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In-Vivo Assessment of Silver Biomaterial Nano-Toxicity 32 Ppm

Status
Completed
Phases
Phase 1Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01405794
Enrollment
12
Registered
2011-07-29
Start date
2011-07-31
Completion date
2011-11-30
Last updated
2016-07-04

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

Conditions

Healthy

Brief summary

The investigators propose to study oral commercial silver nanoparticle products on human enzyme activity.

Interventions

DRUG32ppm Silver Particle

Oral silver dose of 32ppm

DRUGPlacebo

Sterile Water No Silver

Sponsors

University of Utah
Lead SponsorOTHER

Study design

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

Eligibility

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

Inclusion criteria

* 18-80 years old without debilitating chronic disease or history of cardiovascular event.

Exclusion criteria

* Women physically capable of becoming pregnant, who are not using 2 barrier methods of birth control; * Any female who is nursing; * History of heavy metal allergy; * History of asthma or Chronic Obstructive Pulmonary Disease; * History of renal impairment; * Symptoms of active upper respiratory disease at time of consent; * Smoking more than 5 cigarettes or equivalent and not able to stop for 48 hours; * Ability to discontinue chronic medications or nutraceuticals for 20 days or 5 half-lives of the agent, whichever is longer.

Design outcomes

Primary

MeasureTime frameDescription
Cytochrome P450 Assay on Midazolam in Participants14 DaysAssessment Placebo (14 Days) and 32ppm Oral Silver (14 Days). Cytochrome P450 assay is used to determine the function of how Dextromethorphan metabolized. The value represents the peak absorption of the 450 enzyme when dextromethorphan is given during the Silver or Placebo Arm.
Cytochrome P450 Assay on Dextromethorphan in Participants14 DaysAssessment Placebo (14 Days) and 32ppm Oral Silver (14 Days). Cytochrome P450 assay is used to determine the function of how Dextromethorphan metabolized. The value represents the peak absorption of the 450 enzyme when dextromethorphan is given during the Silver or Placebo Arm.
Cytochrome P450 Assay on Losartan in Participants14 DaysAssessment Placebo (14 Days) and 32ppm Oral Silver (14 Days). Cytochrome P450 assay is used to determine the function of how Dextromethorphan metabolized. The value represents the peak absorption of the 450 enzyme when dextromethorphan is given during the Silver or Placebo Arm.
Cytochrome P450 Assay on Caffeine in Participants14 DaysAssessment Placebo (14 Days) and 32ppm Oral Silver (14 Days). Cytochrome P450 assay is used to determine the function of how Dextromethorphan metabolized. The value represents the peak absorption of the 450 enzyme when dextromethorphan is given during the Silver or Placebo Arm.
Cytochrome P450 Assay on Omeprazole in Participants14 DaysAssessment Placebo (14 Days) and 32ppm Oral Silver (14 Days). Cytochrome P450 assay is used to determine the function of how Dextromethorphan metabolized. The value represents the peak absorption of the 450 enzyme when dextromethorphan is given during the Silver or Placebo Arm.
Change In Calcium Blood Level14 DaysEvaluation of Placebo Group and Silver Particle Group (dose - 32ppm)
Change In White Blood Count Blood Levels14 DaysEvaluation of Placebo Group and Silver Particle Group (dose - 32ppm)
Change In Red Blood Count Blood Levels14 DaysEvaluation of Placebo Group and Silver Particle Group (dose - 32ppm)
Change In Hemoglobin Blood Levels14 DaysEvaluation of Placebo Group and Silver Particle Group (dose - 32ppm)
Change In Hematocrit Blood Levels14 DaysEvaluation of Placebo Group and Silver Particle Group (dose - 32ppm)
Change Sodium Blood Levels14 DaysEvaluation of Placebo Group and Silver Particle Group (dose - 32ppm)
Change Potassium Blood Levels14 daysEvaluation of Placebo Group and Silver Particle Group (dose - 32ppm)
Change in Chloride Blood Levels14 daysEvaluation of Placebo Group and Silver Particle Group (dose - 32ppm)
Change in Carbon Dioxide Blood Levels14 daysEvaluation of Placebo Group and Silver Particle Group (dose - 32ppm)
Change In Urea Nitrogen Blood Levels14 daysEvaluation of Placebo Group and Silver Particle Group (dose - 32ppm)
Change In Creatinine Blood Levels14 DaysEvaluation of Placebo Group and Silver Particle Group (dose - 32ppm)
Change In Glucose Blood Levels14 DaysEvaluation of Placebo Group and Silver Particle Group (dose - 32ppm)
Change In Alkaline Phosphatase Blood Level14 DaysEvaluation of Placebo Group and Silver Particle Group (dose - 32ppm)
Change In Aspartate Aminotransferase Blood Level14 DaysEvaluation of Placebo Group and Silver Particle Group (dose - 32ppm)
Change In Alanine Aminotransferase Blood Level14 DaysEvaluation of Placebo Group and Silver Particle Group (dose - 32ppm)
Change in Total Protein Blood Levels14 DaysEvaluation of Placebo Group and Silver Particle Group (dose - 32ppm)
Change In Total Bilirubin Blood Levels14 DaysEvaluation of Placebo Group and Silver Particle Group (dose - 32ppm)
Change In Albumin Blood Levels14 DaysEvaluation of Placebo Group and Silver Particle Group (dose - 32ppm)
Change In Mean Corpuscular Volume Blood Levels14 DaysEvaluation of Placebo Group and Silver Particle Group (dose - 32ppm)
Change In Mean Corpuscular Hemoglobin Concentration Blood Levels14 DaysEvaluation of Placebo Group and Silver Particle Group (dose - 32ppm)
Change In Platelet Blood Levels14 DaysEvaluation of Placebo Group and Silver Particle Group (dose - 32ppm)
Change In Granulocytes Blood Levels14 DaysEvaluation of Placebo Group and Silver Particle Group (dose - 32ppm)
Change In Lymphocytes Blood Levels14 DaysEvaluation of Placebo Group and Silver Particle Group (dose - 32ppm)
Change In Monocytes Blood Levels14 DaysEvaluation of Placebo Group and Silver Particle Group (dose - 32ppm)
Change In Basophils Blood Levels14 DaysEvaluation of Placebo Group and Silver Particle Group (dose - 32ppm)
Change In Eosinophils Blood Levels14 DaysEvaluation of Placebo Group and Silver Particle Group (dose - 32ppm)

Secondary

MeasureTime frameDescription
Total Change in Systolic Blood Pressure Silver ParticipantsBaseline and 14 DaysAssessment only completed on the 32ppm Oral Silver part of the trail
Total Change in Diastolic Blood Pressure Silver ParticipantsBaseline and 14 DaysAssessment only completed on the 32ppm Oral Silver part of the trail
Total Change in Heart Rate in Silver ParticipantsBaseline and 14 DaysAssessment only completed on the 32ppm Oral Silver part of the trail
Cytochrome P450 Assay on Chlorozoxazone in Participants Dosed With Silver14 DaysAssessment Placebo (14 Days) and 32ppm Oral Silver (14 Days). Cytochrome P450 assay is used to determine the function of how Dextromethorphan metabolized. The value represents the peak absorption of the 450 enzyme when dextromethorphan is given during the Silver or Placebo Arm.

Countries

United States

Participant flow

Participants by arm

ArmCount
All Participants12
Total12

Baseline characteristics

CharacteristicAll Participants
Age, Continuous28.8 years
Sex: Female, Male
Female
0 Participants
Sex: Female, Male
Male
12 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
— / —— / —
other
Total, other adverse events
0 / 120 / 12
serious
Total, serious adverse events
0 / 121 / 12

Outcome results

Primary

Change In Alanine Aminotransferase Blood Level

Evaluation of Placebo Group and Silver Particle Group (dose - 32ppm)

Time frame: 14 Days

ArmMeasureValue (MEAN)Dispersion
PlaceboChange In Alanine Aminotransferase Blood Level36.1 U/LStandard Deviation 11.7
32ppm Oral SilverChange In Alanine Aminotransferase Blood Level34.7 U/LStandard Deviation 11
Primary

Change In Albumin Blood Levels

Evaluation of Placebo Group and Silver Particle Group (dose - 32ppm)

Time frame: 14 Days

ArmMeasureValue (MEAN)Dispersion
PlaceboChange In Albumin Blood Levels4.3 g/dLStandard Deviation 0.4
32ppm Oral SilverChange In Albumin Blood Levels4.4 g/dLStandard Deviation 0.4
Primary

Change In Alkaline Phosphatase Blood Level

Evaluation of Placebo Group and Silver Particle Group (dose - 32ppm)

Time frame: 14 Days

ArmMeasureValue (MEAN)Dispersion
PlaceboChange In Alkaline Phosphatase Blood Level89.0 U/LStandard Deviation 60.4
32ppm Oral SilverChange In Alkaline Phosphatase Blood Level85.4 U/LStandard Deviation 48.5
Primary

Change In Aspartate Aminotransferase Blood Level

Evaluation of Placebo Group and Silver Particle Group (dose - 32ppm)

Time frame: 14 Days

ArmMeasureValue (MEAN)Dispersion
PlaceboChange In Aspartate Aminotransferase Blood Level29.1 U/LStandard Deviation 7.9
32ppm Oral SilverChange In Aspartate Aminotransferase Blood Level30.9 U/LStandard Deviation 12.4
Primary

Change In Basophils Blood Levels

Evaluation of Placebo Group and Silver Particle Group (dose - 32ppm)

Time frame: 14 Days

ArmMeasureValue (MEAN)Dispersion
PlaceboChange In Basophils Blood Levels0.8 percentStandard Deviation 0.2
32ppm Oral SilverChange In Basophils Blood Levels0.7 percentStandard Deviation 0.3
Primary

Change In Calcium Blood Level

Evaluation of Placebo Group and Silver Particle Group (dose - 32ppm)

Time frame: 14 Days

ArmMeasureValue (MEAN)Dispersion
PlaceboChange In Calcium Blood Level9.4 mg/dLStandard Deviation 0.4
32ppm Oral SilverChange In Calcium Blood Level9.4 mg/dLStandard Deviation 0.5
Primary

Change in Carbon Dioxide Blood Levels

Evaluation of Placebo Group and Silver Particle Group (dose - 32ppm)

Time frame: 14 days

ArmMeasureValue (MEAN)Dispersion
PlaceboChange in Carbon Dioxide Blood Levels26.5 mmol/LStandard Deviation 2.3
32ppm Oral SilverChange in Carbon Dioxide Blood Levels26.8 mmol/LStandard Deviation 2.2
Primary

Change in Chloride Blood Levels

Evaluation of Placebo Group and Silver Particle Group (dose - 32ppm)

Time frame: 14 days

ArmMeasureValue (MEAN)Dispersion
PlaceboChange in Chloride Blood Levels105.0 mmol/LStandard Deviation 2.4
32ppm Oral SilverChange in Chloride Blood Levels105.5 mmol/LStandard Deviation 2.3
Primary

Change In Creatinine Blood Levels

Evaluation of Placebo Group and Silver Particle Group (dose - 32ppm)

Time frame: 14 Days

ArmMeasureValue (MEAN)Dispersion
PlaceboChange In Creatinine Blood Levels0.92 mg/dLStandard Deviation 0.16
32ppm Oral SilverChange In Creatinine Blood Levels0.88 mg/dLStandard Deviation 0.14
Primary

Change In Eosinophils Blood Levels

Evaluation of Placebo Group and Silver Particle Group (dose - 32ppm)

Time frame: 14 Days

ArmMeasureValue (MEAN)Dispersion
PlaceboChange In Eosinophils Blood Levels3.4 percentStandard Deviation 1.5
32ppm Oral SilverChange In Eosinophils Blood Levels3.1 percentStandard Deviation 1.5
Primary

Change In Glucose Blood Levels

Evaluation of Placebo Group and Silver Particle Group (dose - 32ppm)

Time frame: 14 Days

ArmMeasureValue (MEAN)Dispersion
PlaceboChange In Glucose Blood Levels85.9 mg/dlStandard Deviation 10.7
32ppm Oral SilverChange In Glucose Blood Levels83.5 mg/dlStandard Deviation 9.9
Primary

Change In Granulocytes Blood Levels

Evaluation of Placebo Group and Silver Particle Group (dose - 32ppm)

Time frame: 14 Days

ArmMeasureValue (MEAN)Dispersion
PlaceboChange In Granulocytes Blood Levels52.6 percentStandard Deviation 6.9
32ppm Oral SilverChange In Granulocytes Blood Levels53.4 percentStandard Deviation 7.6
Primary

Change In Hematocrit Blood Levels

Evaluation of Placebo Group and Silver Particle Group (dose - 32ppm)

Time frame: 14 Days

ArmMeasureValue (MEAN)Dispersion
PlaceboChange In Hematocrit Blood Levels45.0 percentStandard Deviation 3.5
32ppm Oral SilverChange In Hematocrit Blood Levels45.4 percentStandard Deviation 3.5
Primary

Change In Hemoglobin Blood Levels

Evaluation of Placebo Group and Silver Particle Group (dose - 32ppm)

Time frame: 14 Days

ArmMeasureValue (MEAN)Dispersion
PlaceboChange In Hemoglobin Blood Levels15.5 gm/dLStandard Deviation 1.4
32ppm Oral SilverChange In Hemoglobin Blood Levels15.5 gm/dLStandard Deviation 1.2
Primary

Change In Lymphocytes Blood Levels

Evaluation of Placebo Group and Silver Particle Group (dose - 32ppm)

Time frame: 14 Days

ArmMeasureValue (MEAN)Dispersion
PlaceboChange In Lymphocytes Blood Levels36.7 percentStandard Deviation 6.4
32ppm Oral SilverChange In Lymphocytes Blood Levels36.8 percentStandard Deviation 6.9
Primary

Change In Mean Corpuscular Hemoglobin Concentration Blood Levels

Evaluation of Placebo Group and Silver Particle Group (dose - 32ppm)

Time frame: 14 Days

ArmMeasureValue (MEAN)Dispersion
PlaceboChange In Mean Corpuscular Hemoglobin Concentration Blood Levels34.5 gm/dLStandard Deviation 1
32ppm Oral SilverChange In Mean Corpuscular Hemoglobin Concentration Blood Levels34.2 gm/dLStandard Deviation 0.9
Primary

Change In Mean Corpuscular Volume Blood Levels

Evaluation of Placebo Group and Silver Particle Group (dose - 32ppm)

Time frame: 14 Days

ArmMeasureValue (MEAN)Dispersion
PlaceboChange In Mean Corpuscular Volume Blood Levels89.1 fLStandard Deviation 3.8
32ppm Oral SilverChange In Mean Corpuscular Volume Blood Levels89.6 fLStandard Deviation 3.8
Primary

Change In Monocytes Blood Levels

Evaluation of Placebo Group and Silver Particle Group (dose - 32ppm)

Time frame: 14 Days

ArmMeasureValue (MEAN)Dispersion
PlaceboChange In Monocytes Blood Levels6.4 percentStandard Deviation 1.1
32ppm Oral SilverChange In Monocytes Blood Levels6.0 percentStandard Deviation 1.3
Primary

Change In Platelet Blood Levels

Evaluation of Placebo Group and Silver Particle Group (dose - 32ppm)

Time frame: 14 Days

ArmMeasureValue (MEAN)Dispersion
PlaceboChange In Platelet Blood Levels268 k/uLStandard Deviation 59
32ppm Oral SilverChange In Platelet Blood Levels253 k/uLStandard Deviation 54
Primary

Change In Red Blood Count Blood Levels

Evaluation of Placebo Group and Silver Particle Group (dose - 32ppm)

Time frame: 14 Days

ArmMeasureValue (MEAN)Dispersion
PlaceboChange In Red Blood Count Blood Levels5.07 M/uLStandard Deviation 0.55
32ppm Oral SilverChange In Red Blood Count Blood Levels5.07 M/uLStandard Deviation 0.45
Primary

Change In Total Bilirubin Blood Levels

Evaluation of Placebo Group and Silver Particle Group (dose - 32ppm)

Time frame: 14 Days

ArmMeasureValue (MEAN)Dispersion
PlaceboChange In Total Bilirubin Blood Levels0.7 mg/dLStandard Deviation 0.3
32ppm Oral SilverChange In Total Bilirubin Blood Levels0.8 mg/dLStandard Deviation 0.4
Primary

Change in Total Protein Blood Levels

Evaluation of Placebo Group and Silver Particle Group (dose - 32ppm)

Time frame: 14 Days

ArmMeasureValue (MEAN)Dispersion
PlaceboChange in Total Protein Blood Levels7.1 g/dLStandard Deviation 0.5
32ppm Oral SilverChange in Total Protein Blood Levels7.4 g/dLStandard Deviation 0.5
Primary

Change In Urea Nitrogen Blood Levels

Evaluation of Placebo Group and Silver Particle Group (dose - 32ppm)

Time frame: 14 days

ArmMeasureValue (MEAN)Dispersion
PlaceboChange In Urea Nitrogen Blood Levels16.9 mg/dLStandard Deviation 4
32ppm Oral SilverChange In Urea Nitrogen Blood Levels16.7 mg/dLStandard Deviation 4.1
Primary

Change In White Blood Count Blood Levels

Evaluation of Placebo Group and Silver Particle Group (dose - 32ppm)

Time frame: 14 Days

ArmMeasureValue (MEAN)Dispersion
PlaceboChange In White Blood Count Blood Levels5.99 k/uLStandard Deviation 1.24
32ppm Oral SilverChange In White Blood Count Blood Levels5.92 k/uLStandard Deviation 1.45
Primary

Change Potassium Blood Levels

Evaluation of Placebo Group and Silver Particle Group (dose - 32ppm)

Time frame: 14 days

ArmMeasureValue (MEAN)Dispersion
PlaceboChange Potassium Blood Levels4.5 mmol/LStandard Deviation 0.4
32ppm Oral SilverChange Potassium Blood Levels4.4 mmol/LStandard Deviation 0.3
Primary

Change Sodium Blood Levels

Evaluation of Placebo Group and Silver Particle Group (dose - 32ppm)

Time frame: 14 Days

ArmMeasureValue (MEAN)Dispersion
PlaceboChange Sodium Blood Levels141.8 mmol/LStandard Deviation 1.6
32ppm Oral SilverChange Sodium Blood Levels141.2 mmol/LStandard Deviation 1.9
Primary

Cytochrome P450 Assay on Caffeine in Participants

Assessment Placebo (14 Days) and 32ppm Oral Silver (14 Days). Cytochrome P450 assay is used to determine the function of how Dextromethorphan metabolized. The value represents the peak absorption of the 450 enzyme when dextromethorphan is given during the Silver or Placebo Arm.

Time frame: 14 Days

ArmMeasureValue (MEAN)Dispersion
PlaceboCytochrome P450 Assay on Caffeine in Participants3.34 ng/mlStandard Deviation 0.28
32ppm Oral SilverCytochrome P450 Assay on Caffeine in Participants3.68 ng/mlStandard Deviation 0.64
Primary

Cytochrome P450 Assay on Dextromethorphan in Participants

Assessment Placebo (14 Days) and 32ppm Oral Silver (14 Days). Cytochrome P450 assay is used to determine the function of how Dextromethorphan metabolized. The value represents the peak absorption of the 450 enzyme when dextromethorphan is given during the Silver or Placebo Arm.

Time frame: 14 Days

ArmMeasureValue (MEAN)Dispersion
PlaceboCytochrome P450 Assay on Dextromethorphan in Participants5.53 ng/mlStandard Deviation 5.04
32ppm Oral SilverCytochrome P450 Assay on Dextromethorphan in Participants2.18 ng/mlStandard Deviation 1.84
Primary

Cytochrome P450 Assay on Losartan in Participants

Assessment Placebo (14 Days) and 32ppm Oral Silver (14 Days). Cytochrome P450 assay is used to determine the function of how Dextromethorphan metabolized. The value represents the peak absorption of the 450 enzyme when dextromethorphan is given during the Silver or Placebo Arm.

Time frame: 14 Days

ArmMeasureValue (MEAN)Dispersion
PlaceboCytochrome P450 Assay on Losartan in Participants1.62 ng/mlStandard Deviation 0.42
32ppm Oral SilverCytochrome P450 Assay on Losartan in Participants1.76 ng/mlStandard Deviation 0.45
Primary

Cytochrome P450 Assay on Midazolam in Participants

Assessment Placebo (14 Days) and 32ppm Oral Silver (14 Days). Cytochrome P450 assay is used to determine the function of how Dextromethorphan metabolized. The value represents the peak absorption of the 450 enzyme when dextromethorphan is given during the Silver or Placebo Arm.

Time frame: 14 Days

ArmMeasureValue (MEAN)Dispersion
PlaceboCytochrome P450 Assay on Midazolam in Participants9.62 ng/mlStandard Deviation 0.83
32ppm Oral SilverCytochrome P450 Assay on Midazolam in Participants9.18 ng/mlStandard Deviation 1.05
Primary

Cytochrome P450 Assay on Omeprazole in Participants

Assessment Placebo (14 Days) and 32ppm Oral Silver (14 Days). Cytochrome P450 assay is used to determine the function of how Dextromethorphan metabolized. The value represents the peak absorption of the 450 enzyme when dextromethorphan is given during the Silver or Placebo Arm.

Time frame: 14 Days

ArmMeasureValue (MEAN)Dispersion
PlaceboCytochrome P450 Assay on Omeprazole in Participants2.19 ng/mlStandard Deviation 1.14
32ppm Oral SilverCytochrome P450 Assay on Omeprazole in Participants1.81 ng/mlStandard Deviation 0.57
Secondary

Cytochrome P450 Assay on Chlorozoxazone in Participants Dosed With Silver

Assessment Placebo (14 Days) and 32ppm Oral Silver (14 Days). Cytochrome P450 assay is used to determine the function of how Dextromethorphan metabolized. The value represents the peak absorption of the 450 enzyme when dextromethorphan is given during the Silver or Placebo Arm.

Time frame: 14 Days

ArmMeasureValue (MEAN)Dispersion
PlaceboCytochrome P450 Assay on Chlorozoxazone in Participants Dosed With Silver2311 ng/mlStandard Deviation 494
32ppm Oral SilverCytochrome P450 Assay on Chlorozoxazone in Participants Dosed With Silver1912 ng/mlStandard Deviation 334
Secondary

Total Change in Diastolic Blood Pressure Silver Participants

Assessment only completed on the 32ppm Oral Silver part of the trail

Time frame: Baseline and 14 Days

ArmMeasureValue (MEAN)
32ppm Oral SilverTotal Change in Diastolic Blood Pressure Silver Participants-0.7 mmhg
Secondary

Total Change in Heart Rate in Silver Participants

Assessment only completed on the 32ppm Oral Silver part of the trail

Time frame: Baseline and 14 Days

ArmMeasureValue (MEAN)
32ppm Oral SilverTotal Change in Heart Rate in Silver Participants-3.1 beats per minute
Secondary

Total Change in Systolic Blood Pressure Silver Participants

Assessment only completed on the 32ppm Oral Silver part of the trail

Time frame: Baseline and 14 Days

ArmMeasureValue (MEAN)
32ppm Oral SilverTotal Change in Systolic Blood Pressure Silver Participants-1.3 mmhg

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