CClinicalTrials.gg
RecruitingNCT06975241OMEGAUpdated Feb 27, 2026

Observing Metabolism of EPA With Consideration of Genetics And Sex

A Phase 4 interventional study of EPA 2.4g/day in Healthy, Omega 3 and Metabolism, Lipids, sponsored by University of Toronto. Recruiting at 1 site in Canada. Open to participants aged 18 Years to 35 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-02-27.

Sponsored by University of Toronto · Phase 4, Interventional, and Basic science

From the registry’s dates

  • Started Jul 2025; still recruiting 1 year 2 months later.
Phase
Phase 4
Study type
Interventional
Enrollment
64
Allocation
Not applicable
Ages
18 Years to 35 Years
Sex
All
01

Study summary

The goal of this clinical study is to learn how fast EPA is converted to other molecules, including DHA, with consideration of biological sex and genetics in healthy humans.

The main questions it aims to answer are:

  • How fast is EPA converted to DHA in blood, and is the conversion rate affected by sex and a specific genotype we previously identified?
  • How do sex and the specific genotypes affect blood DHA levels and other products of DHA in response to dietary EPA?
  • How fast does dietary EPA replace blood EPA and other omega-3 fatty acids, and is the rate affected by sex and genotype?

Participants will be asked to take EPA supplements for 12 weeks and provide a series of venous blood samples over the study duration.

02

Conditions studied

  • Healthy
  • Omega 3
  • Metabolism, Lipids

Keywords

  • eicosapentaenoic acid
  • omega-3 polyunsaturated fatty acids
  • lipid metabolism
  • healthy adults
  • docosahexaenoic acid
  • single nucleotide polymorphism
  • elongation of very long-chain 2
03

In context

Lead sponsor

University of Toronto is the lead sponsor of 397 studies on the registry; 59 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 35 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • BMI between 18.5- 30 kg/m2
  • healthy

Exclusion criteria

Exclusion Criteria:

  • Consumption of fish/seafood or EPA/DHA-enriched foods currently or within the previous 6 months
  • Consumption of any supplements containing ALA/EPA/DHA currently or within the previous 6 months
  • Allergies to any component of the study supplement (fish, gelatin etc.)
  • BMI \<18.5 kg/m² or >30 kg/m²
  • Women who are pregnant, breastfeeding or planning on becoming pregnant
  • Diagnosis with chronic or communicable diseases
  • Prescription of chronic pharmacological medications (except for oral contraceptives)
  • High blood pressure (systolic or diastolic blood pressure above 130 or 80mmHg, respectively)
  • Hypertriglyceridemia (serum > or = 1.69 mmol/l)
  • Hypercholesterolemia (serum LDL-C > or =5 mmol/l)
  • Anticipated changes in lifestyle within the next 4 months
  • Smoking
  • Heavy alcohol use (>3 drinks/day)
  • Major surgery in the last six months
05

Study design

Phase
Phase 4
Primary purpose
Basic science
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
64 participants (estimated)

Study arms

  • Experimental
    EPA Supplementation

    32 males and 32 females will be enrolled in the EPA supplementation arm, with an equal number of GA+GG and AA genotypes (rs953413 SNP) among males and females.

    Dietary Supplement: EPA 2.4g/day

Interventions

  • Dietary supplementEPA 2.4g/day

    EPA from fish oil will be supplemented to an equal number of males and females for 12 weeks.

06

What researchers measure

Primary outcomes

  1. Plasma DHA synthesis/turnover rates

    Plasma DHA synthesis/turnover rates (nmol/mL/day) by sex and rs953413 ELOVL2 polymorphism will be determined. DHA synthesis/turnover rates will be calculated from frequent sampling of plasma DHA levels and carbon-13 isotope signatures of DHA (δ13C-DHA) over 12 weeks.

    Time frame: Day 0, 3, 7, 14, 28, 56, 84

Secondary outcomes

  1. Changes in plasma DHA concentrations (nmol/ml)

    Changes in plasma DHA concentrations by sex and rs953413 ELOVL2 polymorphism will be determined.

    Time frame: Baseline and 12 weeks

  2. Plasma EPA turnover rates (nmol/ml/day)

    Plasma EPA turnover rates (nmol/mL/day) by sex and rs953413 ELOVL2 polymorphism will be determined. EPA turnover rates will be calculated from frequent sampling of plasma EPA levels and carbon-13 isotope signatures of EPA (δ13C-EPA) over 12 weeks.

    Time frame: Day 0, 3, 7, 14, 28, 56, 84

  3. Plasma DPAn-3 synthesis/turnover rates (nmol/ml/day)

    Plasma DPAn-3 synthesis/turnover rates (nmol/mL/day) by sex and rs953413 ELOVL2 polymorphism will be determined. DPAn-3 synthesis/turnover rates will be calculated from frequent sampling of plasma DPAn-3 levels and carbon-13 isotope signatures of DPAn-3 (δ13C-DPAn-3) over 12 weeks.

    Time frame: Day 0, 3, 7, 14, 28, 56, 84

  4. Changes in PUFA derived eicosanoid/docosanoid levels

    Changes in n-3 and n-6 PUFA derived eicosanoid/docosanoid levels by sex and rs953413 ELOVL2 polymorphism will be investigated.

    Time frame: Baseline, 4 weeks and 12 weeks

  5. Plasma half-lives of EPA and downstream n-3 PUFAs

    Plasma half-lives of EPA and downstream n-3 PUFAs (in days) will be determined with the consideration of sex and rs953413 ELOVL2 polymorphism.

    Time frame: Over 12 weeks

Other outcomes

  1. Changes in plasma and erythrocyte levels of all fatty acids

    Changes in plasma and erythrocyte levels of all fatty acids by sex and rs953413 ELOVL2 polymorphism will be investigated.

    Time frame: Baseline and 12 weeks

  2. Changes in plasma δ13C signature of all fatty acids

    Changes in plasma δ13C signature (mUr) of all fatty acids with consideration of sex and rs953413 ELOVL2 polymorphism will be investigated.

    Time frame: Baseline and 12 weeks

  3. Changes in plasma oxylipin levels

    Changes in other oxylipin levels with consideration of sex and rs953413 ELOVL2 polymorphism will be investigated.

    Time frame: Baseline, 4 weeks and 12 weeks

  4. Synthesis/turnover rates of EPA and downstream n-3 PUFAs (nmol/ml/day) according to sex and additional genetic polymorphisms

    Plasma synthesis/turnover rates of EPA and downstream n-3 PUFAs will be investigated according to the effect of sex and additional genetic polymorphisms (in the FADS gene cluster, ELOVL2, ELOVL5 and ACOX).

    Time frame: Day 0, 3, 7, 14, 28, 56, 84

  5. Change in levels of EPA and downstream n-3 PUFAs according to sex and additional genetic polymorphisms

    Change from baseline in levels of EPA and downstream n-3 PUFAs will be investigated according to sex and additional genetic polymorphisms (in the FADS gene cluster, ELOVL2, ELOVL5 and ACOX)

    Time frame: Baseline and 12 weeks

  6. Plasma synthesis/turnover rates of EPA and downstream n-3 PUFAs (nmol/ml/day) according to blood circulating nutrients and genetic polymorphisms

    Plasma synthesis/turnover rates of EPA and downstream n-3 PUFAs (nmol/ml/day) will be investigated according to the interaction of blood circulating nutrients (vitamin B6, nicotinic acid, zinc, iron, magnesium, calcium) and genetic polymorphisms (in FADS gene cluster, ELOVL2 and ELOVL5).

    Time frame: Day 0, 3, 7, 14, 28, 56, 84

  7. Change in plasma levels of EPA and downstream n-3 PUFAs according to blood circulating nutrients and genetic polymorphisms

    Change from baseline in plasma levels of EPA and downstream n-3 PUFAs will be investigated according to the interaction of blood circulating nutrients (vitamin B6, nicotinic acid, zinc, iron, magnesium, calcium) and genetic polymorphisms (in FADS gene cluster, ELOVL2 and ELOVL5).

    Time frame: Baseline and 12 weeks

  8. Adherence

    Adherence to supplementation will be assessed by capsule count, change in plasma EPA levels and change in δ13C signature of EPA

    Time frame: Baseline and 12 weeks

  9. Changes in blood lipid profile

    Changes in lipid profile including triglycerides, LDL, HDL, total cholesterol, and non-HDL (mmol/L) with consideration of sex and rs953413 ELOVL2 polymorphism will be investigated.

    Time frame: Baseline and 12 weeks

  10. Changes in office blood pressure (mmHg)

    Changes in office systolic and diastolic blood pressure (mmHg) with consideration of sex and rs953413 ELOVL2 polymorphism will be investigated.

    Time frame: Day 0, 14, 28, 56, 84

  11. Changes in heart rate (bpm)

    Changes in heart rate (bpm) with consideration of sex and rs953413 ELOVL2 polymorphism will be investigated.

    Time frame: Day 0, 14, 28, 56, 84

  12. Symptoms Diary

    To monitor safety throughout the study, participants will report any unusual symptoms in a symptoms diary. The symptom will be described, along with the date of occurrence and the severity of the symptom on a scale of 1 (low) to 7 (high).

    Time frame: Throughout 12 weeks

  13. Dietary intake

    Dietary intake in males and females will be assessed by estimated 3 day food record at baseline and days 28, 56 and 84.

    Time frame: Day 0, 28, 56, 84

  14. Body mass index (kg/m²)

    BMI (kg/m²) will be calculated by the measure of height (metres) and weight (kilograms) throughout the study.

    Time frame: Day 0, 28, 56, 84

  15. Body fat percentage

    Body fat percentage as measured by bioelectrical impedance will be determined.

    Time frame: Day 0, 28, 56, 84

07

Study locations

1 of 1 sites recruiting
  • Clinical Nutrition and Risk Factor Modification Centre
    Toronto, Ontario M5C 2T2, Canada
    Recruiting
08

References and documents

Individual participant data

Plan to share: Yes — IPD that resulted in a publication will be shared in a de-identified/anonymized format.

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Feb 27, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06975241
Lead sponsor
University of Toronto
Responsible party
Adam Metherel (Assistant Professor, University of Toronto) — Principal investigator
First posted
May 16, 2025
Start date
Jul 29, 2025
Primary completion
Sep 2026 (estimated)
Completion
Sep 2026 (estimated)
Last update
Feb 27, 2026

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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