Nutraceutical Clinical Trials

Guiding Your Path in Nutraceutical Clinical Trials

Navigating the Dynamic Realm of Nutraceutical Clinical Trials with FRL CRO

 

Create clinically proven product claims to support your skincare, cosmetic, or personal care brand, and show that your products work and are safe to use.

 

The ever-expanding landscape of natural products and dietary supplements underscores the pivotal role of clinical trials in substantiating safety and efficacy. At FRL, we stand as your unwavering partners, supporting you every step of the way on your nutraceutical clinical trial journey. Our seasoned team of scientific experts is poised to understand your distinctive regulatory requirements and offer tailored solutions that align with regulatory guidelines.

 

Harnessing the Potential of Nutraceuticals and health supplements

The recent surge in herbal supplements and nutraceuticals is propelled by their natural origins and associated health benefits. Notably, the global market for these products reached a valuation of USD 10.18 billion and USD 289.8 billion in 2021. As per the United States Food and Drug Administration (US FDA), both herbal supplements and nutraceuticals fall under the category of dietary supplements. This encompassing term includes a variety of ingredients such as vitamins, minerals, herbs, amino acids, and enzymes, often packaged in the form of concentrates, metabolites, extracts, or combinations.

 

In contrast to pharmaceutical drugs, dietary supplements intended to impact the structure and function of the human body do not require premarket approval by the FDA, as per the Dietary Health Supplement and Health Education Act of 1994 (DSHEA). However, manufacturers of dietary supplements must adhere to Good Manufacturing Practice (GMP) guidelines, ensure accurate labeling, and guarantee safety and absence of contaminants. Similarly, the European Union (EU) regulations for supplements revolve around health benefits rather than therapeutic claims. Nonetheless, if a dietary supplement is intended for use as a drug to diagnose, cure, prevent, or treat a disease, clinical investigations in humans require an IND (Investigational New Drug) application.

 

Despite not being subjected to FDA approval, conducting clinical trials for herbal supplements and nutraceuticals can substantiate health claims, enhance market differentiation, and validate their use as medicinal products. Clinical studies offer manufacturers a competitive edge amidst burgeoning competition. Given the complexity of dietary supplements and potential safety concerns, clinical trials are indispensable for ensuring consumer safety. Regarded as the ‘gold standard’ in clinical research, these trials provide crucial insights into the safety and efficacy of products in human subjects.

At FRL, we possess comprehensive expertise in conducting clinical trials for nutraceuticals, from Phase I to Phase IV, including bioequivalence, pharmacokinetics, and pharmacodynamic studies, along with statistical analysis and data management adhering to ICH and GCP guidelines. We offer high-quality clinical trial dosage studies (human trials) to both domestic and international nutraceutical, pharmaceutical, and biopharmaceutical companies.

Phases of Clinical Trials for Nutraceuticals

  1. Phase I: Safety and Tolerability Studies
    • Purpose: In nutraceutical trials, Phase I focuses on evaluating the safety, tolerance, and pharmacokinetics of the nutraceutical product.
    • Assess how the body absorbs, metabolizes, and excretes the nutraceuticals
    • Identify the maximum tolerated dose (MTD)
    • Participants: A small group of healthy volunteers or patients is enrolled to assess how the body absorbs, metabolizes, and excretes the product.
    • Key Objectives:
      • Determine the product's safety profile.
      • Identify any immediate adverse reactions or tolerability concerns.
      • Begin preliminary pharmacokinetic and pharmacodynamic evaluations.
    • Special Note: Unlike pharmaceutical drugs, nutraceuticals in Phase I may involve participants already experiencing mild symptoms or conditions relevant to the product's intended use.
    • Outcome:

    • Determine a safe dosage range to proceed with efficacy testing in Phase II.
  2. Phase II: Efficacy and Safety Assessment
    • Purpose:This phase involves evaluating the product's efficacy in treating or alleviating specific conditions, along with continuing to monitor its safety.
    • Dosage Studies in Phase II:
      • Dose-response studies assess the relationship between different doses and the product's effectiveness.
      • Identify the therapeutic dose—the optimal dose that delivers the desired health benefits with minimal side effects.
      • Consider variations in dosage based on age, weight, or condition severity.
    • Participants: A larger group of individuals from the target population who exhibit the condition or symptoms being addressed by the nutraceutical.
    • Key Objectives:
      • Assess the product’s efficacy in delivering its intended benefits.
      • Optimize the dosage and method of administration (e.g., capsule, powder, or liquid).
      • Monitor safety parameters in a real-world setting.
    • Outcome: Establish the effective dose and refine administration methods for Phase III
    • Phase III: Large-Scale Validation of the Effective Dose
      • Purpose: Phase III trials focus on validating the product’s efficacy and safety across a larger, more diverse population, mimicking real-world usage.
      • Participants: This phase involves subjects from various demographics, geographies, and socio-economic backgrounds, ensuring the trial data is comprehensive and representative.
      • Key Objectives:
        • Compare the nutraceutical’s effectiveness with existing treatments or placebos.
        • Collect data on long-term safety and tolerability.
        • Evaluate the product’s benefits across variations of the targeted condition.
      • Outcome: If Phase III trials are successful, regulatory bodies may approve the product for commercial use or market distribution.
    • Phase IV: Real-World Dose Monitoring / Post-Marketing Surveillance and Pharmacovigilance
      • Purpose: Also known as post-marketing surveillance, this phase monitors the product’s performance after it enters the market.
      • Key Objectives:
        • Identify and address any long-term side effects or adverse reactions.
        • Evaluate the nutraceutical’s additional benefits or therapeutic indications.
        • Ensure ongoing safety, efficacy, and consumer satisfaction through periodic reviews.
      • Importance: This phase is essential for pharmacovigilance and to meet regulatory standards, ensuring the product remains safe and effective throughout its lifecycle.
  • Compliance with Guidelines: While nutraceutical trials follow ICH and GCP guidelines, they may have different regulatory and ethical requirements compared to pharmaceutical trials.
  • Focus on Safety and Benefits: Nutraceuticals are primarily evaluated for their health benefits and long-term safety rather than for disease treatment.
  • Human Participants: Often, individuals with mild or non-critical conditions relevant to the nutraceutical's purpose are enrolled.
  • When Animal Trials Are Needed:
    • For new ingredients or formulations with limited safety data.
    • To satisfy regulatory requirements, especially in cases of potential toxicity or long-term use.
  • When Human Trials Can Be Initiated Directly:
    • For ingredients or formulations that are GRAS-certified (Generally Recognized As Safe) or have a history of safe use in humans.
    • When the nutraceutical contains well-established, safe ingredients but needs efficacy validation.
  • Development and design of study protocols
  • Participant selection and recruitment
  • Extrapolation of preclinical data to human subjects, encompassing dosages, sampling frequencies for pharmacokinetic profiles, and biomarkers
  • Identification of pertinent endpoints
  • Identification and qualification of trial sites
  • Management of herbal supplements and nutraceutical products, encompassing handling, storage, transportation, and availability
  • Site management and study monitoring, spanning study startup, interim visits, and close-out visits.
  • Adherence to Good Clinical Practice (GCP) and other relevant regulatory guidelines
  • Procurement of ethics committee approval
  • Provision of writing services, encompassing Investigator's Brochure, informed consent forms, and case report forms
  • Reporting of safety and adverse events
  • Implementation of a robust quality management system and standardized operating procedures (SOPs)
  • Database locking and data archival
  • Interpretation and analysis of statistical data, creation of statistical analysis reports
    • End-to-End Support: From trial design and execution to data analysis and reporting.
    • Regulatory Expertise: Adherence to international standards and guidelines for nutraceutical trials.
    • Diverse Expertise: Trials for a wide range of nutraceutical products, including functional foods, supplements, and novel ingredients.
    • Global Reach: High-quality services for domestic and international clients.

    Need Assistance with Your Nutraceutical Clinical Trials? We are eager to extend our expertise to aid you in conducting nutraceutical clinical trials. Reach out to our experienced team today!

     

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