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Duchenne Muscular Dystrophy (DMD)NCT06682585

Nutritional Status and Therapy in DMD Patients

A study testing Individualised dietary intervention in people with Duchenne Muscular Dystrophy (DMD), run by Ankara University at 1 site in Turkey (Türkiye).

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

Brief Summary The goal of this clinical trial is to evaluate the impact of a disease-specific, individualized diet on the nutritional status and functional abilities of Duchenne muscular dystrophy (DMD) patients. The study will focus on children aged 4-8 years residing in Ankara, Turkey. Read more about this study

Who is it for?
Ages 48 to 96 months, men only
Conditions the study is for
Duchenne Muscular Dystrophy (DMD)
What is being tested?
Individualised dietary intervention
Could I receive a placebo?
No, everyone receives an active treatment
How many people
9 participants
Where
1 siteTurkey (Türkiye)
Study dates
18 Nov 2024to 21 Feb 2025
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 48 to 96 months
  • Men only
  • No healthy volunteers
  • Child

Who may be able to join

  • Clinical diagnosis of Duchenne Muscular Dystrophy (DMD) Must be between 4 and 8 years old Able to ambulate independently Must be residing in Ankara province, Turkey Must be willing to participate and adhere to the dietary intervention, as confirmed by both the patient and their legal guardian(s) Must be currently receiving corticosteroid therapy

Who cannot join

  • Inability to read and write in Turkish Wheelchair-bound or unable to ambulate independently Significant liver or kidney dysfunction Scheduled for major surgery within 6 months of study enrollment Symptoms of dysphagia and swallowing difficulties Significant respiratory distress or respiratory insufficiency requiring mechanical ventilation.

Trial locations and contacts

1 site in 1 country.

Turkey (Türkiye)1 site
  • DMD Aileleri Derneği

    Ankara, Çankaya, 06530

Other trials in Turkey (Türkiye)

About this study

Official title: Determination of Nutritional Status of Duchenne Muscular Dystrophy Patients and Evaluation of the Effectiveness of Disease-Specific Nutrition Therapy

Brief Summary

The goal of this clinical trial is to evaluate the impact of a disease-specific, individualized diet on the nutritional status and functional abilities of Duchenne muscular dystrophy (DMD) patients. The study will focus on children aged 4-8 years residing in Ankara, Turkey.

Read more

Key questions the investigators aim to answer:

Can a tailored dietary intervention improve the nutritional status of DMD patients? Does a specialized diet positively impact the functional abilities of DMD patients, as measured by the North Star Ambulation Assessment (NSAA)? Participants will undergo a comprehensive nutritional assessment, including anthropometric measurements, and will receive individualized dietary counseling. The intervention will focus on optimizing energy, protein, calcium, and fluid intake, as well as addressing the potential side effects of corticosteroid therapy.

The primary outcome measure will be changes in nutritional status, as assessed by anthropometric measurements. Secondary outcome measures will include changes in functional abilities as measured by the NSAA and quality of life assessments.

Read the detailed description

Study Objective This study aims to investigate the efficacy of a disease-specific, individualized dietary intervention in improving the nutritional status and functional abilities of Duchenne Muscular Dystrophy (DMD) patients aged 4-8 years residing in Ankara, Turkey.

Study Design This is a prospective, interventional study. Intervention

A 12-week individualized dietary intervention will be implemented for each participant. The intervention will focus on:

  • Energy Intake: Caloric needs will be calculated based on the patient's age, weight, and activity level, taking into account the potential impact of corticosteroid therapy on energy expenditure.
  • Protein Intake: Protein requirements will be met through a balanced diet, aiming to optimize muscle protein synthesis.
  • Calcium and Vitamin D Intake: Adequate intake of these nutrients will be emphasized to support bone health and prevent osteoporosis.
  • Fluid Intake: Fluid intake will be monitored to prevent dehydration and constipation.
  • Carbohydrate Intake: A low-glycemic index diet will be recommended to manage blood glucose levels and insulin resistance, especially in patients on corticosteroid therapy.
  • Sodium Intake: Sodium intake will be restricted to minimize fluid retention and hypertension.

Outcome Measures Changes in anthropometric measurements (body weight, height, BMI, skinfold measurements) Changes in functional abilities as assessed by the North Star Ambulation Assessment (NSAA) Changes in functional abilities as assessed by handgrip strenght Changes in micro and micro nutrient intake as assessed by three-day food consumption record Data Collection Data will be collected through face-to-face interviews with parents or primary caregivers and patients with DMD. After the first interview, a second interview will be conducted 12 weeks after the personalized diet has been planned.

Baseline Assessment:

  • Demographic information
  • Medical history
  • Nutritional assessment (anthropometric measurements, dietary intake assessment)
  • Functional assessment (NSAA)

Follow-up Assessments:

  • Anthropometric measurements
  • Functional assessment (NSAA)
  • Dietary intake assessment Data Analysis Statistical analysis will be performed using appropriate statistical software. Descriptive statistics will be used to summarize the baseline characteristics of the participants. Parametric or non-parametric tests will be used to compare pre- and post-intervention outcomes, as appropriate.

Ethical Considerations The study will be conducted in accordance with the Declaration of Helsinki and approved by the local ethics committee. Informed consent will be obtained from the parents or legal guardians of the participants.

By addressing the specific nutritional needs of DMD patients, this study aims to improve their overall health and quality of life.

Being tested
Individualised dietary intervention
Keywords
Duchenne Muscular Dystrophy, Nutrition
Medical subject headings
Muscular Dystrophy, Duchenne

What participants receive

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

  • Individualised dietary interventionOther

    • Energy Intake: Caloric needs will be calculated based on the patient's age, weight, and activity level, taking into account the potential impact of corticosteroid therapy on energy expenditure.
    • Protein Intake: Protein requirements will be met through a balanced diet, aiming to optimize muscle protein synthesis.
    • Calcium and Vitamin D Intake: Adequate intake of these nutrients will be emphasized to support bone health and prevent osteoporosis.
    • Fluid Intake: Fluid intake will be monitored to prevent dehydration and constipation.
    • Carbohydrate Intake: A low-glycemic index diet will be recommended to manage blood glucose levels and insulin resistance, especially in patients on corticosteroid therapy.
    • Sodium Intake: Sodium intake will be restricted to minimize fluid retention and hypertension.
Study groups in NCT06682585
Study groupRoleWhat they receive
Dietary InterventionExperimentalThe participants of the arm will follow diet program specially prepared for them for 12 weeks.
Receives: Other: Individualised dietary intervention

What is being measured

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

  1. Anthropometric measurements

    Changes in body weight (kg). Body weight will be measured with an electronic scale sensitive to 0.1 kilograms.

    Measured: From enrollment to the end of diet at 12 weeks

  2. Anthropometric measurements

    Changes in skinfold thickness (triceps, biceps, subscapular, and suprailiac) (in millimeters) Skinfold thickness will be compared to the World Health Organization's percentile and Z score charts to determine adequacy, deficiency, or excess.

    Measured: From enrollment to the end of diet at 12 weeks

  3. Anthropometric measurements

    Changes in height (cm). Height is measured with the individual standing upright and the head in the Frankfurt plane (the orbitale point and tragion point are set to be on the horizontal plane), while the vertical distance from the ground to the vertex, which is the highest point of the head, will be measured with a tape measure on a fixed plane.

    Measured: From enrollment to the end of diet at 12 weeks

  4. Anthropometric measurements

    Changes in Body Mass Index (BMI)(kg/m²). BMI will be obtained by dividing the particioant's body weight in kg by the square of the height in meters.

    Body mass index will be evaluated with the World Health Organization's percentile and Z score charts.

    Measured: From enrollment to the end of diet at 12 weeks

Secondary outcomes (2)
  1. Functional Ability

    Changes in the North Star Ambulation Assessment (NSAA) score meausered by a specialist physiotherapist. The total score varies between 0-34. A higher score indicates better ambulation and motor function.

    Measured: From enrollment to the end of diet at 12 weeks

  2. Functional Ability

    Changes in hand grip strength measured by hand dynamometry (in kilograms)

    Measured: From enrollment to the end of diet at 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 posted12 Nov 2024
  2. Study start18 Nov 2024
  3. Primary completion20 Feb 2025
  4. Study completion21 Feb 2025

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
9 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06682585
Sponsor's protocol ID
111-659-22
Status last verified
Nov 2024
First submitted
5 Nov 2024
Last updated
21 Nov 2025
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Summer SS, Wong BL, Rutter MM, Horn PS, Tian C, Rybalsky I, Shellenbarger KC, Kalkwarf HJ. Age-related changes in appendicular lean mass in males with Duchenne muscular dystrophy: A retrospective review. Muscle Nerve. 2021 Feb;63(2):231-238. doi: 10.1002/mus.27107. Epub 2020 Dec 7.

    PubMed 33104257
  • Guzikowska E, Markiewicz-Loskot G, Hercog R. [Serum opsonization activity in children with recurrent respiratory tract infections]. Pediatr Pol. 1986 Dec;61(12):780-3. No abstract available. Polish.

    PubMed 3601481
  • Billich N, Evans M, Truby H, Ryan MM, Davidson ZE. The association between dietary factors and body weight and composition in boys with Duchenne muscular dystrophy. J Hum Nutr Diet. 2022 Oct;35(5):804-815. doi: 10.1111/jhn.12987. Epub 2022 Feb 1.

    PubMed 34936149
  • de Souza Costa AD, Vermeulen-Serpa KM, Batista Marinho KM, Carvalho Xavier de Medeiros CA, Antunes de Araujo A, Teixeira Dourado-Junior ME, Brandao-Neto J, Lima Maciel BL, Helena de Lima Vale S. Persistent inflammation and nutritional status in Duchenne muscular dystrophy. Clin Nutr ESPEN. 2024 Jun;61:393-398. doi: 10.1016/j.clnesp.2024.04.014. Epub 2024 Apr 20.

    PubMed 38777460
  • Chou E, Lindeback R, D'Silva AM, Sampaio H, Neville K, Farrar MA. Growth and nutrition in pediatric neuromuscular disorders. Clin Nutr. 2021 Jun;40(6):4341-4348. doi: 10.1016/j.clnu.2021.01.013. Epub 2021 Jan 22.

    PubMed 33551221
  • Davidson ZE, Ryan MM, Kornberg AJ, Sinclair K, Cairns A, Walker KZ, Truby H. Observations of body mass index in Duchenne muscular dystrophy: a longitudinal study. Eur J Clin Nutr. 2014 Aug;68(8):892-7. doi: 10.1038/ejcn.2014.93. Epub 2014 May 14.

    PubMed 24824013
  • Duan D, Goemans N, Takeda S, Mercuri E, Aartsma-Rus A. Duchenne muscular dystrophy. Nat Rev Dis Primers. 2021 Feb 18;7(1):13. doi: 10.1038/s41572-021-00248-3.

    PubMed 33602943
  • Garcia-Rodriguez R, Hiller M, Jimenez-Gracia L, van der Pal Z, Balog J, Adamzek K, Aartsma-Rus A, Spitali P. Premature termination codons in the DMD gene cause reduced local mRNA synthesis. Proc Natl Acad Sci U S A. 2020 Jul 14;117(28):16456-16464. doi: 10.1073/pnas.1910456117. Epub 2020 Jul 2.

    PubMed 32616572
  • Aartsma-Rus A, Van Deutekom JC, Fokkema IF, Van Ommen GJ, Den Dunnen JT. Entries in the Leiden Duchenne muscular dystrophy mutation database: an overview of mutation types and paradoxical cases that confirm the reading-frame rule. Muscle Nerve. 2006 Aug;34(2):135-44. doi: 10.1002/mus.20586.

    PubMed 16770791
  • Mercuri E, Bonnemann CG, Muntoni F. Muscular dystrophies. Lancet. 2019 Nov 30;394(10213):2025-2038. doi: 10.1016/S0140-6736(19)32910-1.

    PubMed 31789220
  • Davis J, Samuels E, Mullins L. Nutrition Considerations in Duchenne Muscular Dystrophy. Nutr Clin Pract. 2015 Aug;30(4):511-21. doi: 10.1177/0884533615586202. Epub 2015 May 14.

    PubMed 25977513
  • Bernabe-Garcia M, Rodriguez-Cruz M, Atilano S, Cruz-Guzman ODR, Almeida-Becerril T, Calder PC, Gonzalez J. Body composition and body mass index in Duchenne muscular dystrophy: Role of dietary intake. Muscle Nerve. 2019 Mar;59(3):295-302. doi: 10.1002/mus.26340. Epub 2018 Dec 12.

    PubMed 30194761

Questions about this trial

What is this clinical trial studying?

A study testing Individualised dietary intervention in people with Duchenne Muscular Dystrophy (DMD), run by Ankara University at 1 site in Turkey (Türkiye).

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 1 inclusion and 1 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 Nov 2025. 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 Turkey (Türkiye). 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?

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?

Anthropometric measurements (time frame: From enrollment to the end of diet at 12 weeks). The study lists 4 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 NCT06682585, which also lists 12 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 Nov 2025.

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