Trial to Study the Effects of Supplementary Omega-3 on Serum C-Reactive Protein Levels
Trial to Study the Effects of Supplementary Omega-3 on Serum C-Reactive Protein Levels
To study the anti-inflammatory effects of marine omega-3 fatty acids, also known as n-3
 polyunsaturated fatty acids (PUFA), we propose a randomized, double-blinded, prospective,
 single-center trial to examine the effect of supplementary n-3 PUFA on serum high sensitivity
 (hs) CRP levels.

 Inclusion Criteria Age > 18 hs CRP >3mg/L and <10 mg/L

 Exclusion Criteria

 Active infection Systemic Inflammatory Disease Autoimmune disorders Systemic Lupus
 Erythematosus (SLE) Rheumatoid Arthritis (RA) Systemic Sclerosis (Scleroderma) Sjögren's
 Syndrome Behçet's Syndrome

 The Vasculitis Syndromes Including:

 Wegener's granulomatosis Temporal arteritis (Giant cell arteritis) Takayasu's arteritis
 Henoch-Schönlein purpura Predominantly cutaneous vasculitis (hypersensitivity vasculitis)
 Sarcoidosis Amyloidosis Currently on warfarin Cr > 2.0 Fish Allergy Pregnancy or
 unwillingness to use some form of birth control in women of child-bearing age during the 8
 weeks.

 We will enroll 200 pts. at Willoughby Hills Family Health Center over a 2 month period 100
 pts. will receive OMEGA-3, 100 pts. will receive placebo Drug is to be taken over 8 weeks Pt.
 will return to Willoughby Hills in 8 weeks for a follow-up hsCRP. A brief questionnaire will
 be completed by the nurse/pt, including vital signs at baseline and follow-up .

 Primary Outcome:

 hsCRP levels after 8 weeks of treatment with PUFA
All patients will be given an 8 week supply of placebo or study drug. The exact composition
 of both the active drug and placebo is detailed below. The physician and the patient will
 both be blinded. Patients will be instructed to take three capsules daily in the morning.
 Each capsule of the drug contains 450 mg of eicosapentaenoic acid (EPA), the active
 component. Thus, three capsules daily will result in 1350 mg daily of EPA. They will be asked
 to return to the clinic after 8 weeks of therapy for a follow-up hsCRP.

 Patients:

 Healthy patients seen in a primary care setting at the Department of Internal Medicine at the
 Cleveland Clinic Health System Willoughby satellite.

 Drug:

 Active Arm:

 1000 mg Lemon flavored Capsules. Three capsules every morning.

 Fill

 45% Eicosapentaenoic Acid 10% Docosahexaenoic Acid 10% Combined total of Docopentaneoic Acid
 and Alfa-Linoleic Acid Natural Lemon Oil Rosemary Liquid Extract D-alpha Tocopherol Vitamin E
 (67.1% W/W) (1000IU/G) Antioxidants, proprietary mix

 Shell

 Gelatin Glycerol Purified Water Lemon Oil

 Placebo Arm:

 Cornstarch Capsules provided by Clinical Encapsulation services. Three capsules every
 morning.
Inclusion Criteria:

 -  Age > 18

 -  hs CRP >3mg/L and <10 mg/L

 Exclusion Criteria:

 -  Active infection

 -  Systemic Inflammatory Disease

 -  Currently on warfarin

 -  Cr > 2.0

 -  Fish Allergy

 -  Pregnancy or unwillingness to use some form of birth control