This is a Phase 2a double-blind, placebo-controlled study with two dose levels of A0001 given twice daily for 28 days. Potential subjects will be screened first to determine eligibility, after which they will be randomized to receive either a high dose of A0001, a low dose of A0001 or placebo for 28 days. Eligible subjects will return within 21 days of screening for the baseline visit and randomization to one of three potential treatments. The subjects will be required to take 3 capsules of study medication in the morning with a morning meal and 3 capsules of study medication at night with an evening meal for 28 days. Additional visits to the clinic are planned for Day 14 and Day 28, at which time a number of clinical and biochemical assessments will be done.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
42
28 days of low dose (1.0 g total daily dose) oral A0001 capsules. Treatment taken twice daily with meals.
28 days of high dose (1.5 g total daily dose) oral A0001 capsules. Treatment taken twice daily with meals.
28 days of placebo oral capsules. Treatment taken twice daily with meals.
The Children's Hospital of Philadelphia
Philadelphia, Pennsylvania, United States
Change in Disposition Index of Glucose Regulation, determined by Frequent Sampling IV Glucose Tolerance Test
Time frame: Baseline, Day 14 and Day 28
Sensitivity index (SI) calculated from IVGTT
Time frame: Baseline, Day 14 and Day 28
Glucose effectiveness (SG) calculated from IVGTT
Time frame: Baseline, Day 14 and Day 28
AIRg for glucose and insulin during IVGTT
Time frame: Baseline, Day 14 and Day 28
Fasting Glucose, Insulin and Lactate
Time frame: Baseline, Day 14 and Day 28
HbA1C
Time frame: Baseline, Day 14 and Day 28
Plasma 1,5-anhydroglucitol (1,5-AG) (Glycomark)
Time frame: Baseline, Day 14 and Day28
Specific Activity of Complex 1 in whole blood
Time frame: Baseline, Day 14 and Day 28
Timed 25 Foot Walk Test
Time frame: Baseline and Day 28
FARS/neurological exam
Time frame: Baseline and Day 28
9-Hole Peg Test
Time frame: Baseline, Day 14 and Day 28
Vision Low Contrast Letter Acuity Test
Time frame: Baseline and Day 28
Global Impression of Clinical Severity
Time frame: Baseline, Day 14 and Day 28
Modified Fatigue Impact Scale
Time frame: Baseline and Day 28
Activities of Daily Living
Time frame: Baseline and Day 28
SF-36®
Time frame: Baseline and Day 28
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