This is a pilot study of daily dosing of NUV001 as a dietary supplement in 12 sickle cell disease patients with 3 months of follow-up plus 1 month after supplementation.The present study is designed to evaluate, first, the safety and tolerability parameters as well as to measure the plasma and urinary residues of daily oral doses of NUV001. Secondly, the study will evaluate the impact of NUV001 on biological parameters and quality of life of patients.
This is a monocentric, prospective, open label pilot study designed for 12 adult patients suffering of Sickle Cell disease (SCD) SS genotype each 12 receiving the active supplementation of NUV001, 1000mg/day (4 x 250 mg tablet) for 3 months of follow-up plus 1 month after supplementation. A stratification according to the medical treatment is planned. At least 2 patients suffering of SCD SS genotype without hydroxyurea treatment and maximum 10 patients suffering of SCD SS genotype in association with hydroxyurea treatment. If a subject is withdrawn from this study part, the subject may be replaced as necessary with another subject assigned to the same treatment at the discretion of the sponsor's team in consultation with the investigator. The current study is designed to assess in the first part, the safety, tolerability, plasma, and urine residual rate parameters of daily oral doses of NUV001 as dietary supplement n adult patients suffering of sickle cell disease SS genotype. In a second part, the study will assess the pharmacological impact of NUV001 on biological parameters and the quality of life in patient suffering of sickle cell disease SS genotype.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
12
Daily supplementation with NUV001 at 1000 mg (4 tablets of 250 mg each) for 90 days with a prolonged follow-up of 1 month (30 days) after stopping the supplementation
Aphm Hopital La Timone Adultes Sce Medecine Interne (Umap)
Marseille, France
Incidence of treatment-emergent adverse events
Subject incidence of treatment-emergent Adverse events (AEs) and Severe adverse events. Including Hospitalization days and Vaso-occlusive crisis occurrences.
Time frame: between Day 0 and Day 30
Incidence of treatment-emergent adverse events
Subject incidence of treatment-emergent Adverse events (AEs) and Severe adverse events. Including Hospitalization days and Vaso-occlusive crisis occurrences.
Time frame: between Day 0 and Day 60
Incidence of treatment-emergent adverse events
Subject incidence of treatment-emergent Adverse events (AEs) and Severe adverse events. Including Hospitalization days and Vaso-occlusive crisis occurrences.
Time frame: between Day 0 and Day 90
Incidence of treatment-emergent adverse events
Subject incidence of treatment-emergent Adverse events (AEs) and Severe adverse events. Including Hospitalization days and Vaso-occlusive crisis occurrences.
Time frame: between Day 0 and Day 120
Incidence of treatment-emergent clinically significant changes in clinical laboratory safety tests
Subject incidence of treatment-emergent clinically significant changes in clinical laboratory safety tests (Blood formulation, Inflammation parameters, Conjugated and free Bilirubin, alanine and aspartate aminotransferases (ASAT, ALAT),gamma-glutamyltransferase (GGT) and alkaline phosphatase (ALP), Creatine phosphokinase (CPK), Creatine, Urea, Creatinuria, Proteinuria, creatinine clearance)Ionogram Na/K/Cl, fasting blood glucose, albumine)
Time frame: between Day 0 and Day 30
Incidence of treatment-emergent clinically significant changes in clinical laboratory safety tests
Subject incidence of treatment-emergent clinically significant changes in clinical laboratory safety tests (Blood formulation, Inflammation parameters, Conjugated and free Bilirubin, alanine and aspartate aminotransferases (ASAT, ALAT),gamma-glutamyltransferase (GGT) and alkaline phosphatase (ALP), Creatine phosphokinase (CPK), Creatine, Urea, Creatinuria, Proteinuria, creatinine clearance)Ionogram Na/K/Cl, fasting blood glucose, albumine)
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Time frame: between Day 0 and Day 60
Incidence of treatment-emergent clinically significant changes in clinical laboratory safety tests
Subject incidence of treatment-emergent clinically significant changes in clinical laboratory safety tests (Blood formulation, Inflammation parameters, Conjugated and free Bilirubin, alanine and aspartate aminotransferases (ASAT, ALAT),gamma-glutamyltransferase (GGT) and alkaline phosphatase (ALP), Creatine phosphokinase (CPK), Creatine, Urea, Creatinuria, Proteinuria, creatinine clearance)Ionogram Na/K/Cl, fasting blood glucose, albumine)
Time frame: between Day 0 and Day 90
Incidence of treatment-emergent clinically significant changes in clinical laboratory safety tests
Subject incidence of treatment-emergent clinically significant changes in clinical laboratory safety tests (Blood formulation, Inflammation parameters, Conjugated and free Bilirubin, alanine and aspartate aminotransferases (ASAT, ALAT),gamma-glutamyltransferase (GGT) and alkaline phosphatase (ALP), Creatine phosphokinase (CPK), Creatine, Urea, Creatinuria, Proteinuria, creatinine clearance)Ionogram Na/K/Cl, fasting blood glucose, albumine)
Time frame: between Day 0 and Day 120
Incidence of treatment-emergent clinically significant changes in Vital Signs
Subject incidence of treatment-emergent clinically significant changes in vital signs (systolic and diastolic blood Pressure, Pulse Rate and Body temperature)
Time frame: between Day 0 and Day 30
Incidence of treatment-emergent clinically significant changes in Vital Signs
Subject incidence of treatment-emergent clinically significant changes in vital signs (systolic and diastolic blood Pressure, Pulse Rate and Body temperature)
Time frame: between Day 0 and Day 60
Incidence of treatment-emergent clinically significant changes in Vital Signs
Subject incidence of treatment-emergent clinically significant changes in vital signs (systolic and diastolic blood Pressure, Pulse Rate and Body temperature)
Time frame: between Day 0 and Day 90
Incidence of treatment-emergent clinically significant changes in Vital Signs
Subject incidence of treatment-emergent clinically significant changes in vital signs (systolic and diastolic blood Pressure, Pulse Rate and Body temperature)
Time frame: between Day 0 and Day 120
Change in Lactate dehydrogenase (LDH) levels
Lactate dehydrogenase (LDH) levels evolutions from baseline
Time frame: Day 0, Day 15, Day 30, Day 60, Day 90, Day 120.
Change in Hemoglobin (HGB) levels
Hemoglobin (HGB) levels evolutions from baseline.
Time frame: Day 0, Day 15, Day 30, Day 60, Day 90, Day 120.
Change in Hematocrit (HCT)
Hematocrit (HCT) evolutions from baseline.
Time frame: Day 0, Day 15, Day 30, Day 60, Day 90, Day 120.
Change in circulating level of red line cell precursors
circulating level of red line cell precursors (basophilic, polychromic and orthochromatic / reticulocytes erythroid cells) evolutions from baseline measured by flow cytometry
Time frame: Day 0, Day 15, Day 30, Day 60, Day 90, Day 120.
Change in mean corpuscular volume (MCV)
mean corpuscular volume (MCV) evolutions from baseline measured
Time frame: Day 0, Day 15, Day 30, Day 60, Day 90, Day 120.
Change in mean corpuscular hemoglobin content (MCHT)
mean corpuscular hemoglobin content (MCHT) evolutions from baseline measured
Time frame: Day 0, Day 15, Day 30, Day 60, Day 90, Day 120.
Change in reticulocyte level
reticulocytes count expressed in percentage of red blood cells
Time frame: Day 0, Day 15, Day 30, Day 60, Day 90, Day 120.
F-Hemoglobin
F-Hemoglobin (HbF) level, % of F-cells, Distribution of HbF within F-cells (% of high and low F-cells) evolutions from baseline.
Time frame: Day 0, Day 15, Day 30, Day 60, Day 90, Day 120.
Circulating irreversibly sickle cells (ISCs)
Evolution from baseline of the percent of circulating irreversibly sickle cells (ISCs)
Time frame: Day 0, Day 15, Day 30, Day 60, Day 90, Day 120.
Red blood cells (RBC) sickling
Evolution from baseline of in vitro Red blood cells (RBC) sickling under hypoxia
Time frame: Day 0, Day 15, Day 30, Day 60, Day 90, Day 120.
Nicotinamide adenine dinucleotide (NAD)+ concentration in whole blood
Evolution from baseline of NAD+ concentration in whole blood
Time frame: Day 0, Day 15, Day 30, Day 60, Day 90, Day 120.
β-Nicotinamide mononucleotide (NMN) concentration in whole blood
Evolution from baseline of NMN concentration in whole blood
Time frame: Day 0, Day 15, Day 30, Day 60, Day 90, Day 120.
Methyl-Nicotinamide (Me-NAM) concentration in plasma
Evolution from baseline of Me-NAM concentration in plasma
Time frame: Day 0, Day 15, Day 30, Day 60, Day 90, Day 120.
Nicotinamide (NAM) concentration in plasma
Evolution from baseline of NAM concentration in plasma
Time frame: Day 0, Day 15, Day 30, Day 60, Day 90, Day 120.
Nicotinamide (NAM) concentration in urine
Evolution from baseline of NAM concentration in urine
Time frame: Day 0, Day 15, Day 30, Day 60, Day 90, Day 120.
N-Methyl-2-pyridone-5-carboxamide (2PY) concentration in urine
Evolution from baseline of 2PY concentration in urine
Time frame: Day 0, Day 15, Day 30, Day 60, Day 90, Day 120.
Change from baseline of self-questionnaire quality of life 36-Item Short Form Survey (SF-36) version 1
Evolutions from baseline in General activity, mood, walking ability, normal work (including housework), relations with other people, sleep, enjoyment of life as measured by the 36-Item Short Form Survey (SF-36) version 1 questionnaire. SF-36 scores range from 0 (worst) to 100 (best)
Time frame: Day 0, Day 15, Day 30, Day 60, Day 90, Day 120.