This is a phase 2a, double-blind, placebo-controlled, single-center study. Twenty-one patients who qualify for the study will be randomly assigned to either active drug or placebo. The study will take place at Newcastle University. Patients will have a 66% chance of getting active drug. Patients will be required to take study treatment orally twice a day for 28 days. A baseline visit will occur within 21 days of screening visit. All patients will be followed for 1 week after completion of study or early withdrawal from the study.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
30
28 days (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.
University of Newcastle upon Tyne
Newcastle, Framlington Place, United Kingdom
Improvement in the rate of ATP recovery ("Vmax") in cardiac muscle as measured by 31Phosphorous Magnetic Resonance Spectroscopy (31P-MRS)
Time frame: Baseline and Day 28
Improvement in cardiac structure and function as measured by Magnetic Resonance Imaging (MRI)
Time frame: Baseline and Day 28
Exercise tolerance as measured by a 6 minute walk test
Time frame: Baseline, Day 14 and Day 28
Improvement in the rate of Maximal ATP recovery (Vmax) as measured by 31Phosphorous Magnetic Resonance Spectroscopy (31P-MRS) MRI of calf muscle during a standardized isolated calf muscle procedure of 2 bouts of plantar flexion exercise
Time frame: Baseline and Day 28
Fasting blood lactate, fasting blood glucose, fasting blood insulin , fasting blood HbA1c levels
Time frame: Baseline, Day 14 and Day 28
Mitochondrial disease severity (NMDAS)
Time frame: Baseline and Day 28
Quality of life (SF-36® Health Survey Questionnaire)
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, Day 14 and Day 28
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