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Impact of Orally Administered BPM31510 on Mitochondrial Energetics in Older Adults With Sarcopenia (COQ10)

Primary Purpose

Sarcopenia

Status
Withdrawn
Phase
Early Phase 1
Locations
United States
Study Type
Interventional
Intervention
BPM31510
Placebo
Sponsored by
AdventHealth Translational Research Institute
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional basic science trial for Sarcopenia

Eligibility Criteria

65 Years - 90 Years (Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  1. Participant must be male or female, ages 65 through 90 years of age.
  2. Participant must be sedentary, defined as ≤ 1 structured intentional continuous exercise session (approximately 30 mins) per week.
  3. Participant must be sarcopenic, defined as having a skeletal muscle mass index (SMI) of <7.25 kg/m2 for males or <5.67 kg/m2 for females via DEXA scan.
  4. Participant states willingness to follow the protocol as described and will complete any forms needed throughout the study.
  5. Participant has voluntarily signed and dated an informed consent form, approved by an Institutional Review Board/Independent Ethics Committee, and provided Health Insurance Portability and Accountability Act authorization (HIPAA) or other privacy authorization prior to any participation in study.

Exclusion Criteria:

  1. Inability and/or unwillingness to comply with the protocol as written
  2. Participant has had a significant cardiovascular event (e.g., myocardial infarction, stroke) ≤ 6 months prior to screening visit; or stated history of congestive heart failure; or participant has evidence of cardiovascular disease assessed during the ECG at screening. In the event of a positive stress test, participants are referred to their primary care physician. If the electrocardiogram (ECG) is determined to be a false positive, participant may be allowed to participate in study after confirmatory records obtained.
  3. The presence of any condition which contraindicate moderate exercise and would result in the inability to comply with the protocol as written or would compromise participant safety or data integrity, will be considered on a case-by-case basis by the Principal investigator and the study physician.
  4. Participant is actively pursuing weight loss and/or lifestyle changes.
  5. History of gastrointestinal or intracranial hemorrhage.
  6. History of stroke or cerebrovascular accident.
  7. Participant has diabetes.
  8. Weight stable -no gain/loss by self-report of ≥ 10 lbs in 6 months prior to screening
  9. BMI 40.0 kg/m2
  10. Untreated or poorly controlled hypertension (SBP 150, DBP 95), or hypotension (SBP 100 DBP 60)
  11. Participant has untreated hyperthyroidism (TSH (0.5mIU/L) or untreated hypothyroidism (TSH 10mIU/L).
  12. Participant has current infection (requiring prescription antimicrobial or antiviral medication, or hospitalization), or corticosteroid treatment (with the exception of inhaled or topical steroids) in the last 3 months prior to screening visit.
  13. Participant is currently taking anti-inflammatory medication or has had anti-inflammatory medication within 1 week prior to screening (including over the counter formulations, e.g., Aleve, Motrin, ibuprofen, naproxen, low dose aspirin).
  14. Participant has had surgery requiring > 2 days of hospitalization in the last 1 month prior to screening visit.
  15. Participant has an active malignancy or autoimmune disease.
  16. Participant has current significantly impaired liver function in the opinion of the study Medical Investigator (mild asymptomatic fatty liver is acceptable), or hepatic enzyme tests are ≥ 2.5 times normal limit.
  17. Participant has a chronic, contagious, or infectious diseases, such as active tuberculosis, Hepatitis B or C, or HIV, per self-report.
  18. Participant currently has uncontrolled severe diarrhea, nausea or vomiting.
  19. Participant has an obstruction of the gastrointestinal tract, inflammatory bowel disease, short bowel syndrome or other forms of gastrointestinal disease such as stage III or above gastroesophageal reflux disease, gastroparesis, peptic ulcer disease, celiac disease, intestinal dysmotility, diverticulitis, ischemic colitis and bariatric surgery.
  20. Participant has a mini-Mental State Examination score < 21.
  21. Unable to participate in DXA assessments due to physical limitations of equipment tolerances (e.g., DXA 450-pound weight limit), claustrophobia, or based on Investigator's judgment at screening.
  22. Participant has a sensitivity or allergy to lidocaine.
  23. Presence of any condition that, in the opinion of the Investigator, compromises participant safety or data integrity or the participant's ability to complete the study.
  24. Participant has peripheral vascular disease.
  25. Participant has proteinuria defined as > 1+; approximately 30 mg/dl.
  26. Clinically significant abnormality on ECG

Sites / Locations

  • AdventHealth Translational Research Institute

Arms of the Study

Arm 1

Arm 2

Arm Type

Placebo Comparator

Active Comparator

Arm Label

Older adults with sarcopenia (placebo)

Older adults with sarcopenia (drug)

Arm Description

Outcomes

Primary Outcome Measures

Measurement of skeletal muscle
We will evaluate changes in mitochondrial function (respiration) on permeabilized skeletal muscle fiber bundles obtained from biopsies of the vastus lateralis and blood draws, respectively. Blood and muscle biospecimens will also be obtained for multi-omics analysis.
Measurement of platelet CoQ10 level
We will evaluate changes in mitochondrial function (respiration) on cells (platelets) obtained from biopsies of the vastus lateralis and blood draws, respectively. Blood and muscle biospecimens will also be obtained for multi-omics analysis.

Secondary Outcome Measures

Full Information

First Posted
July 13, 2021
Last Updated
July 21, 2023
Sponsor
AdventHealth Translational Research Institute
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1. Study Identification

Unique Protocol Identification Number
NCT04999488
Brief Title
Impact of Orally Administered BPM31510 on Mitochondrial Energetics in Older Adults With Sarcopenia
Acronym
COQ10
Official Title
Impact of Orally Administered BPM31510 on Mitochondrial Energetics in Older
Study Type
Interventional

2. Study Status

Record Verification Date
July 2023
Overall Recruitment Status
Withdrawn
Why Stopped
Drug manufacturing update. Study site will proceed with study in future.
Study Start Date
December 2023 (Anticipated)
Primary Completion Date
December 2024 (Anticipated)
Study Completion Date
December 2024 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
AdventHealth Translational Research Institute

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
This study is being done to gather data on whether oral supplementation of CoQ10 is enriched in the blood and muscles in older adults with sarcopenia. This study involves 28 consecutive days of oral CoQ10 supplementation to explore changes in muscle strength, aerobic capacity and physical function with CoQ10 supplementation.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Sarcopenia

7. Study Design

Primary Purpose
Basic Science
Study Phase
Early Phase 1
Interventional Study Model
Single Group Assignment
Model Description
Randomized, parallel arm trial in which the supplementation with oral BPM 31510 or placebo will be blind.
Masking
None (Open Label)
Masking Description
Randomized, parallel arm trial in which the supplementation with oral BPM 31510 or placebo will be blind.
Allocation
Randomized
Enrollment
0 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Older adults with sarcopenia (placebo)
Arm Type
Placebo Comparator
Arm Title
Older adults with sarcopenia (drug)
Arm Type
Active Comparator
Intervention Type
Drug
Intervention Name(s)
BPM31510
Intervention Description
A total of 3200 mg of BPM 31510 or placebo will be self-administered daily by subjects before the morning, afternoon, and evening meals, with no fewer than 4 and no more than 6 hours elapsed between doses during the daytime.
Intervention Type
Other
Intervention Name(s)
Placebo
Intervention Description
A total of 3200 mg of BPM 31510 or placebo will be self-administered daily by subjects before the morning, afternoon, and evening meals, with no fewer than 4 and no more than 6 hours elapsed between doses during the daytime.
Primary Outcome Measure Information:
Title
Measurement of skeletal muscle
Description
We will evaluate changes in mitochondrial function (respiration) on permeabilized skeletal muscle fiber bundles obtained from biopsies of the vastus lateralis and blood draws, respectively. Blood and muscle biospecimens will also be obtained for multi-omics analysis.
Time Frame
Following 28 days of treatment
Title
Measurement of platelet CoQ10 level
Description
We will evaluate changes in mitochondrial function (respiration) on cells (platelets) obtained from biopsies of the vastus lateralis and blood draws, respectively. Blood and muscle biospecimens will also be obtained for multi-omics analysis.
Time Frame
Following 28 days of treatment

10. Eligibility

Sex
All
Minimum Age & Unit of Time
65 Years
Maximum Age & Unit of Time
90 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Participant must be male or female, ages 65 through 90 years of age. Participant must be sedentary, defined as ≤ 1 structured intentional continuous exercise session (approximately 30 mins) per week. Participant must be sarcopenic, defined as having a skeletal muscle mass index (SMI) of <7.25 kg/m2 for males or <5.67 kg/m2 for females via DEXA scan. Participant states willingness to follow the protocol as described and will complete any forms needed throughout the study. Participant has voluntarily signed and dated an informed consent form, approved by an Institutional Review Board/Independent Ethics Committee, and provided Health Insurance Portability and Accountability Act authorization (HIPAA) or other privacy authorization prior to any participation in study. Exclusion Criteria: Inability and/or unwillingness to comply with the protocol as written Participant has had a significant cardiovascular event (e.g., myocardial infarction, stroke) ≤ 6 months prior to screening visit; or stated history of congestive heart failure; or participant has evidence of cardiovascular disease assessed during the ECG at screening. In the event of a positive stress test, participants are referred to their primary care physician. If the electrocardiogram (ECG) is determined to be a false positive, participant may be allowed to participate in study after confirmatory records obtained. The presence of any condition which contraindicate moderate exercise and would result in the inability to comply with the protocol as written or would compromise participant safety or data integrity, will be considered on a case-by-case basis by the Principal investigator and the study physician. Participant is actively pursuing weight loss and/or lifestyle changes. History of gastrointestinal or intracranial hemorrhage. History of stroke or cerebrovascular accident. Participant has diabetes. Weight stable -no gain/loss by self-report of ≥ 10 lbs in 6 months prior to screening BMI 40.0 kg/m2 Untreated or poorly controlled hypertension (SBP 150, DBP 95), or hypotension (SBP 100 DBP 60) Participant has untreated hyperthyroidism (TSH (0.5mIU/L) or untreated hypothyroidism (TSH 10mIU/L). Participant has current infection (requiring prescription antimicrobial or antiviral medication, or hospitalization), or corticosteroid treatment (with the exception of inhaled or topical steroids) in the last 3 months prior to screening visit. Participant is currently taking anti-inflammatory medication or has had anti-inflammatory medication within 1 week prior to screening (including over the counter formulations, e.g., Aleve, Motrin, ibuprofen, naproxen, low dose aspirin). Participant has had surgery requiring > 2 days of hospitalization in the last 1 month prior to screening visit. Participant has an active malignancy or autoimmune disease. Participant has current significantly impaired liver function in the opinion of the study Medical Investigator (mild asymptomatic fatty liver is acceptable), or hepatic enzyme tests are ≥ 2.5 times normal limit. Participant has a chronic, contagious, or infectious diseases, such as active tuberculosis, Hepatitis B or C, or HIV, per self-report. Participant currently has uncontrolled severe diarrhea, nausea or vomiting. Participant has an obstruction of the gastrointestinal tract, inflammatory bowel disease, short bowel syndrome or other forms of gastrointestinal disease such as stage III or above gastroesophageal reflux disease, gastroparesis, peptic ulcer disease, celiac disease, intestinal dysmotility, diverticulitis, ischemic colitis and bariatric surgery. Participant has a mini-Mental State Examination score < 21. Unable to participate in DXA assessments due to physical limitations of equipment tolerances (e.g., DXA 450-pound weight limit), claustrophobia, or based on Investigator's judgment at screening. Participant has a sensitivity or allergy to lidocaine. Presence of any condition that, in the opinion of the Investigator, compromises participant safety or data integrity or the participant's ability to complete the study. Participant has peripheral vascular disease. Participant has proteinuria defined as > 1+; approximately 30 mg/dl. Clinically significant abnormality on ECG
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Paul Coen, PhD
Organizational Affiliation
AdventHealth Translational Research Institute
Official's Role
Principal Investigator
Facility Information:
Facility Name
AdventHealth Translational Research Institute
City
Orlando
State/Province
Florida
ZIP/Postal Code
32804
Country
United States

12. IPD Sharing Statement

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Impact of Orally Administered BPM31510 on Mitochondrial Energetics in Older Adults With Sarcopenia

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