胶束化与标准维生素 D 口服补充剂在随机、双盲人体初步研究中的比较和安全性评估。

A Comparison and Safety Evaluation of Micellar versus Standard Vitamin D Oral Supplementation in a Randomized, Double-Blind Human Pilot Study.

机构信息

ISURA, Clinical Research, Burnaby, BC V3N4S9, Canada.

Factors Group of Nutritional Companies Ltd., Burnaby, BC V3N4S9, Canada.

出版信息

Nutrients. 2024 May 22;16(11):1573. doi: 10.3390/nu16111573.

Abstract

The aim of this pilot study was to evaluate and compare bioavailability and safety of two Vitamin D formulations (softgels) in healthy adults, at single daily doses of 1000 and 2500 IU, over a 60-day period. A total of 69 participants were initially screened for eligibility in a double-blind randomized study with a four-arm parallel design; 35 participants were randomized to treatment groups: (1) standard Vitamin D 1000 IU (STD1000), (2) micellar Vitamin D 1000 IU (LMD1000), (3) standard Vitamin D 2500 IU (STD2500), and (4) micellar Vitamin D 2500 IU (LMD2500). Serum Vitamin D concentrations were determined through calcifediol [25(OH)D] at baseline (=before treatment), at day 5, 10, and 15 (=during treatment), at day 30 (=end of treatment), and at day 45 and 60 (=during follow-up/post treatment). Safety markers and minerals were evaluated at baseline and at day 30 and day 60. The pharmacokinetic parameters with respect to iAUC were found to be significantly different between LMD1000 vs. STD1000: iAUC(5-60): 992 ± 260 vs. 177 ± 140 nmol day/L; < 0.05, suggesting up to 6 times higher Vitamin D absorption of LMD when measured incrementally. During follow-up, participants in the LMD1000 treatment group showed approx. 7 times higher Vitamin D concentrations than the STD1000 group (iAUC(30-60): 680 ± 190 vs. 104 ± 91 nmol day/L; < 0.05). However, no significant differences were found between the pharmacokinetics of the higher dosing groups STD2500 and LMD2500. No significant changes in serum 1,25(OH)D concentrations or other biochemical safety markers were detected at day 60; no excess risks of hypercalcemia (i.e., total serum calcium > 2.63 mmol/L) or other adverse events were identified. LMD, a micellar delivery vehicle for microencapsulating Vitamin D (LipoMicel), proved to be safe and only showed superior bioavailability when compared to standard Vitamin D at the lower dose of 1000 IU. This study has clinical trial registration: NCT05209425.

摘要

这项初步研究的目的是评估和比较两种维生素 D 制剂(软胶囊)在健康成年人中的生物利用度和安全性,每日单剂量为 1000 和 2500IU,持续 60 天。共有 69 名参与者最初符合双盲随机研究的入选标准,采用四臂平行设计;35 名参与者被随机分配到治疗组:(1)标准维生素 D 1000IU(STD1000),(2)胶束维生素 D 1000IU(LMD1000),(3)标准维生素 D 2500IU(STD2500),和(4)胶束维生素 D 2500IU(LMD2500)。通过钙二醇[25(OH)D]在基线(=治疗前)、第 5、10 和 15 天(=治疗期间)、第 30 天(=治疗结束)以及第 45 和 60 天(=治疗后随访)来确定血清维生素 D 浓度。安全性标志物和矿物质在基线时和第 30 天和第 60 天进行评估。发现 LMD1000 与 STD1000 相比,iAUC 方面的药代动力学参数有显著差异:iAUC(5-60):992±260 vs. 177±140 nmol day/L; < 0.05,表明 LMD 的维生素 D 吸收增加了 6 倍。在随访期间,LMD1000 治疗组的参与者的维生素 D 浓度比 STD1000 组高约 7 倍(iAUC(30-60):680±190 vs. 104±91 nmol day/L; < 0.05)。然而,较高剂量组 STD2500 和 LMD2500 的药代动力学没有发现显著差异。在第 60 天未发现血清 1,25(OH)D 浓度或其他生化安全性标志物的显著变化;未发现高钙血症(即总血清钙>2.63mmol/L)或其他不良事件的风险增加。LMD,一种用于微封装维生素 D(LipoMicel)的胶束递送载体,被证明是安全的,与低剂量 1000IU 的标准维生素 D 相比,仅显示出更高的生物利用度。这项研究有临床试验注册:NCT05209425。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bee9/11174535/791e461a49f5/nutrients-16-01573-g001.jpg

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