WO2020014051A1 - Compositions for mitigating brain trauma and methods thereof - Google Patents

Compositions for mitigating brain trauma and methods thereof Download PDF

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Publication number
WO2020014051A1
WO2020014051A1 PCT/US2019/040405 US2019040405W WO2020014051A1 WO 2020014051 A1 WO2020014051 A1 WO 2020014051A1 US 2019040405 W US2019040405 W US 2019040405W WO 2020014051 A1 WO2020014051 A1 WO 2020014051A1
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formulation
pouch
brain trauma
concentration
curcuminoids
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PCT/US2019/040405
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French (fr)
Inventor
Garrett E. WDOWIN
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Wdowin Garrett E
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Priority claimed from US16/030,546 external-priority patent/US10456368B2/en
Application filed by Wdowin Garrett E filed Critical Wdowin Garrett E
Publication of WO2020014051A1 publication Critical patent/WO2020014051A1/en

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P25/00Drugs for disorders of the nervous system
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/045Hydroxy compounds, e.g. alcohols; Salts thereof, e.g. alcoholates
    • A61K31/05Phenols
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/12Ketones
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/185Acids; Anhydrides, halides or salts thereof, e.g. sulfur acids, imidic, hydrazonic or hydroximic acids
    • A61K31/19Carboxylic acids, e.g. valproic acid
    • A61K31/20Carboxylic acids, e.g. valproic acid having a carboxyl group bound to a chain of seven or more carbon atoms, e.g. stearic, palmitic, arachidic acids
    • A61K31/202Carboxylic acids, e.g. valproic acid having a carboxyl group bound to a chain of seven or more carbon atoms, e.g. stearic, palmitic, arachidic acids having three or more double bonds, e.g. linolenic
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/66Phosphorus compounds
    • A61K31/683Diesters of a phosphorus acid with two hydroxy compounds, e.g. phosphatidylinositols
    • A61K31/685Diesters of a phosphorus acid with two hydroxy compounds, e.g. phosphatidylinositols one of the hydroxy compounds having nitrogen atoms, e.g. phosphatidylserine, lecithin
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/70Carbohydrates; Sugars; Derivatives thereof
    • A61K31/7042Compounds having saccharide radicals and heterocyclic rings
    • A61K31/7052Compounds having saccharide radicals and heterocyclic rings having nitrogen as a ring hetero atom, e.g. nucleosides, nucleotides
    • A61K31/706Compounds having saccharide radicals and heterocyclic rings having nitrogen as a ring hetero atom, e.g. nucleosides, nucleotides containing six-membered rings with nitrogen as a ring hetero atom
    • A61K31/7064Compounds having saccharide radicals and heterocyclic rings having nitrogen as a ring hetero atom, e.g. nucleosides, nucleotides containing six-membered rings with nitrogen as a ring hetero atom containing condensed or non-condensed pyrimidines
    • A61K31/7068Compounds having saccharide radicals and heterocyclic rings having nitrogen as a ring hetero atom, e.g. nucleosides, nucleotides containing six-membered rings with nitrogen as a ring hetero atom containing condensed or non-condensed pyrimidines having oxo groups directly attached to the pyrimidine ring, e.g. cytidine, cytidylic acid
    • A61K31/7072Compounds having saccharide radicals and heterocyclic rings having nitrogen as a ring hetero atom, e.g. nucleosides, nucleotides containing six-membered rings with nitrogen as a ring hetero atom containing condensed or non-condensed pyrimidines having oxo groups directly attached to the pyrimidine ring, e.g. cytidine, cytidylic acid having two oxo groups directly attached to the pyrimidine ring, e.g. uridine, uridylic acid, thymidine, zidovudine

Definitions

  • a traumatic brain injury occurs when an external mechanical force such as a violent blow or jolt to the head causes brain dysfunction.
  • Certain types of events are known to be more likely to cause TBIs including falls, collisions, fights, abuse, sports, explosive blasts, or the like.
  • a TBI from one or more of such events can result in bruising of the brain; tom tissues in the brain; nerve damage; blood vessel damage leading to bleeding in or around the brain; fluid buildup in the cerebral ventricles of the brain; or even death.
  • Long-term complications of TBIs can include cognitive problems such as issues with problem-solving and organization skills, as well as social and behavioral problems.
  • a TBI can be mild, moderate, or severe with symptoms dependent upon the severity of the trauma.
  • a mild TBI, or concussion can cause an injured person to experience physical symptoms such as headache, loss of consciousness, or nausea.
  • a moderate or severe TBI an injured person can experience seizures or fall into a coma or a vegetative state.
  • the severity of a TBI can be influenced by one or more factors including what part of the head was directly impacted, whether the brain moved back and forth in the skull upon impact, whether cellular structures were tom as a result of a severe rotational or spinning jolt, whether an object penetrated the skull, whether bleeding in or around the brain occurred, or the like.
  • a formulation for mitigating brain trauma including, in some embodiments, one or more co-3 fatty acids, one or more curcuminoids, /ra//.s-resveratrol, a-glycerylphosphoryl choline (“a-GPC”), and uridine-5’ -monophosphate (“UMP”).
  • the formulation is an oil-based emulsion including the one or more co-3 fatty acids, the one or more curcuminoids, the trans- resveratrol, the a-GPC, and the UMP for oral administration.
  • the one or more co-3 fatty acids include eicosapentaenoic acid (“EPA”) in a concentration of about 2.8% (w/w) and docosahexaenoic acid (“DHA”) in a concentration of about 1.9% (w/w) in the formulation.
  • EPA eicosapentaenoic acid
  • DHA docosahexaenoic acid
  • the one or more curcuminoids have a collective concentration of about 1.6% (w/w) in the formulation.
  • the one or more curcuminoids include curcumin, demethoxycurcumin, and bisdemethoxycurcumin.
  • the curcumin has a concentration of at least about 75% (w/w) in the one or more curcuminoids.
  • the /ra//.s-resveratrol has a concentration of about 1.3%
  • the a-GPC has a concentration of about 0.9% (w/w) in the formulation.
  • the UMP has a concentration of about 0.6% (w/w) in the formulation.
  • the formulation further includes one or more emulsifiers, stabilizers, or thickeners selected from glycerin, gum arabic, xanthan gum, and guar gum.
  • the formulation further includes xylitol, fish oil, natural flavors, ascorbic acid, monk fruit extract, citric acid, antioxidant blend, beta carotene, and sorbic acid.
  • the formulation further includes one or more emulsifiers, stabilizers, or thickeners selected from glycerin, gum arabic, xanthan gum, and guar gum.
  • the one or more co-3 fatty acids include EPA in a concentration of about 2.8% (w/w) and DHA in a concentration of about 1.9% (w/w) in the formulation.
  • the one or more curcuminoids include curcumin, demethoxycurcumin, and bisdem ethoxy curcumin in a collective concentration of about 1.6% (w/w) in the formulation.
  • the /ra//.s-resveratrol has a concentration of about 1.3% (w/w) in the formulation.
  • the a-GPC has a concentration of about 0.9% (w/w) in the formulation.
  • the UMP has a concentration of about 0.6% (w/w) in the formulation.
  • a packaged formulation for mitigating brain trauma including, in some embodiments, an oil-based emulsion and a sealed pouch containing a single dose of the emulsion.
  • the emulsion includes one or more co-3 fatty acids, one or more curcuminoids, trans- resveratrol, a-GPC, and UMP.
  • the pouch includes a bottom gusset configured to provide an inner space near a bottom of the pouch to contain the emulsion.
  • the pouch includes a removable top piece of a top portion of the pouch configured to be torn off the pouch for access to the emulsion.
  • the pouch includes a front side and a back side of a flexible material configured for squeezing the front and back sides of the pouch together to dispense the emulsion.
  • the single dose of the emulsion is about 31.8 g including about 900 mg of EPA and about 600 mg of DHA for the one or more co-3 fatty acids, about 500 mg of the one or more curcuminoids including at least curcumin, demethoxycurcumin, and bisdem ethoxy curcumin, about 400 mg of the trans- resveratrol, about 300 mg of the a-GPC, and about 200 mg of the UMP.
  • the pouch includes a bottom gusset configured to provide an inner space near a bottom of the pouch to contain the emulsion.
  • the pouch includes a removable top piece of a top portion of the pouch configured to be tom off the pouch for access to the emulsion.
  • the pouch includes a front side and a back side of a flexible material configured for squeezing the front and back sides of the pouch together to dispense the emulsion for oral administration.
  • a method for mitigating brain trauma including, in some embodiments, obtaining a sealed pouch containing a formulation for mitigating brain trauma and administering the formulation per os to mitigate brain trauma.
  • the formulation is an oil- based emulsion including one or more co-3 fatty acids, one or more curcuminoids, trans- resveratrol, a-GPC, and UMP for oral administration.
  • administering the formulation occurs before participating in an activity having an increased incidence of brain trauma.
  • administering the formulation occurs after sustaining brain trauma or participating in an activity having an increased incidence of brain trauma.
  • the method further includes tearing off a removable top piece of a top portion of the pouch and squeezing a front side and a back side of the pouch together in a motion from a bottom portion of the pouch to the top portion of the pouch to dispense the formulation from the pouch.
  • the method further includes tearing off a removable top piece of a top portion of the pouch and squeezing a front side and a back side of the pouch together in a motion from a bottom portion of the pouch to the top portion of the pouch to dispense the formulation from the pouch.
  • the pouch includes a single dose of the formulation for mitigating brain trauma including about 900 mg of EPA and about 600 mg of DHA for the one or more co-3 fatty acids, about 500 mg of the one or more curcuminoids including at least curcumin, demethoxycurcumin, and bisdem ethoxy curcumin, about 400 mg of the trans- resveratrol, about 300 mg of the a-GPC, and about 200 mg of the EIMP.
  • FIG. 1 illustrates a packaged formulation for mitigating brain trauma in accordance with some embodiments.
  • “About,” as in about a particular amount, concentration, or the like of a component in the composition or formulation for mitigating head trauma, is intended to reflect the particular amount or concentration of the component in the composition or formulation is within rounding or measurement uncertainty as it is defined in metrology.
  • a single dose of the formulation described herein for mitigating head trauma can be“about 31.8 g,” which can include 31.79 g to 31.81 g of the formulation due to at least rounding.
  • Oil-based indicates the oil-based emulsion has a dispersed phase of an oil (e.g., fish oil) and a continuous phase of an immiscible liquid such as water.
  • an oil e.g., fish oil
  • an immiscible liquid such as water
  • EPA eicosapentaenoic acid
  • DHA docosahexaenoic acid
  • a-GPC a-glycerylphosphorylcholine
  • ppmw parts per million by weight
  • TBI traumatic brain injury
  • UMP uridine- 5’ -monophosphate
  • compositions for mitigating brain trauma are provided herein.
  • compositions and formulations thereof are provided.
  • a composition for mitigating brain trauma includes, in some embodiments, one or more co-3 fatty acids, one or more curcuminoids, and /ra//.s-resveratrol .
  • the composition can further include a-GPC, UMP, or both a-GPC and UMP.
  • the composition mitigates brain trauma by providing brain health in the form of neuroprotective support including axonal protection.
  • the composition also supports cognition, memory, and concentration.
  • the composition for mitigating brain trauma can be formulated into any administrable formulation that provides sufficient plasma levels of the compounds (e.g., EPA, DHA, curcumin, and trans- resveratrol) in the composition to mitigate brain trauma upon administration of one or more doses of the formulation.
  • the formulation can include any nutraceutically acceptable excipients needed for a multidose or single-dose dosage form suitable for at least enteral administration such as oral, lingual, sublingual, or buccal administration.
  • the multidose dosage form can be a bulk powder, paste, suspension, emulsion, or solution including the composition.
  • the single-dose dosage form can be a pre-measured amount of the powder; a pill, tablet, or capsule including effervescent, chewable, and orally disintegrating forms thereof; a pre-cut, orally disintegrating thin film; a pre-measured amount of the paste; or a pre-measured amount of the suspension, emulsion, or solution.
  • the composition can be formulated into an oil-based emulsion for oral administration, which emulsion can be pre-measured and packaged in a pouch as a single dose. (See FIG. 1.) Oral administration is advantageous due to its convenience and ease of implementation.
  • a single dose of the formulation including the composition for mitigating brain trauma can include at least about 10 g, 20 g, 30 g, 40 g, 50 g, 60 g, 70 g, 80 g, 90 g, or 100 g, or an intervening amount (e.g., 31 g, 32 g, 33 g, 34 g, of 35 g), of the formulation for an average sized man or woman.
  • an intervening amount e.g., 31 g, 32 g, 33 g, 34 g, of 35 g
  • a single dose of the formulation including the composition for mitigating brain trauma can include no more than about 100 g, 90 g, 80 g, 70 g, 60 g, 50 g, 40 g, 30 g, 20 g, or 10 g, or an intervening amount (e.g., 35 g, 34 g, 33 g, 32 g, of 31 g), of the formulation.
  • a single dose of the formulation including the composition for mitigating brain trauma can include at least about 10 g and no more than about 100 g of the formulation, which includes at least about 20 g and no more than about 70 g of the formulation, such as at least about 30 g and no more than about 40 g of the formulation, for example, at least about 30 g and no more than about 35 g of the formulation.
  • a single dose of the formulation including the composition for mitigating brain trauma is 31.8 g (30 mL) of the formulation.
  • the one or more co-3 fatty acids in the composition for mitigating brain trauma can include, but are not limited to, EPA and DHA.
  • the co-3 fatty acids can further include hexadecatrienoic acid (“HTA”), a-linolenic acid (“ALA”), stearidonic acid (“SDA”), eicosatrienoic acid (“ETE”), eicosatetraenoic acid (“ETA”), heneicosapentaenoic acid (“HP A”), docosapentaenoic acid (“DP A”), tetracosapentaenoic acid, or tetracosahexaenoic acid (nisinic acid), structural analogs including isomers such as geometric isomers of the foregoing, oligomers such as dimers of the foregoing, or chemical derivatives, salts, hydrates, or solvates of the foregoing.
  • HTA hexadecatrienoic acid
  • ALA is important in some embodiments as each co-3 fatty acid of EPA and DHA can be biosynthesized from ALA.
  • the efficiency of such a conversion can be relatively low, which is why EPA and DHA are included in at least some embodiments of the composition for mitigating brain trauma.
  • DHA both EPA and DHA are precursors to resolvins and protectins, which orchestrate inflammation recovery.
  • Numerous body functions are attributed to at least DHA including neuronal processes such as neurogenesis, neuroplasticity, neurite outgrowth, synaptogenesis, and membrane fluidity.
  • administration of long-chain co-3 fatty acids such as EPA and DHA has been found to promote neurogenesis and exert a neurotrophic effect.
  • DHA increases cerebral blood flow and regulates glucose transport and uptake.
  • DHA also affects biomarkers such as plasma fatty acids and serum neurofilament light (“NfL”), a biomarker of trauma. DHA has been shown to attenuate damage to axons when ingested before an injury.
  • NfL serum neurofilament light
  • co-3 fatty acids such as EPA and DHA provide a neuroprotective effect, as it relates to axonal injury, which is known as the central mechanism in mild TBI.
  • the formulation can include at least about 0.5% (w/w), 1.0% (w/w), 1.5% (w/w), 2.0% (w/w), 2.5% (w/w), 3.0% (w/w), 3.5% (w/w), 4.0% (w/w), 4.5% (w/w), or 5.0% (w/w) EPA, or an intervening concentration (e.g., 2.6% (w/w), 2.7% (w/w), 2.8% (w/w), or 2.9% (w/w) EPA) thereof, in the formulation.
  • an intervening concentration e.g., 2.6% (w/w), 2.7% (w/w), 2.8% (w/w), or 2.9% (w/w) EPA
  • the formulation can include no more than about 5.0% (w/w), 4.5% (w/w), 4.0% (w/w), 3.5% (w/w), 3.0% (w/w), 2.5% (w/w), 2.0% (w/w), 1.5% (w/w), 1.0% (w/w), or 0.5% (w/w) EPA, or an intervening concentration (e.g., 2.9% (w/w), 2.8% (w/w), 2.7% (w/w), or 2.6% (w/w) EPA) thereof, in the formulation.
  • an intervening concentration e.g., 2.9% (w/w), 2.8% (w/w), 2.7% (w/w), or 2.6% (w/w) EPA
  • the formulation can include EPA in a concentration range of at least about 0.5% (w/w) and no more than about 5.0% (w/w) EPA, which includes at least about 1.0% (w/w) and no more than about 4.0% (w/w) EPA, such as at least about 1.5% (w/w) and no more than about 3.0% (w/w) EPA, for example, at least about 2.5% (w/w) and no more than about 3.0% (w/w) EPA in the formulation. In some embodiments, for example, the formulation includes about 2.8% (w/w) EPA in the formulation.
  • the concentration of the EPA can be increased or reduced in the formulation as needed for optimization of the synergistic effect.
  • the formulation can include at least about 0.5% (w/w), 1.0% (w/w), 1.5% (w/w), 2.0% (w/w), 2.5% (w/w), 3.0% (w/w), 3.5% (w/w), 4.0% (w/w), 4.5% (w/w), or 5.0% (w/w) DHA, or an intervening concentration (e.g., 1.6% (w/w), 1.7% (w/w), 1.8% (w/w), or 1.9% (w/w) DHA) thereof, in the formulation.
  • an intervening concentration e.g., 1.6% (w/w), 1.7% (w/w), 1.8% (w/w), or 1.9% (w/w) DHA
  • the formulation can include no more than about 5.0% (w/w), 4.5% (w/w), 4.0% (w/w), 3.5% (w/w), 3.0% (w/w), 2.5% (w/w), 2.0% (w/w), 1.5% (w/w), 1.0% (w/w), or 0.5% (w/w) DHA, or an intervening concentration (e.g., 1.9% (w/w), 1.8% (w/w), 1.7% (w/w), or 1.6% (w/w) DHA) thereof, in the formulation.
  • an intervening concentration e.g., 1.9% (w/w), 1.8% (w/w), 1.7% (w/w), or 1.6% (w/w) DHA
  • the formulation can include DHA in a concentration range of at least about 0.5% (w/w) and no more than about 5.0% (w/w) DHA, which includes at least about 1.0% (w/w) and no more than about 4.0% (w/w) DHA, such as at least about 1.5% (w/w) and no more than about 3.0% (w/w) DHA, for example, at least about 1.5% (w/w) and no more than about 2.0% (w/w) DHA in the formulation.
  • the formulation includes about 1.9% (w/w) DHA in the formulation.
  • the concentration of the DHA can be increased or reduced in the formulation as needed for optimization of the synergistic effect.
  • the one or more curcuminoids in the composition for mitigating brain trauma can include, but are not limited to, curcumin, demethoxycurcumin, and, optionally, bisdemethoxycurcumin.
  • the one or more curcuminoids can further include additional structural analogs of curcumin other than demethoxycurcumin and bisdemethoxycurcumin including isomers such as geometric isomers, oligomers such as dimers, or chemical derivatives, salts, hydrates, or solvates of the foregoing.
  • the curcumin can have a concentration of at least about 75% (w/w) in the one or more curcuminoids
  • the demethoxycurcumin can have a concentration of at least about 15% (w/w) in the one or more curcuminoids
  • the bisdemethoxycurcumin can have a concentration of at least about 2.5% (w/w) in the one or more curcuminoids.
  • the one or more curcuminoids can be extracted from turmeric root (e.g., Curcuma longa or Curcuma zedoaria ), which is known to contain up to at least 95% curcuminoids.
  • Polyphenols such as curcumin, demethoxycurcumin, and bisdemethoxycurcumin combat oxidative stress associated with neurons, thereby providing neuroprotective benefits.
  • Mechanisms associated with such neuroprotection include reducing monocyte chemoattractant protein 1 (“MCP1”) production as shown in different cell lines. Additionally, such polyphenols decrease messenger ribonucleic acid (“mRNA”) expression of MCP1, interleukin l-b, and interleukin-6, as well as ameliorate enhanced expression of ionized calcium binding in the hippocampus.
  • MCP1 monocyte chemoattractant protein 1
  • mRNA messenger ribonucleic acid
  • Polyphenols such as curcumin, demethoxycurcumin, and bisdemethoxycurcumin also ameliorate the effects of chronic stress through reduction of cyclooxygenase-2 (“COX-2”) levels, thereby contributing antioxidant potential and neuroprotective effects by way of free-radical scavenging.
  • At least curcumin has been shown to increase serum activities of antioxidants (e.g., superoxide dismutase [“SOD”]) and modulate glutathione (“GSH”), catalase, and SOD activity.
  • Polyphenols such as curcumin, demethoxycurcumin, and bisdemethoxycurcumin also improve cognitive function including memory as evidenced by recall tests, picture-recognition tests, and various recall evaluations.
  • the intake of curcumin among other curcuminoids within a predetermined time period prior to brain trauma reduces cerebral edema, which can develop as a result of inflammation caused by TBI.
  • the formulation can collectively include at least about 0.5% (w/w), 1.0% (w/w), 1.5% (w/w), 2.0% (w/w), 2.5% (w/w), 3.0% (w/w), 3.5% (w/w), 4.0% (w/w), 4.5% (w/w), or 5.0% (w/w) of the one or more curcuminoids, or an intervening concentration (e.g., 1.6% (w/w), 1.7% (w/w), 1.8% (w/w), or 1.9% (w/w) of the one or more curcuminoids) thereof, in the formulation.
  • an intervening concentration e.g., 1.6% (w/w), 1.7% (w/w), 1.8% (w/w), or 1.9% (w/w) of the one or more curcuminoids
  • the formulation can include no more than about 5.0% (w/w), 4.5% (w/w), 4.0% (w/w), 3.5% (w/w), 3.0% (w/w), 2.5% (w/w), 2.0% (w/w), 1.5% (w/w), 1.0% (w/w), or 0.5% (w/w) of the one or more curcuminoids, or an intervening concentration (e.g., 1.9% (w/w), 1.8% (w/w), 1.7% (w/w), or 1.6% (w/w) of the one or more curcuminoids) thereof, in the formulation.
  • an intervening concentration e.g., 1.9% (w/w), 1.8% (w/w), 1.7% (w/w), or 1.6% (w/w) of the one or more curcuminoids
  • the formulation can include the one or more curcuminoids in a concentration range of at least about 0.5% (w/w) and no more than about 5.0% (w/w) of the one or more curcuminoids, which includes at least about 1.0% (w/w) and no more than about 4.0% (w/w) of the one or more curcuminoids, such as at least about 1.0% (w/w) and no more than about 3.0% (w/w) of the one or more curcuminoids, for example, at least about 1.0% (w/w) and no more than about 2.0% (w/w) of the one or more curcuminoids in the formulation.
  • the formulation includes about 1.6% (w/w) of the one or more curcuminoids in the formulation.
  • the concentration of the one or more curcuminoids can be increased or reduced in the formulation as needed for optimization of the synergistic effect.
  • the resveratrol in the composition for mitigating brain trauma can include, but is not limited to, trans- resveratrol.
  • the resveratrol can further include structural analogs of resveratrol including isomers such as geometric isomers (e.g., c/.s-resveratrol ), oligomers of resveratrol such as dimers (e.g., restrytisol A, B, or C; resveratrol trans- dehydrodimer; leachinol F; or pallidol), or chemical derivatives (e.g., resveratrol 3-O-beta-D- glucoside), salts, hydrates, or solvates of the foregoing.
  • isomers such as geometric isomers (e.g., c/.s-resveratrol ), oligomers of resveratrol such as dimers (e.g., restrytisol A, B, or
  • Trans- resveratrol improves memory performance and hippocampal function.
  • trans- resveratrol inhibits free radical formation and cyclooxygenase- 1 (“COX-l”) activity.
  • the formulation can include at least about 0.5% (w/w), 1.0% (w/w), 1.5% (w/w), 2.0% (w/w), 2.5% (w/w), 3.0% (w/w), 3.5% (w/w), 4.0% (w/w), 4.5% (w/w), or 5.0% (w/w) /ra//.s-resveratrol, or an intervening concentration (e.g., 1.1% (w/w), 1.2% (w/w), 1.3% (w/w), or 1.4% (w/w) trans- resveratrol) thereof, in the formulation.
  • an intervening concentration e.g., 1.1% (w/w), 1.2% (w/w), 1.3% (w/w), or 1.4% (w/w) trans- resveratrol
  • the formulation can include no more than about 5.0% (w/w), 4.5% (w/w), 4.0% (w/w), 3.5% (w/w), 3.0% (w/w), 2.5% (w/w), 2.0% (w/w), 1.5% (w/w), 1.0% (w/w), or 0.5% (w/w) /ra///.s-resveratrol, or an intervening concentration (e.g., 1.4% (w/w), 1.3% (w/w), 1.2% (w/w), or 1.1% (w/w) /ra//.s-resveratrol) thereof, in the formulation.
  • an intervening concentration e.g., 1.4% (w/w), 1.3% (w/w), 1.2% (w/w), or 1.1% (w/w) /ra///.s-resveratrol
  • the formulation can include /ra//.s-resveratrol in a concentration range of at least about 0.5% (w/w) and no more than about 5.0% (w/w) trans- resveratrol, which includes at least about 1.0% (w/w) and no more than about 4.0% (w/w) /ra//.s-resveratrol, such as at least about 1.0% (w/w) and no more than about 3.0% (w/w) trans- resveratrol, for example, at least about 1.0% (w/w) and no more than about 2.0% (w/w) trans- resveratrol in the formulation.
  • the formulation includes about 1.3% (w/w) /ra//.s-resveratrol in the formulation.
  • concentration of the trans- resveratrol can be increased or reduced in the formulation as needed for optimization of the synergistic effect.
  • the formulation can include at least about 0.5% (w/w), 1.0% (w/w), 1.5% (w/w), 2.0% (w/w), 2.5% (w/w), 3.0% (w/w), 3.5% (w/w), 4.0% (w/w), 4.5% (w/w), or 5.0% (w/w) a-GPC, or an intervening concentration (e.g., 0.6% (w/w), 0.7% (w/w), 0.8% (w/w), or 0.9% (w/w) a-GPC) thereof, in the formulation.
  • an intervening concentration e.g. 0.6% (w/w), 0.7% (w/w), 0.8% (w/w), or 0.9% (w/w) a-GPC
  • the formulation can include no more than about 5.0% (w/w), 4.5% (w/w), 4.0% (w/w), 3.5% (w/w), 3.0% (w/w), 2.5% (w/w), 2.0% (w/w), 1.5% (w/w), 1.0% (w/w), or 0.5% (w/w) a-GPC, or an intervening concentration (e.g., 0.9% (w/w), 0.8% (w/w), 0.7% (w/w), or 0.6% (w/w) a-GPC) thereof, in the formulation.
  • an intervening concentration e.g., 0.9% (w/w), 0.8% (w/w), 0.7% (w/w), or 0.6% (w/w) a-GPC
  • the formulation can include a-GPC in a concentration range of at least about 0.5% (w/w) and no more than about 5.0% (w/w) a- GPC, which includes at least about 0.5% (w/w) and no more than about 3.5% (w/w) a-GPC, such as at least about 0.5% (w/w) and no more than about 2.0% (w/w) a-GPC, for example, at least about 0.5% (w/w) and no more than about 1.0% (w/w) a-GPC in the formulation.
  • the formulation includes about 0.9% (w/w) a-GPC in the formulation.
  • the concentration of the a-GPC can be increased or reduced in the formulation as needed for optimization of the synergistic effect.
  • UMP provides bioavailable uridine, which, together with at least the DHA, enhances learning and memory.
  • the formulation can include at least about 0.5% (w/w), 1.0% (w/w), 1.5% (w/w), 2.0% (w/w), 2.5% (w/w), 3.0% (w/w), 3.5% (w/w), 4.0% (w/w), 4.5% (w/w), or 5.0% (w/w) UMP, or an intervening concentration (e.g., 0.6% (w/w), 0.7% (w/w), 0.8% (w/w), or 0.9% (w/w) UMP) thereof, in the formulation.
  • an intervening concentration e.g., 0.6% (w/w), 0.7% (w/w), 0.8% (w/w), or 0.9% (w/w) UMP
  • the formulation can include no more than about 5.0% (w/w), 4.5% (w/w), 4.0% (w/w), 3.5% (w/w), 3.0% (w/w), 2.5% (w/w), 2.0% (w/w), 1.5% (w/w), 1.0% (w/w), or 0.5% (w/w) UMP, or an intervening concentration (e.g., 0.9% (w/w), 0.8% (w/w), 0.7% (w/w), or 0.6% (w/w) UMP) thereof, in the formulation.
  • an intervening concentration e.g., 0.9% (w/w), 0.8% (w/w), 0.7% (w/w), or 0.6% (w/w) UMP
  • the formulation can include UMP in a concentration range of at least about 0.5% (w/w) and no more than about 5.0% (w/w) UMP, which includes at least about 0.5% (w/w) and no more than about 3.5% (w/w) UMP, such as at least about 0.5% (w/w) and no more than about 2.0% (w/w) UMP, for example, at least about 0.5% (w/w) and no more than about 1.0% (w/w) UMP in the formulation.
  • the formulation includes about 0.6% (w/w) UMP in the formulation.
  • the concentration of the UMP can be increased or reduced in the formulation as needed for optimization of the synergistic effect.
  • the formulation including the composition for mitigating head trauma can include any nutraceutically acceptable excipients needed for a multidose or single-dose dosage form suitable for at least enteral administration.
  • excipients include, but are not limited to, anti adherents, binders, coatings, colors, disintegrants, emulsifiers, flavors, glidants, lubricants, preservatives, sorbents, stabilizers, sweeteners, thickeners, vehicles, or combinations thereof.
  • the formulation can further include one or more emulsifiers, stabilizers, or thickeners selected from at least glycerin, gum arabic, xanthan gum, and guar gum.
  • emulsifiers, stabilizer, or thickener such as glycerin, gum arabic, xanthan gum, or guar gum can fulfill more than one role in an emulsion.
  • the glycerin when the composition is formulated into the oil-based emulsion with each of glycerin, gum arabic, xanthan gum, and guar gum, the glycerin can act as a thickener, the gum arabic can act as an emulsifier, stabilizer, or thickener, the xanthan gum can act as stabilizer or thickener, and the guar gum can act as an emulsifier, stabilizer, or thickener.
  • the formulation including the composition for mitigating head trauma can also include xylitol, fish oil (e.g., fish oil derived from anchovy, sardine, or mackerel), natural flavors, ascorbic acid, monk fruit extract, citric acid, an antioxidant blend (e.g., vitamin E as a-tocopherol, rosemary extract, and ascorbyl palmitate), beta carotene (for color), and sorbic acid.
  • fish oil e.g., fish oil derived from anchovy, sardine, or mackerel
  • natural flavors ascorbic acid
  • monk fruit extract e.g., monk fruit extract
  • citric acid e.g., an antioxidant blend
  • an antioxidant blend e.g., vitamin E as a-tocopherol, rosemary extract, and ascorbyl palmitate
  • beta carotene for color
  • sorbic acid e.g., sorbic acid
  • the formulation can include at least about 0.5% (w/w), 1.0% (w/w), 1.5% (w/w), 2.0% (w/w), 2.5% (w/w), 3.0% (w/w), 3.5% (w/w), 4.0% (w/w), 4.5% (w/w), or 5.0% (w/w) vitamin C, or an intervening concentration (e.g., 0.6% (w/w), 0.7% (w/w), 0.8% (w/w), or 0.9% (w/w) vitamin C) thereof, in the formulation.
  • an intervening concentration e.g., 0.6% (w/w), 0.7% (w/w), 0.8% (w/w), or 0.9% (w/w) vitamin C
  • the formulation can include no more than about 5.0% (w/w), 4.5% (w/w), 4.0% (w/w), 3.5% (w/w), 3.0% (w/w), 2.5% (w/w), 2.0% (w/w), 1.5% (w/w), 1.0% (w/w), or 0.5% (w/w) vitamin C, or an intervening concentration (e.g., 0.9% (w/w), 0.8% (w/w), 0.7% (w/w), or 0.6% (w/w) vitamin C) thereof, in the formulation.
  • an intervening concentration e.g., 0.9% (w/w), 0.8% (w/w), 0.7% (w/w), or 0.6% (w/w) vitamin C
  • the formulation can include vitamin C in a concentration range of at least about 0.5% (w/w) and no more than about 5.0% (w/w) vitamin C, which includes at least about 0.5% (w/w) and no more than about 3.5% (w/w) vitamin C, such as at least about 0.5% (w/w) and no more than about 2.0% (w/w) vitamin C, for example, at least about 0.5% (w/w) and no more than about 1.0% (w/w) vitamin C in the formulation.
  • the formulation includes about 0.6% (w/w) vitamin C in the formulation.
  • the formulation can include at least about 150 ppmw, 300 ppmw, 450 ppmw, 600 ppmw, 750 ppmw, or 900 ppmw, or an intervening concentration (e.g., 315 ppmw, 330 ppmw, 345 ppmw, 360 ppmw, 375 ppmw, 390 ppmw, 405 ppmw, 420 ppmw, 435 ppmw, or 450 ppmw vitamin E) thereof, in the formulation.
  • an intervening concentration e.g., 315 ppmw, 330 ppmw, 345 ppmw, 360 ppmw, 375 ppmw, 390 ppmw, 405 ppmw, 420 ppmw, 435 ppmw, or 450 ppmw vitamin E
  • the formulation can include no more than about 900 ppmw, 750 ppmw, 600 ppmw, 450 ppmw, 300 ppmw, or 150 ppmw vitamin E, or an intervening concentration (e.g., 450 ppmw, 435 ppmw, 420 ppmw, 405 ppmw, 390 ppmw, 375 ppmw, 360 ppmw, 345 ppmw, 330 ppmw, or 315 ppmw vitamin E) thereof, in the formulation.
  • an intervening concentration e.g., 450 ppmw, 435 ppmw, 420 ppmw, 405 ppmw, 390 ppmw, 375 ppmw, 360 ppmw, 345 ppmw, 330 ppmw, or 315 ppmw vitamin E
  • the formulation can include vitamin E in a concentration range of at least about 150 ppmw and no more than about 900 ppmw vitamin E, which includes at least about 150 ppmw and no more than about 750 ppmw vitamin E, such as at least about 150 ppmw and no more than about 600 ppmw vitamin E, for example, at least about 150 ppmw and no more than about 450 ppmw vitamin E in the formulation.
  • the formulation includes about 315 ppmw vitamin E in the formulation.
  • the formulation can be an emulsion including one or more co-3 fatty acids including EPA in a concentration of about 2.8% (w/w) and DHA in a concentration of about 1.9% (w/w); one or more curcuminoids including curcumin, demethoxycurcumin, and, optionally, bisdem ethoxy curcumin in a collective concentration of about 1.6% (w/w); /ra//.s-resveratrol in a concentration of about 1.3% (w/w); a-GPC in a concentration of about 0.9% (w/w); and EIMP in a concentration of about 0.6% (w/w) formulated for oral administration in about a 3 l .8-g (30-mL) dose.
  • co-3 fatty acids including EPA in a concentration of about 2.8% (w/w) and DHA in a concentration of about 1.9% (w/w)
  • curcuminoids including curcumin, demethoxycurcumin, and, optionally, bisdem ethoxy curcum
  • a single dose of the formulation for mitigating brain trauma can range from at least about 10 g and no more than about 100 g of the formulation, which range also includes intervening amounts of the formulation, for example, 31.8 g (30 mL) of the formulation.
  • various concentrations are set forth herein for the compounds in the formulation.
  • the formulation can include EPA in a concentration range of at least about 0.5% (w/w) and no more than about 5.0% (w/w) EPA (e.g., 2.8% (w/w) EPA); DHA in a concentration range of at least about 0.5% (w/w) and no more than about 5.0% (w/w) DHA (e.g., 2.0% (w/w) DHA); the one or more curcuminoids in a concentration range of at least about 0.5% (w/w) and no more than about 5.0% (w/w) of the one or more curcuminoids (e.g., 1.6% (w/w) of the one or more curcuminoids); /ra///.s-resveratrol in a concentration range of at least about 0.5% (w/w) and no more than about 5.0% (w/w) /ra///.s-resveratrol (e.g., 1.3% (w/w) /ra//.s-resveratrol);
  • Routine dimensional analysis for the foregoing example concentrations of the compounds in the example 3 l .8-g dose of the formulation provides about 900 mg of EPA, about 600 mg of DHA, about 500 mg of the one or more curcuminoids, about 400 mg of trans- resveratrol, about 300 mg of the a-GPC, and about 200 mg of EIMP in the 3 l .8-g dose of the formulation.
  • Such routine dimensional analysis for converting between concentrations and amounts is available in most general chemistry or analytical chemistry textbooks and is herby incorporated herein by reference.
  • any compound or compounds (e.g., the one or more curcuminoids) having a concentration set forth herein also has an associated amount for any single dose of the formulation set forth herein. Such amounts are not enumerated in view of expository expediency.
  • any two or more compounds having a concentration set forth herein also has an associated concentration-based ratio that can be routinely determined in accordance with basic mathematics. Such concentration-based ratios are not enumerated in view of expository expediency.
  • GPC GPC
  • EIMP of the formulation for mitigating brain trauma can be sourced from nature (e.g., a plant or animal extract) or synthesized.
  • Advantages of the formulation for mitigating brain trauma include providing nutritional building blocks and powerful antioxidants that increase cerebral blood flow, protect the brain from oxidative stress, and reduce neuroinflammation and post-traumatic loss of neurons following brain trauma, thereby lessening any acute damage associated with the brain trauma, especially concussion.
  • the formulation for mitigating brain trauma can assist in the neurological repair needed following such brain trauma.
  • the formulation for mitigating brain trauma stimulates the repair of nerve cells damaged as a result of brain trauma.
  • at least the DHA (along with other co-3 fatty acids), /ra//.s-resveratrol, and curcumin can stimulate repair of nerve cells damaged from brain trauma. Therefore, the formulation for mitigating brain trauma is useful for reducing the duration or severity of concussive symptoms and associated neurological damage from brain trauma.
  • FIG. 1 illustrates a packaged formulation 100 for mitigating brain trauma in accordance with some embodiments.
  • the packaged formulation 100 for mitigating brain trauma includes, in some embodiments, an oil-based emulsion 110 as set forth herein and a pouch 120 containing a single dose of the emulsion 110 when the pouch 120 is initially sealed.
  • the pouch 120 includes a bottom gusset 122 at a bottom portion of the pouch 120 configured to provide an inner space in the bottom portion of the pouch 120 to contain the emulsion 110.
  • the pouch also 120 includes a removable top piece 124 of a top portion of the pouch 120.
  • the removable top piece 124 is configured to be tom off the pouch 120 for access to the emulsion 110.
  • the pouch 120 includes a front side and a back side of a same or different flexible construction.
  • each side of the front side and the back side can be a laminate of one or more layers of polyester, nylon, aluminum, polypropylene, or polyethylene.
  • the polyester can provide a glossy, rigid layer that can be printed on
  • the nylon can provide puncture resistance
  • the aluminum can provide a thin, effective gas barrier
  • the polypropylene can be food-grade cast polypropylene, which can be used as a sealing layer
  • the polyethylene can be used instead of polypropylene as the sealing layer, as well as a bonding layer.
  • the pouch 120 is configured for squeezing the front side and the back side together to dispense the emulsion 110 from the pouch 120 once the removable top piece 124 is torn off the pouch 120.
  • the single dose of the emulsion 110 in the pouch 120 can be about 31.8 g (30 mL) including about 900 mg of EPA and about 600 mg of DHA for the one or more co-3 fatty acids, about 500 mg of the one or more curcuminoids including at least curcumin, demethoxycurcumin, and, optionally, bisdem ethoxy curcumin, and about 400 mg of the trans- resveratrol.
  • the emulsion 110 further includes about 300 mg of the a-GPC and about 200 mg of the UMP.
  • a method for mitigating brain trauma includes, in some embodiments, obtaining the pouch 120 containing a formulation sealed therein for mitigating brain trauma and administering the formulation per os to mitigate brain trauma.
  • the formulation can include a single dose of the oil-based emulsion 110 of one or more co-3 fatty acids, one or more curcuminoids, and trans- resveratrol.
  • the emulsion 110 further includes a-GPC and about UMP.
  • the method further includes tearing off the removable top piece 124 of the top portion of the pouch 120 and squeezing the front side and the back side of the pouch 120 together in a motion from the bottom portion of the pouch 120 to the top portion of the pouch 120 to dispense the formulation from the pouch 120.
  • the formulation for mitigating brain trauma that is sealed in the pouch 120 can include a single dose of the emulsion 110.
  • the emulsion 110 can include about 900 mg of EPA and about 600 mg of DHA for the one or more co-3 fatty acids, about 500 mg of the one or more curcuminoids including at least curcumin, demethoxycurcumin, and, optionally, bisdem ethoxy curcumin, and about 400 mg of the trans- resveratrol.
  • the emulsion 110 further includes about 300 mg of the a-GPC and about 200 mg of the UMP.
  • Administering the formulation to mitigate brain trauma can occur before participating in an activity having an increased incidence of brain trauma.
  • Such an activity can include, but is not limited to, sports such as boxing, football, hockey, soccer, lacrosse, or wrestling, in which sports a concussion is possible.
  • the formulation including the composition for mitigating brain trauma can be administered to an individual or self-administered by the individual a period of time up to about an hour before participating in the activity such as at least 5 minutes, 10 minutes, 15 minutes, 30 minutes, 45 minutes, or 60 minutes before participating in the activity.
  • the formulation including the composition for mitigating brain trauma can be administered to an individual or self-administered by the individual a period of time no more than about an hour before participating in the activity such as no more than 60 minutes, 45 minutes, 30 minutes, 15 minutes, 10 minutes, or 5 minutes before participating in the activity.
  • the formulation including the composition for mitigating brain trauma can be administered to the individual or self-administered by the individual a period of time up to about a day before participating in the activity such as at least 2 hours, 4 hours, 6 hours, 8 hours, 12 hours, 16 hours, 20 hours, or 24 hours before participating in the activity.
  • the formulation including the composition for mitigating brain trauma can be administered to the individual or self-administered by the individual a period of time no more than about a day before participating in the activity such as at least 2 hours, 4 hours, 6 hours, 8 hours, 12 hours, 16 hours, 20 hours, or 24 hours before participating in the activity.
  • Administering the formulation to mitigate brain trauma can occur while participating in an activity having an increased incidence of brain trauma.
  • an activity can include, but is not limited to, sports such as boxing, football, hockey, soccer, lacrosse, or wrestling, in which sports.
  • the formulation including the composition for mitigating brain trauma can be administered to an individual or self-administered by the individual during a break in the activity such as between rounds of a boxing match, during halftime in a game of football, during intermission in a game of hockey, or the like.
  • Administering the formulation to mitigate brain trauma can occur after participating in an activity having an increased incidence of brain trauma or even after sustaining brain trauma.
  • an activity can include, but is not limited to, sports such as boxing, football, hockey, soccer, lacrosse, or wrestling, in which sports a concussion is possible.
  • the formulation including the composition for mitigating brain trauma can be administered to an individual or self-administered by the individual a period of time up to about an hour after participating in the activity or sustaining brain trauma such as at least 5 minutes, 10 minutes, 15 minutes, 30 minutes, 45 minutes, or 60 minutes after participating in the activity or sustaining brain trauma.
  • the formulation including the composition for mitigating brain trauma can be administered to an individual or self-administered by the individual a period of time no more than about an hour after participating in the activity or sustaining brain trauma such as no more than 60 minutes, 45 minutes, 30 minutes, 15 minutes, 10 minutes, or 5 minutes after participating in the activity or sustaining brain trauma.
  • the formulation including the composition for mitigating brain trauma can be administered to the individual or self-administered by the individual a period of time up to about a day after participating in the activity or sustaining brain trauma such as at least 2 hours, 4 hours, 6 hours, 8 hours, 12 hours, 16 hours, 20 hours, or 24 hours after participating in the activity or sustaining brain trauma.
  • the formulation including the composition for mitigating brain trauma can be administered to the individual or self-administered by the individual a period of time no more than about a day after participating in the activity or sustaining brain trauma such as at least 2 hours, 4 hours, 6 hours, 8 hours, 12 hours, 16 hours, 20 hours, or 24 hours before participating in the activity or sustaining brain trauma.
  • Administering the formulation to mitigate brain trauma can occur a number of times a day before participating in an activity having an increased incidence of brain trauma, while participating in a same or different activity having an increased incidence of brain trauma, after participating in yet another same or different activity having an increased incidence of brain trauma, or a combination thereof.
  • the number of times a day the formulation can be administered to mitigate brain trauma can include at least 1, 2, 3, 4, 5, 6, 7, 8, 9, or 10 times per day.
  • the number of times a day the formulation can be administered to mitigate brain trauma can include no more than 10, 9, 8, 7, 6, 5, 4, 3, 2, or 1 time per day.
  • the number of times a day the formulation can be administered to mitigate brain trauma can include at least 1 time to no more than 10 times per day, which includes at least 1 time to no more than 8 times per day, such as at least about 1 time to no more than about 6 times per day, for example, at least about 1 time to no more than about 4 times per day.
  • Each time of the number of times the formulation is administered can include administration of one or more single doses of the formulation, optionally, from one or more pouches such as the pouch 120.

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Abstract

A formulation for mitigating brain trauma that can include one or more co-3 fatty acids, one or more curcuminoids, trans- resveratrol, α-glycerylphosphorylcholine ("α-GPC"), and uridine-5' -monophosphate ("UMP"). The formulation can be an oil-based emulsion including the one or more co-3 fatty acids, the one or more curcuminoids, the trans-resveratrol, the α- GPC, and the UMP for oral administration. A packaged formulation for mitigating brain trauma can include a sealed pouch containing a single dose of the oil-based emulsion including the one or more ω-3 fatty acids, the one or more curcuminoids, trans-resveratrol, α-GPC, and UMP. A method for mitigating brain trauma can include administering the formulation before participating in an activity having an increased incidence of brain trauma, after participating in an activity having an increased incidence of brain trauma, or after sustaining brain trauma.

Description

COMPOSITIONS FOR MITIGATING BRAIN TRAUMA AND METHODS
THEREOF
PRIORITY
[0001] This application claims the priority benefit to U.S. Patent Application No.
16/030,546, filed July 9, 2018, which is incorporated by reference in its entirety into this application.
BACKGROUND
[0002] A traumatic brain injury (“TBI”) occurs when an external mechanical force such as a violent blow or jolt to the head causes brain dysfunction. Certain types of events are known to be more likely to cause TBIs including falls, collisions, fights, abuse, sports, explosive blasts, or the like. A TBI from one or more of such events can result in bruising of the brain; tom tissues in the brain; nerve damage; blood vessel damage leading to bleeding in or around the brain; fluid buildup in the cerebral ventricles of the brain; or even death. Long-term complications of TBIs can include cognitive problems such as issues with problem-solving and organization skills, as well as social and behavioral problems.
[0003] A TBI can be mild, moderate, or severe with symptoms dependent upon the severity of the trauma. A mild TBI, or concussion, can cause an injured person to experience physical symptoms such as headache, loss of consciousness, or nausea. With a moderate or severe TBI, an injured person can experience seizures or fall into a coma or a vegetative state. The severity of a TBI can be influenced by one or more factors including what part of the head was directly impacted, whether the brain moved back and forth in the skull upon impact, whether cellular structures were tom as a result of a severe rotational or spinning jolt, whether an object penetrated the skull, whether bleeding in or around the brain occurred, or the like.
[0004] Current measures for preventing or mitigating TBIs include physical measures such as buckling a seatbelt while riding in an automobile, cleaning a spill to avoid slipping in the spill, and wearing proper protective equipment (e.g., helmets) when participating in sporting events. However, there is currently a lack of remedial measures for mitigating brain trauma. As such, provided herein are compositions for mitigating brain trauma and methods thereof. SUMMARY
[0005] Disclosed herein is a formulation for mitigating brain trauma including, in some embodiments, one or more co-3 fatty acids, one or more curcuminoids, /ra//.s-resveratrol, a-glycerylphosphoryl choline (“a-GPC”), and uridine-5’ -monophosphate (“UMP”). The formulation is an oil-based emulsion including the one or more co-3 fatty acids, the one or more curcuminoids, the trans- resveratrol, the a-GPC, and the UMP for oral administration.
[0006] In some embodiments, the one or more co-3 fatty acids include eicosapentaenoic acid (“EPA”) in a concentration of about 2.8% (w/w) and docosahexaenoic acid (“DHA”) in a concentration of about 1.9% (w/w) in the formulation.
[0007] In some embodiments, the one or more curcuminoids have a collective concentration of about 1.6% (w/w) in the formulation.
[0008] In some embodiments, the one or more curcuminoids include curcumin, demethoxycurcumin, and bisdemethoxycurcumin. The curcumin has a concentration of at least about 75% (w/w) in the one or more curcuminoids.
[0009] In some embodiments, the /ra//.s-resveratrol has a concentration of about 1.3%
(w/w) in the formulation.
[0010] In some embodiments, the a-GPC has a concentration of about 0.9% (w/w) in the formulation.
[0011] In some embodiments, the UMP has a concentration of about 0.6% (w/w) in the formulation.
[0012] In some embodiments, the formulation further includes one or more emulsifiers, stabilizers, or thickeners selected from glycerin, gum arabic, xanthan gum, and guar gum.
[0013] In some embodiments, the formulation further includes xylitol, fish oil, natural flavors, ascorbic acid, monk fruit extract, citric acid, antioxidant blend, beta carotene, and sorbic acid.
[0014] In some embodiments, the formulation further includes one or more emulsifiers, stabilizers, or thickeners selected from glycerin, gum arabic, xanthan gum, and guar gum. The one or more co-3 fatty acids include EPA in a concentration of about 2.8% (w/w) and DHA in a concentration of about 1.9% (w/w) in the formulation. The one or more curcuminoids include curcumin, demethoxycurcumin, and bisdem ethoxy curcumin in a collective concentration of about 1.6% (w/w) in the formulation. The /ra//.s-resveratrol has a concentration of about 1.3% (w/w) in the formulation. The a-GPC has a concentration of about 0.9% (w/w) in the formulation. The UMP has a concentration of about 0.6% (w/w) in the formulation.
[0015] Also disclosed herein is a packaged formulation for mitigating brain trauma including, in some embodiments, an oil-based emulsion and a sealed pouch containing a single dose of the emulsion. The emulsion includes one or more co-3 fatty acids, one or more curcuminoids, trans- resveratrol, a-GPC, and UMP.
[0016] In some embodiments, the pouch includes a bottom gusset configured to provide an inner space near a bottom of the pouch to contain the emulsion.
[0017] In some embodiments, the pouch includes a removable top piece of a top portion of the pouch configured to be torn off the pouch for access to the emulsion.
[0018] In some embodiments, the pouch includes a front side and a back side of a flexible material configured for squeezing the front and back sides of the pouch together to dispense the emulsion.
[0019] In some embodiments, the single dose of the emulsion is about 31.8 g including about 900 mg of EPA and about 600 mg of DHA for the one or more co-3 fatty acids, about 500 mg of the one or more curcuminoids including at least curcumin, demethoxycurcumin, and bisdem ethoxy curcumin, about 400 mg of the trans- resveratrol, about 300 mg of the a-GPC, and about 200 mg of the UMP. The pouch includes a bottom gusset configured to provide an inner space near a bottom of the pouch to contain the emulsion. The pouch includes a removable top piece of a top portion of the pouch configured to be tom off the pouch for access to the emulsion. The pouch includes a front side and a back side of a flexible material configured for squeezing the front and back sides of the pouch together to dispense the emulsion for oral administration.
[0020] Also disclosed is a method for mitigating brain trauma including, in some embodiments, obtaining a sealed pouch containing a formulation for mitigating brain trauma and administering the formulation per os to mitigate brain trauma. The formulation is an oil- based emulsion including one or more co-3 fatty acids, one or more curcuminoids, trans- resveratrol, a-GPC, and UMP for oral administration.
[0021] In some embodiments, administering the formulation occurs before participating in an activity having an increased incidence of brain trauma.
[0022] In some embodiments, administering the formulation occurs after sustaining brain trauma or participating in an activity having an increased incidence of brain trauma.
[0023] In some embodiments, the method further includes tearing off a removable top piece of a top portion of the pouch and squeezing a front side and a back side of the pouch together in a motion from a bottom portion of the pouch to the top portion of the pouch to dispense the formulation from the pouch.
[0024] In some embodiments, the method further includes tearing off a removable top piece of a top portion of the pouch and squeezing a front side and a back side of the pouch together in a motion from a bottom portion of the pouch to the top portion of the pouch to dispense the formulation from the pouch. The pouch includes a single dose of the formulation for mitigating brain trauma including about 900 mg of EPA and about 600 mg of DHA for the one or more co-3 fatty acids, about 500 mg of the one or more curcuminoids including at least curcumin, demethoxycurcumin, and bisdem ethoxy curcumin, about 400 mg of the trans- resveratrol, about 300 mg of the a-GPC, and about 200 mg of the EIMP.
[0025] These and other features of the concepts provided herein will become more apparent to those of skill in the art in view of the accompanying drawings and following description, which disclose particular embodiments of such concepts in greater detail.
DRAWINGS
[0026] FIG. 1 illustrates a packaged formulation for mitigating brain trauma in accordance with some embodiments.
DESCRIPTION
[0027] Before some particular embodiments are disclosed in greater detail, it should be understood that the particular embodiments disclosed herein do not limit the scope of the concepts provided herein. It should also be understood that a particular embodiment disclosed herein can have features that can be readily separated from the particular embodiment and optionally combined with or substituted for features of any of a number of other embodiments disclosed herein.
[0028] Regarding terms used herein, it should also be understood the terms are for the purpose of describing some particular embodiments, and the terms do not limit the scope of the concepts provided herein. Ordinal numbers (e.g., first, second, third, etc.) are generally used to distinguish or identify different features or steps in a group of features or steps, and do not supply a serial or numerical limitation. For example,“first,”“second,” and“third” features or steps need not necessarily appear in that order, and the particular embodiments including such features or steps need not necessarily be limited to the three features or steps. Labels such as “front,”“back,”“top,”“bottom,” and the like are used for convenience and are not intended to imply, for example, any particular fixed location, orientation, or direction. Instead, such labels are used to reflect, for example, relative location, orientation, or directions. Singular forms of “a,”“an,” and“the” include plural references unless the context clearly dictates otherwise.
[0029] “About,” as in about a particular amount, concentration, or the like of a component in the composition or formulation for mitigating head trauma, is intended to reflect the particular amount or concentration of the component in the composition or formulation is within rounding or measurement uncertainty as it is defined in metrology. For example, a single dose of the formulation described herein for mitigating head trauma can be“about 31.8 g,” which can include 31.79 g to 31.81 g of the formulation due to at least rounding.
[0030] Oil-based,” as in an“oil-based emulsion,” indicates the oil-based emulsion has a dispersed phase of an oil (e.g., fish oil) and a continuous phase of an immiscible liquid such as water.
[0031] Abbreviations, initialisms, acronyms, or the like used herein include eicosapentaenoic acid (“EPA”), docosahexaenoic acid (“DHA”), a-glycerylphosphorylcholine (“a-GPC”), parts per million by weight (“ppmw”), traumatic brain injury (“TBI”), and uridine- 5’ -monophosphate (“UMP”). Other abbreviations, initialisms, acronyms, or the like are provided herein upon usage.
[0032] Unless defined otherwise, all technical and scientific terms used herein have the same meaning as commonly understood by those of ordinary skill in the art. [0033] Again, current measures for preventing or mitigating TBIs include physical measures. However, there is currently a lack of remedial measures for mitigating brain trauma. As such, provided herein are compositions for mitigating brain trauma and methods thereof.
Compositions and formulations thereof
[0034] A composition for mitigating brain trauma includes, in some embodiments, one or more co-3 fatty acids, one or more curcuminoids, and /ra//.s-resveratrol . Optionally, the composition can further include a-GPC, UMP, or both a-GPC and UMP. The composition mitigates brain trauma by providing brain health in the form of neuroprotective support including axonal protection. The composition also supports cognition, memory, and concentration.
[0035] The composition for mitigating brain trauma can be formulated into any administrable formulation that provides sufficient plasma levels of the compounds (e.g., EPA, DHA, curcumin, and trans- resveratrol) in the composition to mitigate brain trauma upon administration of one or more doses of the formulation. In addition to the composition, the formulation can include any nutraceutically acceptable excipients needed for a multidose or single-dose dosage form suitable for at least enteral administration such as oral, lingual, sublingual, or buccal administration. The multidose dosage form can be a bulk powder, paste, suspension, emulsion, or solution including the composition. The single-dose dosage form can be a pre-measured amount of the powder; a pill, tablet, or capsule including effervescent, chewable, and orally disintegrating forms thereof; a pre-cut, orally disintegrating thin film; a pre-measured amount of the paste; or a pre-measured amount of the suspension, emulsion, or solution. For example, the composition can be formulated into an oil-based emulsion for oral administration, which emulsion can be pre-measured and packaged in a pouch as a single dose. (See FIG. 1.) Oral administration is advantageous due to its convenience and ease of implementation.
[0036] With respect to dosage, a single dose of the formulation including the composition for mitigating brain trauma can include at least about 10 g, 20 g, 30 g, 40 g, 50 g, 60 g, 70 g, 80 g, 90 g, or 100 g, or an intervening amount (e.g., 31 g, 32 g, 33 g, 34 g, of 35 g), of the formulation for an average sized man or woman. Alternatively, a single dose of the formulation including the composition for mitigating brain trauma can include no more than about 100 g, 90 g, 80 g, 70 g, 60 g, 50 g, 40 g, 30 g, 20 g, or 10 g, or an intervening amount (e.g., 35 g, 34 g, 33 g, 32 g, of 31 g), of the formulation. As such, a single dose of the formulation including the composition for mitigating brain trauma can include at least about 10 g and no more than about 100 g of the formulation, which includes at least about 20 g and no more than about 70 g of the formulation, such as at least about 30 g and no more than about 40 g of the formulation, for example, at least about 30 g and no more than about 35 g of the formulation. In some embodiments, a single dose of the formulation including the composition for mitigating brain trauma is 31.8 g (30 mL) of the formulation.
Omega-3 fatty acids
[0037] The one or more co-3 fatty acids in the composition for mitigating brain trauma can include, but are not limited to, EPA and DHA. For example, the co-3 fatty acids can further include hexadecatrienoic acid (“HTA”), a-linolenic acid (“ALA”), stearidonic acid (“SDA”), eicosatrienoic acid (“ETE”), eicosatetraenoic acid (“ETA”), heneicosapentaenoic acid (“HP A”), docosapentaenoic acid (“DP A”), tetracosapentaenoic acid, or tetracosahexaenoic acid (nisinic acid), structural analogs including isomers such as geometric isomers of the foregoing, oligomers such as dimers of the foregoing, or chemical derivatives, salts, hydrates, or solvates of the foregoing. ALA is important in some embodiments as each co-3 fatty acid of EPA and DHA can be biosynthesized from ALA. The efficiency of such a conversion can be relatively low, which is why EPA and DHA are included in at least some embodiments of the composition for mitigating brain trauma.
[0038] Both EPA and DHA are precursors to resolvins and protectins, which orchestrate inflammation recovery. Numerous body functions are attributed to at least DHA including neuronal processes such as neurogenesis, neuroplasticity, neurite outgrowth, synaptogenesis, and membrane fluidity. Indeed, administration of long-chain co-3 fatty acids such as EPA and DHA has been found to promote neurogenesis and exert a neurotrophic effect. DHA increases cerebral blood flow and regulates glucose transport and uptake. DHA also affects biomarkers such as plasma fatty acids and serum neurofilament light (“NfL”), a biomarker of trauma. DHA has been shown to attenuate damage to axons when ingested before an injury. Indeed, it has been found a rich concentration of DHA is associated with a reduced number of injured axons in vulnerable populations. Therefore, co-3 fatty acids such as EPA and DHA provide a neuroprotective effect, as it relates to axonal injury, which is known as the central mechanism in mild TBI.
[0039] With respect to the EPA in the formulation, the formulation can include at least about 0.5% (w/w), 1.0% (w/w), 1.5% (w/w), 2.0% (w/w), 2.5% (w/w), 3.0% (w/w), 3.5% (w/w), 4.0% (w/w), 4.5% (w/w), or 5.0% (w/w) EPA, or an intervening concentration (e.g., 2.6% (w/w), 2.7% (w/w), 2.8% (w/w), or 2.9% (w/w) EPA) thereof, in the formulation. Alternatively, the formulation can include no more than about 5.0% (w/w), 4.5% (w/w), 4.0% (w/w), 3.5% (w/w), 3.0% (w/w), 2.5% (w/w), 2.0% (w/w), 1.5% (w/w), 1.0% (w/w), or 0.5% (w/w) EPA, or an intervening concentration (e.g., 2.9% (w/w), 2.8% (w/w), 2.7% (w/w), or 2.6% (w/w) EPA) thereof, in the formulation. As such, the formulation can include EPA in a concentration range of at least about 0.5% (w/w) and no more than about 5.0% (w/w) EPA, which includes at least about 1.0% (w/w) and no more than about 4.0% (w/w) EPA, such as at least about 1.5% (w/w) and no more than about 3.0% (w/w) EPA, for example, at least about 2.5% (w/w) and no more than about 3.0% (w/w) EPA in the formulation. In some embodiments, for example, the formulation includes about 2.8% (w/w) EPA in the formulation. Depending upon the mechanism by which the EPA combined with, for example, the DHA, the one or more curcuminoids, the trans- resveratrol, the a-GPC, or the EGMR, produces the synergistic effect of the formulation for mitigating brain trauma, the concentration of the EPA can be increased or reduced in the formulation as needed for optimization of the synergistic effect. (See Jia, Jia, et al. “Mechanisms of drug combinations: interaction and network perspectives.” Nature reviews Drug discovery 8.2 (2009): 111.)
[0040] With respect to the DHA in the formulation, the formulation can include at least about 0.5% (w/w), 1.0% (w/w), 1.5% (w/w), 2.0% (w/w), 2.5% (w/w), 3.0% (w/w), 3.5% (w/w), 4.0% (w/w), 4.5% (w/w), or 5.0% (w/w) DHA, or an intervening concentration (e.g., 1.6% (w/w), 1.7% (w/w), 1.8% (w/w), or 1.9% (w/w) DHA) thereof, in the formulation. Alternatively, the formulation can include no more than about 5.0% (w/w), 4.5% (w/w), 4.0% (w/w), 3.5% (w/w), 3.0% (w/w), 2.5% (w/w), 2.0% (w/w), 1.5% (w/w), 1.0% (w/w), or 0.5% (w/w) DHA, or an intervening concentration (e.g., 1.9% (w/w), 1.8% (w/w), 1.7% (w/w), or 1.6% (w/w) DHA) thereof, in the formulation. As such, the formulation can include DHA in a concentration range of at least about 0.5% (w/w) and no more than about 5.0% (w/w) DHA, which includes at least about 1.0% (w/w) and no more than about 4.0% (w/w) DHA, such as at least about 1.5% (w/w) and no more than about 3.0% (w/w) DHA, for example, at least about 1.5% (w/w) and no more than about 2.0% (w/w) DHA in the formulation. In some embodiments, for example, the formulation includes about 1.9% (w/w) DHA in the formulation. Depending upon the mechanism by which the DHA combined with, for example, the EPA, the one or more curcuminoids, the trans- resveratrol, the a-GPC, or the EIMP, produces the synergistic effect of the formulation for mitigating brain trauma, the concentration of the DHA can be increased or reduced in the formulation as needed for optimization of the synergistic effect.
Curcuminoids
[0041] The one or more curcuminoids in the composition for mitigating brain trauma can include, but are not limited to, curcumin, demethoxycurcumin, and, optionally, bisdemethoxycurcumin. For example, the one or more curcuminoids can further include additional structural analogs of curcumin other than demethoxycurcumin and bisdemethoxycurcumin including isomers such as geometric isomers, oligomers such as dimers, or chemical derivatives, salts, hydrates, or solvates of the foregoing. With respect to at least the curcumin, demethoxycurcumin, and, bisdemethoxycurcumin, the curcumin can have a concentration of at least about 75% (w/w) in the one or more curcuminoids, the demethoxycurcumin can have a concentration of at least about 15% (w/w) in the one or more curcuminoids, and, when present, the bisdemethoxycurcumin can have a concentration of at least about 2.5% (w/w) in the one or more curcuminoids. The one or more curcuminoids can be extracted from turmeric root (e.g., Curcuma longa or Curcuma zedoaria ), which is known to contain up to at least 95% curcuminoids.
[0042] Polyphenols such as curcumin, demethoxycurcumin, and bisdemethoxycurcumin combat oxidative stress associated with neurons, thereby providing neuroprotective benefits. Mechanisms associated with such neuroprotection include reducing monocyte chemoattractant protein 1 (“MCP1”) production as shown in different cell lines. Additionally, such polyphenols decrease messenger ribonucleic acid (“mRNA”) expression of MCP1, interleukin l-b, and interleukin-6, as well as ameliorate enhanced expression of ionized calcium binding in the hippocampus. Polyphenols such as curcumin, demethoxycurcumin, and bisdemethoxycurcumin also ameliorate the effects of chronic stress through reduction of cyclooxygenase-2 (“COX-2”) levels, thereby contributing antioxidant potential and neuroprotective effects by way of free-radical scavenging. At least curcumin has been shown to increase serum activities of antioxidants (e.g., superoxide dismutase [“SOD”]) and modulate glutathione (“GSH”), catalase, and SOD activity. Polyphenols such as curcumin, demethoxycurcumin, and bisdemethoxycurcumin also improve cognitive function including memory as evidenced by recall tests, picture-recognition tests, and various recall evaluations. In one example, the intake of curcumin among other curcuminoids within a predetermined time period prior to brain trauma reduces cerebral edema, which can develop as a result of inflammation caused by TBI.
[0043] With respect to the one or more curcuminoids in the formulation, the formulation can collectively include at least about 0.5% (w/w), 1.0% (w/w), 1.5% (w/w), 2.0% (w/w), 2.5% (w/w), 3.0% (w/w), 3.5% (w/w), 4.0% (w/w), 4.5% (w/w), or 5.0% (w/w) of the one or more curcuminoids, or an intervening concentration (e.g., 1.6% (w/w), 1.7% (w/w), 1.8% (w/w), or 1.9% (w/w) of the one or more curcuminoids) thereof, in the formulation. Alternatively, the formulation can include no more than about 5.0% (w/w), 4.5% (w/w), 4.0% (w/w), 3.5% (w/w), 3.0% (w/w), 2.5% (w/w), 2.0% (w/w), 1.5% (w/w), 1.0% (w/w), or 0.5% (w/w) of the one or more curcuminoids, or an intervening concentration (e.g., 1.9% (w/w), 1.8% (w/w), 1.7% (w/w), or 1.6% (w/w) of the one or more curcuminoids) thereof, in the formulation. As such, the formulation can include the one or more curcuminoids in a concentration range of at least about 0.5% (w/w) and no more than about 5.0% (w/w) of the one or more curcuminoids, which includes at least about 1.0% (w/w) and no more than about 4.0% (w/w) of the one or more curcuminoids, such as at least about 1.0% (w/w) and no more than about 3.0% (w/w) of the one or more curcuminoids, for example, at least about 1.0% (w/w) and no more than about 2.0% (w/w) of the one or more curcuminoids in the formulation. In some embodiments, for example, the formulation includes about 1.6% (w/w) of the one or more curcuminoids in the formulation. Depending upon the mechanism by which the one or more curcuminoids combined with, for example, the EPA, the DHA, the /ra//.s-resveratrol, the a-GPC, or the UMP, produces the synergistic effect of the formulation for mitigating brain trauma, the concentration of the one or more curcuminoids can be increased or reduced in the formulation as needed for optimization of the synergistic effect.
Resveratrol
[0044] The resveratrol in the composition for mitigating brain trauma can include, but is not limited to, trans- resveratrol. For example, the resveratrol can further include structural analogs of resveratrol including isomers such as geometric isomers (e.g., c/.s-resveratrol ), oligomers of resveratrol such as dimers (e.g., restrytisol A, B, or C; resveratrol trans- dehydrodimer; leachinol F; or pallidol), or chemical derivatives (e.g., resveratrol 3-O-beta-D- glucoside), salts, hydrates, or solvates of the foregoing.
[0045] Trans- resveratrol improves memory performance and hippocampal function.
Indeed, daily intake of trans- resveratrol has shown increases in hippocampal functional connectivity associated with memory retention scores of patients ingesting the trans- resveratrol. Furthermore, proinflammatory cytokine concentration is reduced with trans- resveratrol, which is beneficial to reduce interleukin l-b and tumor necrosis factor, each of which negatively impacts the central nervous system. In vivo and in vitro models have shown trans- resveratrol inhibits free radical formation and cyclooxygenase- 1 (“COX-l”) activity.
[0046] With respect to the /ra//.s-resveratrol in the formulation, the formulation can include at least about 0.5% (w/w), 1.0% (w/w), 1.5% (w/w), 2.0% (w/w), 2.5% (w/w), 3.0% (w/w), 3.5% (w/w), 4.0% (w/w), 4.5% (w/w), or 5.0% (w/w) /ra//.s-resveratrol, or an intervening concentration (e.g., 1.1% (w/w), 1.2% (w/w), 1.3% (w/w), or 1.4% (w/w) trans- resveratrol) thereof, in the formulation. Alternatively, the formulation can include no more than about 5.0% (w/w), 4.5% (w/w), 4.0% (w/w), 3.5% (w/w), 3.0% (w/w), 2.5% (w/w), 2.0% (w/w), 1.5% (w/w), 1.0% (w/w), or 0.5% (w/w) /ra//.s-resveratrol, or an intervening concentration (e.g., 1.4% (w/w), 1.3% (w/w), 1.2% (w/w), or 1.1% (w/w) /ra//.s-resveratrol) thereof, in the formulation. As such, the formulation can include /ra//.s-resveratrol in a concentration range of at least about 0.5% (w/w) and no more than about 5.0% (w/w) trans- resveratrol, which includes at least about 1.0% (w/w) and no more than about 4.0% (w/w) /ra//.s-resveratrol, such as at least about 1.0% (w/w) and no more than about 3.0% (w/w) trans- resveratrol, for example, at least about 1.0% (w/w) and no more than about 2.0% (w/w) trans- resveratrol in the formulation. In some embodiments, for example, the formulation includes about 1.3% (w/w) /ra//.s-resveratrol in the formulation. Depending upon the mechanism by which the /ra//.s-resveratrol combined with, for example, the EPA, the DHA, the one or more curcuminoids, the a-GPC, or the UMP, produces the synergistic effect of the formulation for mitigating brain trauma, the concentration of the trans- resveratrol can be increased or reduced in the formulation as needed for optimization of the synergistic effect. a-glycerylphosphorylcholine
[0047] With respect to the a-GPC in the formulation, the formulation can include at least about 0.5% (w/w), 1.0% (w/w), 1.5% (w/w), 2.0% (w/w), 2.5% (w/w), 3.0% (w/w), 3.5% (w/w), 4.0% (w/w), 4.5% (w/w), or 5.0% (w/w) a-GPC, or an intervening concentration (e.g., 0.6% (w/w), 0.7% (w/w), 0.8% (w/w), or 0.9% (w/w) a-GPC) thereof, in the formulation. Alternatively, the formulation can include no more than about 5.0% (w/w), 4.5% (w/w), 4.0% (w/w), 3.5% (w/w), 3.0% (w/w), 2.5% (w/w), 2.0% (w/w), 1.5% (w/w), 1.0% (w/w), or 0.5% (w/w) a-GPC, or an intervening concentration (e.g., 0.9% (w/w), 0.8% (w/w), 0.7% (w/w), or 0.6% (w/w) a-GPC) thereof, in the formulation. As such, the formulation can include a-GPC in a concentration range of at least about 0.5% (w/w) and no more than about 5.0% (w/w) a- GPC, which includes at least about 0.5% (w/w) and no more than about 3.5% (w/w) a-GPC, such as at least about 0.5% (w/w) and no more than about 2.0% (w/w) a-GPC, for example, at least about 0.5% (w/w) and no more than about 1.0% (w/w) a-GPC in the formulation. In some embodiments, for example, the formulation includes about 0.9% (w/w) a-GPC in the formulation. Depending upon the mechanism by which the a-GPC combined with, for example, the EPA, the DHA, the one or more curcuminoids, the trans- resveratrol, or the UMP, produces the synergistic effect of the formulation for mitigating brain trauma, the concentration of the a-GPC can be increased or reduced in the formulation as needed for optimization of the synergistic effect.
Uridine-5’-monophosphate
[0048] UMP provides bioavailable uridine, which, together with at least the DHA, enhances learning and memory.
[0049] With respect to the UMP in the formulation, the formulation can include at least about 0.5% (w/w), 1.0% (w/w), 1.5% (w/w), 2.0% (w/w), 2.5% (w/w), 3.0% (w/w), 3.5% (w/w), 4.0% (w/w), 4.5% (w/w), or 5.0% (w/w) UMP, or an intervening concentration (e.g., 0.6% (w/w), 0.7% (w/w), 0.8% (w/w), or 0.9% (w/w) UMP) thereof, in the formulation. Alternatively, the formulation can include no more than about 5.0% (w/w), 4.5% (w/w), 4.0% (w/w), 3.5% (w/w), 3.0% (w/w), 2.5% (w/w), 2.0% (w/w), 1.5% (w/w), 1.0% (w/w), or 0.5% (w/w) UMP, or an intervening concentration (e.g., 0.9% (w/w), 0.8% (w/w), 0.7% (w/w), or 0.6% (w/w) UMP) thereof, in the formulation. As such, the formulation can include UMP in a concentration range of at least about 0.5% (w/w) and no more than about 5.0% (w/w) UMP, which includes at least about 0.5% (w/w) and no more than about 3.5% (w/w) UMP, such as at least about 0.5% (w/w) and no more than about 2.0% (w/w) UMP, for example, at least about 0.5% (w/w) and no more than about 1.0% (w/w) UMP in the formulation. In some embodiments, for example, the formulation includes about 0.6% (w/w) UMP in the formulation. Depending upon the mechanism by which the UMP combined with, for example, the EPA, the DHA, the one or more curcuminoids, the trans- resveratrol, or the a-GPC, produces the synergistic effect of the formulation for mitigating brain trauma, the concentration of the UMP can be increased or reduced in the formulation as needed for optimization of the synergistic effect. Nutraceutically acceptable excipients
[0050] As set forth above, the formulation including the composition for mitigating head trauma can include any nutraceutically acceptable excipients needed for a multidose or single-dose dosage form suitable for at least enteral administration. Such excipients include, but are not limited to, anti adherents, binders, coatings, colors, disintegrants, emulsifiers, flavors, glidants, lubricants, preservatives, sorbents, stabilizers, sweeteners, thickeners, vehicles, or combinations thereof.
[0051] When the composition is formulated into an oil-based emulsion for oral administration, the formulation can further include one or more emulsifiers, stabilizers, or thickeners selected from at least glycerin, gum arabic, xanthan gum, and guar gum. An emulsifier, stabilizer, or thickener such as glycerin, gum arabic, xanthan gum, or guar gum can fulfill more than one role in an emulsion. For example, when the composition is formulated into the oil-based emulsion with each of glycerin, gum arabic, xanthan gum, and guar gum, the glycerin can act as a thickener, the gum arabic can act as an emulsifier, stabilizer, or thickener, the xanthan gum can act as stabilizer or thickener, and the guar gum can act as an emulsifier, stabilizer, or thickener.
[0052] In addition to the emulsifiers, stabilizers, or thickeners, selected from glycerin, gum arabic, xanthan gum, and guar gum, the formulation including the composition for mitigating head trauma can also include xylitol, fish oil (e.g., fish oil derived from anchovy, sardine, or mackerel), natural flavors, ascorbic acid, monk fruit extract, citric acid, an antioxidant blend (e.g., vitamin E as a-tocopherol, rosemary extract, and ascorbyl palmitate), beta carotene (for color), and sorbic acid.
[0053] With respect to the ascorbic acid, or vitamin C, in the formulation, the formulation can include at least about 0.5% (w/w), 1.0% (w/w), 1.5% (w/w), 2.0% (w/w), 2.5% (w/w), 3.0% (w/w), 3.5% (w/w), 4.0% (w/w), 4.5% (w/w), or 5.0% (w/w) vitamin C, or an intervening concentration (e.g., 0.6% (w/w), 0.7% (w/w), 0.8% (w/w), or 0.9% (w/w) vitamin C) thereof, in the formulation. Alternatively, the formulation can include no more than about 5.0% (w/w), 4.5% (w/w), 4.0% (w/w), 3.5% (w/w), 3.0% (w/w), 2.5% (w/w), 2.0% (w/w), 1.5% (w/w), 1.0% (w/w), or 0.5% (w/w) vitamin C, or an intervening concentration (e.g., 0.9% (w/w), 0.8% (w/w), 0.7% (w/w), or 0.6% (w/w) vitamin C) thereof, in the formulation. As such, the formulation can include vitamin C in a concentration range of at least about 0.5% (w/w) and no more than about 5.0% (w/w) vitamin C, which includes at least about 0.5% (w/w) and no more than about 3.5% (w/w) vitamin C, such as at least about 0.5% (w/w) and no more than about 2.0% (w/w) vitamin C, for example, at least about 0.5% (w/w) and no more than about 1.0% (w/w) vitamin C in the formulation. In some embodiments, for example, the formulation includes about 0.6% (w/w) vitamin C in the formulation.
[0054] With respect to the vitamin E in the formulation, the formulation can include at least about 150 ppmw, 300 ppmw, 450 ppmw, 600 ppmw, 750 ppmw, or 900 ppmw, or an intervening concentration (e.g., 315 ppmw, 330 ppmw, 345 ppmw, 360 ppmw, 375 ppmw, 390 ppmw, 405 ppmw, 420 ppmw, 435 ppmw, or 450 ppmw vitamin E) thereof, in the formulation. Alternatively, the formulation can include no more than about 900 ppmw, 750 ppmw, 600 ppmw, 450 ppmw, 300 ppmw, or 150 ppmw vitamin E, or an intervening concentration (e.g., 450 ppmw, 435 ppmw, 420 ppmw, 405 ppmw, 390 ppmw, 375 ppmw, 360 ppmw, 345 ppmw, 330 ppmw, or 315 ppmw vitamin E) thereof, in the formulation. As such, the formulation can include vitamin E in a concentration range of at least about 150 ppmw and no more than about 900 ppmw vitamin E, which includes at least about 150 ppmw and no more than about 750 ppmw vitamin E, such as at least about 150 ppmw and no more than about 600 ppmw vitamin E, for example, at least about 150 ppmw and no more than about 450 ppmw vitamin E in the formulation. In some embodiments, for example, the formulation includes about 315 ppmw vitamin E in the formulation.
[0055] In view of the foregoing, the formulation can be an emulsion including one or more co-3 fatty acids including EPA in a concentration of about 2.8% (w/w) and DHA in a concentration of about 1.9% (w/w); one or more curcuminoids including curcumin, demethoxycurcumin, and, optionally, bisdem ethoxy curcumin in a collective concentration of about 1.6% (w/w); /ra//.s-resveratrol in a concentration of about 1.3% (w/w); a-GPC in a concentration of about 0.9% (w/w); and EIMP in a concentration of about 0.6% (w/w) formulated for oral administration in about a 3 l .8-g (30-mL) dose. The can further include xylitol, fish oil, glycerin, gum arabic, natural flavors, ascorbic acid, monk fruit extract, xanthan gum, citric acid, guar gum, an antioxidant blend (e.g., vitamin E as a-tocopherol, rosemary extract, and ascorbyl palmitate), beta carotene, and sorbic acid.
[0056] As set forth above, a single dose of the formulation for mitigating brain trauma can range from at least about 10 g and no more than about 100 g of the formulation, which range also includes intervening amounts of the formulation, for example, 31.8 g (30 mL) of the formulation. In addition, various concentrations are set forth herein for the compounds in the formulation. For example, the formulation can include EPA in a concentration range of at least about 0.5% (w/w) and no more than about 5.0% (w/w) EPA (e.g., 2.8% (w/w) EPA); DHA in a concentration range of at least about 0.5% (w/w) and no more than about 5.0% (w/w) DHA (e.g., 2.0% (w/w) DHA); the one or more curcuminoids in a concentration range of at least about 0.5% (w/w) and no more than about 5.0% (w/w) of the one or more curcuminoids (e.g., 1.6% (w/w) of the one or more curcuminoids); /ra//.s-resveratrol in a concentration range of at least about 0.5% (w/w) and no more than about 5.0% (w/w) /ra//.s-resveratrol (e.g., 1.3% (w/w) /ra//.s-resveratrol); a-GPC in a concentration range of at least about 0.5% (w/w) a-GPC and no more than about 5.0% (w/w) a-GPC (e.g., 0.9% (w/w) a-GPC); and EIMP in a concentration range of at least about 0.5% (w/w) EIMP and no more than about 5.0% (w/w) EIMP (e.g., 0.6% (w/w) EMP). Routine dimensional analysis for the foregoing example concentrations of the compounds in the example 3 l .8-g dose of the formulation provides about 900 mg of EPA, about 600 mg of DHA, about 500 mg of the one or more curcuminoids, about 400 mg of trans- resveratrol, about 300 mg of the a-GPC, and about 200 mg of EIMP in the 3 l .8-g dose of the formulation. Such routine dimensional analysis for converting between concentrations and amounts is available in most general chemistry or analytical chemistry textbooks and is herby incorporated herein by reference. As such, it should be understood that any compound or compounds (e.g., the one or more curcuminoids) having a concentration set forth herein also has an associated amount for any single dose of the formulation set forth herein. Such amounts are not enumerated in view of expository expediency. Furthermore, it should be understood that any two or more compounds having a concentration set forth herein also has an associated concentration-based ratio that can be routinely determined in accordance with basic mathematics. Such concentration-based ratios are not enumerated in view of expository expediency.
[0057] The EPA, the DHA, the one or more curcuminoids, the /ra//.s-resveratrol, the a-
GPC, and the EIMP of the formulation for mitigating brain trauma can be sourced from nature (e.g., a plant or animal extract) or synthesized.
[0058] Advantages of the formulation for mitigating brain trauma include providing nutritional building blocks and powerful antioxidants that increase cerebral blood flow, protect the brain from oxidative stress, and reduce neuroinflammation and post-traumatic loss of neurons following brain trauma, thereby lessening any acute damage associated with the brain trauma, especially concussion. Furthermore, the formulation for mitigating brain trauma can assist in the neurological repair needed following such brain trauma. Indeed, the formulation for mitigating brain trauma stimulates the repair of nerve cells damaged as a result of brain trauma. In particular, at least the DHA (along with other co-3 fatty acids), /ra//.s-resveratrol, and curcumin, can stimulate repair of nerve cells damaged from brain trauma. Therefore, the formulation for mitigating brain trauma is useful for reducing the duration or severity of concussive symptoms and associated neurological damage from brain trauma.
Packaged formulations
[0059] FIG. 1 illustrates a packaged formulation 100 for mitigating brain trauma in accordance with some embodiments.
[0060] The packaged formulation 100 for mitigating brain trauma includes, in some embodiments, an oil-based emulsion 110 as set forth herein and a pouch 120 containing a single dose of the emulsion 110 when the pouch 120 is initially sealed. The pouch 120 includes a bottom gusset 122 at a bottom portion of the pouch 120 configured to provide an inner space in the bottom portion of the pouch 120 to contain the emulsion 110. The pouch also 120 includes a removable top piece 124 of a top portion of the pouch 120. The removable top piece 124 is configured to be tom off the pouch 120 for access to the emulsion 110. The pouch 120 includes a front side and a back side of a same or different flexible construction. For example, each side of the front side and the back side can be a laminate of one or more layers of polyester, nylon, aluminum, polypropylene, or polyethylene. The polyester can provide a glossy, rigid layer that can be printed on, the nylon can provide puncture resistance, the aluminum can provide a thin, effective gas barrier, the polypropylene can be food-grade cast polypropylene, which can be used as a sealing layer, and the polyethylene can be used instead of polypropylene as the sealing layer, as well as a bonding layer. The pouch 120 is configured for squeezing the front side and the back side together to dispense the emulsion 110 from the pouch 120 once the removable top piece 124 is torn off the pouch 120.
[0061] The single dose of the emulsion 110 in the pouch 120 can be about 31.8 g (30 mL) including about 900 mg of EPA and about 600 mg of DHA for the one or more co-3 fatty acids, about 500 mg of the one or more curcuminoids including at least curcumin, demethoxycurcumin, and, optionally, bisdem ethoxy curcumin, and about 400 mg of the trans- resveratrol. Optionally, the emulsion 110 further includes about 300 mg of the a-GPC and about 200 mg of the UMP. Methods
[0062] A method for mitigating brain trauma includes, in some embodiments, obtaining the pouch 120 containing a formulation sealed therein for mitigating brain trauma and administering the formulation per os to mitigate brain trauma. As set forth herein, the formulation can include a single dose of the oil-based emulsion 110 of one or more co-3 fatty acids, one or more curcuminoids, and trans- resveratrol. Optionally, the emulsion 110 further includes a-GPC and about UMP.
[0063] The method further includes tearing off the removable top piece 124 of the top portion of the pouch 120 and squeezing the front side and the back side of the pouch 120 together in a motion from the bottom portion of the pouch 120 to the top portion of the pouch 120 to dispense the formulation from the pouch 120. Again, the formulation for mitigating brain trauma that is sealed in the pouch 120 can include a single dose of the emulsion 110. The emulsion 110 can include about 900 mg of EPA and about 600 mg of DHA for the one or more co-3 fatty acids, about 500 mg of the one or more curcuminoids including at least curcumin, demethoxycurcumin, and, optionally, bisdem ethoxy curcumin, and about 400 mg of the trans- resveratrol. Optionally, the emulsion 110 further includes about 300 mg of the a-GPC and about 200 mg of the UMP.
[0064] Administering the formulation to mitigate brain trauma can occur before participating in an activity having an increased incidence of brain trauma. Such an activity can include, but is not limited to, sports such as boxing, football, hockey, soccer, lacrosse, or wrestling, in which sports a concussion is possible. The formulation including the composition for mitigating brain trauma can be administered to an individual or self-administered by the individual a period of time up to about an hour before participating in the activity such as at least 5 minutes, 10 minutes, 15 minutes, 30 minutes, 45 minutes, or 60 minutes before participating in the activity. Alternatively, the formulation including the composition for mitigating brain trauma can be administered to an individual or self-administered by the individual a period of time no more than about an hour before participating in the activity such as no more than 60 minutes, 45 minutes, 30 minutes, 15 minutes, 10 minutes, or 5 minutes before participating in the activity. The formulation including the composition for mitigating brain trauma can be administered to the individual or self-administered by the individual a period of time up to about a day before participating in the activity such as at least 2 hours, 4 hours, 6 hours, 8 hours, 12 hours, 16 hours, 20 hours, or 24 hours before participating in the activity. The formulation including the composition for mitigating brain trauma can be administered to the individual or self-administered by the individual a period of time no more than about a day before participating in the activity such as at least 2 hours, 4 hours, 6 hours, 8 hours, 12 hours, 16 hours, 20 hours, or 24 hours before participating in the activity.
[0065] Administering the formulation to mitigate brain trauma can occur while participating in an activity having an increased incidence of brain trauma. Again, such an activity can include, but is not limited to, sports such as boxing, football, hockey, soccer, lacrosse, or wrestling, in which sports. The formulation including the composition for mitigating brain trauma can be administered to an individual or self-administered by the individual during a break in the activity such as between rounds of a boxing match, during halftime in a game of football, during intermission in a game of hockey, or the like.
[0066] Administering the formulation to mitigate brain trauma can occur after participating in an activity having an increased incidence of brain trauma or even after sustaining brain trauma. Again, such an activity can include, but is not limited to, sports such as boxing, football, hockey, soccer, lacrosse, or wrestling, in which sports a concussion is possible. The formulation including the composition for mitigating brain trauma can be administered to an individual or self-administered by the individual a period of time up to about an hour after participating in the activity or sustaining brain trauma such as at least 5 minutes, 10 minutes, 15 minutes, 30 minutes, 45 minutes, or 60 minutes after participating in the activity or sustaining brain trauma. Alternatively, the formulation including the composition for mitigating brain trauma can be administered to an individual or self-administered by the individual a period of time no more than about an hour after participating in the activity or sustaining brain trauma such as no more than 60 minutes, 45 minutes, 30 minutes, 15 minutes, 10 minutes, or 5 minutes after participating in the activity or sustaining brain trauma. The formulation including the composition for mitigating brain trauma can be administered to the individual or self-administered by the individual a period of time up to about a day after participating in the activity or sustaining brain trauma such as at least 2 hours, 4 hours, 6 hours, 8 hours, 12 hours, 16 hours, 20 hours, or 24 hours after participating in the activity or sustaining brain trauma. The formulation including the composition for mitigating brain trauma can be administered to the individual or self-administered by the individual a period of time no more than about a day after participating in the activity or sustaining brain trauma such as at least 2 hours, 4 hours, 6 hours, 8 hours, 12 hours, 16 hours, 20 hours, or 24 hours before participating in the activity or sustaining brain trauma.
[0067] Administering the formulation to mitigate brain trauma can occur a number of times a day before participating in an activity having an increased incidence of brain trauma, while participating in a same or different activity having an increased incidence of brain trauma, after participating in yet another same or different activity having an increased incidence of brain trauma, or a combination thereof. The number of times a day the formulation can be administered to mitigate brain trauma can include at least 1, 2, 3, 4, 5, 6, 7, 8, 9, or 10 times per day. Alternatively, the number of times a day the formulation can be administered to mitigate brain trauma can include no more than 10, 9, 8, 7, 6, 5, 4, 3, 2, or 1 time per day. As such, the number of times a day the formulation can be administered to mitigate brain trauma can include at least 1 time to no more than 10 times per day, which includes at least 1 time to no more than 8 times per day, such as at least about 1 time to no more than about 6 times per day, for example, at least about 1 time to no more than about 4 times per day. Each time of the number of times the formulation is administered can include administration of one or more single doses of the formulation, optionally, from one or more pouches such as the pouch 120.
[0068] While some particular embodiments have been disclosed herein, and while the particular embodiments have been disclosed in some detail, it is not the intention for the particular embodiments to limit the scope of the concepts provided herein. Additional adaptations and/or modifications can appear to those of ordinary skill in the art, and, in broader aspects, these adaptations and/or modifications are encompassed as well. Accordingly, departures can be made from the particular embodiments disclosed herein without departing from the scope of the concepts provided herein.

Claims

CLAIMS What is claimed is:
1. A formulation for mitigating brain trauma, comprising:
one or more co-3 fatty acids;
one or more curcuminoids;
/ra//.s-resveratrol ;
a-glycerylphosphorylcholine (“a-GPC”); and
uridine-5’ -monophosphate (“LIMP”),
wherein the formulation is an oil-based emulsion including the one or more co-3 fatty acids, the one or more curcuminoids, the /ra//.s-resveratrol, the a-GPC, and the LIMP for oral administration.
2. The formulation of claim 1, wherein the one or more co-3 fatty acids include eicosapentaenoic acid in a concentration of about 2.8% (w/w) and docosahexaenoic acid in a concentration of about 1.9% (w/w) in the formulation.
3. The formulation of either claim 1 or 2, wherein the one or more curcuminoids have a collective concentration of about 1.6% (w/w) in the formulation.
4. The formulation of any claim of claims 1-3, wherein the one or more curcuminoids include curcumin, demethoxycurcumin, and bisdemethoxycurcumin, and the curcumin has in a concentration of at least about 75% (w/w) in the one or more curcuminoids.
5. The formulation of any claim of claims 1-4, wherein the trans- resveratrol has a concentration of about 1.3% (w/w) in the formulation.
6. The formulation of any claim of claims 1-5, wherein the a-GPC has a concentration of about 0.9% (w/w) in the formulation.
7. The formulation of any claim of claims 1-6, wherein the UMP has a concentration of about 0.6% (w/w) in the formulation.
8. The formulation of any claim of claims 1-7, further comprising one or more emulsifiers, stabilizers, or thickeners selected from glycerin, gum arabic, xanthan gum, and guar gum.
9. The formulation of claim 1, further comprising one or more emulsifiers, stabilizers, or thickeners selected from glycerin, gum arabic, xanthan gum, and guar gum, wherein:
the one or more co-3 fatty acids include eicosapentaenoic acid in a concentration of about 2.8% (w/w) and docosahexaenoic acid in a concentration of about 1.9% (w/w) in the formulation,
the one or more curcuminoids include curcumin, demethoxycurcumin, and bisdem ethoxy curcumin in a collective concentration of about 1.6% (w/w) in the formulation,
the /ra//.s-resveratrol has a concentration of about 1.3% (w/w) in the formulation,
the a-GPC has a concentration of about 0.9% (w/w) in the formulation, and the UMP has a concentration of about 0.6% (w/w) in the formulation.
10. The formulation of either claim 8 or 9, further comprising xylitol, fish oil, natural flavors, ascorbic acid, monk fruit extract, citric acid, antioxidant blend, beta carotene, and sorbic acid.
11. A packaged formulation for mitigating brain trauma, comprising:
an oil-based emulsion of:
one or more co-3 fatty acids;
one or more curcuminoids;
/ra//.s-resveratrol ;
a-glycerylphosphorylcholine (“a-GPC”); and
uridine-5’ -monophosphate (“UMP”); and
a sealed pouch containing a single dose of the emulsion, thereby forming the packaged formulation for mitigating brain trauma.
12. The packaged formulation of claim 11, wherein the pouch includes a bottom gusset configured to provide an inner space near a bottom of the pouch to contain the emulsion.
13. The packaged formulation of either claim 11 or 12, wherein the pouch includes a removable top piece of a top portion of the pouch configured to be torn off the pouch for access to the emulsion.
14. The packaged formulation of any claim of claims 11-13, wherein the pouch includes a front side and a back side of a flexible material configured for squeezing the front and back sides of the pouch together to dispense the emulsion.
15. The packaged formulation of claim 11, wherein
the single dose of the emulsion is about 31.8 g including about 900 mg of eicosapentaenoic acid and about 600 mg of docosahexaenoic acid for the one or more co-3 fatty acids, about 500 mg of the one or more curcuminoids including at least curcumin, demethoxycurcumin, and bisdem ethoxy curcumin, about 400 mg of the trans- resveratrol, about 300 mg of the a-GPC, and about 200 mg of the UMP,
the pouch includes a bottom gusset configured to provide an inner space near a bottom of the pouch to contain the emulsion, the pouch includes a removable top piece of a top portion of the pouch configured to be torn off the pouch for access to the emulsion, and the pouch includes a front side and a back side of a flexible material configured for squeezing the front and back sides of the pouch together to dispense the emulsion for oral administration.
16. A method for mitigating brain trauma, comprising:
obtaining a sealed pouch containing a formulation for mitigating brain trauma, wherein the formulation is an oil-based emulsion including one or more co-3 fatty acids, one or more curcuminoids, trans- resveratrol, a- glycerylphosphoryl choline (“a-GPC”), and uridine-5’ -monophosphate (“UMP”) for oral administration; and
administering the formulation per os to mitigate brain trauma.
17. The method of claim 16, wherein administering the formulation occurs before participating in an activity having an increased incidence of brain trauma.
18. The method of claim 16, wherein administering the formulation occurs after sustaining brain trauma or participating in an activity having an increased incidence of brain trauma.
19. The method of any claim of claims 16-18, further comprising:
tearing off a removable top piece of a top portion of the pouch; and
squeezing a front side and a back side of the pouch together in a motion from a bottom portion of the pouch to the top portion of the pouch to dispense the formulation from the pouch.
20. The method of any claim of claims 16-18, further comprising:
tearing off a removable top piece of a top portion of the pouch; and
squeezing a front side and a back side of the pouch together in a motion from a bottom portion of the pouch to the top portion of the pouch to dispense the formulation from the pouch, wherein the pouch includes a single dose of the formulation for mitigating brain trauma including about 900 mg of eicosapentaenoic acid and about 600 mg of docosahexaenoic acid for the one or more co-3 fatty acids, about 500 mg of the one or more curcuminoids including at least curcumin, demethoxycurcumin, and bisdem ethoxy curcumin, about 400 mg of the trans- resveratrol, about 300 mg of the a-GPC, and about 200 mg of the UMP.
PCT/US2019/040405 2018-07-09 2019-07-02 Compositions for mitigating brain trauma and methods thereof WO2020014051A1 (en)

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