT04641663

Multi-target Dietary Supplement Tolerability in an Aging Population (MTDSST)

A study testing Multi-target Dietary Supplement (MTDS) in people with Aging and Age-related Cognitive Decline, run by Douglas Boreham at 2 sites in Canada.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
Search all trials

Trial summary

This study is being performed to determine if a multi-ingredient dietary supplement is safe and easy to take by healthy older adults. Participants will be required to take one of three different doses of the dietary supplement for 90 consecutive days and complete wellness surveys and a daily log while taking the… Read more about this study

Who is it for?
Ages 45 to 85 yearsHealthy volunteers can take part
Conditions the study is for
Aging, Age-related Cognitive Decline
What is being tested?
Multi-target Dietary Supplement (MTDS)
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
70 participants
Where
2 sitesCanada
Study dates
3 Sep 2021to 15 Dec 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 45 to 85 years
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Male or Female subjects ages of 45 and older.
  • Capable of providing informed consent
  • Patients currently taking fluconazole, 3-hydroxy-3-methyl-glutaryl-CoA reductase (HMG-CoA) reductase inhibitors (i.e. "statin" drugs), or any other drug known to interfere with serum transaminase (i.e. liver enzymes), must have history of stable liver function test since first taking such drugs.
  • Patients who usually and customarily take dietary supplements, including vitamins, must undergo a two-week washout period

Who cannot join

  • Exposure to any investigational drug within 90 days of the beginning of this study
  • Known human immunodeficiency virus (HIV) seropositivity or Acquired Immunodeficiency Syndrome (AIDS); history of Hepatitis B (HBV), Hepatitis C (HCV) vital infection, unexplained elevated serum transaminase, or other hepatic disease. NOTE: HIV, HCV, and HBV testing will not be performed as part of screening.
  • History of cancer within the last 5 years, except for basal or squamous cell cancer.
  • Recent COVID-19 infection.
  • Allergy to fish (specifically sardines, anchovies or mackerel) or any of the investigational product components
  • Concomitant use, or use within less than a two-week period, of any other dietary supplement
Show all 20Show fewer
  • Concomitant use of any drug known to interfere with laboratory measures such as:
  • Niaspan (extended release niacin)
  • Lamisil (terbinafine HCl)
  • Chronic use of acetaminophen (>1,500 mg/day) (occasional use for minor aches and pains is excluded from this restriction)
  • Newly prescribed (< 90days) HMG-CoA reductase inhibitors ("statin medications"), or patients currently on statin medications who have previously shown evidence of elevated serum transaminases
  • Currently diagnosed with multiple sclerosis, systemic lupus erythematosis, or other autoimmune disorders known to interfere with laboratory measures
  • History of alcoholism or drug abuse, unless it is determined that such past use would not influence laboratory measures (DSN4 criteria)
  • Any other active disease of a life-threatening nature or laboratory abnormality that, in the judgment of the investigator, may interfere with the interpretation, or increase risk of patient participation
  • Conditions that require nutritional therapy, such as:
  • Pernicious anemia
  • Iron-deficiency anemia
  • Hartnup Disease or Pellagra
  • Scurvy
  • Beriberi-induced Endemic Neuritis

Trial locations and contacts

2 sites in 1 country.

Canada2 sites
  • Northern Ontario School of Medicine - Elliot Lake site

    Elliot Lake, Ontario, P5A 1X2

  • McMaster University - Behavioural Neurosciences

    Hamilton, Ontario, L8S 4K1

Other trials in Canada

About this study

Official title: Clinical Trial to Assess Tolerability and Availability of a Multi-target Dietary Supplement in an Aging Population

This study is being performed to determine if a multi-ingredient dietary supplement is safe and easy to take by healthy older adults. Participants will be required to take one of three different doses of the dietary supplement for 90 consecutive days and complete wellness surveys and a daily log while taking the supplement. Participants will also provide blood samples at the start of the study, after 30 days, and at the end of the study which will help determine how participants respond to the supplement.

Read the detailed description

Likely because of the highly complex nature of aging, there has been little success reducing age-related physical and cognitive deterioration. The predominant approach has been to manage emergent symptoms rather than mitigate the cellular mechanisms driving the degenerative processes underlying aging. Additionally, the multifaceted and complex etiology of aging makes it extremely difficult to provide effective interventions within current treatment paradigms. The medical community has established that preventative measures are the most effective means of slowing the progression of age-associated deterioration, however effective methods or interventions have not been established.

The Multi-Target Dietary Supplement (MTDS) was designed to simultaneously target and support the cellular processes implicated in the progression of the aging phenotype (oxidative stress, inflammatory processes, insulin resistance, and membrane and mitochondrial deterioration). The MTDS is unique in that it was specifically designed as a multi-target intervention to support the complex cellular perturbations associated with aging. Components of the formulation were chosen based on scientific consensus of documented effectiveness for one or more of the targeted processes, long-term evidence of safety, and synergistic or additive interactions between components.

In more than 20 years of pre-clinical research, the MTDS has demonstrated significant beneficial impacts in animal models of aging and age-associated disease. The MTDS has resulted in significant reductions in both acute and chronic oxidative stress, greatly improved mitochondrial function and efficiency, significantly reduced inflammatory processes and improved glucose metabolism. Signal transduction is normalized to youthful levels in aged animals, including key pathways implicated in aging (unpublished data). On a functional level, MTDS treatment has resulted in increased longevity of 10 to 28% in normal and accelerated aging phenotypes, respectively. Concomitant improvements in mobility, activity levels, muscle strength (exercise mimetic) and overall body condition in aged animals were observed. Dramatic reductions in the incidence of muscle wasting, arthritic processes, and cataracts were also observed. Sensory and cognitive acuity were protected and frequently enhanced in aged animals, with significant improvements in visual and olfactory function observed in a broad range of tasks. MTDS treatment has demonstrated profound sparing from age-related neuronal losses and corresponding protection of neurogenesis and enhanced synaptogenesis, resulting in dramatically improved cognition in aged animals. The quantity of data indicating MTDS efficacy in pre-clinical studies is considerable, however the effects of the MTDS in humans, although positive, remains anecdotal. This tolerability study is the critical first step to begin assessment of the efficacy of the MTDS in human populations. If even a portion of these protective effects of the MTDS are translatable from mice to humans, the positive impacts for the aging population and Ontario's healthcare system could be profound.

This is a multi-center, three-arm study designed to evaluate the safety of a dietary supplement at three dosing regimes for 90 days. Initially, 45 healthy volunteers will be randomly assigned to one of three dose regimes: 1) 100% of recommended daily dose (RDD), 2) 80% of recommended daily dose or 3) 60% of recommended daily dose. Dosing regimes are based on levels of the MORNING tablet doses, all groups will receive the full recommended dose for both EVENING and OMEGA doses. Written informed consent will be obtained and a medical history and health assessment will be performed. The investigator will determine whether the subject meets all inclusion and exclusion criteria. Health assessments will be made at baseline, 30 days and 90 days. Adverse events, concomitant medications, and product administration will be recorded throughout the study.

Compliance, safety, and tolerability parameters are the primary focus of this study; however the probability of serious adverse events is extremely low given the long safety history of safety of the vitamins and nutraceuticals that comprise the MTDS.

The primary objective is to evaluate the safety and tolerability of the MTDS regimen in terms of its administration at 3 dosing regimes for 90 consecutive days with respect to micronutrient levels, laboratory tests and adverse events.

The secondary objectives include:

  1. monitoring compliance of taking the MTDS,
  2. monitoring wellness as measured by the 36-Item Short Form Survey (SF-36) scale and daily journal, over the 90-day administration of the MTDS, and
  3. to assess MTDS absorption through plasma micronutrient testing, at baseline, 30 days and 90 days following administration of the test agent.
Being tested
Multi-target Dietary Supplement (MTDS)
Keywords
Dietary Supplement, Aging, Safety, Tolerability

What participants receive

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

  • Multi-target Dietary Supplement (MTDS)Dietary supplement

    Also called AS-10 Plus

    The Multi-Target Dietary Supplement (MTDS) is comprised of 51 ingredients designed to simultaneously target and support the cellular processes implicated in the progression of the aging phenotype (oxidative stress, inflammatory processes, insulin resistance, and membrane and mitochondrial deterioration). The MTDS is unique in that it was specifically designed as a multi-target intervention to support the complex cellular perturbations associated with aging. Components of the formulation were chosen based on scientific consensus of documented effectiveness for one or more of the targeted processes, long-term evidence of safety, and synergistic or additive interactions between components.

    The MTDS is divided into morning and evening doses to maximize availability of the components to the peak activity level of the cellular processes that require those components.

Study groups in NCT04641663
Study groupRoleWhat they receive
100 RDDExperimental100% of recommended daily dose (RDD) of the MORNING tablet dose (5 tablets), all groups will receive the full recommended dose for both EVENING (3 tablets) and OMEGA (2 softgels) doses.
Receives: Dietary Supplement: Multi-target Dietary Supplement (MTDS)
80 RDDExperimental80% of recommended daily dose of the MORNING tablet dose (4 tablets), all groups will receive the full recommended dose for both EVENING (3 tablets) and OMEGA (2 softgels) doses.
Receives: Dietary Supplement: Multi-target Dietary Supplement (MTDS)
60 RDDExperimental60% of recommended daily dose of the MORNING tablet dose (3 tablets), all groups will receive the full recommended dose for both EVENING (3 tablets) and OMEGA (2 softgels) doses.
Receives: Dietary Supplement: Multi-target Dietary Supplement (MTDS)

What is being measured

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

  1. Number of Participants With Treatment-Related Adverse Events (AE) as Assessed by CTCAE v5.0

    Subjects are instructed to log any AEs that occur at any time during the study in the study journal. Participants will be contacted by phone after 7 days on the MTDS to assess any occurrence of AEs. Reported or observed AEs will be documented and followed to resolution.

    Measured: out to 90 days

  2. Hematocrit (%)

    Safety Assessment in Hematology

    Measured: out to 90 days

  3. Hemoglobin (g/L)

    Safety Assessment in Hematology

    Measured: out to 90 days

  4. Erythrocytes (10^12/L)

    Safety Assessment in Hematology

    Measured: out to 90 days

  5. Leukocytes (10^9/L)

    Safety Assessment in Hematology

    Measured: out to 90 days

  6. Basophils (10^3/uL)

    Safety Assessment in Hematology

    Measured: out to 90 days

  7. Basophils/Leukocytes (%)

    Safety Assessment in Hematology

    Measured: out to 90 days

  8. Eosinophils (10^9/L)

    Safety Assessment in Hematology

    Measured: out to 90 days

  9. Eosinophils/Leukocytes (%)

    Safety Assessment in Hematology

    Measured: out to 90 days

  10. Lymphocytes (10^9/L)

    Safety Assessment in Hematology

    Measured: out to 90 days

  11. Lymphocytes/Leukocytes (%)

    Safety Assessment in Hematology

    Measured: out to 90 days

  12. Monocytes (10^9/L)

    Safety Assessment in Hematology

    Measured: out to 90 days

  13. Monocytes/Leukocytes (%)

    Safety Assessment in Hematology

    Measured: out to 90 days

  14. Neutrophils (10^9/L)

    Safety Assessment in Hematology

    Measured: out to 90 days

  15. Neutrophils/Leukocytes (%)

    Safety Assessment in Hematology

    Measured: out to 90 days

  16. Platelet Count (10^9/L)

    Safety Assessment in Hematology

    Measured: out to 90 days

  17. Serum Glucose (mmol/L)

    Safety Assessment in Serum Chemistry

    Measured: out to 90 days

  18. Sodium (mmol/L)

    Safety Assessment in Serum Chemistry

    Measured: out to 90 days

  19. Potassium (mmol/L)

    Safety Assessment in Serum Chemistry

    Measured: out to 90 days

  20. Calcium (mmol/L)

    Safety Assessment in Serum Chemistry

    Measured: out to 90 days

  21. Chloride (mmol/L)

    Safety Assessment in Serum Chemistry

    Measured: out to 90 days

  22. Urea (mmol/L)

    Safety Assessment in Serum Chemistry

    Measured: out to 90 days

  23. Creatinine (umol/L)

    Safety Assessment in Serum Chemistry

    Measured: out to 90 days

  24. Urate (umol/L)

    Safety Assessment in Serum Chemistry

    Measured: out to 90 days

  25. Albumin (g/L)

    Safety Assessment in Serum Chemistry

    Measured: out to 90 days

  26. Alkaline Phosphatase (U/L)

    Safety Assessment in Serum Chemistry

    Measured: out to 90 days

  27. Aspartate Phosphatase (U/L)

    Safety Assessment in Serum Chemistry

    Measured: out to 90 days

  28. Alanine Transaminase (U/L)

    Safety Assessment in Serum Chemistry

    Measured: out to 90 days

  29. Gamma Glutamyl Transpeptidase (U/L)

    Safety Assessment in Serum Chemistry

    Measured: out to 90 days

  30. Total Bilirubin (umol/L)

    Safety Assessment in Serum Chemistry

    Measured: out to 90 days

  31. Direct Bilirubin (umol/L)

    Safety Assessment in Serum Chemistry

    Measured: out to 90 days

  32. Lactate Dehydrogenase (U/L)

    Safety Assessment in Serum Chemistry

    Measured: out to 90 days

  33. High Sensitivity C-Reactive Protein (mg/L)

    Safety Assessment in Serum Chemistry

    Measured: out to 90 days

Secondary outcomes (24)
  1. Vitamin A (mg/L)

    Plasma Micronutrient Levels

    Measured: out to 90 days

  2. Vitamin B1 (mg/L)

    Plasma Micronutrient Levels

    Measured: out to 90 days

  3. Vitamin B2 (mg/L)

    Plasma Micronutrient Levels

    Measured: out to 90 days

  4. Vitamin B3 (mg/L)

    Plasma Micronutrient Levels

    Measured: out to 90 days

  5. Vitamin B6 (mg/L)

    Plasma Micronutrient Levels

    Measured: out to 90 days

  6. Vitamin B12 (mg/L)

    Plasma Micronutrient Levels

    Measured: out to 90 days

  7. Biotin (mg/L)

    Plasma Micronutrient Levels

    Measured: out to 90 days

  8. Folate (mg/L)

    Plasma Micronutrient Levels

    Measured: out to 90 days

  9. Pantothenate (mg/L)

    Plasma Micronutrient Levels

    Measured: out to 90 days

  10. Vitamin C (mg/L)

    Plasma Micronutrient Levels

    Measured: out to 90 days

  11. Vitamin D3 (mg/L)

    Plasma Micronutrient Levels

    Measured: out to 90 days

  12. Vitamin K2 (mg/L)

    Plasma Micronutrient Levels

    Measured: out to 90 days

  13. Magnesium (mg/L)

    Plasma Micronutrient Levels

    Measured: out to 90 days

  14. Manganese (mg/L)

    Plasma Micronutrient Levels

    Measured: out to 90 days

  15. Zinc (mg/L)

    Plasma Micronutrient Levels

    Measured: out to 90 days

  16. Copper (mg/L)

    Plasma Micronutrient Levels

    Measured: out to 90 days

  17. Alpha Lipoic Acid (mg/L)

    Plasma Micronutrient Levels

    Measured: out to 90 days

  18. Glutamine (mg/L)

    Plasma Micronutrient Levels

    Measured: out to 90 days

  19. Glutathione (mg/L)

    Plasma Micronutrient Levels

    Measured: out to 90 days

  20. Carnitine (mg/L)

    Plasma Micronutrient Levels

    Measured: out to 90 days

  21. Choline (mg/L)

    Plasma Micronutrient Levels

    Measured: out to 90 days

  22. Inositol (mg/L)

    Plasma Micronutrient Levels

    Measured: out to 90 days

  23. Coenzyme Q10 (mg/L)

    Plasma Micronutrient Levels

    Measured: out to 90 days

  24. 36-Item Short Form Survey (SF-36)

    The SF-36 wellness questionnaire will be used to assess the health status of subjects. There are 36 individual questions which identify eight different facets of wellness. These have been described as physical functioning, role-physical, bodily pain, general health, vitality, social functioning, role-emotional, and mental health. These facets are further collapsed into physical and mental component summaries. The eight scaled scores, which are the weighted sums of the questions in their section. Each scale is directly transformed into a 0-100 scale on the assumption that each question carries equal weight. The lower the score the more disability. The higher the score the less disability i.e., a score of zero is equivalent to maximum disability and a score of 100 is equivalent to no disability. This questionnaire will be included in the study booklet given to each subject, and will be self administered.

    Measured: up to 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 posted24 Nov 2020
  2. Study start3 Sep 2021
  3. Primary completion21 Sep 2023 (estimated)
  4. Study completion15 Dec 2023 (estimated)

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
Model description
participants will be taking either 60%, 80% or 100% of the recommended daily dose of the dietary supplement.
Masking
None (open label)
Enrolment
70 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04641663
Sponsor's protocol ID
MTDS-001
Acronym
MTDSST
Status last verified
May 2023
First submitted
12 Nov 2020
Last updated
17 May 2023
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No: IPD will not be shared with researchers outside the study team.

Questions about this trial

What is this clinical trial studying?

A study testing Multi-target Dietary Supplement (MTDS) in people with Aging and Age-related Cognitive Decline, run by Douglas Boreham at 2 sites in Canada.

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 4 inclusion and 20 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: status not confirmed, as of the sponsor's last update on 17 May 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 2 sites in Canada. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. 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?

Results are not available in the source record.

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?

Number of Participants With Treatment-Related Adverse Events (AE) as Assessed by CTCAE v5.0 (time frame: out to 90 days). The study lists 33 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 17 May 2023.

Free account

Keep searching with a free account

You’ve used your 3 free searches for this session. Log in or create a free AzTrials account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in