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Terminated for Commercial Reasons. There were no safety issues involved in the decision to terminate the study.
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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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| A0001 | Experimental | A0001 (0.75 g BID) |
|
| Placebo | Placebo Comparator | Placebo |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| A0001 (alpha-tocopherolquinone) | Drug | 28 days (1.5 g total daily dose) oral A0001 capsules. Treatment taken twice daily with meals. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Improvement in the rate of ATP recovery ("Vmax") in cardiac muscle as measured by 31Phosphorous Magnetic Resonance Spectroscopy (31P-MRS) | Baseline and Day 28 |
| Measure | Description | Time Frame |
|---|---|---|
| Improvement in cardiac structure and function as measured by Magnetic Resonance Imaging (MRI) | Baseline and Day 28 | |
| Exercise tolerance as measured by a 6 minute walk test | Baseline, Day 14 and Day 28 |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Patrick F Chinnery | University of Newcastle Upon-Tyne | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Newcastle upon Tyne | Newcastle | Framlington Place | NE2 4HH | United Kingdom |
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| ID | Term |
|---|---|
| D009468 | Neuromuscular Diseases |
| ID | Term |
|---|---|
| D009422 | Nervous System Diseases |
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| ID | Term |
|---|---|
| C002421 | tocopherylquinone |
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| Placebo | Drug | 28 days of placebo oral capsules. Treatment taken twice daily with meals. |
|
| 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 | Baseline and Day 28 |
| Fasting blood lactate, fasting blood glucose, fasting blood insulin , fasting blood HbA1c levels | Baseline, Day 14 and Day 28 |
| Mitochondrial disease severity (NMDAS) | Baseline and Day 28 |
| Quality of life (SF-36® Health Survey Questionnaire) | Baseline and Day 28 |
| Global impression of clinical severity | Baseline, Day 14 and Day 28 |
| Modified fatigue impact scale | Baseline, Day 14 and Day 28 |