Skip to content
2000
Volume 21, Issue 3
  • ISSN: 1573-4013
  • E-ISSN: 2212-3881

Abstract

Background

A blend of creatine nitrate and creatinine has demonstrated promising bioavailability; however, prior studies have not thoroughly examined its pharmacokinetics and safety profiles, particularly its impact on kidney stress indicators, such as serum cystatin C.

Objective

This study aimed to assess the effects of varying doses of creatine nitrate-creatinine intervention on pharmacokinetics and safety in healthy humans.

Methods

Ten young adults (mean age 26.1 ± 5.0 years; 5 females) volunteered for this double-blind, crossover, randomized controlled trial. The participants were randomly assigned to receive either a low-dose creatine nitrate-creatinine mixture (CN-CRN-Low; 1.5 g of creatine nitrate and 1.5 g of creatinine), a high-dose creatine nitrate-creatinine mixture (CN-CRN-High; 3 g of creatine nitrate and 3 g of creatinine), or 1.5 g of creatine nitrate (CONTROL) in both a single-dose pharmacokinetics experiment, and a 14-day safety trial.

Results

Both CN-CRN-Low and CN-CRN-High interventions displayed increased volume of distribution and total clearance compared to the CONTROL intervention ( < 0.05) in a single-dose pharmacokinetics experiment. Additionally, the CN-CRN-High intervention showed significantly higher creatine maximum serum concentrations compared to the other interventions ( < 0.05). Serum cystatin C levels remained unchanged across all interventions ( = 0.65), with no participants experiencing abnormal cystatin C concentrations or major changes in other safety biomarkers.

Conclusion

The present study demonstrates dose-specific utilization of creatine nitrate-creatinine intervention, with the mixture induced no kidney damage. Further studies are needed to explore the potential functional and performance benefits of creatine nitrate-creatinine supplementation in diverse clinical and athletic cohorts.

Loading

Article metrics loading...

/content/journals/cnf/10.2174/0115734013307562240702114411
2024-07-22
2024-12-27
Loading full text...

Full text loading...

References

  1. BenderA. KlopstockT. Creatine for neuroprotection in neurodegenerative disease: End of story?Amino Acids20164881929194010.1007/s00726‑015‑2165‑026748651
    [Google Scholar]
  2. AlraddadiE. LillicoR. VennerstromJ. LakowskiT. MillerD. Absolute oral bioavailability of creatine monohydrate in rats: Debunking a myth.Pharmaceutics20181013110.3390/pharmaceutics1001003129518030
    [Google Scholar]
  3. MoriartyT. BourbeauK. DormanK. RunyonL. GlaserN. BrandtJ. HoodjerM. ForbesS.C. CandowD.G. Dose-response of creatine supplementation on cognitive function in healthy young adults.Brain Sci.2023139127610.3390/brainsci1309127637759877
    [Google Scholar]
  4. AndresS. ZiegenhagenR. TrefflichI. PevnyS. SchultrichK. BraunH. SchänzerW. Hirsch-ErnstK.I. SchäferB. LampenA. Creatine and creatine forms intended for sports nutrition.Mol. Nutr. Food Res.2017616160077210.1002/mnfr.20160077228019093
    [Google Scholar]
  5. OstojicS.M. Co-administration of creatine and guanidinoacetic acid for augmented tissue bioenergetics: A novel approach?Biomed. Pharmacother.20179123824010.1016/j.biopha.2017.04.07528460226
    [Google Scholar]
  6. OstojicS.M. Overcoming restraints of dietary creatine.Trends Food Sci. Technol.202010024624710.1016/j.tifs.2020.04.031
    [Google Scholar]
  7. KreiderR.B. JägerR. PurpuraM. Bioavailability, efficacy, safety, and regulatory status of creatine and related compounds: A critical review.Nutrients2022145103510.3390/nu1405103535268011
    [Google Scholar]
  8. EscalanteG. GonzalezA.M. St MartD. TorresM. EcholsJ. IslasM. SchoenfeldB.J. Analysis of the efficacy, safety, and cost of alternative forms of creatine available for purchase on Amazon.com: are label claims supported by science?Heliyon2022812e1211310.1016/j.heliyon.2022.e1211336544833
    [Google Scholar]
  9. OstojicS.M. StajerV. VranesM. OstojicJ. Searching for a better formulation to enhance muscle bioenergetics: A randomized controlled trial of creatine nitrate plus creatinine vs. creatine nitrate vs. creatine monohydrate in healthy men.Food Sci. Nutr.20197113766377310.1002/fsn3.123731763026
    [Google Scholar]
  10. StevensL.A. ManziJ. LeveyA.S. ChenJ. DeysherA.E. GreeneT. PoggioE.D. SchmidC.H. SteffesM.W. ZhangY.L. Van LenteF. CoreshJ. Impact of creatinine calibration on performance of GFR estimating equations in a pooled individual patient database.Am. J. Kidney Dis.2007501213510.1053/j.ajkd.2007.04.00417591522
    [Google Scholar]
  11. AlmeidaG.S. ToledoN.D.N. MatosM.M.M. MartinL.C. FrancoR.J.D.S. Different methods for assessing glomerular filtration rate in the elderly.Rev Assoc Med Bras2024701e20221101
    [Google Scholar]
  12. JovanovP. VranešM. SakačM. GadžurićS. PanićJ. MarićA. OstojićS. Hydrophilic interaction chromatography coupled to tandem mass spectrometry as a method for simultaneous determination of guanidinoacetate and creatine.Anal. Chim. Acta201810289610310.1016/j.aca.2018.03.03829884358
    [Google Scholar]
  13. ZhangY. HuoM. ZhouJ. XieS. PKSolver: An add-in program for pharmacokinetic and pharmacodynamic data analysis in Microsoft Excel.Comput. Methods Programs Biomed.201099330631410.1016/j.cmpb.2010.01.00720176408
    [Google Scholar]
  14. RichardsJ.C. RacineM.L. HearonC.M.Jr KunkelM. LuckasenG.J. LarsonD.G. AllenJ.D. DinennoF.A. Acute ingestion of dietary nitrate increases muscle blood flow via local vasodilation during handgrip exercise in young adults.Physiol. Rep.201862e1357210.14814/phy2.1357229380952
    [Google Scholar]
  15. JonesA.M. Dietary nitrate supplementation and exercise performance.Sports Med.201444S11354510.1007/s40279‑014‑0149‑y24791915
    [Google Scholar]
  16. JägerR. PurpuraM. ShaoA. InoueT. KreiderR.B. Analysis of the efficacy, safety, and regulatory status of novel forms of creatine.Amino Acids20114051369138310.1007/s00726‑011‑0874‑621424716
    [Google Scholar]
  17. LugaresiR. LemeM. de Salles PainelliV. MuraiI.H. RoschelH. SapienzaM.T. Lancha JuniorA.H. GualanoB. Does long-term creatine supplementation impair kidney function in resistance-trained individuals consuming a high-protein diet?J. Int. Soc. Sports Nutr.20131012610.1186/1550‑2783‑10‑2623680457
    [Google Scholar]
  18. de Oliveira Vilar NetoJ. da SilvaC.A. MenesesG.C. PintoD.V. BritoL.C. da Cruz FonsecaS.G. de Sousa AlvesR. MartinsA.M.C. de Oliveira AssumpçãoC. De Francesco DaherE. Novel renal biomarkers show that creatine supplementation is safe: A double-blind, placebo-controlled randomized clinical trial.Toxicol. Res.20209326327010.1093/toxres/tfaa02832670557
    [Google Scholar]
  19. OstojicS.M. Dietary creatine and kidney function in adult population: NHANES 2017–2018.Food Sci. Nutr.2021942257225910.1002/fsn3.220033841841
    [Google Scholar]
  20. LongobardiI. GualanoB. SeguroA.C. RoschelH. Is it time for a requiem for creatine supplementation-induced kidney failure? a narrative review.Nutrients2023156146610.3390/nu1506146636986197
    [Google Scholar]
/content/journals/cnf/10.2174/0115734013307562240702114411
Loading
/content/journals/cnf/10.2174/0115734013307562240702114411
Loading

Data & Media loading...

This is a required field
Please enter a valid email address
Approval was a Success
Invalid data
An Error Occurred
Approval was partially successful, following selected items could not be processed due to error
Please enter a valid_number test