2-HOBA: Multiple Dosing Study in Older Adults

Consenting volunteers between 60 and 79 years old with metabolic syndrome, including males,
and post-menopausal females will be recruited for the study. Eighteen volunteers will be
studied with a reasonable sampling of ethnicities from the Nashville area, and an effort will
be made to recruit equal numbers of males and females. The study will be conducted by the
Vanderbilt Clinical Research Center (CRC).

Based upon single dose pharmacokinetics, two multiple dose regimens will be studied to
determine the safety, accumulation kinetics, and pharmacodynamic effects of multiple daily
doses administered over 2 weeks. A complete health history and physical examination will be
conducted by a physician. An EKG, baseline blood and urine sample, and vital signs will be
taken prior to supplement administration. A physician will oversee all clinical aspects of
the study and will be responsible for all trial-related medical decisions. Additionally, DNA
will be collected from the blood drawn and used to determine if there are any genetic
differences in metabolism of 2-HOBA. Volunteers will be given 3 daily doses of either placebo
or one of two levels of 2-HOBA to determine the safety, accumulation kinetics, and
pharmacodynamic effects of the multiple dose administration over a 2 week period.

Inclusion Criteria:

- Individuals between 60 and 79 years old with metabolic syndrome

- Men and post-menopausal women.

Exclusion Criteria:

- Inability to give informed consent;

- Diseases that could manifest symptoms or signs that would confound interpretation of
the relationship between 2-HOBA action and potential adverse effects;

- Diseases that manifest current morbidity;

- Known cardiac disease, kidney disease, hepatic dysfunction, or diagnosed coronary
artery disease;

- Cancer with potential terminal outcome or under treatment at the time of study;

- Severe hypertension (defined by systolic blood pressure equal or higher than 170 mm
Hg), cardiac pacemaker, or oral anticoagulant use at the time of the study; and

- Individuals with diabetes requiring insulin treatment.