EXPO: Study to Investigate the Effects of Different Doses of S-adenosyl-L-methionine (SAMe) in Subjects With Nonalcoholic Fatty Liver Disease and Non-treated Matched Healthy Volunteers as Control Group

Sponsor
Abbott (Industry)
Overall Status
Completed
CT.gov ID
NCT01754714
Collaborator
PPD (Industry)
108
32
4
21
3.4
0.2

Study Details

Study Description

Brief Summary

Investigation the Effects of Different Doses of SAMe in Subjects with Nonalcoholic Fatty Liver Disease and non-treated matched healthy volunteers as control group

Condition or Disease Intervention/Treatment Phase
  • Drug: SAMe 1000 mg
  • Drug: SAMe 1500 mg
  • Drug: SAMe 2000 mg
Phase 3

Study Design

Study Type:
Interventional
Actual Enrollment :
108 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
None (Open Label)
Primary Purpose:
Treatment
Official Title:
Open-label, Randomized, Parallel-Group, Exploratory Study to Investigate the Effects of Different Doses of S-adenosyl-L-methionine (SAMe) in Subjects With Nonalcoholic Steatohepatitis (NASH) and Non-treated Matched Healthy Volunteers as Control Group
Study Start Date :
Dec 1, 2012
Actual Primary Completion Date :
Sep 1, 2014
Actual Study Completion Date :
Sep 1, 2014

Arms and Interventions

Arm Intervention/Treatment
Experimental: 1000 mg SAMe (S-adenosyl-L-methionine)

Drug: SAMe 1000 mg
1000 mg dose group: one 500 mg capsule fasting in the morning and one 500 mg capsule before dinner

Experimental: 1500 mg SAMe

Drug: SAMe 1500 mg
1500 mg dose group: two 500 mg capsules fasting in the morning and one 500 mg capsule before dinner

Experimental: 2000 mg SAMe

Drug: SAMe 2000 mg
2000 mg dose group: two 500 mg capsules fasting in the morning and two 500 mg capsules before dinner

No Intervention: No treatment

Outcome Measures

Primary Outcome Measures

  1. Methionine Elimination Half-life Measured in Blood. [0.5, 1, 1.5, 3, 4.5, 6, 7.5 and 9 hours*at Week 7*]

    After the methionine load, blood samples will be obtained at 0.5, 1, 1.5, 3, 4.5, 6, 7.5 and 9 hours. Plasma will be analyzed for methionine.

Secondary Outcome Measures

  1. Fasting Methionine Concentration of Average Methionine Concentration Versus Time Curve. [0.5, 1, 1.5, 3, 4.5, 6, 7.5 and 9 hours*at Week 7*]

    After the methionine load, blood samples will be obtained at 0.5, 1, 1.5, 3, 4.5, 6, 7.5 and 9 hours. Plasma will be analyzed for methionine.

  2. 13 Carbon (Natural, Stable Isotope of Carbon) Methionine Breath Test [0.5, 1, 1.5, 3, 4.5, 6, 7.5 and 9 hours*at Week 7*]

    parameters cumulative percentage dose of 13 carbon recovered after 30, 60, 90 minutes (cPDR30, cPDR60, cPDR 90) will be evaluated

  3. Hepatic Panel (Liver Laboratory Parameters) [change from baseline at 6 weeks]

    Serum Total Bilirubin (STB), Serum Conjugated Bilirubin (SCB), liver-alkaline phosphatase (ALP), alanine aminotransferase (ALT), aspartate aminotransferase (AST), Gamma Glutamyl Transpeptidase (GGT)

  4. Metabolic Panel (Metabolic Laboratory Parameters) [change from baseline at 6 weeks]

    Fasting lipid profile (cholesterol, HDL (High Density Lipoprotein), LDL (Low Density Lipoprotein)), amino acid profile, homeostasis model assessment (HOMA-R) and fasting glucose.

  5. The Metabolic Clearance Rate Measured in the Blood. [0.5, 1, 1.5, 3, 4.5, 6, 7.5 and 9 hours*at Week 7*]

    After the methionine load, blood samples will be obtained at 0.5, 1, 1.5, 3, 4.5, 6, 7.5 and 9 hours. Plasma will be analyzed for methionine.

  6. Methionine Volume of Distribution at Week 7 (L) [0.5, 1, 1.5, 3, 4.5, 6, 7.5 and 9 hours*at Week 7*]

    After the methionine load, blood samples will be obtained at 0.5, 1, 1.5, 3, 4, 5, 6, 7.5 and 9 hours. Plasma will be analyzed for methionine.

  7. 13 Carbon (Natural, Stable Isotope of Carbon) Methionine Breath Test [0.5, 1, 1.5, 3, 4.5, 6, 7.5 and 9 hours*at Week 7*]

    Peak

  8. 13 Carbon (Natural, Stable Isotope of Carbon) Methionine Breath Test [0.5, 1, 1.5, 3, 4.5, 6, 7.5 and 9 hours*at Week 7*]

    Time to peak

  9. Metabolic Panel (Metabolic Laboratory Parameters) [Change from baseline at 6 weeks]

    Fasting plasma insulin

  10. Metabolic Panel (Metabolic Laboratory Parameters) [change from baseline at 6 weeks]

    glycosylated hemoglobin (HbA1c)

  11. Metabolic Panel (Metabolic Laboratory Parameters) [change from baseline at 6 weeks]

    Adiponectin

  12. Immunological/Anti-oxidant Panel (Immunological and Anti-oxidant Laboratory Parameters) [change from baseline at 6 weeks]

    C-reactive Protein (CRP)

  13. Immunological/Anti-oxidant Panel (Immunological and Anti-oxidant Laboratory Parameters) [change from baseline at 6 weeks]

    glutathione in erythrocytes

  14. Immunological/Anti-oxidant Panel (Immunological and Anti-oxidant Laboratory Parameters) [change from baseline at 6 weeks]

    oxidative stress marker (isoprostane level)

  15. Fibrosis and Apoptosis Markers (Fibrosis and Apoptosis Laboratory Markers) [change from baseline at 6 weeks]

    Caspase-cleaved cytokeratin (CK 18)

  16. Fibrosis and Apoptosis Markers (Fibrosis and Apoptosis Laboratory Markers) [change from baseline at 6 weeks]

    Hyaluronic acid

  17. Area Under Curve (AUC) of Average Methionine Concentration Versus Time Curve [0.5, 1, 1.5, 3, 4, 5, 6, 7.5 and 9 hours *at Week 7*]

    After the methionine load, blood samples will be obtained at 0.5, 1, 1.5, 3, 4, 5, 6, 7.5 and 9 hours. Plasma will be analyzed for methionine.

  18. Hepatic Panel (Liver Laboratory Parameters) [change from baseline at 6 weeks]

    ALT/AST ratio

Other Outcome Measures

  1. Immunological/Anti-oxidant Panel (Immunological and Anti-oxidant Laboratory Parameters) [change from baseline at 6 weeks]

    Cytokine profile ( Interleukin-6, IL-8, IL-10 (IL), Tumor Necrosis Factor (TNF -α), monocyte chemoattractant protein (MCP-1), and Granulocyte-colony stimulating factor (G-CSF ).

  2. Fibrosis and Apoptosis Markers (Fibrosis and Apoptosis Laboratory Markers) [change from baseline at 6 weeks]

    Non-invasive test for liver disease (ActiTest)/Fibrotest FibroTest® : diagnoses hepatic fibrosis ActiTest® : assesses viral necro-inflammatory activity Scores between 0 and 1, the higher the score the worse The FibroTest score is calculated from the results of a six-parameter blood test, combining six serum markers with the age and gender of the patient:Alpha-2-macroglobulin, Haptoglobin, Apolipoprotein A1, Gamma-glutamyl transpeptidase (GGT), Total bilirubin, and Alanine transaminase (ALT). ALT is used in a second assessment called ActiTest that is part of FibroTest.

Eligibility Criteria

Criteria

Ages Eligible for Study:
18 Years to 99 Years
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
Yes

Inclusion Criteria

  • Subjects with non-alcoholic steatohepatitis based on histology in medical history within the last 3 years

  • Subjects in a stable metabolic condition since histology for NASH (Non-alcoholic Steatohepatitis)

Exclusion Criteria

  • Subjects with extrahepatic biliary obstruction

  • Subjects with primary sclerosing cholangitis (PSC)

  • Subjects with primary biliary cirrhosis (PBC)

  • Any form of malignancy within the past 5 years and/or basal cell carcinoma and squamous cell carcinoma of the skin within the past two years

  • History of active substance abuse (oral, inhaled or injected) within one year prior to the study

  • Subjects with renal impairment (creatinine level of >2.0 mg/dL)

  • Subjects with a known hypersensitivity to the active substance (ademetionine) or methionine or to any of the inactive ingredients

  • Subjects with known genetic defects affecting the methionine cycle and/or causing homocystinuria and/or hyperhomocysteinemia (e.g., cystathionine beta-synthase deficiency, Vitamin B12 metabolism defect)

  • Subjects on total parenteral nutrition in the year prior to screening

  • Subjects after or planned for bariatric surgery (jejunoileal bypass or gastric weight loss surgery)

  • Extrahepatic cholestasis (proven by ultrasound)

  • Subjects with alanine aminotransferase (ALT) and/or aspartate aminotransferase (AST) > 5 upper limit of normal (ULN)

  • Subject with serum total bilirubin (STB) > 5 ULN

  • Subjects after liver transplantation and subjects on the waiting list for liver transplantation

  • Subjects with any of the following disease in medical history:

  • Viral hepatitis (serum positive HBcAb (hepatitis B core antibody) or Hepatitis C Virus (HCV) ribonucleic acid (RNA)

  • Evidence of autoimmune liver disease

  • Wilson's disease

  • Hemochromatosis

  • Alpha-1-antitrypsin deficiency

  • Known positivity for antibody to human immunodeficiency virus (HIV)

  • Known heart failure of New York heart Association class 3 or 4

  • Current or history of significant alcohol consumption for a period of more than three consecutive months within five years prior to screening (significant alcohol consumption is defined as > 3 U (unit)/day for men and > 2 U/day for women, on average) or binge drinking or inability to reliably quantify alcohol consumption.

  • Clinical or histological evidence of cirrhosis F4

  • Subjects with history of biliary diversion

  • Subjects with uncontrolled diabetes mellitus defined by HbA1c (hemoglobin A1c) > 8.0 % at screening

  • Concomitant medication of B12, folate, betaine or choline

  • Concomitant treatment with glitazone within the past year prior to the study

  • Subjects with known folate or B12 deficiency

  • BMI (body mass index) > 40 kg/m2

  • History of major depression diagnostic and statistical manual of mental disorders (DSM-IV) or bipolar disease

  • Women of childbearing potential: positive urine pregnancy test during screening or unwillingness to use an effective form of birth control during the study.

  • Breastfeeding women

  • Any condition that, in the opinion of the investigator, does not justify the patient's inclusion into the study

  • Investigational drug intake within one month prior to the study

  • Active, serious medical disease with likely life-expectancy less than five years

  • Uncooperative attitude or reasonable likelihood for non-compliance with the protocol or any other reason that, in the investigator's opinion, prohibits the inclusion of the subject into the study

  • Legal incapacity or limited legal capacity, or who are incarcerated.

  • Inability to return for scheduled visits.

  • Inability to understand and follow the requirements of the protocol in the local language

Contacts and Locations

Locations

Site City State Country Postal Code
1 Site Reference ID 93914 Amiens France 80054
2 Site Reference ID 93895 Angers France 49933
3 Site Reference ID 93894 Bobigny France 93009
4 Site Reference ID 93913 Montpellier France 34295
5 Site Reference ID 93916 Nice France 06202
6 Site Reference ID 93915 Paris France 75012
7 Site Reference ID 93893 Paris France 75651
8 Site Reference ID 93896 Pessac France 33604
9 Site Reference ID 93953 Bonn Germany 53127
10 Site Reference ID 93954 Frankfurt Germany 60594
11 Site Reference ID 93935 Freiburg Germany 79106
12 Site Reference ID 93955 Halle Germany 06120
13 Site Reference ID 93917 Hannover Germany 30625
14 Site Reference ID 93933 Homburg Germany 66424
15 Site Reference ID 94015 Leipzig Germany 04103
16 Site Reference ID 93918 Mainz Germany 55131
17 Site Reference ID 94014 Ulm Germany 89081
18 Site reference ID/Investigator # 109455 Bydgoszcz Poland 85-030
19 Site Reference ID 93958 Chorzow Poland 41-500
20 Site Reference ID 93973 Krakow Poland 31-531
21 Site Reference ID 93956 Lodz Poland 91-347
22 Site Reference ID 93957 Myslowice Poland 41-400
23 Site Reference ID 93974 Warsaw Poland 02-507
24 Site Reference ID 93975 Wroclaw Poland 50-220
25 Site reference ID ORG-000905 Krasnoyarsk Russian Federation 660022
26 Site reference ID ORG-000906 Moscow Russian Federation 119435
27 Site reference ID ORG-000900 Nizhniy Novgorod Russian Federation 603126
28 Site reference ID ORG-000907 Novosibirsk Russian Federation 630084
29 Site reference ID ORG-000903 Omsk Russian Federation 644043
30 Site reference ID ORG-000920 Rostov-on-Don Russian Federation 344022
31 Site reference ID ORG-000904 Samara Russian Federation 443011
32 Site reference ID ORG-000901 Stavropol Russian Federation 355017

Sponsors and Collaborators

  • Abbott
  • PPD

Investigators

  • Study Director: Suntje Sander-Struckmeier, PhD, Abbott

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.
Responsible Party:
Abbott
ClinicalTrials.gov Identifier:
NCT01754714
Other Study ID Numbers:
  • M13-397
  • 2012-000975-18
First Posted:
Dec 21, 2012
Last Update Posted:
Feb 19, 2016
Last Verified:
Jan 1, 2016
Keywords provided by Abbott
Additional relevant MeSH terms:

Study Results

Participant Flow

Recruitment Details
Pre-assignment Detail
Arm/Group Title 1000 mg SAMe (S-adenosyl-L-methionine) 1500 mg SAMe 2000 mg SAMe No Treatment
Arm/Group Description SAMe 1000 mg: 1000 mg dose group: one 500 mg capsule fasting in the morning and one 500 mg capsule before dinner SAMe 1500 mg: 1500 mg dose group: two 500 mg capsules fasting in the morning and one 500 mg capsule before dinner SAMe 2000 mg: 2000 mg dose group: two 500 mg capsules fasting in the morning and two 500 mg capsules before dinner No study drug was administered
Period Title: Overall Study
STARTED 27 27 26 28
COMPLETED 27 26 24 27
NOT COMPLETED 0 1 2 1

Baseline Characteristics

Arm/Group Title 1000 mg SAMe (S-adenosyl-L-methionine) 1500 mg SAMe 2000 mg SAMe No Treatment Total
Arm/Group Description SAMe 1000 mg: 1000 mg dose group: one 500 mg capsule fasting in the morning and one 500 mg capsule before dinner SAMe 1500 mg: 1500 mg dose group: two 500 mg capsules fasting in the morning and one 500 mg capsule before dinner SAMe 2000 mg: 2000 mg dose group: two 500 mg capsules fasting in the morning and two 500 mg capsules before dinner no study drug was administered Total of all reporting groups
Overall Participants 27 27 26 28 108
Age (Count of Participants)
<=18 years
0
0%
0
0%
0
0%
0
0%
0
0%
Between 18 and 65 years
23
85.2%
24
88.9%
23
88.5%
21
75%
91
84.3%
>=65 years
4
14.8%
3
11.1%
3
11.5%
7
25%
17
15.7%
Age (years) [Mean (Standard Deviation) ]
Mean (Standard Deviation) [years]
51.2
(13.8)
50.0
(12.3)
49.5
(14.2)
56.6
(11.6)
51.9
(13.1)
Sex: Female, Male (Count of Participants)
Female
15
55.6%
10
37%
9
34.6%
11
39.3%
45
41.7%
Male
12
44.4%
17
63%
17
65.4%
17
60.7%
63
58.3%
Region of Enrollment (participants) [Number]
Russian Federation
5
18.5%
6
22.2%
5
19.2%
2
7.1%
18
16.7%
Poland
3
11.1%
2
7.4%
6
23.1%
6
21.4%
17
15.7%
France
6
22.2%
5
18.5%
4
15.4%
9
32.1%
24
22.2%
Germany
13
48.1%
14
51.9%
11
42.3%
11
39.3%
49
45.4%

Outcome Measures

1. Primary Outcome
Title Methionine Elimination Half-life Measured in Blood.
Description After the methionine load, blood samples will be obtained at 0.5, 1, 1.5, 3, 4.5, 6, 7.5 and 9 hours. Plasma will be analyzed for methionine.
Time Frame 0.5, 1, 1.5, 3, 4.5, 6, 7.5 and 9 hours*at Week 7*

Outcome Measure Data

Analysis Population Description
[Not Specified]
Arm/Group Title 1000 mg SAMe (S-adenosyl-L-methionine) 1500 mg SAMe 2000 mg SAMe No Treatment
Arm/Group Description SAMe 1000 mg: 1000 mg dose group: one 500 mg capsule fasting in the morning and one 500 mg capsule before dinner SAMe 1500 mg: 1500 mg dose group: two 500 mg capsules fasting in the morning and one 500 mg capsule before dinner SAMe 2000 mg: 2000 mg dose group: two 500 mg capsules fasting in the morning and two 500 mg capsules before dinner No study drug was administered
Measure Participants 27 26 24 27
Mean (Standard Deviation) [hour]
4.29
(1.86)
4.66
(1.57)
4.25
(1.64)
4.26
(1.44)
2. Secondary Outcome
Title Fasting Methionine Concentration of Average Methionine Concentration Versus Time Curve.
Description After the methionine load, blood samples will be obtained at 0.5, 1, 1.5, 3, 4.5, 6, 7.5 and 9 hours. Plasma will be analyzed for methionine.
Time Frame 0.5, 1, 1.5, 3, 4.5, 6, 7.5 and 9 hours*at Week 7*

Outcome Measure Data

Analysis Population Description
[Not Specified]
Arm/Group Title 1000 mg SAMe (S-adenosyl-L-methionine) 1500 mg SAMe 2000 mg SAMe No Treatment
Arm/Group Description SAMe 1000 mg: 1000 mg dose group: one 500 mg capsule fasting in the morning and one 500 mg capsule before dinner SAMe 1500 mg: 1500 mg dose group: two 500 mg capsules fasting in the morning and one 500 mg capsule before dinner SAMe 2000 mg: 2000 mg dose group: two 500 mg capsules fasting in the morning and two 500 mg capsules before dinner No study drug was administered
Measure Participants 27 26 24 27
Mean (Standard Deviation) [mcg/mL]
4.02
(0.92)
3.81
(0.67)
5.68
(10.13)
5.62
(8.53)
3. Secondary Outcome
Title 13 Carbon (Natural, Stable Isotope of Carbon) Methionine Breath Test
Description parameters cumulative percentage dose of 13 carbon recovered after 30, 60, 90 minutes (cPDR30, cPDR60, cPDR 90) will be evaluated
Time Frame 0.5, 1, 1.5, 3, 4.5, 6, 7.5 and 9 hours*at Week 7*

Outcome Measure Data

Analysis Population Description
[Not Specified]
Arm/Group Title 1000 mg SAMe (S-adenosyl-L-methionine) 1500 mg SAMe 2000 mg SAMe No Treatment
Arm/Group Description SAMe 1000 mg: 1000 mg dose group: one 500 mg capsule fasting in the morning and one 500 mg capsule before dinner SAMe 1500 mg: 1500 mg dose group: two 500 mg capsules fasting in the morning and one 500 mg capsule before dinner SAMe 2000 mg: 2000 mg dose group: two 500 mg capsules fasting in the morning and two 500 mg capsules before dinner No study drug was administered
Measure Participants 27 26 24 27
13C methionine breath test recovery at 30 min (%)
0.93
(0.73)
0.77
(0.51)
0.88
(0.66)
0.69
(0.55)
13C methionine breath test recovery at 60 min (%)
3.66
(1.99)
3.49
(1.74)
3.61
(1.78)
2.98
(1.72)
13C methionine breath test recovery at 90 min (%)
6.69
(2.75)
6.60
(2.56)
6.68
(2.48)
5.74
(2.56)
4. Secondary Outcome
Title Hepatic Panel (Liver Laboratory Parameters)
Description Serum Total Bilirubin (STB), Serum Conjugated Bilirubin (SCB), liver-alkaline phosphatase (ALP), alanine aminotransferase (ALT), aspartate aminotransferase (AST), Gamma Glutamyl Transpeptidase (GGT)
Time Frame change from baseline at 6 weeks

Outcome Measure Data

Analysis Population Description
[Not Specified]
Arm/Group Title 1000 mg SAMe (S-adenosyl-L-methionine) 1500 mg SAMe 2000 mg SAMe No Treatment
Arm/Group Description SAMe 1000 mg: 1000 mg dose group: one 500 mg capsule fasting in the morning and one 500 mg capsule before dinner SAMe 1500 mg: 1500 mg dose group: two 500 mg capsules fasting in the morning and one 500 mg capsule before dinner SAMe 2000 mg: 2000 mg dose group: two 500 mg capsules fasting in the morning and two 500 mg capsules before dinner No study drug was administered
Measure Participants 27 26 24 27
ALP
1.9
(7.9)
-0.1
(13.7)
3.4
(24.1)
-6.0
(16.9)
ALT
-6.2
(19.5)
-6.3
(23.5)
-4.9
(32.2)
-11.9
(33.4)
AST
-5.1
(15.7)
-3.0
(16.5)
-1.2
(10.7)
-11.6
(27.7)
GGT
-1.1
(33.7)
-10.6
(62.7)
-2.7
(35.7)
-12.3
(48.1)
5. Secondary Outcome
Title Metabolic Panel (Metabolic Laboratory Parameters)
Description Fasting lipid profile (cholesterol, HDL (High Density Lipoprotein), LDL (Low Density Lipoprotein)), amino acid profile, homeostasis model assessment (HOMA-R) and fasting glucose.
Time Frame change from baseline at 6 weeks

Outcome Measure Data

Analysis Population Description
[Not Specified]
Arm/Group Title 1000 mg SAMe (S-adenosyl-L-methionine) 1500 mg SAMe 2000 mg SAMe No Treatment
Arm/Group Description SAMe 1000 mg: 1000 mg dose group: one 500 mg capsule fasting in the morning and one 500 mg capsule before dinner SAMe 1500 mg: 1500 mg dose group: two 500 mg capsules fasting in the morning and one 500 mg capsule before dinner SAMe 2000 mg: 2000 mg dose group: two 500 mg capsules fasting in the morning and two 500 mg capsules before dinner No study drug was administered
Measure Participants 27 26 24 27
Cholesterol
-0.131
(0.593)
0.046
(0.921)
-0.265
(0.601)
-0.134
(0.659)
HDL
-0.094
(0.166)
-0.046
(0.254)
-0.098
(0.169)
-0.075
(0.188)
LDL
0.125
(0.452)
0.182
(0.762)
-0.202
(0.589)
-0.112
(0.558)
HOMA-R
0.837
(13.232)
0.127
(3.763)
-1.549
(13.321)
3.432
(10.837)
Glucose
-0.068
(0.968)
0.490
(1.486)
-0.163
(1.009)
-0.121
(1.610)
6. Other Pre-specified Outcome
Title Immunological/Anti-oxidant Panel (Immunological and Anti-oxidant Laboratory Parameters)
Description Cytokine profile ( Interleukin-6, IL-8, IL-10 (IL), Tumor Necrosis Factor (TNF -α), monocyte chemoattractant protein (MCP-1), and Granulocyte-colony stimulating factor (G-CSF ).
Time Frame change from baseline at 6 weeks

Outcome Measure Data

Analysis Population Description
[Not Specified]
Arm/Group Title 1000 mg SAMe (S-adenosyl-L-methionine) 1500 mg SAMe 2000 mg SAMe No Treatment
Arm/Group Description SAMe 1000 mg: 1000 mg dose group: one 500 mg capsule fasting in the morning and one 500 mg capsule before dinner SAMe 1500 mg: 1500 mg dose group: two 500 mg capsules fasting in the morning and one 500 mg capsule before dinner SAMe 2000 mg: 2000 mg dose group: two 500 mg capsules fasting in the morning and two 500 mg capsules before dinner No study drug was administered
Measure Participants 27 26 24 27
IL-6: n= (27,24,23,27)
0.0603
(2.0263)
-0.9254
(6.4599)
-1.3194
(4.5779)
0.1597
(1.6243)
IL-8: n= (8,6,7,9)
-14.41
(41.07)
0.65
(13.37)
-78.73
(187.51)
-6.17
(16.94)
IL-10: n= (1,2,1,2)
0.270
(NA)
-0.045
(0.106)
-0.300
(NA)
1.600
(1.146)
TNF-alpha: n= (24,24,20,27)
-0.127
(0.414)
-1.083
(4.782)
-0.601
(2.136)
-0.187
(1.114)
MCP-1: n= (27,25,24,27)
-29.75
(154.75)
-20.60
(79.71)
-40.15
(96.21)
-44.51
(114.85)
G-CSF: n= (5,4,1,0)
-20.0
(52.8)
-0.5
(9.7)
20.0
(NA)
NA
(NA)
7. Other Pre-specified Outcome
Title Fibrosis and Apoptosis Markers (Fibrosis and Apoptosis Laboratory Markers)
Description Non-invasive test for liver disease (ActiTest)/Fibrotest FibroTest® : diagnoses hepatic fibrosis ActiTest® : assesses viral necro-inflammatory activity Scores between 0 and 1, the higher the score the worse The FibroTest score is calculated from the results of a six-parameter blood test, combining six serum markers with the age and gender of the patient:Alpha-2-macroglobulin, Haptoglobin, Apolipoprotein A1, Gamma-glutamyl transpeptidase (GGT), Total bilirubin, and Alanine transaminase (ALT). ALT is used in a second assessment called ActiTest that is part of FibroTest.
Time Frame change from baseline at 6 weeks

Outcome Measure Data

Analysis Population Description
[Not Specified]
Arm/Group Title 1000 mg SAMe (S-adenosyl-L-methionine) 1500 mg SAMe 2000 mg SAMe No Treatment
Arm/Group Description SAMe 1000 mg: 1000 mg dose group: one 500 mg capsule fasting in the morning and one 500 mg capsule before dinner SAMe 1500 mg: 1500 mg dose group: two 500 mg capsules fasting in the morning and one 500 mg capsule before dinner SAMe 2000 mg: 2000 mg dose group: two 500 mg capsules fasting in the morning and two 500 mg capsules before dinner No study drug was administered
Measure Participants 27 26 24 27
ActiTest Score
-0.017
(0.098)
-0.022
(0.137)
-0.002
(0.168)
-0.042
(0.096)
Fibrotest Score
0.036
(0.097)
0.028
(0.093)
0.050
(0.125)
0.020
(0.068)
8. Secondary Outcome
Title The Metabolic Clearance Rate Measured in the Blood.
Description After the methionine load, blood samples will be obtained at 0.5, 1, 1.5, 3, 4.5, 6, 7.5 and 9 hours. Plasma will be analyzed for methionine.
Time Frame 0.5, 1, 1.5, 3, 4.5, 6, 7.5 and 9 hours*at Week 7*

Outcome Measure Data

Analysis Population Description
[Not Specified]
Arm/Group Title 1000 mg SAMe (S-adenosyl-L-methionine) 1500 mg SAMe 2000 mg SAMe No Treatment
Arm/Group Description SAMe 1000 mg: 1000 mg dose group: one 500 mg capsule fasting in the morning and one 500 mg capsule before dinner SAMe 1500 mg: 1500 mg dose group: two 500 mg capsules fasting in the morning and one 500 mg capsule before dinner SAMe 2000 mg: 2000 mg dose group: two 500 mg capsules fasting in the morning and two 500 mg capsules before dinner
Measure Participants 27 26 24 27
Mean (Standard Deviation) [L/h]
8.86
(2.93)
9.83
(3.27)
10.05
(4.32)
8.23
(2.30)
9. Secondary Outcome
Title Methionine Volume of Distribution at Week 7 (L)
Description After the methionine load, blood samples will be obtained at 0.5, 1, 1.5, 3, 4, 5, 6, 7.5 and 9 hours. Plasma will be analyzed for methionine.
Time Frame 0.5, 1, 1.5, 3, 4.5, 6, 7.5 and 9 hours*at Week 7*

Outcome Measure Data

Analysis Population Description
[Not Specified]
Arm/Group Title 1000 mg SAMe (S-adenosyl-L-methionine) 1500 mg SAMe 2000 mg SAMe No Treatment
Arm/Group Description SAMe 1000 mg: 1000 mg dose group: one 500 mg capsule fasting in the morning and one 500 mg capsule before dinner SAMe 1500 mg: 1500 mg dose group: two 500 mg capsules fasting in the morning and one 500 mg capsule before dinner SAMe 2000 mg: 2000 mg dose group: two 500 mg capsules fasting in the morning and two 500 mg capsules before dinner No study drug was administered
Measure Participants 27 26 24 27
Mean (Standard Deviation) [L]
54.40
(18.43)
62.84
(14.04)
64.58
(17.77)
8.23
(53.98)
10. Secondary Outcome
Title 13 Carbon (Natural, Stable Isotope of Carbon) Methionine Breath Test
Description Peak
Time Frame 0.5, 1, 1.5, 3, 4.5, 6, 7.5 and 9 hours*at Week 7*

Outcome Measure Data

Analysis Population Description
[Not Specified]
Arm/Group Title 1000 mg SAMe (S-adenosyl-L-methionine) 1500 mg SAMe 2000 mg SAMe No Treatment
Arm/Group Description SAMe 1000 mg: 1000 mg dose group: one 500 mg capsule fasting in the morning and one 500 mg capsule before dinner SAMe 1500 mg: 1500 mg dose group: two 500 mg capsules fasting in the morning and one 500 mg capsule before dinner SAMe 2000 mg: 2000 mg dose group: two 500 mg capsules fasting in the morning and two 500 mg capsules before dinner No study drug was administered
Measure Participants 27 26 24 27
Mean (Standard Deviation) [Atom %C13]
1.0972
(0.0062)
1.0964
(0.0052)
1.0964
(0.0053)
1.0949
(0.0045)
11. Secondary Outcome
Title 13 Carbon (Natural, Stable Isotope of Carbon) Methionine Breath Test
Description Time to peak
Time Frame 0.5, 1, 1.5, 3, 4.5, 6, 7.5 and 9 hours*at Week 7*

Outcome Measure Data

Analysis Population Description
[Not Specified]
Arm/Group Title 1000 mg SAMe (S-adenosyl-L-methionine) 1500 mg SAMe 2000 mg SAMe No Treatment
Arm/Group Description SAMe 1000 mg: 1000 mg dose group: one 500 mg capsule fasting in the morning and one 500 mg capsule before dinner SAMe 1500 mg: 1500 mg dose group: two 500 mg capsules fasting in the morning and one 500 mg capsule before dinner SAMe 2000 mg: 2000 mg dose group: two 500 mg capsules fasting in the morning and two 500 mg capsules before dinner No study drug was administered
Measure Participants 27 26 24 27
Median (Inter-Quartile Range) [minutes]
70.0
70.0
70.0
70.0
12. Secondary Outcome
Title Metabolic Panel (Metabolic Laboratory Parameters)
Description Fasting plasma insulin
Time Frame Change from baseline at 6 weeks

Outcome Measure Data

Analysis Population Description
[Not Specified]
Arm/Group Title 1000 mg SAMe (S-adenosyl-L-methionine) 1500 mg SAMe 2000 mg SAMe No Treatment
Arm/Group Description SAMe 1000 mg: 1000 mg dose group: one 500 mg capsule fasting in the morning and one 500 mg capsule before dinner SAMe 1500 mg: 1500 mg dose group: two 500 mg capsules fasting in the morning and one 500 mg capsule before dinner SAMe 2000 mg: 2000 mg dose group: two 500 mg capsules fasting in the morning and two 500 mg capsules before dinner No study drug was administered
Measure Participants 27 26 24 27
Mean (Standard Deviation) [pmol/L]
0.3
(191.0)
-13.6
(115.5)
-13.1
(248)
69.1
(309.0)
13. Secondary Outcome
Title Metabolic Panel (Metabolic Laboratory Parameters)
Description glycosylated hemoglobin (HbA1c)
Time Frame change from baseline at 6 weeks

Outcome Measure Data

Analysis Population Description
[Not Specified]
Arm/Group Title 1000 mg SAMe (S-adenosyl-L-methionine) 1500 mg SAMe 2000 mg SAMe No Treatment
Arm/Group Description SAMe 1000 mg: 1000 mg dose group: one 500 mg capsule fasting in the morning and one 500 mg capsule before dinner SAMe 1500 mg: 1500 mg dose group: two 500 mg capsules fasting in the morning and one 500 mg capsule before dinner SAMe 2000 mg: 2000 mg dose group: two 500 mg capsules fasting in the morning and two 500 mg capsules before dinner No study drug was administered
Measure Participants 27 26 24 27
Mean (Standard Deviation) [Percentage]
-0.08
(0.28)
-0.06
(0.36)
-0.05
(0.32)
0.02
(0.33)
14. Secondary Outcome
Title Metabolic Panel (Metabolic Laboratory Parameters)
Description Adiponectin
Time Frame change from baseline at 6 weeks

Outcome Measure Data

Analysis Population Description
[Not Specified]
Arm/Group Title 1000 mg SAMe (S-adenosyl-L-methionine) 1500 mg SAMe 2000 mg SAMe No Treatment
Arm/Group Description SAMe 1000 mg: 1000 mg dose group: one 500 mg capsule fasting in the morning and one 500 mg capsule before dinner SAMe 1500 mg: 1500 mg dose group: two 500 mg capsules fasting in the morning and one 500 mg capsule before dinner SAMe 2000 mg: 2000 mg dose group: two 500 mg capsules fasting in the morning and two 500 mg capsules before dinner No study drug was administered
Measure Participants 27 26 24 27
Mean (Standard Deviation) [mcg/mL]
0.754
(4.191)
0.425
(1.199)
0.219
(1.661)
0.045
(1.515)
15. Secondary Outcome
Title Immunological/Anti-oxidant Panel (Immunological and Anti-oxidant Laboratory Parameters)
Description C-reactive Protein (CRP)
Time Frame change from baseline at 6 weeks

Outcome Measure Data

Analysis Population Description
[Not Specified]
Arm/Group Title 1000 mg SAMe (S-adenosyl-L-methionine) 1500 mg SAMe 2000 mg SAMe No Treatment
Arm/Group Description SAMe 1000 mg: 1000 mg dose group: one 500 mg capsule fasting in the morning and one 500 mg capsule before dinner SAMe 1500 mg: 1500 mg dose group: two 500 mg capsules fasting in the morning and one 500 mg capsule before dinner SAMe 2000 mg: 2000 mg dose group: two 500 mg capsules fasting in the morning and two 500 mg capsules before dinner No study drug was administered
Measure Participants 27 26 24 27
Mean (Standard Deviation) [nmol/L]
-0.79
(15.51)
-0.80
(14.90)
-8.02
(20.40)
-4.80
(12.8)
16. Secondary Outcome
Title Immunological/Anti-oxidant Panel (Immunological and Anti-oxidant Laboratory Parameters)
Description glutathione in erythrocytes
Time Frame change from baseline at 6 weeks

Outcome Measure Data

Analysis Population Description
[Not Specified]
Arm/Group Title 1000 mg SAMe (S-adenosyl-L-methionine) 1500 mg SAMe 2000 mg SAMe No Treatment
Arm/Group Description SAMe 1000 mg: 1000 mg dose group: one 500 mg capsule fasting in the morning and one 500 mg capsule before dinner SAMe 1500 mg: 1500 mg dose group: two 500 mg capsules fasting in the morning and one 500 mg capsule before dinner SAMe 2000 mg: 2000 mg dose group: two 500 mg capsules fasting in the morning and two 500 mg capsules before dinner No study drug was administered
Measure Participants 27 26 24 27
Mean (Standard Deviation) [mcmol/g]
-0.24
(2.06)
-0.21
(1.01)
0.05
(1.41)
-0.30
(1.33)
17. Secondary Outcome
Title Immunological/Anti-oxidant Panel (Immunological and Anti-oxidant Laboratory Parameters)
Description oxidative stress marker (isoprostane level)
Time Frame change from baseline at 6 weeks

Outcome Measure Data

Analysis Population Description
[Not Specified]
Arm/Group Title 1000 mg SAMe (S-adenosyl-L-methionine) 1500 mg SAMe 2000 mg SAMe No Treatment
Arm/Group Description SAMe 1000 mg: 1000 mg dose group: one 500 mg capsule fasting in the morning and one 500 mg capsule before dinner SAMe 1500 mg: 1500 mg dose group: two 500 mg capsules fasting in the morning and one 500 mg capsule before dinner SAMe 2000 mg: 2000 mg dose group: two 500 mg capsules fasting in the morning and two 500 mg capsules before dinner No study drug was administered
Measure Participants 27 26 24 27
Mean (Standard Deviation) [ng/mg Crea]
-0.223
(0.801)
0.116
(0.699)
0.290
(0.691)
-0.223
(0.641)
18. Secondary Outcome
Title Fibrosis and Apoptosis Markers (Fibrosis and Apoptosis Laboratory Markers)
Description Caspase-cleaved cytokeratin (CK 18)
Time Frame change from baseline at 6 weeks

Outcome Measure Data

Analysis Population Description
[Not Specified]
Arm/Group Title 1000 mg SAMe (S-adenosyl-L-methionine) 1500 mg SAMe 2000 mg SAMe No Treatment
Arm/Group Description SAMe 1000 mg: 1000 mg dose group: one 500 mg capsule fasting in the morning and one 500 mg capsule before dinner SAMe 1500 mg: 1500 mg dose group: two 500 mg capsules fasting in the morning and one 500 mg capsule before dinner SAMe 2000 mg: 2000 mg dose group: two 500 mg capsules fasting in the morning and two 500 mg capsules before dinner No study drug was administered
Measure Participants 27 26 24 27
Mean (Standard Deviation) [U/L]
-126.8
(401.1)
-136.6
(257.3)
-47.0
(157.3)
-143.2
(532.5)
19. Secondary Outcome
Title Fibrosis and Apoptosis Markers (Fibrosis and Apoptosis Laboratory Markers)
Description Hyaluronic acid
Time Frame change from baseline at 6 weeks

Outcome Measure Data

Analysis Population Description
[Not Specified]
Arm/Group Title 1000 mg SAMe (S-adenosyl-L-methionine) 1500 mg SAMe 2000 mg SAMe No Treatment
Arm/Group Description SAMe 1000 mg: 1000 mg dose group: one 500 mg capsule fasting in the morning and one 500 mg capsule before dinner SAMe 1500 mg: 1500 mg dose group: two 500 mg capsules fasting in the morning and one 500 mg capsule before dinner SAMe 2000 mg: 2000 mg dose group: two 500 mg capsules fasting in the morning and two 500 mg capsules before dinner No study drug was administered
Measure Participants 27 26 24 27
Mean (Standard Deviation) [ng/mL]
4.67
(48.52)
2.03
(32.26)
9.40
(59.63)
3.02
(46.56)
20. Secondary Outcome
Title Area Under Curve (AUC) of Average Methionine Concentration Versus Time Curve
Description After the methionine load, blood samples will be obtained at 0.5, 1, 1.5, 3, 4, 5, 6, 7.5 and 9 hours. Plasma will be analyzed for methionine.
Time Frame 0.5, 1, 1.5, 3, 4, 5, 6, 7.5 and 9 hours *at Week 7*

Outcome Measure Data

Analysis Population Description
[Not Specified]
Arm/Group Title 1000 mg SAMe (S-adenosyl-L-methionine) 1500 mg SAMe 2000 mg SAMe No Treatment
Arm/Group Description SAMe 1000 mg: 1000 mg dose group: one 500 mg capsule fasting in the morning and one 500 mg capsule before dinner SAMe 1500 mg: 1500 mg dose group: two 500 mg capsules fasting in the morning and one 500 mg capsule before dinner SAMe 2000 mg: 2000 mg dose group: two 500 mg capsules fasting in the morning and two 500 mg capsules before dinner No study drug was administered
Measure Participants 27 26 24 27
Mean (Standard Deviation) [mcg/mL]
440.09
(149.96)
399.30
(148.90)
425.24
(231.88)
460.57
(135.63)
21. Secondary Outcome
Title Hepatic Panel (Liver Laboratory Parameters)
Description ALT/AST ratio
Time Frame change from baseline at 6 weeks

Outcome Measure Data

Analysis Population Description
[Not Specified]
Arm/Group Title 1000 mg SAMe (S-adenosyl-L-methionine) 1500 mg SAMe 2000 mg SAMe No Treatment
Arm/Group Description SAMe 1000 mg: 1000 mg dose group: one 500 mg capsule fasting in the morning and one 500 mg capsule before dinner SAMe 1500 mg: 1500 mg dose group: two 500 mg capsules fasting in the morning and one 500 mg capsule before dinner SAMe 2000 mg: 2000 mg dose group: two 500 mg capsules fasting in the morning and two 500 mg capsules before dinner No study drug was administered
Measure Participants 27 26 24 27
Mean (Standard Deviation) [Ratio]
-0.02
(0.23)
0.01
(0.21)
0.03
(0.18)
-0.01
(0.27)

Adverse Events

Time Frame
Adverse Event Reporting Description
Arm/Group Title 1000 mg SAMe (S-adenosyl-L-methionine) 1500 mg SAMe 2000 mg SAMe No Treatment
Arm/Group Description SAMe 1000 mg: 1000 mg dose group: one 500 mg capsule fasting in the morning and one 500 mg capsule before dinner SAMe 1500 mg: 1500 mg dose group: two 500 mg capsules fasting in the morning and one 500 mg capsule before dinner SAMe 2000 mg: 2000 mg dose group: two 500 mg capsules fasting in the morning and two 500 mg capsules before dinner No study drug was administered
All Cause Mortality
1000 mg SAMe (S-adenosyl-L-methionine) 1500 mg SAMe 2000 mg SAMe No Treatment
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total / (NaN) / (NaN) / (NaN) / (NaN)
Serious Adverse Events
1000 mg SAMe (S-adenosyl-L-methionine) 1500 mg SAMe 2000 mg SAMe No Treatment
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 0/27 (0%) 0/27 (0%) 0/24 (0%) 1/28 (3.6%)
Injury, poisoning and procedural complications
head injury and neck injury before start of treatment 0/27 (0%) 0 0/27 (0%) 0 0/24 (0%) 0 1/28 (3.6%) 1
Other (Not Including Serious) Adverse Events
1000 mg SAMe (S-adenosyl-L-methionine) 1500 mg SAMe 2000 mg SAMe No Treatment
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 7/27 (25.9%) 4/27 (14.8%) 7/24 (29.2%) 2/28 (7.1%)
Gastrointestinal disorders
DIARRHOEA 3/27 (11.1%) 3 2/27 (7.4%) 2 4/24 (16.7%) 4 0/28 (0%) 0
Abdominal Pain 0/27 (0%) 0 1/27 (3.7%) 1 3/24 (12.5%) 3 2/28 (7.1%) 2
General disorders
Fatigue 2/27 (7.4%) 2 0/27 (0%) 0 0/24 (0%) 0 0/28 (0%) 0
Nervous system disorders
Headache 2/27 (7.4%) 2 1/27 (3.7%) 1 1/24 (4.2%) 1 0/28 (0%) 0

Limitations/Caveats

[Not Specified]

More Information

Certain Agreements

Principal Investigators are NOT employed by the organization sponsoring the study.

There is NOT an agreement between Principal Investigators and the Sponsor (or its agents) that restricts the PI's rights to discuss or publish trial results after the trial is completed.

Results Point of Contact

Name/Title Associate Director Clinical Services
Organization Abbott
Phone +31 29-44-79-196
Email taco.baardman@abbott.com
Responsible Party:
Abbott
ClinicalTrials.gov Identifier:
NCT01754714
Other Study ID Numbers:
  • M13-397
  • 2012-000975-18
First Posted:
Dec 21, 2012
Last Update Posted:
Feb 19, 2016
Last Verified:
Jan 1, 2016