Tolerability and Pharmacokinetics of Oxaloacetate 100 mg Capsules In Alzheimer's subjects

Publication date: Available online 10 March 2016 Source:BBA Clinical Author(s): Russell H. Swerdlow, Rebecca Bothwell, Lewis Hutfles, Jeffrey M. Burns, Gregory A. Reed Bioenergetics and bioenergetic-related functions are altered in Alzheimer's disease (AD) subjects. These alterations represent therapeutic targets and provide an underlying rationale for modifying brain bioenergetics in AD-affected persons. Preclinical studies in cultured cells and mice found administering oxaloacetate (OAA), a Krebs cycle and gluconeogenesis intermediate, enhanced bioenergetic fluxes and upregulated some brain bioenergetic infrastructure-related parameters. We therefore conducted a study to provide initial data on the tolerability and pharmacokinetics of OAA in AD subjects. Six AD subjects received OAA 100mg capsules twice a day for one month. The intervention was well-tolerated. Blood level measurements following ingestion of a 100mg OAA capsule showed modest increases in OAA concentrations, but pharmacokinetic analyses were complicated by relatively high amounts of endogenous OAA. We conclude that OAA 100mg capsules twice per day for one month is safe in AD subjects but does not result in a consistent and clear increase in the OAA blood level, thus necessitating future clinical studies to evaluate higher doses.

Source: BBA Clinical - March 11, 2016 Category: Biochemistry Source Type: research