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NCT04668274

JOTROL PK, Safety, and Food Effect Assessment

Completed Phase 1 Results posted Last updated 12 August 2022
What this trial tests

Phase 1 trial testing 200 mg resveratrol as JOTROL in Pharmacokinetics in 24 participants. Completed in 31 May 2021.

Timeline
21 January 2021
Primary endpoint
28 February 2021
31 May 2021

Quick facts

Lead sponsorJupiter Orphan Therapeutics Inc.
PhasePhase 1
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designsingle group
Maskingnone
Primary purposebasic science
Enrollment24
Start date21 January 2021
Primary completion28 February 2021
Estimated completion31 May 2021
Sites1 location across United States

Drugs / interventions tested

Conditions studied

Sponsor

Jupiter Orphan Therapeutics Inc. — full company profile →

Who can join

Adults 18 to 75, any sex, with Pharmacokinetics or Safety. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Number of Participants With Treatment-emergent Adverse Events (TEAEs) Primary · From first dose of study drug administration up to 131 days

An adverse event (AE) was defined as any untoward medical occurrence (including clinically significant \[CS\] vital signs measurements or laboratory results) or worsening of a pre-existing condition in a participant administered a pharmaceutical product during the course of the study, whether related or not to the study medication. TEAEs were defined as AE that occurred on or after the date and time of study drug administration or those that first occurred pre-dose but worsened by increase in occurrence or severity after study drug administration. TEAEs includes both serious and non-serious TE

GroupValue95% CI
Part 1: JOTROL (Resveratrol) 200 mg (Treatment A)7
Part 1: JOTROL (Resveratrol) 500 mg (Treatment B)4
Part 1: JOTROL (Resveratrol) 700 mg (Treatment C)6
Part 2: JOTROL (Resveratrol) 500 mg (Treatment D)6
Area Under the Plasma Concentration-time Curve From Time 0 to Time of Infinity (AUC0-inf) for Resveratrol and Its Metabolites (Resveratrol-3-glucuronide, Resveratrol-4'-Glucuronide, and Resveratrol-3-sulfate) Primary · Pre-dose and 0.133, 0.25, 0.5, 1, 1.5, 2, 3, 4, 5, 6, 8, 10, 12, 16, 24, and 32 hours post-dose on Day 1

AUC(0-infinity) of resveratrol, resveratrol-3-glucuronide, resveratrol-4'-glucuronide, and resveratrol-3-sulfate in plasma were reported. AUC(0-infinity) of resveratrol, resveratrol-3-glucuronide, resveratrol-4'-glucuronide, and resveratrol-3-sulfate in plasma were reported and calculated as AUC0-t + Ct/Kel, where Ct is the last observed measurable concentration, AUC0-t is Area Under the Concentration-time Curve From Time Zero to the Last Measurable Concentration and Kel is Elimination rate constant.

Resveratrol
GroupValue95% CI
Part 1: JOTROL (Resveratrol) 200 mg (Treatment A)214.73
Part 1: JOTROL (Resveratrol) 500 mg (Treatment B)499.73± 56.54
Part 1: JOTROL (Resveratrol) 700 mg (Treatment C)595.75± 28.19
Part 2: JOTROL (Resveratrol) 500 mg (Treatment D)553.77± 60.84
Resveratrol-3-Glucuronide
GroupValue95% CI
Part 1: JOTROL (Resveratrol) 200 mg (Treatment A)4821.18± 29.37
Part 1: JOTROL (Resveratrol) 500 mg (Treatment B)16390.55± 27.25
Part 1: JOTROL (Resveratrol) 700 mg (Treatment C)29570.84± 34.08
Part 2: JOTROL (Resveratrol) 500 mg (Treatment D)11834.05± 28.41
Resveratrol-3-Sulfate
GroupValue95% CI
Part 1: JOTROL (Resveratrol) 200 mg (Treatment A)11668.98± 27.75
Part 1: JOTROL (Resveratrol) 500 mg (Treatment B)35063.90± 31.67
Part 1: JOTROL (Resveratrol) 700 mg (Treatment C)53845.25± 20.62
Part 2: JOTROL (Resveratrol) 500 mg (Treatment D)31133.94± 33.24
Resveratrol-4'-Glucuronide
GroupValue95% CI
Part 1: JOTROL (Resveratrol) 200 mg (Treatment A)4591.06± 27.34
Part 1: JOTROL (Resveratrol) 500 mg (Treatment B)15387.06± 29.76
Part 1: JOTROL (Resveratrol) 700 mg (Treatment C)22934.42± 29.90
Part 2: JOTROL (Resveratrol) 500 mg (Treatment D)14528.02± 21.95
Area Under the Concentration-time Curve From Time Zero to the Last Measurable Concentration (AUC0-t) for Resveratrol and Its Metabolites (Resveratrol-3-glucuronide, Resveratrol-4'-Glucuronide, and Resveratrol-3-sulfate) Primary · Pre-dose and 0.133, 0.25, 0.5, 1, 1.5, 2, 3, 4, 5, 6, 8, 10, 12, 16, 24, and 32 hours post-dose on Day 1

AUC0-t was Area Under the Concentration-time Curve From Time Zero to the Last Measurable Concentration. AUC(0-t) was calculated according to the mixed log-linear trapezoidal rule.

Resveratrol
GroupValue95% CI
Part 1: JOTROL (Resveratrol) 200 mg (Treatment A)112.32± 72.49
Part 1: JOTROL (Resveratrol) 500 mg (Treatment B)422.85± 53.24
Part 1: JOTROL (Resveratrol) 700 mg (Treatment C)785.29± 51.52
Part 2: JOTROL (Resveratrol) 500 mg (Treatment D)263.75± 65.72
Resveratrol-3-Glucuronide
GroupValue95% CI
Part 1: JOTROL (Resveratrol) 200 mg (Treatment A)4796.08± 29.58
Part 1: JOTROL (Resveratrol) 500 mg (Treatment B)16347.62± 27.21
Part 1: JOTROL (Resveratrol) 700 mg (Treatment C)29492.22± 34.04
Part 2: JOTROL (Resveratrol) 500 mg (Treatment D)11775.27± 28.51
Resveratrol-3-Sulfate
GroupValue95% CI
Part 1: JOTROL (Resveratrol) 200 mg (Treatment A)11593.20± 26.78
Part 1: JOTROL (Resveratrol) 500 mg (Treatment B)34854.48± 31.49
Part 1: JOTROL (Resveratrol) 700 mg (Treatment C)53351.47± 20.04
Part 2: JOTROL (Resveratrol) 500 mg (Treatment D)31018.49± 33.26
Resveratrol-4'-Glucuronide
GroupValue95% CI
Part 1: JOTROL (Resveratrol) 200 mg (Treatment A)4550.27± 27.58
Part 1: JOTROL (Resveratrol) 500 mg (Treatment B)15337.45± 29.70
Part 1: JOTROL (Resveratrol) 700 mg (Treatment C)22845.47± 29.36
Part 2: JOTROL (Resveratrol) 500 mg (Treatment D)14502.21± 21.93
Maximum Observed Plasma Concentration (Cmax) for Resveratrol and Its Metabolites (Resveratrol-3-glucuronide, Resveratrol-4'-Glucuronide, and Resveratrol-3-sulfate) Primary · Pre-dose and 0.133, 0.25, 0.5, 1, 1.5, 2, 3, 4, 5, 6, 8, 10, 12, 16, 24, and 32 hours post-dose on Day 1

Cmax was the maximum observed plasma concentration obtained directly from the concentration versus time curve.

Resveratrol
GroupValue95% CI
Part 1: JOTROL (Resveratrol) 200 mg (Treatment A)94.70± 91.46
Part 1: JOTROL (Resveratrol) 500 mg (Treatment B)326.32± 89.76
Part 1: JOTROL (Resveratrol) 700 mg (Treatment C)648.08± 73.29
Part 2: JOTROL (Resveratrol) 500 mg (Treatment D)140.09± 100.84
Resveratrol-3-Glucuronide
GroupValue95% CI
Part 1: JOTROL (Resveratrol) 200 mg (Treatment A)2292.84± 29.69
Part 1: JOTROL (Resveratrol) 500 mg (Treatment B)8334.08± 48.84
Part 1: JOTROL (Resveratrol) 700 mg (Treatment C)14558.05± 46.33
Part 2: JOTROL (Resveratrol) 500 mg (Treatment D)4173.48± 59.28
Resveratrol-3-Sulfate
GroupValue95% CI
Part 1: JOTROL (Resveratrol) 200 mg (Treatment A)6204.37± 36.00
Part 1: JOTROL (Resveratrol) 500 mg (Treatment B)16863.57± 48.55
Part 1: JOTROL (Resveratrol) 700 mg (Treatment C)22856.79± 27.23
Part 2: JOTROL (Resveratrol) 500 mg (Treatment D)10696.58± 65.43
Resveratrol-4'-Glucuronide
GroupValue95% CI
Part 1: JOTROL (Resveratrol) 200 mg (Treatment A)1649.08± 33.30
Part 1: JOTROL (Resveratrol) 500 mg (Treatment B)5340.95± 56.63
Part 1: JOTROL (Resveratrol) 700 mg (Treatment C)7663.09± 40.20
Part 2: JOTROL (Resveratrol) 500 mg (Treatment D)3742.71± 48.44
Residual Area for Resveratrol Secondary · Pre-dose and 0.133, 0.25, 0.5, 1, 1.5, 2, 3, 4, 5, 6, 8, 10, 12, 16, 24, and 32 hours post-dose on Day 1

Residual area for resveratrol in plasma was calculated and reported. The residual area was calculated as 100\*(1- AUC0-t / AUC0-inf) where AUC0-t (h\*ng/mL) = area under the concentration-time curve from time zero to the last measurable concentration and AUC0-inf (h\*ng/mL) = area under the plasma concentration-time curve from time 0 to time of infinity.

GroupValue95% CI
Part 1: JOTROL (Resveratrol) 200 mg (Treatment A)5.48
Part 1: JOTROL (Resveratrol) 500 mg (Treatment B)4.56± 73.50
Part 1: JOTROL (Resveratrol) 700 mg (Treatment C)3.58± 38.56
Part 2: JOTROL (Resveratrol) 500 mg (Treatment D)2.29± 111.16
Time to Maximum Observed Plasma Concentration (Tmax) for Resveratrol Secondary · Pre-dose and 0.133, 0.25, 0.5, 1, 1.5, 2, 3, 4, 5, 6, 8, 10, 12, 16, 24, and 32 hours post-dose on Day 1

Tmax was time to reach maximum observed plasma concentration obtained directly from the concentration versus time curve.

GroupValue95% CI
Part 1: JOTROL (Resveratrol) 200 mg (Treatment A)0.9990.250 – 2.006
Part 1: JOTROL (Resveratrol) 500 mg (Treatment B)1.0030.496 – 2.001
Part 1: JOTROL (Resveratrol) 700 mg (Treatment C)1.0250.251 – 2.000
Part 2: JOTROL (Resveratrol) 500 mg (Treatment D)1.4970.499 – 2.002
Elimination Half-Life (T1/2 el) for Resveratrol Secondary · Pre-dose and 0.133, 0.25, 0.5, 1, 1.5, 2, 3, 4, 5, 6, 8, 10, 12, 16, 24, and 32 hours post-dose on Day 1

Elimination half-life was defined as the time required for the plasma concentration of drug to decrease 50 percent in the final stage of its elimination.

GroupValue95% CI
Part 1: JOTROL (Resveratrol) 200 mg (Treatment A)1.26
Part 1: JOTROL (Resveratrol) 500 mg (Treatment B)2.36± 62.56
Part 1: JOTROL (Resveratrol) 700 mg (Treatment C)1.56± 25.19
Part 2: JOTROL (Resveratrol) 500 mg (Treatment D)1.47± 71.72
Elimination Rate Constant (Kel) for Resveratrol Secondary · Pre-dose and 0.133, 0.25, 0.5, 1, 1.5, 2, 3, 4, 5, 6, 8, 10, 12, 16, 24, and 32 hours post-dose on Day 1

Kel was determined from the terminal slope of the log-transformed plasma concentration curve using linear regression method.

GroupValue95% CI
Part 1: JOTROL (Resveratrol) 200 mg (Treatment A)0.5520
Part 1: JOTROL (Resveratrol) 500 mg (Treatment B)0.2932± 48.70
Part 1: JOTROL (Resveratrol) 700 mg (Treatment C)0.4436± 28.56
Part 2: JOTROL (Resveratrol) 500 mg (Treatment D)0.4712± 71.72
Cumulative Urinary Excretion From Time Zero to Time t (Ae0-t) for Resveratrol Secondary · Pre-dose and 4, 8, 12, 24, and 32 hours post-dose on Day 1

Cumulative urinary excretion from time zero to time t, calculated as the sum of the amounts excreted over each collection interval. The amount excreted in urine for each time interval was calculated as the urine concentration multiplied by the urine volume.

GroupValue95% CI
Part 1: JOTROL (Resveratrol) 200 mg (Treatment A)16927.35± 75.39
Part 1: JOTROL (Resveratrol) 500 mg (Treatment B)48454.76± 49.88
Part 1: JOTROL (Resveratrol) 700 mg (Treatment C)109323.50± 88.32
Maximum Rate of Urinary Excretion (Rmax) for Resveratrol Secondary · Pre-dose and 4, 8, 12, 24, and 32 hours post-dose on Day 1

Maximum rate of urinary excretion, calculated by dividing the amount of drug excreted in each collection interval by the time over which it was collected.

GroupValue95% CI
Part 1: JOTROL (Resveratrol) 200 mg (Treatment A)8791.49± 82.45
Part 1: JOTROL (Resveratrol) 500 mg (Treatment B)26486.23± 136.58
Part 1: JOTROL (Resveratrol) 700 mg (Treatment C)44737.57± 90.97
Time of Rmax (Tmax) for Resveratrol Secondary · Pre-dose and 4, 8, 12, 24, and 32 hours post-dose on Day 1

Tmax was the time after administration of a drug when the Rmax is reached.

GroupValue95% CI
Part 1: JOTROL (Resveratrol) 200 mg (Treatment A)0.7930.233 – 12.013
Part 1: JOTROL (Resveratrol) 500 mg (Treatment B)0.5510.049 – 1.436
Part 1: JOTROL (Resveratrol) 700 mg (Treatment C)0.6980.290 – 3.563
Renal Clearance (CLr) for Resveratrol Secondary · Pre-dose and 4, 8, 12, 24, and 32 hours post-dose on Day 1

CLr was calculated as Ae0-t/AUC0-t (plasma) where t is Tlast.

GroupValue95% CI
Part 1: JOTROL (Resveratrol) 200 mg (Treatment A)0.15± 112.22
Part 1: JOTROL (Resveratrol) 500 mg (Treatment B)0.11± 63.04
Part 1: JOTROL (Resveratrol) 700 mg (Treatment C)0.14± 95.39

Adverse events — posted to ClinicalTrials.gov

Time frame: From first dose of study drug administration up to 131 days. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Part 1: JOTROL (Resveratrol) 200 mg (Treatment A)
Serious: 0/21 (0%)
Deaths: 0/21
Part 1: JOTROL (Resveratrol) 500 mg (Treatment B)
Serious: 0/16 (0%)
Deaths: 0/16
Part 1: JOTROL (Resveratrol) 700 mg (Treatment C)
Serious: 0/18 (0%)
Deaths: 0/18
Part 2: JOTROL (Resveratrol) 500 mg (Treatment D)
Serious: 0/15 (0%)
Deaths: 0/15
Other adverse events (12 terms — click to expand)

ReactionSystemPart 1: JOTROL (Resveratro…Part 1: JOTROL (Resveratro…Part 1: JOTROL (Resveratro…Part 2: JOTROL (Resveratro…
SomnolenceNervous system disorders
HeadacheNervous system disorders
COVID-19Infections and infestations
SyncopeNervous system disorders
Alanine aminotransferase increasedInvestigations
Blood pressure increasedInvestigations
Haemoglobin decreasedInvestigations
SARS-CoV-2 test positiveInvestigations
White blood cells urineInvestigations
DiarrhoeaGastrointestinal disorders
NauseaGastrointestinal disorders
VomitingGastrointestinal disorders

Data from ClinicalTrials.gov NCT04668274 adverse events section.

Sponsor's own description

Type of Study: Single Ascending Doses (SAD) Study Objectives: To characterize the pharmacokinetic (PK) profile of JOTROL (resveratrol) following oral administration of SAD ranging from 200 mg up to a dose currently estimated at 1,000 mg, in healthy subjects. To evaluate the safety and tolerability of JOTROL To evaluate the effect of food on the PK profile of JOTROL. Study Design: Phase I, randomized, open-label, sequential SAD study with a food effect evaluation. Blood plasma and urine samples will be assessed for resveratrol and key metabolite content. Type of Control: No control Test Product: JOTROL (resveratrol) 100 mg resveratrol in 1000 mg softgel capsule for oral administration Dosage Regimen: Planned dose levels of resveratrol: 200 mg, 500 mg, and 1,000 mg. Following completion of each dose level, PK, safety, and tolerability data will be evaluated; dose levels may be adjusted. Route of Administration: Oral gelcaps with water Number of Subjects: 24 subjects will be included in Part 1; only 16 subjects, who completed Part 1, will be included in Part 2. Subjects: Healthy, non-smoker, adult males or females, ≥ 18 and ≤ 75 years of age Study Duration: Participation of each subject in this study should last approximately 1 to 1.5 months (for subjects participating in study Part 1 only) and 1.5 to 2 months (for subjects participating in both study parts).

Publications & conference data

3 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Human Sirtuin Regulators: The "Success" Stories.
    Curry AM, White DS, Donu D, Cen Y. · · 2021 · cited 64× · PMID 34744791 · DOI 10.3389/fphys.2021.752117
  2. Safety and pharmacokinetics of a highly bioavailable resveratrol preparation (JOTROL <sup>TM</sup>).
    Kemper C, Benham D, Brothers S, Wahlestedt C, et al · · 2022 · cited 30× · PMID 35789594 · DOI 10.1186/s41120-022-00058-1
  3. Induction of Cardiac Pathology: Endogenous versus Exogenous Nrf2 Upregulation.
    Mathis BJ, Kato H, Hiramatsu Y. · · 2022 · cited 5× · PMID 36497112 · DOI 10.3390/cells11233855

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