Safety And Tolerability Of Gamma Glutamylcysteine (GGC) Oral Supplementation In MCI Patients

Purpose

The goal of this study is to evaluate the safety and tolerability of Gamma Glutamylcysteine (GGC) supplement at different doses (400mg/day or 800mg/day or 1200mg/day) when administered orally to patients with MCI over 3 months. This study is designed to generate preliminary clinical safety data to inform the feasibility and design of larger controlled trials.

Condition

  • Mild Cognitive Impairment (MCI)

Eligibility

Eligible Ages
Between 55 Years and 80 Years
Eligible Sex
All
Accepts Healthy Volunteers
No

Inclusion Criteria

  1. Memory complaints; 2. MCI diagnosis 3. MoCA score between 18-25 4. Age 55 - 80 years old. 5. Ability to read and write in English

Exclusion Criteria

  1. Subjects with a history of cancer; 2. Subjects with a history of schizophrenia, manic-depressive disorder 3. Subjects on antioxidant therapy (ashwagandha, gingko biloba, N-acetylcysteine or glutathione) 4. Subjects on illicit drug (cocaine, heroin, marijuana, or fentanyl) abuse/dependence;

Study Design

Phase
Phase 1
Study Type
Interventional
Allocation
Non-Randomized
Intervention Model
Sequential Assignment
Intervention Model Description
This study is designed as an open-label, single-center, dose escalation clinical trial to evaluate the safety and tolerability of GGC supplementation in patients with MCI. The participants will be given the GGC supplement: Group A: 400mg once a day/ Group B: 400 mg two times per day/ Group C: 400mg three times a day for three months. Group B starts after Group A's 30-day safety review. Group C starts after Group B's 30-day safety review is cleared. If 1 participant within the cohort(n=3) experiences dose-limiting toxicity (DLT) or clinically significant intolerance, the event will be reviewed by the clinician for severity, relatedness, and significance. Dose escalation may proceed if the event is not indicative of an overall safety concern (Creatinine not more than 1.5mg/dL, AST and ALT levels not more than 1.5 X ULN).If 2 or all of the participants experience DLTs or clinically significant adverse events related to the study supplement, dose escalation will be halted.
Primary Purpose
Prevention
Masking
None (Open Label)

Arm Groups

ArmDescriptionAssigned Intervention
Experimental
Gamma - Glutamylcystiene 400
Each participant will receive gamma-glutamyl cysteine (GGC) capsules orally 400mg once a day for 3 months.
  • Drug: Gamma- Glutamylcysteine
    400mg capsules once a day
Experimental
Gamma - Glutamylcystiene 800
Each participant will receive gamma-glutamyl cysteine (GGC) capsules orally 400mg two times(morning-evening) a day for 3 months
  • Drug: Gamma- Glutamylcysteine
    400mg capsules orally (two times) per day
Experimental
Gamma - Glutamylcystiene 1200
Each participant will receive gamma-glutamyl cysteine (GGC) capsules orally 400mg three times (morning-afternoon - evening) a day for 3 months
  • Drug: Gamma- Glutamylcusteine
    400mg capsules orally (three times) per day

Recruiting Locations

UPMC Presbyterian Hospital
Pittsburgh, Pennsylvania 15213
Contact:
Pravat Mandal
4126999561
mandalpk@pitt.edu

More Details

Status
Recruiting
Sponsor
Pravat Mandal

Study Contact

Pravat Pravat K MANDAL
4126999561
mandalpk@pitt.edu

Detailed Description

Oxidative Stress (OS) plays a key role in aging and neurodegenerative diseases, including Alzheimer's Disease. The brain's primary antioxidant, GSH, is essential for combating Reactive Oxygen Species (ROS).This study is designed as an open-label, single-center, dose escalation clinical trial to evaluate the safety and tolerability of GGC supplementation in patients with MCI. This will enable the investigators to identify maximum tolerated or recommended dose for further clinical evaluation.