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SarcopeniaNCT05926713

Evaluate the Effect of Dietary Supplement Combined Exercise Among Patients With Sarcopenia Comorbid With Lung Disease

A study testing Sarcojoint® and supervised exercise in people with Sarcopenia and COPD, run by Orient Europharma Co., Ltd. at 1 site in Taiwan.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

This trial is a prospective multi-center study. The purpose of this study is to evaluate the effect of dietary supplement combined with supervised exercised on the physical performance, body composition and lung function among patients with Sarcopenia and severe Sarcopenia in chronic lung disease. Read more about this study

Who is it for?
Any age
Conditions the study is for
Sarcopenia, COPD, ILD
What is being tested?
Sarcojoint® and supervised exercise
Could I receive a placebo?
No, everyone receives an active treatment
How many people
100 participants
Where
1 siteTaiwan
Study dates
1 Mar 2023to 31 Oct 2032
Phase
Interventional
Are there results?
Not yet: the study is under way

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 Any age
  • All sexes
  • No healthy volunteers
  • Child, Adult, Older adult

Who may be able to join

  • Outpatients with COPD (chronic obstructive pulmonary disease) or ILD (interstitial lung disease) from Department of Chest medicine in Taichung Veterans General Hospital, judged by the doctor that they do not need hospitalization or emergent treatment.
  • Outpatients who meet the diagnostic criteria for Sarcopenia after evaluation by a physician.

Who cannot join

  • Patients who refuse to sign the consent form
  • Patients who are under 20 years old
  • Patients who are bedridden or unable to walk due to physical disabilities
  • Patients with terminal cancer or human-acquired immunodeficiency syndrome
  • Patients with edema (grading pitting edema +2)

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Taiwan1 site, 1 recruiting
  • Taichung Veterans General Hospital

    Taichung

    Pin-Kuei Fu, PhD, 04-23592525 ext. 6536, yetquen@vghtc.gov.tw

    Recruiting

Other trials in Taiwan

About this study

Official title: Evaluate the Effect of Dietary Supplement Combined Supervised Exercise on Physical Performance and Body Composition Among Patients With Sarcopenia and Severe Sarcopenia Comorbid With COPD or ILD: A Prospective, Multi-center Cohort Study

This trial is a prospective multi-center study. The purpose of this study is to evaluate the effect of dietary supplement combined with supervised exercised on the physical performance, body composition and lung function among patients with Sarcopenia and severe Sarcopenia in chronic lung disease. After participants enroll in this study, 12-week clinical trial will be conducted to analyze the improvement regarding Sarcopenia and different severity of Sarcopenia before and after the intervention of exercise and nutritional products, which can further provide reference for clinical intervention and rehabilitation.

Read the detailed description

The design of clinical trial

This study is a prospective, multi-center, and non-invasive cohort study. All participants are diagnosed with COPD or ILD with Sarcopenia or severe Sarcopenia. The intervention consisted of providing nutritional supplements and supervised exercise for 12 weeks. After the intervention (the 12th week), the trial commissioned company provides nutritional supplements with a market price of about NT$4,000 per month for three months free to participants who are willing to continue taking the products. Those participants will be tracked for one year. The primary purpose of the study is to investigate improvement of physical performance, body composition and lung function before and after the intervention. The secondary purpose of the study is to compare the effect of the same intervention on Sarcopenia and different severity of Sarcopenia regarding the improvement of physical performance, body composition and lung function. Furthermore, the subgroup analysis is conducted to compare those who achieve the exercise requirement with those who do not concerning their physical performance, body composition and lung function.

Trail procedures

  1. Baseline demographic characteristic, health behavior and exercise habits are collected by questionnaires.
  2. The main disease diagnosis, medication, clinical assessment questionnaire or biochemical examination and radiological examination results are collected.
  3. According to the 2019 Asian Sarcopenia Consensus, participants are examined by SARC-Calf questionnaire, grip strength test and a physical performance test, including sit-stand test, short physical performance battery (SPPB), gait speed test and six-minute walk test. Afterward, bioelectrical impedance analysis (BIA) and Dual-energy X-ray absorptiometry (DXA) are applied to all participants to analyze body composition. Participants are classified into Sarcopenia group and severe Sarcopenia group.
  4. All patients receive pulmonary function test and blood test ( complete blood count, hepatic function, including [CHOL、TG、UA、SGOT、SGPT、ALK、BIL、TOTAL.BIL、DIRECT、LDH], renal function [BUN、CREAT、CA、CL、NA、K、T、P、ALB], Albumin, Vitamin D before and after the trail.
  5. All participants are administered Sarcojoint® containing leucinine 1 g, arginine 1.5 g, Vitamin D 7.5μg, chondroitin 400 mg, calcium 300 mg, and glucosamine 700 mg per package, and take 1 package twice a day.
  6. All participants are required to walk 6500 steps every day for 12 weeks, and the data are recorded by Xiaomi-smart-band.
  7. The research nurse provides health education and a recording handbook for exercise and dietary record to participants before the intervention. During the intervention, the research nurse tracks participants' compliance and records the adverse reaction by telephone interview at the first week, and every other week.
  8. At the 12th week, all participants receive a comprehensive functional assessment as that at baseline after intervention to investigate the intervention effect on different severity of Sarcopenia.
  9. At the 12th week, trial commissioned manufacturer provide nutritional supplements free for 3 months. Those patients will be continuously tracked for the follow-up data for the post hoc analysis.
Conditions
Sarcopenia, COPD, ILD
Being tested
Sarcojoint®, supervised exercise
Medical subject headings
Sarcopenia, Pulmonary Disease, Chronic Obstructive

What participants receive

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

  • Sarcojoint®Dietary supplement

    All participants are administered Sarcojoint® containing leucinine 1 g, arginine 1.5 g, Vitamin D 7.5μg, chondroitin 400 mg, calcium 300 mg, and glucosamine 700 mg per package, and take 1 package twice a day.

  • supervised exerciseBehavioural

    All participants are required to walk 6500 steps every day for 12 weeks, and the data are recorded by Xiaomi-smart-band.

Study groups in NCT05926713
Study groupRoleWhat they receive
nutritional supplements and supervised exercise on Sarcopenia group and Severe Sarcopenia groupExperimentalThe intervention consisted of providing nutritional supplements and supervised exercise for 12 weeks. After the intervention (the 12th week), the trial commissioned company provides nutritional supplements with a market price of about NT$4,000 per month for three months free to participants who are willing to continue taking the products. Those participants will be tracked for one year.
Receives: Dietary Supplement: Sarcojoint®; Behavioral: supervised exercise

What is being measured

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

  1. Change of physical performance (Grip strength)

    Grip strength (kg) Instrument: Smedley dynamometer

    Measured: 12 weeks

  2. Change of physical performance(Sit to stand test) :SpO2%, HR, Borg score, times and second will be reported to present the result of Sit to stand test.

    SpO2%, HR, Borg score, times and second

    Measured: 12 weeks

  3. Change of physical performance (SPPB): Sit to stand test, balance test and 4-meter walk test will be combined to report SPPB score

    Sit to stand test, balance test and 4-meter walk test will be combined to report SPPB score

    Measured: 12 weeks

  4. Change of physical performance :6-meter walk test (second)

    1. 6-miniute walk test ( SpO2%, HR, Borg score, and the walking distance will be reported to present the result of 6-miniute walk test. )

    Measured: 12 weeks

  5. Change of physical performance :6-miniute walk test ( SpO2%, HR, Borg score, and the walking distance will be reported to present the result of 6-miniute walk test. )

    SpO2%, HR, Borg score, and the walking distance

    Measured: 12 weeks

  6. Change of body composition: BMI(kg/m^2)

    Measured: 12 weeks

  7. Change of body composition: SMI (kg/m^2)

    PBF (%), ASM (kg), LMM (kg), BMD (T-score), RASM (kg/m^2)

    Measured: 12 weeks

  8. PBF (%)

    Change of body composition

    Measured: 12 weeks

  9. ASM (kg)

    Change of body composition

    Measured: 12 weeks

  10. LMM (kg)

    Change of body composition

    Measured: 12 weeks

  11. BMD (T-score)

    Change of body composition

    Measured: 12 weeks

  12. RASM (kg/m^2)

    Change of body composition

    Measured: 12 weeks

  13. Forced Expiratory Volume in 1 second(FEV1(L))

    Change of lung function

    Measured: 12 weeks

  14. Forced Expiratory Volume in 1 second as a percentage of predicted value(FEV1 (%))

    Change of lung function

    Measured: 12 weeks

  15. ratio of Forced Expiratory Volume in 1 second to Forced Vital Capacity as a percentage(FEV1/FVC (%))

    Change of lung function

    Measured: 12 weeks

  16. Peak Expiratory Flow(PEF (L/min))

    Change of lung function

    Measured: 12 weeks

  17. RBC (/μL)

    Complete blood count

    Measured: 12 weeks

  18. WBC (/μL)

    Complete blood count

    Measured: 12 weeks

  19. PLT (/μL)

    Complete blood count

    Measured: 12 weeks

  20. Hb

    Complete blood count

    Measured: 12 weeks

  21. Hematocrit

    Complete blood count

    Measured: 12 weeks

  22. TG

    Hepatic function

    Measured: 12 weeks

  23. SGOT (U/L)

    Hepatic function

    Measured: 12 weeks

  24. SGPT (U/L)

    Hepatic function

    Measured: 12 weeks

  25. Total cholesterol(mg/dL)

    Hepatic function

    Measured: 12 weeks

  26. LDL-C (mg/dL)

    LDL-C (mg/dL)

    Measured: 12 weeks

  27. Fasting glucose (mg/dL)

    Fasting glucose (mg/dL)

    Measured: 12 weeks

  28. HbA1c (%)

    HbA1c (%)

    Measured: 12 weeks

  29. Total protein (g/dL)

    Total protein (g/dL)

    Measured: 12 weeks

  30. Albumin (g/dL)

    Albumin (g/dL)

    Measured: 12 weeks

  31. Renal function

    BUN、CREAT(mg/dL)

    Measured: 12 weeks

  32. Hs-CRP

    Hs-CRP

    Measured: 12 weeks

  33. Vitamin D

    Vitamin D

    Measured: 12 weeks

Secondary outcomes (12)
  1. SARC-Calf questionnaire

    compare the effect of the same intervention on Sarcopenia and different severity of Sarcopenia.

    Measured: 12 weeks

  2. Grip strength test

    compare the outcome of physical performance of the same intervention on Sarcopenia and different severity of Sarcopenia.

    Measured: 12 weeks

  3. Sit-stand test

    compare the outcome of physical performance of the same intervention on Sarcopenia and different severity of Sarcopenia.

    Measured: 12 weeks

  4. Short physical performance battery (SPPB)

    compare the outcome of physical performance of the same intervention on Sarcopenia and different severity of Sarcopenia.

    Measured: 12 weeks

  5. Gait speed test

    compare the outcome of physical performance of the same intervention on Sarcopenia and different severity of Sarcopenia.

    Measured: 12 weeks

  6. Six-minute walk test.

    compare the outcome of physical performance of the same intervention on Sarcopenia and different severity of Sarcopenia.

    Measured: 12 weeks

  7. Bioelectrical impedance analysis (BIA)

    compare the effect of the same intervention on Sarcopenia and different severity of Sarcopenia on the outcome of body composition

    Measured: 12 weeks

  8. SMI (kg/m^2)

    DXA is an X-ray machine that can generate two types of low-energy X-rays. X-rays of different energies are attenuated to different degrees by different media. The higher the density of the medium, the greater the attenuation caused by X-rays. Through computer calculations, DXA can not only measure bone density but also analyze body composition, determining the quantity and ratio of muscle and fat. Bone density: L-spine (g/cm^2) and T-score , Femoral neck (g/cm^2) and T-score

    Measured: 12 weeks

  9. Forced Expiratory Volume in 1 second (FEV1)

    Pulmonary function

    Measured: 12 weeks

  10. Forced Expiratory Volume in 1 second as a percentage of predicted value (FEV1 (%))

    Pulmonary function

    Measured: 12 weeks

  11. ratio of Forced Expiratory Volume in 1 second to Forced Vital Capacity as a percentage (FEV1/FVC (%))

    Pulmonary function

    Measured: 12 weeks

  12. Peak Expiratory Flow (PEF (L/min))

    Pulmonary function

    Measured: 12 weeks

Timeline

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

  1. First posted3 Jul 2023
  2. Study start1 Mar 2023
  3. Primary completion31 Oct 2032 (estimated)
  4. Study completion31 Oct 2032 (estimated)

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
Supportive care
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
100 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05926713
Sponsor's protocol ID
OEP-Sarcojoint
Status last verified
Jun 2023
First submitted
22 Nov 2022
Last updated
3 Jul 2023
Results posted
No
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A study testing Sarcojoint® and supervised exercise in people with Sarcopenia and COPD, run by Orient Europharma Co., Ltd. at 1 site in Taiwan.

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 2 inclusion and 5 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: looking for participants now, as of the sponsor's last update on 3 Jul 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Taiwan. 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. 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?

This study is still under way. Results are not available in the source record yet.

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

Contact Pin-Kuei Fu, PhD (04-23592525 ext. 6536, yetquen@vghtc.gov.tw), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change of physical performance (Grip strength) (time frame: 12 weeks). The study lists 33 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 3 Jul 2023.

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