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NCT Number: NCT04159532

Comparative Study of Three Different Formulations of Omega-3 (EPA+DHA)

This pilot study aims at comparing the bioavailability of three different formulations of the omega-3 fatty acids eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA). The three formulations are ethyl ester (EE), triglyceride (TG) and monoglyceride (MAG). Thirty six (36) subjects will be divided in three groups of twelve subjects each equally divided in two study sites. Each group will be taking one of the three different formulations of EPA+DHA at a daily dose of 1.5g for a period of 12 weeks. Bioavailability will be measured through omega-3 index (total content of EPA + DHA in red blood cell membranes) at baseline and every four weeks during treatment.

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Key information

Conditions

Age range

19 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 4

Primary location

SCF pharma

Rimouski, Quebec, G0K 1P0, Canada

About this study

This pilot study aims at comparing the bioavailability of three different formulations of a combination of omega-3 fatty acids eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA) in a standardized proportion of 460:200. The three formulations are ethyl ester (EE), triglyceride (TG) and monoglyceride (MAG) versions of these fatty acids. The formulations are prepared in a way to be similar in proportion of EPA/DHA, in dose and in appearance. Thirty six (36) subjects will be divided in three groups of twelve subjects each, equally divided in two study sites. The study will be randomized and double blinded. Each group will be taking one of the three different formulations of EPA+DHA at a daily dose of 1.5g for a period of 12 weeks. Bioavailability will be measured through omega-3 index (total content of EPA + DHA in red blood cell membranes) at baseline and every four weeks during treatment. After recruitment, subjects will be seen in clinic every four weeks for a total of four (4) study visits during which a blood sample will be taken for analysis of the omega-3 index, the investigational product will be returned and dispensed and finally, adverse events will be noted and followed. Treatment will be self-administered by subjects at home. They will be asked to keep a journal of adverse events, concomitant medication and to note every missed dose as well as significant changes in life habits (smoking, alcohol, sports, food diet and natural health products intake).

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Participants of at least 19 years of age.
  • Availability for the entire duration of the study, willingness to participate as evidenced by the informed consent form duly read and signed by the participant.
  • Absence of intellectual problems likely to limit the validity of consent to participate in the study or the compliance with protocol requirements, ability to cooperate adequately, to understand and observe the instructions of the physician or delegates.
  • Participant having no difficulty swallowing tablets or capsules.

Exclusion criteria

  • Known allergy or intolerance to fish or history of allergic reaction attributable to fish or to a compound similar to fish oil.
  • Females who are pregnant according to the qualitative pregnancy test or who are lactating.
  • Participants who took omega-3 supplements in the previous 60 days before day 1 of the study.
  • Difficulty to draw blood by capillary puncture at screening.

Treatment and study plan

MAG-EPA/MAG-DHA

Dietary Supplement

monoglyceride of eicosapentaenoic acid and docosahexaenoic acid in proportion of 460:200

TG-EPA/TG-DHA

Dietary Supplement

Triglyceride of eicosapentaenoic acid and docosahexaenoic acid in proportion of 460:200

EE-EPA/EE-DHA

Dietary Supplement

Ethyl ester of eicosapentaenoic acid and docosahexaenoic acid in proportion of 460:200

Primary outcomes

  1. Comparing the bioavailability of the three different formulations of omega-3 fatty acids at study.

    Time frame: 12 weeks per subject

    The Omega-3 index (ratio of EPA + DHA content on total fatty acids in red blood cells) will be measured throughout the study (at baseline and every four weeks afterwards) for each subjects. The average value in canadian population is 4.5%, however, for an optimized health, the desired index should be between 8 and 12% of omega-3 in cell membranes. The average omega-3 index curves obtained for each group will be compared to determine which formulation offers the best absorption of omega-3 in the organism.

Secondary outcomes

  1. Incidence of adverse events in subjects treated with EPA +DHA

    Time frame: 16 weeks per subject

    Subjects will be questioned about any changes in their health status throughout the study, and for the 30 days following the end of treatment. All adverse events will recorded and evaluated for severity, causality and expectedness. All serious adverse events will be reported as required.

  2. Compilation of life habits & demographic information

    Time frame: 12 weeks per subject

    Demographic information and life habits will be recorded at screening as to draw a portrait of the subjects baseline status. A follow-up of life habits at every visit will be done afterwards as a way to control any possible bias in outcomes.

Sponsors and collaborators

Lead sponsor

SCF Pharma

Industry

Registry information

Official study title

Comparative Bioavailability Study of Monoglyceride (MAG) Versus Triglyceride (TG) Versus Ethyl Ester (EE) Formulations of Eicosapentaenoic (EPA) and Docosahexaenoic (DHA) Acids. Pilot Study (IO3-03)

Important dates

Study start
2019
Primary completion
2021
Study completion
2021
First posted
Nov 12, 2019
Registry last updated
Apr 29, 2021

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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