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SarcopeniaNCT05525039

RCT of Combination Effect of Vibration Treatment and HMB Supplementation on Myosteatosis and NMJ Degeneration

A study testing Low-magnitude High-frequency Vibration, β-hydroxy β-methylbutyrate (HMB) supplement and Protein supplement in people with Sarcopenia and Connective Tissue Diseases in Old Age, run by Chinese University of Hong Kong at 3 sites in Hong Kong.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The investigators' pre-clinical study confirms the positive effects of combined treatment (VT + HMB) on reducing fat-to-lean tissue ratio, intramuscular fat infiltration and increasing muscle strength in sarcopenia animal model. Read more about this study

Who is it for?
Ages 60 years and older
What is being tested?
Low-magnitude High-frequency Vibration, β-hydroxy β-methylbutyrate (HMB) supplement and Protein supplement
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
200 participants
Where
3 sitesHong Kong
Study dates
12 Jan 2023to 4 May 2026
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 60 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Subjects aged 60 years or above
  • Subjects failed in AWGS algorithm
  • skeletal muscle mass by BIA (male at <7.0 kg/m^2, female at <5.7 kg/m^2), and
  • handgrip strength (male at <28 kg, female at <18kg), and/or
  • gait speed test (>1m/s)

Who cannot join

  • Subjects with pathological bone diseases
  • Subjects with chronic inflammatory condition (e.g. rheumatoid arthritis)
  • Subjects with neurological problems
  • Subjects receiving regular exercise
  • Subjecs who are chair-/bed- bound
  • Subjects with malignancy
  • Subjects with cardiovascular concern such as with pace-maker in-situ
  • Subjects with acute fractures or severe osteoarthritis

Trial locations and contacts

3 sites in 1 country.

Hong Kong3 sites
  • Evangelical Luthera Church Social Service - Hong Kong

    Hong Kong

  • The Chinese University of Hong Kong Jockey Club Centre for Osteoporosis Care and Control

    Hong Kong

  • The Chinese University of Hong Kong, Department of Orthopaedics and Traumatology, 1/F Li Ka Shing Outpatient Clinic (North), PWH

    Hong Kong

Other trials in Hong Kong

About this study

Official title: Dissecting the Therapeutic Mechanism of an Effective Combination Treatment Targeting Neuromuscular Junction Dengeneration and Myosteatosis to Combat Sarcopenia

The investigators' pre-clinical study confirms the positive effects of combined treatment (VT + HMB) on reducing fat-to-lean tissue ratio, intramuscular fat infiltration and increasing muscle strength in sarcopenia animal model. The results showed that fat mass could be decreased by ~32%, while histology Oil Red O staining indicated a decrease of fat by almost 60%; in contrast, lean muscle mass increased by ~14%. On muscle strength, combined treatment increased twitch force, tetanic force and grip strength by ~30-66%. These in vivo results are very encouraging and the investigators should explore its potential in clinical translation. As VT and HMB supplement have been commercially available and their compliance rates are satisfactory, they can be translated to clinical application easily. The investigators' next step is to confirm its clinical efficacy, so that sarcopenia becomes a new indication of VT and HMB. The hypothesis is that combined treatment of VT and HMB can retard the progression of sarcopenia in human, in terms of muscle mass, muscle strength and performance.

Read the detailed description

In this study, a single-blinded RCT is to investigate the effect of combination treatment of VT and HMB on hand grip, gait speed, muscle mass (DXA) in sarcopenic subjects.

Subjects over age of 65 will be screened by performing SARC-F, handgrip, gait speed and bioelectric impedance assessment (BIA) based on AWGS definition. The participants failed in AWGS algorithm will be invited to join the research. Exclusion criteria are those with (1)pathological bone diseases, (2) chronic inflammatory conditions (e.g. rheumatoid arthritis), (3) neurological problems affecting gait, (4) taking regular supervised exercise training for more than 3 times/week, (5) chair-bound or bed-bound, and (6) malignancy.

Recruited subjects will be randomized to either (1) Control, (2) HMB only, (3) VT only or (4) HMB +VT group. All subjects will be given protein supplement to ensure minimal daily protein intake. Subject assigned to VT group will receive VT (35Hz, 0.3g, 20min/day, at least 3 times/week) for 6 months. Subjects assigned to HMB group will take HMB capsules 3g/day for 6 months. Subjects assigned to HMB+VT group will recieve both VT and HMB supplements for 6 months. The primary outcome is muscle strength showing subjects' functional ability. All primary and secondary outcome assessments for all groups will be performed in the investigators' institute at baseline, 3 months and 6 months post-treatment.

Being tested
Low-magnitude High-frequency Vibration, β-hydroxy β-methylbutyrate (HMB) supplement, Protein supplement
Keywords
Sarcopenia, Vibration, Hydroxymethylbutyrate
Medical subject headings
Sarcopenia, Musculoskeletal Abnormalities

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Low-magnitude High-frequency VibrationDevice

    Also called Vibration Treatment

    0.3g, 35Hz, 20mins/day, at least 3 times/week

  • β-hydroxy β-methylbutyrate (HMB) supplementDietary supplement

    Oral nutritional HMB supplement at 3g/day

  • Protein supplementDietary supplement

    Daily protein supplement intake

Study groups in NCT05525039
Study groupRoleWhat they receive
Control GroupPlacebo comparatorSubjects assigned to Contro Group will not receive VT or HMB. They will receive daily protein supplement for 6 months.
Receives: Dietary Supplement: Protein supplement
HMB only GroupActive comparatorSubjects assigned to HMB only Group will receive HMB supplement at 3g/day and daily protein supplement for 6 months.
Receives: Dietary Supplement: β-hydroxy β-methylbutyrate (HMB) supplement; Dietary Supplement: Protein supplement
VT only GroupActive comparatorSubjects assigned to VT only Group will receive VT (0.3g, 35Hz, at least 3 times/week) and daily protein supplement for 6 months
Receives: Device: Low-magnitude High-frequency Vibration; Dietary Supplement: Protein supplement
HMB + VT GroupExperimentalSubjects assigned to HMB + VT Group will receive HMB supplement at 3g/day, VT at least 3 times/week and daily protein supplement for 6 months.
Receives: Device: Low-magnitude High-frequency Vibration; Dietary Supplement: β-hydroxy β-methylbutyrate (HMB) supplement; Dietary Supplement: Protein supplement

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Muscle strength-handgrip

    Handgrip strength will be measured by a dynamometer on each hand of the subject.

    Measured: 6 months

  2. Muscle performance-gait speed

    Gait speed will be assessed by a 6-meter-walk test.

    Measured: 6 months

Secondary outcomes (5)
  1. Dual energy x-ray absortiometry (DXA)

    Whole body muscle mass measurement

    Measured: 6 months

  2. Biodex Balance System-LOS

    Limits of stability will be recorded to evaluate the dynamic posture stability. Maximum scores will be 100 where the higher scores indicate better performance.

    Measured: 6 months

  3. Biodex Balance System-OSI

    Posture stability (Overall Stability Index) will be recorded. High scores indicate poorer balancing abillity.

    Measured: 6 months

  4. Time-up-and-go test (TUG)

    Time will be recorded for participants to rise from a chair, walk 3 meters, turn around, and walk back to the chair then sitting down

    Measured: 6 months

  5. 36-item Short-Form Health Survey (SF-36)

    Health-related quality of life will be assessed by the validated Chinese version of SF-36. Scores range from 0 to 100 where higher scores indicate better health status

    Measured: 6 months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted1 Sep 2022
  2. Study start12 Jan 2023
  3. Primary completion4 May 2026
  4. Study completion4 May 2026

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Model description
Subjects will be randomized to either (1) Control, (2) HMB only, (3) VT only or (4) HMB +VT group. All subjects will be given protein supplement to ensure minimal daily protein intake. Subject assigned to VT group will receive VT (35Hz, 0.3g, 20min/day, at least 3 times/week) for 6 months. Subjects assigned to HMB group will take HMB capsules 3g/day for 6 months.
Masking
Single blind
Who is masked
Outcomes assessor
Enrolment
200 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05525039
Sponsor's protocol ID
CREC 2022.233-T
Status last verified
Mar 2026
First submitted
30 Aug 2022
Last updated
21 Oct 2026
Results posted
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Leung KS, Li CY, Tse YK, Choy TK, Leung PC, Hung VW, Chan SY, Leung AH, Cheung WH. Effects of 18-month low-magnitude high-frequency vibration on fall rate and fracture risks in 710 community elderly--a cluster-randomized controlled trial. Osteoporos Int. 2014 Jun;25(6):1785-95. doi: 10.1007/s00198-014-2693-6. Epub 2014 Mar 28.

    PubMed 24676848
  • Wang J, Cui C, Chim YN, Yao H, Shi L, Xu J, Wang J, Wong RMY, Leung KS, Chow SK, Cheung WH. Vibration and beta-hydroxy-beta-methylbutyrate treatment suppresses intramuscular fat infiltration and adipogenic differentiation in sarcopenic mice. J Cachexia Sarcopenia Muscle. 2020 Apr;11(2):564-577. doi: 10.1002/jcsm.12535. Epub 2020 Jan 28.

    PubMed 31994349
  • Deutz NE, Pereira SL, Hays NP, Oliver JS, Edens NK, Evans CM, Wolfe RR. Effect of beta-hydroxy-beta-methylbutyrate (HMB) on lean body mass during 10 days of bed rest in older adults. Clin Nutr. 2013 Oct;32(5):704-12. doi: 10.1016/j.clnu.2013.02.011. Epub 2013 Mar 4.

    PubMed 23514626
  • Cheung WH, Mok HW, Qin L, Sze PC, Lee KM, Leung KS. High-frequency whole-body vibration improves balancing ability in elderly women. Arch Phys Med Rehabil. 2007 Jul;88(7):852-7. doi: 10.1016/j.apmr.2007.03.028.

    PubMed 17601464
  • Zhu LY, Chan R, Kwok T, Cheng KC, Ha A, Woo J. Effects of exercise and nutrition supplementation in community-dwelling older Chinese people with sarcopenia: a randomized controlled trial. Age Ageing. 2019 Mar 1;48(2):220-228. doi: 10.1093/ageing/afy179.

    PubMed 30462162
  • Chen LK, Liu LK, Woo J, Assantachai P, Auyeung TW, Bahyah KS, Chou MY, Chen LY, Hsu PS, Krairit O, Lee JS, Lee WJ, Lee Y, Liang CK, Limpawattana P, Lin CS, Peng LN, Satake S, Suzuki T, Won CW, Wu CH, Wu SN, Zhang T, Zeng P, Akishita M, Arai H. Sarcopenia in Asia: consensus report of the Asian Working Group for Sarcopenia. J Am Med Dir Assoc. 2014 Feb;15(2):95-101. doi: 10.1016/j.jamda.2013.11.025.

    PubMed 24461239
  • Li MCM, Cheng YK, Cui C, Chow SKH, Wong RMY, Kwok TC, Siu PM, Yang M, Tian M, Rubin C, Welch AA, Qin L, Law SW, Cheung WH. Biophysical and nutritional combination treatment for myosteatosis in patients with sarcopenia: a study protocol for single-blinded randomised controlled trial. BMJ Open. 2024 Jan 4;14(1):e074858. doi: 10.1136/bmjopen-2023-074858.

    PubMed 38176874

Questions about this trial

What is this clinical trial studying?

A study testing Low-magnitude High-frequency Vibration, β-hydroxy β-methylbutyrate (HMB) supplement and Protein supplement in people with Sarcopenia and Connective Tissue Diseases in Old Age, run by Chinese University of Hong Kong at 3 sites in Hong Kong.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 5 inclusion and 8 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 21 Oct 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 3 sites in Hong Kong. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Muscle strength-handgrip (time frame: 6 months). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT05525039, which also lists 7 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 21 Oct 2026.

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