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In Vivo Assessment of Silver Biomaterial Nano-Toxicity

In Vivo Assessment of Silver Biomaterial Nano-Toxicity

Status
Completed
Phases
Phase 1Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01243320
Enrollment
36
Registered
2010-11-18
Start date
2010-12-31
Completion date
2011-07-31
Last updated
2015-08-25

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Healthy

Brief summary

Nanotechnology is the controlled generation and manipulation of matter in dimensions less than 100 nm. Silver has been used for its bactericidal properties. The investigators propose to study the American Biotech Laboratory 32 ppm silver solution over a 14-day period in human volunteers to determine the toxicity and to quantify cytochrome P450 enzyme effects of this solution.

Interventions

DRUG10ppm Oral Silver Particle

Silver nanoparticles at 10ppm

DRUG32ppm Oral Silver Particle

Silver nanoparticles at 32ppm

Sponsors

University of Utah
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
CROSSOVER
Masking
DOUBLE (Subject, Investigator)

Eligibility

Sex/Gender
ALL
Age
18 Years to 80 Years
Healthy volunteers
Yes

Inclusion criteria

* Subjects must be \> 18-80 years old will be included.

Exclusion criteria

* Females of child-bearing potential, defined as women physically capable of becoming pregnant, including women whose career, lifestyle, or sexual orientation precludes intercourse with a male partner and women whose partners have been sterilized by vasectomy or other means will be excluded unless they are using 2 barrier birth control methods (i.e., diaphragm, condom, intrauterine device, sponge or spermicide) or hormonal contraceptive method. * Any female subject who is nursing will be excluded. Subject with has a history of heavy metal allergy (including silver) or a history of asthma or COPD or renal impairment defined by a creatinine clearance below 30 ml/min. * Subjects with symptoms of an active upper respiratory infection at time of consent will also be excluded.

Design outcomes

Primary

MeasureTime frameDescription
Change in Quinone Oxidoreductase 1 Gene14 DaysAll participants received the 10ppm Silver, then progressed to the 32 ppm Silver.
Change to Interleukin-1 Alpha Receptor14 DaysAll participants received the 10ppm Silver, then progressed to the 32 ppm Silver.
Change to Interleukin-1 Beta Receptor14 DaysAll participants received the 10ppm Silver, then progressed to the 32 ppm Silver.
Change in Monocyte Chemotactic Protein 114 DaysAll participants received the 10ppm Silver, then progressed to the 32 ppm Silver.
Change In Mean Corpuscular Hemoglobin Blood Levels14 DaysAll participants received the 10ppm Silver, then progressed to the 32 ppm Silver.
Change In Mean Corpuscular Volume Blood Levels14 daysAll participants received the 10ppm Silver, then progressed to the 32 ppm Silver.
Change in Sodium Blood Levels14 DaysAll participants received the 10ppm Silver, then progressed to the 32 ppm Silver.
Change in Potassium Blood Levels14 DaysAll participants received the 10ppm Silver, then progressed to the 32 ppm Silver.
Change in Chloride Blood Levels14 DaysAll participants received the 10ppm Silver, then progressed to the 32 ppm Silver.
Change in Carbon Dioxide Blood Levels14 DaysAll participants received the 10ppm Silver, then progressed to the 32 ppm Silver.
Change in Urea Nitrogen Blood Levels14 DaysAll participants received the 10ppm Silver, then progressed to the 32 ppm Silver.
Change In CreatinineBlood Levels14 DaysAll participants received the 10ppm Silver, then progressed to the 32 ppm Silver.
Change In Glucose Blood Levels14 DaysAll participants received the 10ppm Silver, then progressed to the 32 ppm Silver.
Change In Alkaline Phosphatase Blood Level14 DaysAll participants received the 10ppm Silver, then progressed to the 32 ppm Silver.
Change In Aspartate Aminotransferase Blood Level14 DaysAll participants received the 10ppm Silver, then progressed to the 32 ppm Silver.
Change In Alanine Aminotransferase Blood Level14 DaysAll participants received the 10ppm Silver, then progressed to the 32 ppm Silver.
Change In Total Protein Blood Levels14 DaysAll participants received the 10ppm Silver, then progressed to the 32 ppm Silver.
Change In Total Bilirubin Blood Levels14 DaysAll participants received the 10ppm Silver, then progressed to the 32 ppm Silver.
Change in Albumin Blood Levels14 DaysAll participants received the 10ppm Silver, then progressed to the 32 ppm Silver.
Change In Calcium Blood Level14 DaysAll participants received the 10ppm Silver, then progressed to the 32 ppm Silver.
Change In White Blood Count Blood Levels14 DaysAll participants received the 10ppm Silver, then progressed to the 32 ppm Silver.
Change In Red Blood Count Blood Levels14 DaysAll participants received the 10ppm Silver, then progressed to the 32 ppm Silver.
Change In Hemoglobin Blood Levels14 DaysAll participants received the 10ppm Silver, then progressed to the 32 ppm Silver.
Change In Hematocrit Blood Levels14 DaysAll participants received the 10ppm Silver, then progressed to the 32 ppm Silver.
Change In Mean Corpuscular Hemoglobin Concentration Blood Levels14 daysAll participants received the 10ppm Silver, then progressed to the 32 ppm Silver.
Change In Platelet Blood Levels14 DaysAll participants received the 10ppm Silver, then progressed to the 32 ppm Silver.
Change In Granulocytes Blood Levels14 DaysAll participants received the 10ppm Silver, then progressed to the 32 ppm Silver.
Change In Lymphocytes Blood Levels14 DaysAll participants received the 10ppm Silver, then progressed to the 32 ppm Silver.
Change In Monocytes Blood Levels14 DaysAll participants received the 10ppm Silver, then progressed to the 32 ppm Silver.
Change in Basophils Blood Levels14 DaysAll participants received the 10ppm Silver, then progressed to the 32 ppm Silver.
Change in Eosinophil Blood Levels14 DaysAll participants received the 10ppm Silver, then progressed to the 32 ppm Silver.
Sputum Reactive Oxygen Species Change14 DaysAll participants received the 10ppm Silver, then progressed to the 32 ppm Silver.
Change to Interleukin-8 Receptor14 DaysAll participants received the 10ppm Silver, then progressed to the 32 ppm Silver.

Secondary

MeasureTime frameDescription
Mean Change in Diastolic Blood Pressure14 DaysAll participants received the 10ppm Silver, then progressed to the 32 ppm Silver.
Mean Change in Heart Rate14 DaysAll participants received the 10ppm Silver, then progressed to the 32 ppm Silver.
Change Systolic Blood Pressure14 DaysAll participants received the 10ppm Silver, then progressed to the 32 ppm Silver.

Countries

United States

Participant flow

Participants by arm

ArmCount
All Study Participants
10 ppm Silver, then 32 ppm Silver
36
Total36

Baseline characteristics

CharacteristicAll Study Participants
Age, Continuous47 years
STANDARD_DEVIATION 14
Sex: Female, Male
Female
17 Participants
Sex: Female, Male
Male
19 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
— / —— / —
other
Total, other adverse events
0 / 360 / 24
serious
Total, serious adverse events
1 / 360 / 24

Outcome results

Primary

Change In Alanine Aminotransferase Blood Level

All participants received the 10ppm Silver, then progressed to the 32 ppm Silver.

Time frame: 14 Days

ArmMeasureValue (MEAN)
10ppm Oral SilverChange In Alanine Aminotransferase Blood Level-2.6 u/L
32ppm Oral SilverChange In Alanine Aminotransferase Blood Level2.3 u/L
Primary

Change in Albumin Blood Levels

All participants received the 10ppm Silver, then progressed to the 32 ppm Silver.

Time frame: 14 Days

ArmMeasureValue (MEAN)
10ppm Oral SilverChange in Albumin Blood Levels-0.07 g/dL
32ppm Oral SilverChange in Albumin Blood Levels0.11 g/dL
Primary

Change In Alkaline Phosphatase Blood Level

All participants received the 10ppm Silver, then progressed to the 32 ppm Silver.

Time frame: 14 Days

ArmMeasureValue (MEAN)
10ppm Oral SilverChange In Alkaline Phosphatase Blood Level-1.4 u/L
32ppm Oral SilverChange In Alkaline Phosphatase Blood Level2.0 u/L
Primary

Change In Aspartate Aminotransferase Blood Level

All participants received the 10ppm Silver, then progressed to the 32 ppm Silver.

Time frame: 14 Days

ArmMeasureValue (MEAN)
10ppm Oral SilverChange In Aspartate Aminotransferase Blood Level-0.44 u/L
32ppm Oral SilverChange In Aspartate Aminotransferase Blood Level2.0 u/L
Primary

Change in Basophils Blood Levels

All participants received the 10ppm Silver, then progressed to the 32 ppm Silver.

Time frame: 14 Days

ArmMeasureValue (MEAN)
10ppm Oral SilverChange in Basophils Blood Levels0.04 percent
32ppm Oral SilverChange in Basophils Blood Levels0.001 percent
Primary

Change In Calcium Blood Level

All participants received the 10ppm Silver, then progressed to the 32 ppm Silver.

Time frame: 14 Days

ArmMeasureValue (MEAN)
10ppm Oral SilverChange In Calcium Blood Level-0.1 mg/dL
32ppm Oral SilverChange In Calcium Blood Level0.1 mg/dL
Primary

Change in Carbon Dioxide Blood Levels

All participants received the 10ppm Silver, then progressed to the 32 ppm Silver.

Time frame: 14 Days

ArmMeasureValue (MEAN)
10ppm Oral SilverChange in Carbon Dioxide Blood Levels0.5 mmol/L
32ppm Oral SilverChange in Carbon Dioxide Blood Levels-0.04 mmol/L
Primary

Change in Chloride Blood Levels

All participants received the 10ppm Silver, then progressed to the 32 ppm Silver.

Time frame: 14 Days

ArmMeasureValue (MEAN)
10ppm Oral SilverChange in Chloride Blood Levels-0.4 mmol/L
32ppm Oral SilverChange in Chloride Blood Levels0.04 mmol/L
Primary

Change In CreatinineBlood Levels

All participants received the 10ppm Silver, then progressed to the 32 ppm Silver.

Time frame: 14 Days

ArmMeasureValue (MEAN)
10ppm Oral SilverChange In CreatinineBlood Levels0.01 mg/dL
32ppm Oral SilverChange In CreatinineBlood Levels-0.02 mg/dL
Primary

Change in Eosinophil Blood Levels

All participants received the 10ppm Silver, then progressed to the 32 ppm Silver.

Time frame: 14 Days

ArmMeasureValue (MEAN)
10ppm Oral SilverChange in Eosinophil Blood Levels-0.06 percent
32ppm Oral SilverChange in Eosinophil Blood Levels-0.2 percent
Primary

Change In Glucose Blood Levels

All participants received the 10ppm Silver, then progressed to the 32 ppm Silver.

Time frame: 14 Days

ArmMeasureValue (MEAN)
10ppm Oral SilverChange In Glucose Blood Levels3.6 mg/dL
32ppm Oral SilverChange In Glucose Blood Levels-0.7 mg/dL
Primary

Change In Granulocytes Blood Levels

All participants received the 10ppm Silver, then progressed to the 32 ppm Silver.

Time frame: 14 Days

ArmMeasureValue (MEAN)
10ppm Oral SilverChange In Granulocytes Blood Levels-0.9 percent
32ppm Oral SilverChange In Granulocytes Blood Levels-0.7 percent
Primary

Change In Hematocrit Blood Levels

All participants received the 10ppm Silver, then progressed to the 32 ppm Silver.

Time frame: 14 Days

ArmMeasureValue (MEAN)
10ppm Oral SilverChange In Hematocrit Blood Levels-0.7 percent
32ppm Oral SilverChange In Hematocrit Blood Levels0.8 percent
Primary

Change In Hemoglobin Blood Levels

All participants received the 10ppm Silver, then progressed to the 32 ppm Silver.

Time frame: 14 Days

ArmMeasureValue (MEAN)
10ppm Oral SilverChange In Hemoglobin Blood Levels-0.2 gm/dL
32ppm Oral SilverChange In Hemoglobin Blood Levels0.1 gm/dL
Primary

Change In Lymphocytes Blood Levels

All participants received the 10ppm Silver, then progressed to the 32 ppm Silver.

Time frame: 14 Days

ArmMeasureValue (MEAN)
10ppm Oral SilverChange In Lymphocytes Blood Levels0.7 percent
32ppm Oral SilverChange In Lymphocytes Blood Levels1.3 percent
Primary

Change In Mean Corpuscular Hemoglobin Blood Levels

All participants received the 10ppm Silver, then progressed to the 32 ppm Silver.

Time frame: 14 Days

ArmMeasureValue (MEAN)
10ppm Oral SilverChange In Mean Corpuscular Hemoglobin Blood Levels0.1 pg
32ppm Oral SilverChange In Mean Corpuscular Hemoglobin Blood Levels-0.01 pg
Primary

Change In Mean Corpuscular Hemoglobin Concentration Blood Levels

All participants received the 10ppm Silver, then progressed to the 32 ppm Silver.

Time frame: 14 days

ArmMeasureValue (MEAN)
10ppm Oral SilverChange In Mean Corpuscular Hemoglobin Concentration Blood Levels0.1 gm/dL
32ppm Oral SilverChange In Mean Corpuscular Hemoglobin Concentration Blood Levels-0.3 gm/dL
Primary

Change In Mean Corpuscular Volume Blood Levels

All participants received the 10ppm Silver, then progressed to the 32 ppm Silver.

Time frame: 14 days

ArmMeasureValue (MEAN)
10ppm Oral SilverChange In Mean Corpuscular Volume Blood Levels0.1 fL
32ppm Oral SilverChange In Mean Corpuscular Volume Blood Levels0.5 fL
Primary

Change in Monocyte Chemotactic Protein 1

All participants received the 10ppm Silver, then progressed to the 32 ppm Silver.

Time frame: 14 Days

ArmMeasureValue (MEAN)
10ppm Oral SilverChange in Monocyte Chemotactic Protein 1-0.028 ng/mL
32ppm Oral SilverChange in Monocyte Chemotactic Protein 1-0.004 ng/mL
Primary

Change In Monocytes Blood Levels

All participants received the 10ppm Silver, then progressed to the 32 ppm Silver.

Time frame: 14 Days

ArmMeasureValue (MEAN)
10ppm Oral SilverChange In Monocytes Blood Levels-0.1 percent
32ppm Oral SilverChange In Monocytes Blood Levels-0.3 percent
Primary

Change In Platelet Blood Levels

All participants received the 10ppm Silver, then progressed to the 32 ppm Silver.

Time frame: 14 Days

ArmMeasureValue (MEAN)
10ppm Oral SilverChange In Platelet Blood Levels5 k/uL
32ppm Oral SilverChange In Platelet Blood Levels-4 k/uL
Primary

Change in Potassium Blood Levels

All participants received the 10ppm Silver, then progressed to the 32 ppm Silver.

Time frame: 14 Days

ArmMeasureValue (MEAN)
10ppm Oral SilverChange in Potassium Blood Levels-0.1 mmol/L
32ppm Oral SilverChange in Potassium Blood Levels-0.03 mmol/L
Primary

Change in Quinone Oxidoreductase 1 Gene

All participants received the 10ppm Silver, then progressed to the 32 ppm Silver.

Time frame: 14 Days

ArmMeasureValue (MEAN)
10ppm Oral SilverChange in Quinone Oxidoreductase 1 Gene-0.0043 ng/mL
32ppm Oral SilverChange in Quinone Oxidoreductase 1 Gene-0.0279 ng/mL
Primary

Change In Red Blood Count Blood Levels

All participants received the 10ppm Silver, then progressed to the 32 ppm Silver.

Time frame: 14 Days

ArmMeasureValue (MEAN)
10ppm Oral SilverChange In Red Blood Count Blood Levels-0.08 m/uL
32ppm Oral SilverChange In Red Blood Count Blood Levels0.06 m/uL
Primary

Change in Sodium Blood Levels

All participants received the 10ppm Silver, then progressed to the 32 ppm Silver.

Time frame: 14 Days

ArmMeasureValue (MEAN)
10ppm Oral SilverChange in Sodium Blood Levels-0.1 mmol/L
32ppm Oral SilverChange in Sodium Blood Levels0.2 mmol/L
Primary

Change In Total Bilirubin Blood Levels

All participants received the 10ppm Silver, then progressed to the 32 ppm Silver.

Time frame: 14 Days

ArmMeasureValue (MEAN)
10ppm Oral SilverChange In Total Bilirubin Blood Levels-0.02 mg/dL
32ppm Oral SilverChange In Total Bilirubin Blood Levels-0.03 mg/dL
Primary

Change In Total Protein Blood Levels

All participants received the 10ppm Silver, then progressed to the 32 ppm Silver.

Time frame: 14 Days

ArmMeasureValue (MEAN)
10ppm Oral SilverChange In Total Protein Blood Levels-0.02 g/dL
32ppm Oral SilverChange In Total Protein Blood Levels0.2 g/dL
Primary

Change in Urea Nitrogen Blood Levels

All participants received the 10ppm Silver, then progressed to the 32 ppm Silver.

Time frame: 14 Days

ArmMeasureValue (MEAN)
10ppm Oral SilverChange in Urea Nitrogen Blood Levels-0.9 mg/dL
32ppm Oral SilverChange in Urea Nitrogen Blood Levels0.5 mg/dL
Primary

Change In White Blood Count Blood Levels

All participants received the 10ppm Silver, then progressed to the 32 ppm Silver.

Time frame: 14 Days

ArmMeasureValue (MEAN)
10ppm Oral SilverChange In White Blood Count Blood Levels-0.17 k/uL
32ppm Oral SilverChange In White Blood Count Blood Levels-0.09 k/uL
Primary

Change to Interleukin-1 Alpha Receptor

All participants received the 10ppm Silver, then progressed to the 32 ppm Silver.

Time frame: 14 Days

ArmMeasureValue (MEAN)
10ppm Oral SilverChange to Interleukin-1 Alpha Receptor-0.0005 ng/mL
32ppm Oral SilverChange to Interleukin-1 Alpha Receptor0.0197 ng/mL
Primary

Change to Interleukin-1 Beta Receptor

All participants received the 10ppm Silver, then progressed to the 32 ppm Silver.

Time frame: 14 Days

ArmMeasureValue (MEAN)
10ppm Oral SilverChange to Interleukin-1 Beta Receptor0.017 ng/mL
32ppm Oral SilverChange to Interleukin-1 Beta Receptor0.027 ng/mL
Primary

Change to Interleukin-8 Receptor

All participants received the 10ppm Silver, then progressed to the 32 ppm Silver.

Time frame: 14 Days

ArmMeasureValue (MEAN)
10ppm Oral SilverChange to Interleukin-8 Receptor2.19 ng/mL
32ppm Oral SilverChange to Interleukin-8 Receptor6.39 ng/mL
Primary

Sputum Reactive Oxygen Species Change

All participants received the 10ppm Silver, then progressed to the 32 ppm Silver.

Time frame: 14 Days

ArmMeasureValue (MEAN)
10ppm Oral SilverSputum Reactive Oxygen Species Change0.89 uM
32ppm Oral SilverSputum Reactive Oxygen Species Change-0.44 uM
Secondary

Change Systolic Blood Pressure

All participants received the 10ppm Silver, then progressed to the 32 ppm Silver.

Time frame: 14 Days

ArmMeasureValue (MEAN)
10ppm Oral SilverChange Systolic Blood Pressure1.3 mmhg
32ppm Oral SilverChange Systolic Blood Pressure-1.3 mmhg
Secondary

Mean Change in Diastolic Blood Pressure

All participants received the 10ppm Silver, then progressed to the 32 ppm Silver.

Time frame: 14 Days

ArmMeasureValue (MEAN)
10ppm Oral SilverMean Change in Diastolic Blood Pressure-2.4 mmhg
32ppm Oral SilverMean Change in Diastolic Blood Pressure-0.7 mmhg
Secondary

Mean Change in Heart Rate

All participants received the 10ppm Silver, then progressed to the 32 ppm Silver.

Time frame: 14 Days

ArmMeasureValue (MEAN)
10ppm Oral SilverMean Change in Heart Rate-1.9 bpm
32ppm Oral SilverMean Change in Heart Rate-3.1 bpm

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026