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An Open Label Study in Adults to Test the Efficacy of Mitoquinone/Mitoquinol Mesylate to Prevent Severe Viral Illness

Primary Purpose

Respiratory Viral Infection, Antiviral Treatment, COVID-19

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
Mitoquinone/mitoquinol mesylate
Sponsored by
University of Texas Southwestern Medical Center
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Respiratory Viral Infection focused on measuring Respiratory Viral Infection, Antiviral treatment, COVID-19, Prophylaxis COVID-19

Eligibility Criteria

18 Years - 65 Years (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • All enrolled participants must meet the following criteria:

    • Age 18-65 years old.
    • Asymptomatic (no symptoms of viral infection) on study entry.
    • Exposure to a person with at least two new onset independent symptoms or signs (fever) of respiratory viral disease
    • High risk exposure without use of masks and physical distancing to suspected case of viral illness (based on established symptoms of viral illness) in the household within 3 days prior to study entry. Rationale: Antivirals are most efficacious when given as early as possible post exposure.
    • Ineligible for FDA approved alternative treatments to prevent progression to severe COVID-19 based on established criteria https://www.cdc.gov/coronavirus/2019-ncov/need-extra-precautions/people-with-medical-conditions.html or FDA approved alternative treatment cannot be obtained or not indicated (e.g. allergy).
    • Without established significant coronary artery/vascular disease, lung, stroke, kidney, liver, heart disease) based on history.
    • Adequate renal function. This is defined as absence of documented history of any kidney disease.

Exclusion Criteria:

  • Participants who meet any of the following criteria at screening will be excluded from the study:

    1. Use of Coenzyme Q10 or Vitamin E < 120 days from enrollment
    2. Women with variations in physiological functions due to hormones that may effect immune function and (taking hormones, pregnant, breastfeeding, on contraceptives).
    3. Pregnant (based on history).
    4. History of known gastrointestinal disease (such as gastroparesis) that may predispose patients to nausea. Gastrointestinal symptoms are the most common side effects of MitoQ.
    5. History of auto-immune diseases
    6. Chronic viral hepatitis
    7. History of underlying cardiac arrhythmia
    8. History of severe recent cardiac or pulmonary event
    9. A history of a hypersensitivity reaction to any components of the study drug or structurally similar compounds including Coenzyme Q10 and idebenone
    10. Unable to swallow tablets
    11. Use of any investigational products within 28 days of study enrollment
    12. Any other clinical condition or prior therapy that, in the opinion of the investigator, would make the patient unsuitable for the study or unable to comply with the study requirements. Such conditions may include, but are not limited to, current or recent history of severe, progressive, or uncontrolled renal, hepatic, hematological, gastrointestinal, endocrine, pulmonary, neurological, or cerebral disease
    13. Participants who are eligible for FDA approved alternative treatments to prevent progression to severe COVID-19 based on established criteria https://www.cdc.gov/coronavirus/2019-ncov/need-extra-precautions/people-with-medical-conditions.html

Sites / Locations

  • University of Texas Southwestern Medical Center

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

No Intervention

Arm Label

MitoQ

Control group

Arm Description

Treatment group

Control group

Outcomes

Primary Outcome Measures

Number of participants with viral illness
Development of viral illness based on diagnostic test
Severity score of symptoms of viral illness
Severity of viral illness based on a quantitative score system. Each of the above 14 symptoms will be given a score based on severity: 1 for mild, 2 for moderate, 3 for severe. Then a total severity score will be estimated (range of score is 0-42). Common example: a person with mild coryza, sore throat and cough will be given a score of 3.

Secondary Outcome Measures

Incidence of Treatment-Emergent Adverse Events as assessed by the proportion of participants exhibiting adverse events of any grade
Assessment of adverse events up to 14 days post initiation of therapy. Adverse events: the proportion of participants exhibiting adverse events of any grade
Number of participants with fever
Development of new onset fever (T> 100.3 F or 38C) based on documented
Number of participants with any symptoms of viral illness
Duration of ANY of at least three respiratory/systemic symptom of viral illness in days (Symptom 1: fever, Symptom 2: cough, Symptom 3: coryza, Symptom 4: sore throat, Symptom 5: shortness of breath, Symptom 6: chills, Symptom 7: fatigue, Symptom 8: loss of smell or taste, Symptom 9: myalgias, Symptom 10: arthralgias, Symptom 11: headache, Symptom 12: nausea, Symptom 13: vomiting, Symptom 14: diarrhea

Full Information

First Posted
May 14, 2022
Last Updated
June 5, 2023
Sponsor
University of Texas Southwestern Medical Center
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1. Study Identification

Unique Protocol Identification Number
NCT05381454
Brief Title
An Open Label Study in Adults to Test the Efficacy of Mitoquinone/Mitoquinol Mesylate to Prevent Severe Viral Illness
Official Title
An Open Label Study in Adults to Test the Efficacy of Mitoquinone/Mitoquinol Mesylate as Prophylaxis for Development of Severe Viral Illness
Study Type
Interventional

2. Study Status

Record Verification Date
June 2023
Overall Recruitment Status
Completed
Study Start Date
April 28, 2022 (Actual)
Primary Completion Date
May 9, 2023 (Actual)
Study Completion Date
May 9, 2023 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
University of Texas Southwestern Medical Center

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
Open label clinical trial of persons (adults) that will determine the safety and efficacy of the diet supplement oral mitoquinone/mitoquinol mesylate (Mito-MES) to prevent the development and progression of severe viral infections like COVID-19 after high-risk exposure to a person with possible respiratory viral infection such as SARS-CoV-2 infection in persons who will receive Mito-MES compared to persons who will not receive Mito-MES (controls).
Detailed Description
Overview of study design Open label clinical trial of persons (adults) that will determine the safety and efficacy of the diet supplement oral mitoquinone/mitoquinol mesylate (Mito-MES) to prevent the development and progression of severe viral infections like COVID-19 after high-risk exposure to a person with possible respiratory viral infection such as SARS-CoV-2 infection in persons who will receive Mito-MES compared to persons who will not receive Mito-MES (controls). A study participant will have the option to enroll either in the treatment arm or the control arm (no intervention but will complete relevant questionnaires and study procedures). Efficacy: To determine the efficacy of the treatment with mito-MES 20 mg daily for up to 14 days compared to no treatment with mito-MES to prevent development of severe clinical symptoms of any viral infection in high-risk close household contacts of cases with viral infection. Viral infection will be defined clinically based on history obtained by the investigator who is an infectious diseases physician and stringent criteria will be followed. Viral infection will be defined as presence of at least two new onset independent symptoms or signs (fever) of respiratory disease that cannot be attributed to bacterial cause (for example the combination of runny nose and sore throat is very characteristic of a viral illness). The combination of fever and cough is not specific enough presentation since it can be attributed also to bacterial bronchitis or pneumonia. A study participant with chronic allergies or chronic sinusitis or asthma will not be included in the study.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Respiratory Viral Infection, Antiviral Treatment, COVID-19
Keywords
Respiratory Viral Infection, Antiviral treatment, COVID-19, Prophylaxis COVID-19

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 1, Phase 2
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
80 (Actual)

8. Arms, Groups, and Interventions

Arm Title
MitoQ
Arm Type
Experimental
Arm Description
Treatment group
Arm Title
Control group
Arm Type
No Intervention
Arm Description
Control group
Intervention Type
Drug
Intervention Name(s)
Mitoquinone/mitoquinol mesylate
Other Intervention Name(s)
MitoQ
Intervention Description
Mitoquinone/mitoquinol mesylate
Primary Outcome Measure Information:
Title
Number of participants with viral illness
Description
Development of viral illness based on diagnostic test
Time Frame
14 days
Title
Severity score of symptoms of viral illness
Description
Severity of viral illness based on a quantitative score system. Each of the above 14 symptoms will be given a score based on severity: 1 for mild, 2 for moderate, 3 for severe. Then a total severity score will be estimated (range of score is 0-42). Common example: a person with mild coryza, sore throat and cough will be given a score of 3.
Time Frame
14 days
Secondary Outcome Measure Information:
Title
Incidence of Treatment-Emergent Adverse Events as assessed by the proportion of participants exhibiting adverse events of any grade
Description
Assessment of adverse events up to 14 days post initiation of therapy. Adverse events: the proportion of participants exhibiting adverse events of any grade
Time Frame
14 days
Title
Number of participants with fever
Description
Development of new onset fever (T> 100.3 F or 38C) based on documented
Time Frame
14 days
Title
Number of participants with any symptoms of viral illness
Description
Duration of ANY of at least three respiratory/systemic symptom of viral illness in days (Symptom 1: fever, Symptom 2: cough, Symptom 3: coryza, Symptom 4: sore throat, Symptom 5: shortness of breath, Symptom 6: chills, Symptom 7: fatigue, Symptom 8: loss of smell or taste, Symptom 9: myalgias, Symptom 10: arthralgias, Symptom 11: headache, Symptom 12: nausea, Symptom 13: vomiting, Symptom 14: diarrhea
Time Frame
14 days

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: All enrolled participants must meet the following criteria: Age 18-65 years old. Asymptomatic (no symptoms of viral infection) on study entry. Exposure to a person with at least two new onset independent symptoms or signs (fever) of respiratory viral disease High risk exposure without use of masks and physical distancing to suspected case of viral illness (based on established symptoms of viral illness) in the household within 3 days prior to study entry. Rationale: Antivirals are most efficacious when given as early as possible post exposure. Ineligible for FDA approved alternative treatments to prevent progression to severe COVID-19 based on established criteria https://www.cdc.gov/coronavirus/2019-ncov/need-extra-precautions/people-with-medical-conditions.html or FDA approved alternative treatment cannot be obtained or not indicated (e.g. allergy). Without established significant coronary artery/vascular disease, lung, stroke, kidney, liver, heart disease) based on history. Adequate renal function. This is defined as absence of documented history of any kidney disease. Exclusion Criteria: Participants who meet any of the following criteria at screening will be excluded from the study: Use of Coenzyme Q10 or Vitamin E < 120 days from enrollment Women with variations in physiological functions due to hormones that may effect immune function and (taking hormones, pregnant, breastfeeding, on contraceptives). Pregnant (based on history). History of known gastrointestinal disease (such as gastroparesis) that may predispose patients to nausea. Gastrointestinal symptoms are the most common side effects of MitoQ. History of auto-immune diseases Chronic viral hepatitis History of underlying cardiac arrhythmia History of severe recent cardiac or pulmonary event A history of a hypersensitivity reaction to any components of the study drug or structurally similar compounds including Coenzyme Q10 and idebenone Unable to swallow tablets Use of any investigational products within 28 days of study enrollment Any other clinical condition or prior therapy that, in the opinion of the investigator, would make the patient unsuitable for the study or unable to comply with the study requirements. Such conditions may include, but are not limited to, current or recent history of severe, progressive, or uncontrolled renal, hepatic, hematological, gastrointestinal, endocrine, pulmonary, neurological, or cerebral disease Participants who are eligible for FDA approved alternative treatments to prevent progression to severe COVID-19 based on established criteria https://www.cdc.gov/coronavirus/2019-ncov/need-extra-precautions/people-with-medical-conditions.html
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Theodoros Kelesidis, MD PHD
Organizational Affiliation
University of Texas Southwestern Medical Center
Official's Role
Principal Investigator
Facility Information:
Facility Name
University of Texas Southwestern Medical Center
City
Dallas
State/Province
Texas
ZIP/Postal Code
75219
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
No
IPD Sharing Plan Description
Publication

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An Open Label Study in Adults to Test the Efficacy of Mitoquinone/Mitoquinol Mesylate to Prevent Severe Viral Illness

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