30 Participants Needed

Gamma-glutamylcysteine for Brain Injury

(RHIGSH Trial)

PK
Overseen ByPravat K MANDAL, PHD
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial tests whether an oral supplement called gamma-glutamylcysteine (GGC) can protect the brain by boosting a natural antioxidant, glutathione (GSH). The focus is on individuals who have experienced repetitive head impacts, such as retired NFL players or military personnel with combat experience. Researchers aim to determine if GGC can increase GSH levels in the brain and blood and improve cognitive function, including memory and thinking. Ideal participants have experienced memory or behavior issues and have a history of repetitive head impacts. Those with metal implants or recent head injuries are not eligible. As a Phase 1 trial, the research focuses on understanding how the treatment works in people, offering participants a chance to be among the first to receive this new treatment.

Will I have to stop taking my current medications?

The trial does not specify if you need to stop taking your current medications, but you cannot participate if you are on antioxidant therapy like gingko biloba or N-acetylcysteine.

Is there any evidence suggesting that this treatment is likely to be safe for humans?

Research shows that gamma-glutamylcysteine (GGC) is usually safe to use. In animal studies, even in large amounts, GGC did not cause any serious side effects or problems, suggesting safety at high doses. Although these results come from animal studies, they offer some confidence about its safety for humans. However, as this trial remains in the early stages, the researchers are still collecting information from human participants.12345

Why do researchers think this study treatment might be promising?

Unlike the standard treatments for brain injury, which often focus on managing symptoms or reducing inflammation, gamma-glutamylcysteine (GGC) works at a cellular level to boost the body's antioxidant defenses. This is exciting because GGC is a precursor to glutathione, a powerful antioxidant that can protect brain cells from damage. Researchers are hopeful that by enhancing the brain's natural defense system, GGC could potentially offer a more proactive approach to mitigating the effects of brain injury, setting it apart from traditional therapies.

What evidence suggests that gamma-glutamylcysteine might be an effective treatment for brain injury?

Studies have shown that gamma-glutamylcysteine (GGC), which participants in this trial will receive, might help protect the brain after injury. Research indicates that a similar compound, gamma-glutamylcysteine ethyl ester, protects brain cells and reduces damage by lowering oxidative stress, which is harm caused by certain molecules. This compound also maintains the brain's protective barrier during injury, crucial for brain health. Early findings suggest that GGC increases levels of an important antioxidant, glutathione, in the brain, which may help repair and protect brain cells. These promising results have led to testing GGC for its potential to improve brain function after repeated head impacts.14678

Who Is on the Research Team?

PK

Pravat K Mandal, PhD

Principal Investigator

University of Pittsburgh

Are You a Good Fit for This Trial?

This trial is for individuals who have experienced repetitive head impacts, potentially leading to conditions like concussion or brain injury. The study aims to include those who could benefit from an antioxidant supplement that might protect the brain.

Inclusion Criteria

Memory and behavioral complaint per self- or informant-report
I am between 30 and 70 years old.
I am a retired NFL player or military personnel with combat experience and have had repeated head injuries.
See 1 more

Exclusion Criteria

Subjects with repeated head injury within the last 90 days
I have had surgery for injuries to my head more than once.
Subjects with claustrophobia
See 6 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants receive gamma-glutamylcysteine (GGC) supplementation orally, 400mg twice daily for 12 months

12 months
Regular visits for monitoring and assessments

Follow-up

Participants are monitored for safety and effectiveness after treatment

4-8 weeks

What Are the Treatments Tested in This Trial?

Interventions

  • Gamma-glutamylcysteine (GGC)
Trial Overview The intervention being tested is Gamma-glutamylcysteine (GGC), a dietary supplement thought to increase brain and blood levels of glutathione, an antioxidant. The study will measure changes in this antioxidant level and any improvements in cognitive function.
How Is the Trial Designed?
1Treatment groups
Experimental Treatment
Group I: Gamma - GlutamylcystieneExperimental Treatment1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

Pravat Mandal

Lead Sponsor

Chuck Noll Foundation

Collaborator

Trials
1
Recruited
50+

Citations

Gamma-glutamylcysteine ethyl ester protects cerebral ...Gamma-glutamylcysteine ethyl ester protects cerebral endothelial cells during injury and decreases blood-brain-barrier permeability after experimental brain ...
Determination of Gamma-Glutamylcysteine Ethyl Ester ...This study investigates the efficacy of gamma-glutamylcysteine ethyl ester (GCEE), a glutathione analog, as a post-therapeutic treatment option in moderate TBI ...
Treatment of Traumatically Brain Injured Rats with Gamma ...Preliminary data from our laboratory show a significant reduction in oxidative stress levels when GCEE is administered 10 minutes post TBI; however, early ...
Gamma-glutamylcysteine for Brain Injury (RHIGSH Trial)The goal of this clinical trial is to test whether the gamma - glutamylcystiene (GGC) oral supplement can reach the brain and subsequently increase ...
Determination of Gamma-Glutamylcysteine Ethyl Ester ...Preliminary data demonstrates that the administration of GCEE post‐TBI robustly increases enzymatic activity bolstering the hypothesis. These results are ...
Safety assessment of gamma-glutamylcysteine sodium saltDiscussion. In the acute study, the 2000 mg/kg single sodium GGC dose was well tolerated by all animals with no fatalities and no observed abnormalities. As ...
Monitoring Patients With Repetitive Head Impact ...The goal of this clinical trial is to test whether the gamma - glutamylcystiene (GGC) oral supplement can reach the brain and subsequently increase ...
γ-Glutamylcysteine Exerts Neuroprotection Effects against ...In this study, we explored the effect of γ-GC on CIR-induced neuronal ferroptosis and brain injury. We found that γ-GC significantly reduced the volume of ...
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