Influence of an Omega-3 SPM Supplement on Quality of Life

One third of the America population is affected by chronic pain. The societal costs
associated with chronic pain is up to $635 billion dollars annually. Prescribed pain
medications may have negative side effects, or cause addictions. Having alternative
treatments that can reduce inflammation and the side effects associated with chronic pain
may improve the quality of life for millions.

This prospective, non-randomized, open-label study will assess if taking an Omega-3 SPM™
soft gel supplement for four weeks will increase the quality of life in adults with chronic
pain. SPM™ softgels are a dietary supplement intended to reduce pain and inflammation. Up to
40 men and women with chronic pain will be recruited. Outcome measures will be collected at
baseline, 2 weeks, and 4 weeks with a primary endpoint of 4 weeks. The primary outcomes of
this pilot study include questionnaires to assess quality of life. Exploratory outcomes
assess safety and tolerability, changes in anxiety and depression as well as levels of pain,
and blood markers associated with inflammation.

Inclusion Criteria:

- Age 20-70

- Body mass index 19 kg/m2 - 40 kg/m2

- Have had chronic pain lasting 3 months or longer

- Have moderate to severe pain as define by an average level of pain score of greater
than or equal to a 4 on the PROMIS-43 Profile - Pain Intensity subscale

- Willing to have blood drawn three times

- Maintained stable medications, dietary supplements and therapies for pain for at
least 30 days and willing to continue the same therapies and not add new therapies
for the duration of the study unless medically advised to do so

- Able to follow study protocol and attend visits at the clinical practices associated
with Clinical Investigator

- Able to speak, read and understand English

Exclusion Criteria:

- Initiation of or changes in use of fish oil supplements, krill oil supplements, omega
3 supplements, or omega 3-based drugs (Lovaza®, etc.) within the past 3 months

- Initiation of new pain medications and non-steroidal anti-inflammatory drugs NSAIDS
within the past month such as [aspirin, ibuprofen (Advil®, Motrin®, Nuprin®),
acetaminophen (Tylenol®), naproxen (Aleve®, Naprosyn®), codeine (Vicodin®), morphine
(Dilaudid®), oxycodone (OxyContin®, Percocet®) fentanyl (Duragesic®) and COX-2
inhibitors, Celebrex®)

- Currently taking:

- Medication to reduce the tendency to form blood clots such as [warfarin,
jantoven (Coumadin®); dabigatran (Pradaxa®); rivaroxaban, (Xarelto®); apixaban
(Eliquis®)]

- Statin use for cholesterol reduction such as [atorvastatin (Lipitor®),
fluvastatin (Lescol®), lovastatin (Mevacor®, Altocor®), pitavastatin (Livalo®),
pravastatin (Pravachol®), rosuvastatin (Crestor®) or simvastatin (Zocor®)] (not
including Red Yeast Rice if also supplementing with CoQ10)

- Corticosteroids such as [prednisone, dexamethasone, prednisolone (Orapred®,
Prelone®, Pediapred®), methylprednisolone (Medrol®)] (not including topical
corticosteroids for dermatological conditions or nasally inhaled for asthma,
rhinitis or sinusitis)

- Daily aspirin >325 mg per day (not including low dose aspirin therapy of 81 mg -
325 mg per day)

- Other medications and supplements to be evaluated by the investigators on a
case-by-case basis

- Steroid injections, Prolotherapy, or other injections into a ligament, tendon, joint
or muscle during the past month or initiation or continuation of therapy injections
during the course of the study.

- Present or past history of any of the following:

- Inflammatory disease (e.g. rheumatoid arthritis, autoimmune disease, Crohn's
disease, diverticulitis, viral hepatitis, ulcerative colitis, systemic lupus,
Parkinson's disease, Alzheimer's, ankylosing spondylitis)

- Blood clot disorder (e.g., phlebitis)

- Diabetes (self-report; includes Type I and Type II Diabetes but does not include
a history of Gestational Diabetes during pregnancy)

- Cancer within the last 5 years (with the exception of basal cell carcinoma,
squamous cell carcinoma, and/or carcinoma in situ of the cervix)

- Cardiovascular disease within the last year, including but not limited to:
myocardial infarction, stroke, congestive heart failure (CHF)

- Kidney failure or liver failure

- Current active pelvic inflammatory disease, urinary tract infection or a kidney
infection

- Women who are lactating, pregnant or planning pregnancy within the next six months

- Difficulty or aversion to swallowing soft gels, capsules, tablets or pills

- Known intolerance or allergy to fish oils

- Upon administering the NCNM Adverse Event Monitoring form at screening, a sign or
symptom of Grade 3 (severe or medically significant but not immediately
life-threatening) or higher is reported

- Currently participating in another research study or participated in another study
within the last month