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Clinical Studies

Repeat Dose Study of the Cancer Chemopreventive Agent Resveratrol in Healthy Volunteers: Safety, Pharmacokinetics, and Effect on the Insulin-like Growth Factor Axis

Victoria A. Brown, Ketan R. Patel, Maria Viskaduraki, James A. Crowell, Marjorie Perloff, Tristan D. Booth, Grygoriy Vasilinin, Ananda Sen, Anna Maria Schinas, Gianfranca Piccirilli, Karen Brown, William P. Steward, Andreas J. Gescher and Dean E. Brenner
Victoria A. Brown
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Ketan R. Patel
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Maria Viskaduraki
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James A. Crowell
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Marjorie Perloff
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Tristan D. Booth
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Grygoriy Vasilinin
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Ananda Sen
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Anna Maria Schinas
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Gianfranca Piccirilli
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Karen Brown
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William P. Steward
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Andreas J. Gescher
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Dean E. Brenner
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DOI: 10.1158/0008-5472.CAN-10-2364 Published November 2010
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    Figure 1.

    Mean plasma concentrations of resveratrol (A), resveratrol-4′-O-glucuronide (B), resveratrol-3-O-glucuronide (C), and resveratrol-3-O-sulfate (D) versus time in healthy volunteers after the last of between 21 and 28 daily doses of resveratrol at either 0.5 g (black, closed circles), 1 g (green, open circles), 2.5 g (blue, squares), or 5 g (red, triangles). Values are the mean ± SD of 10 volunteers per dose level. The range of coefficients of variation (as % of the mean) for the individual data points is shown in parentheses.

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    Figure 2.

    Relationship between dose of resveratrol and maximal plasma concentration (Cmax; A) or area under the plasma concentration versus time curve (AUClast; B) for resveratrol (black, rhombi), resveratrol-4′-O-glucuronide (red, squares), resveratrol-3-O-glucuronide (green, triangles), and resveratrol-3-O-sulfate (blue, crosses) in healthy volunteers, after a dose of resveratrol at either 0.5, 1, 2.5, or 5 g ingested between days 21 and 28 of daily dosing. Values are the mean of 10 volunteers for each dose level. The range of coefficients of variation (as % of the mean) for individual data points is shown in parentheses.

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    Figure 3.

    Circulating levels of IGF-I (A) and IGFBP-3 (B) in individual healthy volunteers before and after consumption of resveratrol at 0.5, 1.0, 2.5, or 5.0 g daily for 28 d. Results of the statistical analysis by paired t test, i.e., mean differences between preintervention and postintervention levels (preintervention minus postintervention values in ng/mL), 95% confidence intervals (in parentheses) and P values, are shown for each group of 10 individuals below the graphs. Negative values signify an increase rather than a decrease in levels. Blood samples were taken just prior to the first dose of resveratrol and on day 29.

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    Figure 4.

    Maximal plasma concentrations (Cmax) of resveratrol (A), resveratrol-4′-O-glucuronide (B), resveratrol-3-O-glucuronide (C), and resveratrol-3-O-sulfate (D) in healthy volunteers who received either a single dose (open columns) or between 21 and 28 daily doses (closed columns) of resveratrol at either 0.5, 1, 2.5, or 5 g. Single dose results have been published previously (9). Values are the mean ± SD of 10 volunteers at each dose level (*, P < 0.05; **, P = 0.01; ***, P = 0.001; and ****, P < 0.0005).

Tables

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  • Table 1.

    Number of healthy volunteers who experienced adverse events deemed intervention-related after daily ingestion of resveratrol for 29 d

    SymptomNo. of volunteers
    Dose (g)
    0.51.02.55.0
    Increased blood bilirubin
        Total11
        Conjugated2
        Unconjugated2
    Skin discoloration1
    Cystitis1
    Abdominal pain43
    Acne1
    Cramp1
    Diarrhea2 (1*)7 (2*, 1**)
    Discomfort on passing feces1
    Fatigue1
    Flatulence12
    Nausea23
    Pruritis1
    Chest pain1
    Dizziness1
    Dry mouth1
    Red/itchy eyes1
    Urine color change1

    NOTE: Overall number of volunteers per dose was 10 to 12.

    Severity grading (NCI CTCAE v.4.0): no asterisk = 1; * = 2; ** = 3.

    • Table 2.

      Pharmacokinetic parameters of resveratrol and its three major metabolites in the plasma of healthy volunteers who received daily oral resveratrol for between 21 and 28 d (n = 10 per dose level)

      Parameter
      Cmax (ng/mL)*,†Cav (ng/mL)*,†Tmax (h)‡T1/2 (h)†AUClast (ng × h/mL)†
      Resveratrol, dose (g)
          0.543.8 (89.4) [0.19]9.93 (69.7) [0.04]1.00 (0.25–5.0)4.77 (62.1)175 (83.7)
          1.0141 (68.9) [0.62]22.8 (68.4) [0.10]1.00 (0.25–1.82)9.70 (37.5)503 (79.3)
          2.5331 (59.2) [1.45]48.1 (46.5) [0.21]1.00 (0.23–4.97)9.17 (42.0)1,250 (40.0)
          5.0967 (53.5) [4.24]126 (55.8) [0.55]1.08 (0.5–1.5)7.85 (25.1)4,097 (107)
      Resveratrol-4′-O-glucuronide, dose (g)
          0.5186 (56.7) [0.82]50.2 (51.1) [0.22]1.27 (1.0–5.0)3.78 (42.2)1,331 (56.4)
          1.0710 (57.9) [3.12]178 (64.8) [0.78]1.50 (0.83–5.0)5.77 (44.6)3,774 (53.2)
          2.51,137 (88.0) [4.99]323 (66.9) [1.42]1.50 (0.25–5.0)8.14 (38.6)7,245 (54.4)
          5.02,323 (45.5) [10.2]667 (61.3) [2.93]1.50 (1.0–5.0)7.55 (21.2)19,984 (59.0)
      Resveratrol-3-O-glucuronide, dose (g)
          0.5184 (86.3) [0.81]37.7 (56.2) [0.17]1.27 (1.0–5.0)4.98 (41.6)875 (51.4)
          1.0588 (48.4) [2.45]94.4 (28.9) [0.42]1.50 (0.83–5.0)5.50 (24.5)2,087 (37.7)
          2.51,546 (107) [6.78]204 (64.0) [0.89]1.42 (1.0–1.5)6.43 (40.8)5,300 (47.1)
          5.03,886 (48.6) [17.1]649 (34.8) [2.85]1.50 (0.5–1.6)5.19 (52.7)22,084 (93.9)
      Resveratrol-3-O-sulfate, dose (g)
          0.5563 (35.1) [2.47]118 (26.9) [0.52]1.04 (1.0–5.0)3.09 (15.3)3,558 (51.6)
          1.01,694 (35.2) [7.43]377 (48.7) [1.65]1.50 (0.83–5.0)7.37 (51.4)9,464 (42.3)
          2.52,292 (50.7) [10.1]604 (43.8) [2.65]1.33 (1.0–1.5)6.84 (40.6)15,638 (39.0)
          5.04,172 (40.3) [18.3]1,384 (42.3) [6.07]1.25 (0.25–5.0)7.98 (29.6)38,900 (49.5)

      Abbreviations: Cmax, maximal plasma concentration; Cav, average plasma concentration; Tmax, time of maximal plasma concentration (Cmax); T1/2, apparent first-order elimination half-life; AUClast, area under the plasma concentration versus time curve from time 0 to the last sampling blood draw collected.

      • ↵*Mean value in ng/mL.

      • ↵†CV% (round brackets), mean value in nmol/mL [square brackets].

      • ↵‡Median (range).

    • Table 3.

      Apparent total body clearance and volume of distribution for resveratrol in healthy volunteers who received daily oral resveratrol for between 21 and 28 d (n = 10 per dose level)

      Dose (g)Apparent total body clearance (L/h)Apparent volume of distribution (L)
      0.52,771 (58.9)*16,071 (56.5)
      1.02,366 (63.9)42,673 (86.1)
      2.52,219 (42.5)32,322 (44.5)
      5.02,548 (100)38,023 (133)
      • ↵*Mean values with CV% in brackets.

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    Cancer Research: 70 (22)
    November 2010
    Volume 70, Issue 22
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    Repeat Dose Study of the Cancer Chemopreventive Agent Resveratrol in Healthy Volunteers: Safety, Pharmacokinetics, and Effect on the Insulin-like Growth Factor Axis
    Victoria A. Brown, Ketan R. Patel, Maria Viskaduraki, James A. Crowell, Marjorie Perloff, Tristan D. Booth, Grygoriy Vasilinin, Ananda Sen, Anna Maria Schinas, Gianfranca Piccirilli, Karen Brown, William P. Steward, Andreas J. Gescher and Dean E. Brenner
    Cancer Res November 15 2010 (70) (22) 9003-9011; DOI: 10.1158/0008-5472.CAN-10-2364

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    Repeat Dose Study of the Cancer Chemopreventive Agent Resveratrol in Healthy Volunteers: Safety, Pharmacokinetics, and Effect on the Insulin-like Growth Factor Axis
    Victoria A. Brown, Ketan R. Patel, Maria Viskaduraki, James A. Crowell, Marjorie Perloff, Tristan D. Booth, Grygoriy Vasilinin, Ananda Sen, Anna Maria Schinas, Gianfranca Piccirilli, Karen Brown, William P. Steward, Andreas J. Gescher and Dean E. Brenner
    Cancer Res November 15 2010 (70) (22) 9003-9011; DOI: 10.1158/0008-5472.CAN-10-2364
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