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Trial registered on ANZCTR
Registration number
ACTRN12623000687695
Ethics application status
Approved
Date submitted
13/06/2023
Date registered
26/06/2023
Date last updated
23/06/2024
Date data sharing statement initially provided
26/06/2023
Type of registration
Prospectively registered
Titles & IDs
Public title
The effect of MitoQ supplementation on skeletal muscle exercise responses in older individuals
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Scientific title
The effect of Mitochondria-targeted antioxidant supplementation on the age-related attenuation of muscle responses to exercise in adults aged 65 to 80 years
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Secondary ID [1]
309886
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Nil known
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Oxidative stress
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Condition category
Condition code
Musculoskeletal
327191
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0
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Normal musculoskeletal and cartilage development and function
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Physical Medicine / Rehabilitation
327243
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0
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Other physical medicine / rehabilitation
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
The study contains two arms: treatment (arm 1) and placebo (arm 2). Participants in arm 1 will consume one MitoQ capsule (containing mitoquinol mesylate equivalent to 20mg mitoquinol) per day orally for 12 weeks. Adherence to the supplement protocol will be monitored via capsule return.
On the day of completion of the 12-week supplementation period, participants in both arms will complete a 20-minute bout of high-intensity interval exercise on a stationary cycle ergometer. Participants will complete 5 x 2-minute bouts of cycling at 80% peak power separated by 2 minutes of cycling at 40% peak power.
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Intervention code [1]
326309
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Treatment: Other
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Comparator / control treatment
Participants in the control group (arm 2) will consume one placebo capsule per day orally for 12 weeks. Placebo capsules will be identical to the MitoQ capsules but will contain tapioca powder.
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Control group
Placebo
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Outcomes
Primary outcome [1]
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The effect of MitoQ supplementation on mitochondrial reactive oxygen species (ROS) levels measured in skeletal muscle biopsies using fluorimetry
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Assessment method [1]
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Timepoint [1]
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Baseline (pre-supplementation) and immediately after completion of the 12-week supplementation period (pre-exercise)
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Secondary outcome [1]
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Mitochondrial respiration measured in skeletal muscle biopsies using high-resolution respirometry
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Assessment method [1]
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Timepoint [1]
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Baseline (pre-supplementation) and immediately after completion of the 12-week supplementation period (pre-exercise)
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Secondary outcome [2]
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The effect of MitoQ supplementation on acute exercise-induced gene expression measured in skeletal muscle using PCR
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Assessment method [2]
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Timepoint [2]
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Pre-exercise and immediately and 4 hours after exercise following the 12-week supplementation period
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Secondary outcome [3]
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The effect of MitoQ supplementation on acute exercise-induced protein expression measured in skeletal muscle using immunoblotting
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Assessment method [3]
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Timepoint [3]
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Pre-exercise and immediately and 4 hours after exercise following the 12-week supplementation period
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Secondary outcome [4]
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The effect of MitoQ supplementation on markers of oxidative stress measured in blood using a colorimetric assay
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Assessment method [4]
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Timepoint [4]
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Baseline (pre-supplementation), pre-exercise and 4 hours and 3 days after exercise following the 12-week supplementation period
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Secondary outcome [5]
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The effect of MitoQ supplementation on markers of oxidative stress measured in urine using an enzyme-linked immunosorbent assay
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Assessment method [5]
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Timepoint [5]
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Baseline (pre-supplementation), pre-exercise and 4 hours and 3 days after exercise following the 12-week supplementation period
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Eligibility
Key inclusion criteria
Aged 65-80 years, sedentary (complete less than 150 mins of moderate intensity exercise per week and have not performed regular physical activity during the previous 6 months), healthy BMI between 18 and 30 kg/m^2, pass the Exercise and Sports Science Australia (ESSA) pre-exercise screening tool and obtain GP clearance to perform high-intensity exercise.
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Minimum age
65
Years
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Maximum age
80
Years
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Sex
Both males and females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
Acute illness, musculoskeletal, cardiovascular, or neurological disorder that could place the participant at risk of injury or illness resulting from the exercise; coronary heart disease, congestive heart failure, uncontrolled hypertension, diabetes mellitus, bleeding disorder, taking drugs that increase the risk of bleeding or other medications that may impact exercise responses, taking antioxidant supplements in the 6 weeks prior to recruitment, smoking.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Participants will be given the intervention (MitoQ or placebo capsules) in numbered containers.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Simple randomisation using a randomisation table created by computer software (i.e., computerised sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people administering the treatment/s
The people assessing the outcomes
The people analysing the results/data
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Intervention assignment
Parallel
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
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Statistical methods / analysis
Statistical power sample size calculations were undertaken using G*Power 3.1 using previously reported effect size changes in skeletal muscle mitochondrial H2O2 levels following MitoQ supplementation. We estimate that a sample size of 10 participants per group will enable the detection of a 0.4 pmol/s/mg reduction in skeletal muscle mitochondrial H2O2 levels following MitoQ supplementation with statistical power of 80% and a significance level of 0.05. To account for possible dropouts and to ensure equal numbers of males and females in each treatment group, we will recruit a total of 24 participants (12 participants per group).
ANOVA or non-parametric tests (where appropriate) followed up with post-hoc tests will be used to determine differences in end points. Significance will be accepted at P<0.05.
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Recruitment
Recruitment status
Recruiting
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Date of first participant enrolment
Anticipated
1/08/2023
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Actual
23/02/2024
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
24
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Accrual to date
13
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Final
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Recruitment in Australia
Recruitment state(s)
VIC
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Funding & Sponsors
Funding source category [1]
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University
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Name [1]
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Australian Catholic University
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Address [1]
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Level 16, 8-20 Napier Street
North Sydney
NSW 2060
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Country [1]
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Australia
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Primary sponsor type
University
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Name
Australian Catholic University
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Address
Level 16, 8-20 Napier Street
North Sydney
NSW 2060
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
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Country [1]
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Australian Catholic University Human Research Ethics Committee
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Ethics committee address [1]
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Level 16, 8-20 Napier Street North Sydney NSW 2060
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
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02/05/2023
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Approval date [1]
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12/07/2023
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Ethics approval number [1]
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2023-2907HC
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Summary
Brief summary
Age-related increases in reactive oxygen species (ROS) production by skeletal muscle mitochondria have been linked to the failure of exercise responses in aged muscle. These changes limit the efficacy for exercise to maintain or improve muscle health in old age. Interventions that decrease mitochondrial ROS levels may improve the capacity of aged skeletal muscle to respond to exercise. The mitochondria-targeted antioxidant MitoQ is designed to accumulate in mitochondria and decrease ROS. The purpose of this study is to determine the effect of MitoQ supplementation on mitochondrial ROS levels and function and acute exercise responses in skeletal muscle from older individuals. Study hypotheses MitoQ supplementation will increase mitochondrial respiration and decrease mitochondrial ROS levels in skeletal muscle from older individuals. MitoQ supplementation will augment exercise responses in skeletal muscle from older individuals.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Dr Sophie Broome
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Address
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Australian Catholic University
Building 420, Level 5
215 Spring Street
Melbourne
VIC 3000
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Country
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Australia
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Phone
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+61 421717852
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Sophie Broome
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Address
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Australian Catholic University
Building 420, Level 5
215 Spring Street
Melbourne
VIC 3000
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Country
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Australia
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Phone
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+61 421717852
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Fax
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Email
127351
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[email protected]
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Contact person for scientific queries
Name
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Sophie Broome
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Address
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Australian Catholic University
Building 420, Level 5
215 Spring Street
Melbourne
VIC 3000
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Country
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Australia
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Phone
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+61 421717852
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Fax
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Email
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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