- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04569487
Identification of Relevant Biological, Imaging, Mobility and Clinical Markers for Clinical Research in Sarcopenia
Study Overview
Detailed Description
This trial is part of a Research Program partly funded by a grant from the Walloon region entitled "Development of Markers of Sarcopenia Using an Integrated Approach : From Cell to Human".
Consistent with the above-mentioned observation, there is not only one biological marker that perfectly matches the sarcopenia criteria but there is a range of complementary biomarkers - including but not limited to inflammation markers, products of oxidative damage, serum creatinine and urinary creatinine excretion, endocrine function, urine proteomics panel, N-terminal procollagen peptides, myostatin and agrin fragment - that will together constitute the ideal panel of markers (Fougère et al, 2015). These current biomarkers and the thresholds for correlation with clinical outcomes have to be deeply evaluated in clinical trials before being considered as good biomarkers.
In addition, one research priority is to investigate and define novel biomarkers allowing an improved assessment, characterization and follow-up of elderly people with sarcopenia. Biomarkers derived from blood can indeed easily be measured in a standardized and low-cost way and are therefore very attractive.
This clinical trial aims at confirming the relevance of new soluble markers and validating the most relevant biological (previously and newly identified), imaging, mobility and clinical markers for clinical research in sarcopenia.
Newly identified soluble markers of sarcopenia coming from DEMAIN Research program and using secretomic approach (to be identified in secretome of human myotubes during the program research) using immunoassays on biological fluids.
Study Type
Enrollment (Estimated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Yves Henrotin, Prof
- Phone Number: 0032 4 242 77 06
- Email: yves.henrotin@artialis.com
Study Contact Backup
- Name: Bérénice Coste, PhD
- Phone Number: 0032 4 242 77 47
- Email: berenice.costes@artialis.com
Study Locations
-
-
-
Brussel, Belgium, 1090
- Recruiting
- Universitair Ziekenhuis Brussel
-
Principal Investigator:
- Ivan Bautmans, MD, Phd
-
Brussels, Belgium, 1070
- Recruiting
- Erasme hospital
-
Principal Investigator:
- Sandra De Breucker, MD
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
Participants will have the following inclusion criteria:
- Male with age ≥ 65 years
- Body Mass Index: 20 < BMI < 35 kg/m2
- Able to understand and having signed an informed consent
- Able to follow the trial procedures
Sarcopenic population: diagnosed sarcopenia following definition of the EWGSOP2:
- Muscle strength assessed by the handgrip test <27 kg for male
- Skeletal muscle mass index (Appendicular lean muscle mass) assessed by DXA <7.0 kg/m2
Non-sarcopenic population: adapted from the EWGSOP2:
- Muscle strength assessed by the handgrip test ≥ 27 kg
- Skeletal muscle mass index (Appendicular lean muscle mass) assessed by DXA ≥ 7.0 kg/m2
Exclusion Criteria:
Participants will have the following exclusion criteria:
- Any clinically significant levels of the safety parameters (Creatine Kinase (CK), activated Partial Thromboplastin Time (aPTT), Prothrombin Time and International Normalized Ratio (PT/INR))
- Any severe, uncontrolled and limiting diseases (e.g. systemic inflammation, infectious diseases, active cancer, neurodegenerative disorders, diabetes) left to the investigator's discretion
- Bed resting for more than 10 days during the 3 months preceding the recruitment
- Immobilization of the lower limb, lasting more than one week during the 3 months preceding recruitment
- Medical treatment with anticoagulant, insulin, immunosuppressant, long-term corticosteroid (over 7.5 mg prednisone or its equivalent)
- Severe incapacity (class IV Steinbrocker Functional Classification - Appendix 2)
- Any treatment that may affect physical performance, muscle function, disrupts study measures or impairs the understanding of consent
- Known acute or severe renal insufficiency (glomerular filtration rate < 30 mL/min/1.73m2)
- Cushing' syndrome
- Known cachexia
- Currently participating or having participated in another therapeutic clinical trial in the three previous months
- Under guardianship or judicial protection
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Diagnostic
- Allocation: Non-Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Active Comparator: Sarcopenic population
Diagnosed sarcopenia following definition of the EWGSOP2:
|
Muscle biopsy from vastus lateralis (100-200 mg from non-dominant leg)
|
Active Comparator: Non sarcopenic population
Non-sarcopenic population adapted from the EWGSOP2:
|
Muscle biopsy from vastus lateralis (100-200 mg from non-dominant leg)
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Identified soluble markers of sarcopenia
Time Frame: 3 months after biopsy
|
immunoassays on biological fluids by secretomic approach
|
3 months after biopsy
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Identified imaging marker
Time Frame: within 15 days after Day 0 (baseline visit)
|
Appendicular lean muscle mass and adiposity (if possible) using Dual Energy Xray Absorptiometry (DXA)
|
within 15 days after Day 0 (baseline visit)
|
Determine thePhysical performance
Time Frame: Day 0 (baseline visit)
|
Patients realize some physical tests: Short Physical Performance Battery (SPPB that are three physical tests: gait speed, balance test, chair stand test)
|
Day 0 (baseline visit)
|
Determine the falls risk
Time Frame: Day 0 (baseline visit)
|
A global score will be calculated in function of the answers of a Self-administered questionnaire: Morse Fall Scale (MFS; falls risks for elderly)
|
Day 0 (baseline visit)
|
Identified clinical marker
Time Frame: Day 0 (baseline visit)
|
A global score will be calculated in function of the answers of a Self-administered questionnaire: SARC-F
|
Day 0 (baseline visit)
|
Determine the muscle strength
Time Frame: Day 0 (baseline visit)
|
Handgrip muscular strength test (upper body skeletal muscle function) using a hand dynamometer
|
Day 0 (baseline visit)
|
Evaluate the quality of life
Time Frame: Day 0 (baseline visit)
|
A global score will be calculated in function of the answers of a Self-administered questionnaire (SF-36).
The SF-36 is a 36-item patient-reported questionnaire that covers eight health domains: physical functioning (10 items), bodily pain (2 items), role limitations due to physical health problems (4 items), role limitations due to personal or emotional problems (4 items), emotional well-being (5 items), social functioning (2 items), energy/fatigue (4 items), and general health perceptions (5 items).
Scores for each domain range from 0 to 100, with a higher score defining a more favorable health state.
|
Day 0 (baseline visit)
|
Determine cognitive performance
Time Frame: Day 0 (baseline visit)
|
A global score will be calculated in function of the answers of a Self-administered questionnaire: Montreal Cognitive Assessment (MoCA)
|
Day 0 (baseline visit)
|
Determine the nutrition status
Time Frame: Day 0(baseline visit)
|
A global score will be calculated in function of the on Global Leadership Initiative on Malnutrition (GLIM) criteria (Cederholm et al, 2018)
|
Day 0(baseline visit)
|
Evaluate the tolerance
Time Frame: 3 months (baseline visit to biopsy)
|
Number of Adverse events (AE or Adverse Device Effect or Device Deficiency; will be coded in terms of System Organ Class (SOC) and Low Level Terms (LLT) using the last version of MedDRA) and drop offs
|
3 months (baseline visit to biopsy)
|
Collaborators and Investigators
Sponsor
Investigators
- Study Director: Yves Henrotin, Prof, Artialis
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- DEMAIN
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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