Omega 3, Leucine, Probiotic Lactobacillus Paracasei PS23 on Muscle Mass in Sarcopenic Subjects

Sponsor
Azienda di Servizi alla Persona di Pavia (Other)
Overall Status
Recruiting
CT.gov ID
NCT04702087
Collaborator
Abiogen Pharma (Industry)
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Study Details

Study Description

Brief Summary

The purpose of the study is to evaluate the effect of supplementation with a nutritional blend based on Omega 3 fatty acids, the probiotic leucine Lactobacillus paracasei PS23 (OLEP), on muscle mass recovery in sarcopenic patients.

Condition or Disease Intervention/Treatment Phase
  • Dietary Supplement: OLEP
  • Combination Product: Placebo
N/A

Study Design

Study Type:
Interventional
Anticipated Enrollment :
54 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
Primary Purpose:
Treatment
Official Title:
Randomized, Placebo-controlled Clinical Study to Evaluate the Effect of 2 Months of Nutritional Support Based on Omega 3, Leucine, Probiotic Lactobacillus Paracasei PS23 (OLEP Study) on Muscle Mass in Sarcopenic Subjects
Actual Study Start Date :
Jan 22, 2021
Actual Primary Completion Date :
Jan 30, 2021
Anticipated Study Completion Date :
Dec 1, 2022

Arms and Interventions

Arm Intervention/Treatment
Experimental: OLEP

Omega 3 (500 mg), leucine (2,5 g), probiotic Lactobacillus paracasei PS23

Dietary Supplement: OLEP
omega 3 (500 mg), leucine (2,5 g), probiotic Lactobacillus paracasei PS23

Placebo Comparator: Placebo

isocaloric formula

Combination Product: Placebo
Isocaloric formula

Outcome Measures

Primary Outcome Measures

  1. Changes on muscle mass [Baseline / 30 days / 60 days]

    Evaluation of fat free mass (g)

Secondary Outcome Measures

  1. Changes on body composition [Baseline / 30 days / 60 days]

    Evaluation of fat mass (g) and visceral adipose tissue (g)

  2. Changes on physical performancy [Baseline / 60 days]

    Evaluation of Tinetti scale (point scale) that measures characteristics associated with falls, assessing balance (14 items; 24 points), and gait (10 items; 16 points) for a total score up to 40 (the higher the score, the better the performance)

  3. Changes on physical performancy [Baseline / 60 days]

    Evaluation of Short Physical Performance Battery (point scale) which consists of three components: gait speed, chair-stand test, timed up and go (TUG) test (which assesses the time taken to rise from an arm chair, walk 3 m, turn, walk back, and sit down again), and balance (three different tests assessing ability to stand with the feet together in the side-by-side, semi-tandem, and tandem positions); accordingly, each component was scored from 0 (not possible) to 4 (best performance) and the scores add up to a total score ranging from 0 to 12.

  4. Changes on functional status [Baseline / 60 days]

    Evaluation of Barthel Index (point scale) (covering all the aspects of self-care independence in daily living activities, including transfer, walking, stairs, toilet use, dressing, feeding, bladder, bowel, grooming, and bathing; score range, 0 (completely dependent) -100 (complete self-sufficiency))

  5. Changes on functional status [Baseline / 60 days]

    Evaluation of activities of daily living score (point scale): a simplified scale that provides for the assignment of a point for each independent function in order to obtain a total performance result ranging from 0 (complete dependence) to 6 (independence in all functions).

  6. Changes on muscle strength [Baseline / 30 days / 60 days]

    Evaluation of muscle strength (kg)

  7. Changes on Quality of life [Baseline / 60 days]

    Evaluation of Short-Form 12-Item Health Survey (poin survey): a generic health-status measure (physical component summary score and the mental component summary score) by addressing eight health domains (physical functioning, role physical, bodily pain, general health, vitality, social functioning, role emotional, and mental health. Score from 0 (bad quality) to 100 (high quality).

  8. Changes on mood [Baseline / 60 days]

    Evaluation of Geriatric Depression Scale (point scale). a 30-question test with yes/no answers. 10 - 15 Points: Probable presence of depression; 6 - 9 Points: Depression possible; 0 - 5 Points: Unlikely Depression.

  9. Changes on blood pressure [Baseline / 60 days]

    Evaluation of systolic and diastolic pressure (mm/Hg)

  10. Changes on plasma free essential amino acids [Baseline / 60 days]

    Evaluation of free essential amino acids in plasma (Leucine, Isoleucine, Valine) (micromol/L)

  11. Changes on safety parameters [Baseline / 60 days]

    Evaluation of creatinine (mg/dl)

  12. Changes on safety parameters [Baseline / 60 days]

    Evaluation of alanine aminotransferase and aspartate aminotransferase (IU/L)

  13. Changes on safety parameters [Baseline / 60 days]

    Evaluation of gamma glutamyl transferase (U/L)

Eligibility Criteria

Criteria

Ages Eligible for Study:
55 Years and Older
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
Yes
Inclusion Criteria:
  • Sarcopenic patients (diagnosis made according to the criteria Revised European Consensus on Definition and Diagnosis)

  • Body Mass Index between 20 and 30 Kg/m2

Exclusion Criteria:
  • severe renal failure (glomerular filtration rate < 30 mL/min)

  • moderate to severe liver failure (Child-Pugh class B or C)

  • endocrine diseases associated with calcium metabolism disorders (except osteoporosis)

  • known psychiatric disorders

  • cancer (over the past 5 years)

  • hypersensitivity to any component of the investigational nutritional supplement and

  • taking to protein/amino acid supplements (up to 3 months before starting the study)

  • patients unable to take oral therapy

  • receiving or with indication for artificial nutrition

  • who had been included in another clinical nutrition trial

Contacts and Locations

Locations

Site City State Country Postal Code
1 Azienda di Servizi alla Persona Pavia Italy 27100

Sponsors and Collaborators

  • Azienda di Servizi alla Persona di Pavia
  • Abiogen Pharma

Investigators

  • Principal Investigator: Mariangela Rondanelli, Fondazione Casemiro Mondino

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.
Responsible Party:
Azienda di Servizi alla Persona di Pavia
ClinicalTrials.gov Identifier:
NCT04702087
Other Study ID Numbers:
  • 202000070742
First Posted:
Jan 8, 2021
Last Update Posted:
Oct 5, 2021
Last Verified:
Sep 1, 2021
Individual Participant Data (IPD) Sharing Statement:
No
Plan to Share IPD:
No
Studies a U.S. FDA-regulated Drug Product:
No
Studies a U.S. FDA-regulated Device Product:
No
Additional relevant MeSH terms:

Study Results

No Results Posted as of Oct 5, 2021