Se-Methyl-Seleno-L- Cysteine (MSC) in Treating Healthy Patients
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Purpose
This randomized phase I trial is studying the side effects and best dose of Se-methyl-seleno-L-cysteine in healthy adult men. Studying samples of blood, urine, and toenail clippings in the laboratory from healthy men receiving Se-methyl-seleno-L-cysteine may help doctors learn more about how Se-methyl-seleno-L-cysteine works in the body.
| Condition | Intervention | Phase |
|---|---|---|
|
Healthy, no Evidence of Disease |
Dietary Supplement: Se-methyl-seleno-L-cysteine Other: placebo Other: pharmacological study Other: laboratory biomarker analysis |
Phase 1 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety Study Intervention Model: Parallel Assignment Masking: Double Blind (Subject, Investigator) Primary Purpose: Prevention |
| Official Title: | PHASE I STUDY OF SINGLE ORAL DOSE OF Se-METHYL-SELENO-L-CYSTEINE (MSC) IN ADULT MEN |
- Clinical toxicity in healthy adult male volunteers, graded according to the National Cancer Institute Common Toxicity Criteria (NCI CTC) v3.0 [ Time Frame: Up to 30 days ] [ Designated as safety issue: Yes ]Summarized using descriptive statistics.
- Characterization of the pharmacokinetics of MSC [ Time Frame: Up to 24 hours post-dose ] [ Designated as safety issue: No ]Descriptive statistics calculated for each cohort, using established pharmacokinetic analysis methods.
- Selenium levels in toenail samples [ Time Frame: Up to 24 hours post-dose ] [ Designated as safety issue: No ]Summarized graphically.
| Estimated Enrollment: | 36 |
| Study Start Date: | July 2007 |
| Primary Completion Date: | April 2008 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Placebo Comparator: Arm I (placebo)
Participants receive oral placebo on day 1.
|
Other: placebo
Given orally
Other Name: PLCB
Other: pharmacological study
Correlative studies
Other Name: pharmacological studies
Other: laboratory biomarker analysis
Correlative studies
|
|
Experimental: Arm II (Se-methyl-seleno-L-cysteine)
Participants receive oral Se-methyl-seleno-l-cysteine (MSC) on day 1. Cohorts of 5 participants receive escalating doses of MSC until the MTD is determined. The MTD is defined as the dose preceding that at which 2 of 5 or 2 of 10 patients experience dose-limiting toxicity.
|
Dietary Supplement: Se-methyl-seleno-L-cysteine
Given orally
Other Names:
Other: pharmacological study
Correlative studies
Other Name: pharmacological studies
Other: laboratory biomarker analysis
Correlative studies
|
Detailed Description:
PRIMARY OBJECTIVES:
I. To evaluate the toxicity of MSC, given to healthy adult males as a single oral dose.
SECONDARY OBJECTIVES:
I. To characterize the pharmacokinetics of single oral doses of MSC in healthy adult male volunteers.
II. To evaluate the baseline selenium content of toenail clippings in healthy adult males.
OUTLINE: This is a multicenter, randomized, placebo controlled, double blind, dose escalation study. Participants are randomized to 1 of 2 arms.
Arm I: Participants receive oral placebo on day 1.
Arm II: Participants receive oral Se-methyl-seleno-l-cysteine (MSC) on day 1. Cohorts of 5 participants receive escalating doses of MSC until the maximum tolerated dose (MTD) is determined. The MTD is defined as the dose preceding that at which 2 of 5 or 2 of 10 patients experience dose-limiting toxicity.
Participants undergo blood, urine, and toenail clipping collection for pharmacokinetic and correlative studies. Samples are analyzed for plasma protein levels of selenium for proteomic and gene expression, molecular fingerprinting by mass spectrometry, and RNA by gene array analysis.
After completion of study treatment, participants are followed at 7-14 days and at 30 days.
Eligibility| Ages Eligible for Study: | 18 Years to 70 Years |
| Genders Eligible for Study: | Male |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Total body weight between 50 and 115 kg
- Hgb > 12 gm/dl
- Platelets > 100,000/μL
- ANC > 1000/μL
- Creatinine < 1.5 mg/dl
- SGPT and SGOT < 3 X the institutional upper limit of normal (ULN)
- Total bilirubin < 1.5 X the institutional ULN (subjects with a higher level of bilirubin due to a familial metabolism will be considered on an individual basis)
- Life expectancy greater than 2 years
- Male subjects must agree to use adequate contraception (barrier method of birth control; abstinence) prior to study entry and until study completion (i.e., at least two weeks after dose of study drug)
- Ability to understand and the willingness to sign a written informed consent document
- Agree to refrain from use of selenium supplements while on study
Exclusion Criteria:
- Not willing to remain at RPCI, and in follow up, as required
- Presence of medical conditions, which in the opinion of the investigators, would compromise either the subject, or the integrity of the data
- Individuals with a history of active liver or kidney disease within the past 6 months
- Treatment with an investigational drug within 30 days prior to the dose of study drug
- Use of prescription or nonprescription drugs, vitamins, or herbal supplements known to change gastric acidity (e.g., H2-antagonists, proton pump inhibitors, antacids) within 3 days of study drug administration
- History of allergic reactions attributed to compounds of similar chemical or biologic composition to MSC (e.g. reaction to other selenium supplements)
- Subjects who have donated 1 unit of blood within 30 days prior to the first dose of MSC
- Subjects with a known history of heavy metal exposure, such as lead, mercury, of arsenic
- ECOG performance status > 1
- AUA total symptom score > 10 (or any individual symptom score of greater than or equal to 4 will exclude the participant)
Contacts and Locations
More Information
No publications provided
| Responsible Party: | National Cancer Institute (NCI) |
| ClinicalTrials.gov Identifier: | NCT00489372 History of Changes |
| Other Study ID Numbers: | NCI-2013-00505, NWU04-4-02, I 87406, NCI04-4-02, N01CN35157 |
| Study First Received: | June 20, 2007 |
| Last Updated: | May 1, 2013 |
| Health Authority: | United States: Food and Drug Administration United States: Federal Government |
Additional relevant MeSH terms:
|
Selenomethylselenocysteine Anticarcinogenic Agents Protective Agents Physiological Effects of Drugs |
Pharmacologic Actions Antineoplastic Agents Therapeutic Uses |
ClinicalTrials.gov processed this record on May 19, 2013