Official Title

Human Tissue Distribution of Orally Supplemented Natural Vitamin E Tocotrienol
  • Phase

    Early Phase 1
  • Study Type

    Interventional
  • Intervention/Treatment

    vitamin e tocotrienol ...
  • Study Participants

    80
Levels of tocotrienol in human tissues following supplementation is not currently known. The objective of this present study is to determine the levels of this form of vitamin E in the human tissues such as skin, heart, lung, liver, adipose tissue, Brain and cerebrospinal fluid (CSF) following oral supplementation
In nature, there are eight members in the vitamin E family: a-, b-, g- and d-TCP, and a-, b-, g- and d-tocotrienol (TCT). Vitamin E research has developed highly asymmetrically. Out of the 25,000+ papers on vitamin E in the PubMed, 99% deal with tocopherols. Recent research has demonstrated the lack of cancer-preventive effects and potential adverse health consequences of tocopherol (6). As a result, more attention has been turned towards non-tocopherol forms of vitamin E (16). Palm oil represents a major source of natural TCT. TCT possess powerful neuroprotective, antioxidant, anti-cancer and cholesterol lowering properties that often differ from the properties of TCP (15).

During the last five years, our and other laboratories have reported several striking beneficial properties of tocotrienols in experimental settings. One major concern that limits enthusiasm for tocotrienol for humans is the report that the vitamin E transporting protein, tocopherol-transport protein (TTP), has a very low affinity to transport tocotrienol. Using TTP-knock out mice, we have recently demonstrated that oral TCT is effectively carried to vital organs and that such transport can take place independent of TTP. With that background, the purpose of this project is to test the hypothesis that orally supplemented tocotrienol reaches the vital organs of humans.
Study Started
Mar 31
2006
Primary Completion
Jun 30
2012
Study Completion
Jun 30
2012
Results Posted
Sep 16
2014
Estimate
Last Update
Sep 16
2014
Estimate

Dietary Supplement To surgery patients, Tocopherol capsules.

200mg (2 100mg capsules) to take by mouth twice daily to total 400mg daily

Dietary Supplement Tocotrienol to healthy subjects.

200 mg to take orally two times a day (400 mg a day).

Dietary Supplement To surgery patients, Tocotrienol capsules.

200mg (2 100mg capsules) to take by mouth twice daily to total 400mg daily

Arm 1 Active Comparator

To surgery patients, Tocotrienol capsules. 200mg (2 100mg capsules) to take by mouth twice daily to total 400mg daily

Arm 2 Active Comparator

To surgery patients, Tocopherol capsules. 200mg (2 100mg capsules) to take by mouth twice daily to total 400mg daily

Arm 3 Active Comparator

Tocotrienol to healthy subjects - 200 mg to take orally two times a day (400 mg a day).

Criteria

Aim 1 Surgical candidate with a surgery schedule date with a time period of 4-24 weeks (<4 weeks will be excluded; last dose until 24h before surgery) In Aim 1 we expect to have patients, with diverse co-morbidity and medication conditions.

Patient Selection: Because of limitation in obtaining healthy human tissues (as in Aim 2), we plan to obtain these tissues from patients who are scheduled for the following surgeries for subjects in group one:

Heart Heart Transplant Heart Failure- Biopsy taken from diseased heart Lung Lung Transplant, Lung-wedge/resection, Lobectomy Cancer- Tissue sample taken from removed lung or resected portion of lung Liver Liver Transplant, Biopsy, Resection Hepatic Malignancy- Biopsy taken from resected portion of liver Adipose Tissue Panniculectomy Excessive Tissue of the Abdomen Brain & CSF Epilepsy Excised brain tissue and cerebrospinal fluid

To ensure higher enrollment we are not controlling for age of subjects as long as the subjects are 21 years of age or older.

Inclusion Criteria Aim 1:

age 21 and older
good health
non- smoker
no current medications
non- pregnant or non-breastfeeding
no previous use of OTC medications or other form of supplements containing vitamin-E.

Inclusion Criteria Aim 2:

age 21 - 40 years
good health
non- smoker
no current medications
non- pregnant or non-breastfeeding
no previous use of OTC medications or other form of supplements containing vitamin-E.

Exclusion Criteria Aim 1:

Long-term use of OTC medications containing vitamin-E or current vitamin-E supplements
Scheduled surgery date lesser than 4 weeks or greater than 24 weeks.

Exclusion Criteria Aim 2:

Over 40 or under 21 years of age
Current smoker
Pregnant and breastfeeding
Diabetes and HIV diagnosis
Immunosuppression therapy
Any neurological problems
Long-term use of OTC medications containing vitamin-E or current vitamin-E supplements
ETOH or drug abuse

Summary

Arm 1

Arm 2

Arm 3

All Events

Event Type Organ System Event Term

The Levels of TCT in the Tissues of "Non-healthy" Subjects and in the Tissue of "Healthy" Subjects Following Oral Supplementation (200 mg x 2 Per Day for 4-24 Weeks)

Arm 1: Surgical, Adipose

9.94
nmol/g (Mean)
Standard Deviation: 6.9

Arm 1: Surgical, Brain

1.29
nmol/g (Mean)
Standard Deviation: 1.06

Arm 1: Surgical, Heart

5.37
nmol/g (Mean)
Standard Deviation: 4.28

Arm 1: Surgical, Liver

0.42
nmol/g (Mean)
Standard Deviation: 0.43

Arm 2: Surgical, Adipose

28.6
nmol/g (Mean)
Standard Deviation: 20.7

Arm 2: Surgical, Brain

50.5
nmol/g (Mean)
Standard Deviation: 17.2

Arm 2: Surgical, Heart

31.9
nmol/g (Mean)
Standard Deviation: 20.0

Arm 2: Surgical, Liver

64.3
nmol/g (Mean)
Standard Deviation: 14.9

Arm 3: Healthy, Blood, Week 0

0.01
nmol/g (Mean)
Standard Deviation: 0.02

Arm 3: Healthy, Blood, Week 6

1.9
nmol/g (Mean)
Standard Deviation: 0.7

Arm 3: Healthy, Skin, Week 12

1.5
nmol/g (Mean)
Standard Deviation: 1.8

Arm 3: Healthy, Skin, Week 0

2.5
nmol/g (Mean)
Standard Deviation: 3.0

Arm 3: Healthy, Blood, Week 12

0.03
nmol/g (Mean)
Standard Deviation: 0.1

Total

80
Participants

Age, Continuous

40.37
years (Mean)
Standard Deviation: 4.61

Region of Enrollment

Sex: Female, Male

Overall Study

Arm 1- Surgery + Tocotrienol 200 mg

Arm 2- Surgery + Tocopherol 200 mg

Arm 3- Healthy +Tocotrienol 400 mg