Citrulline and Protein Metabolism in the Malnourished Elderly People

NCT ID: NCT00714675

Last Updated: 2013-12-31

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

27 participants

Study Classification

INTERVENTIONAL

Study Start Date

2009-12-31

Study Completion Date

2013-01-31

Brief Summary

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The aim of this study is to evaluate the effects of a supplementation of citrulline for three weeks in elderly malnourished and hospitalised subjects on muscle protein synthesis.

Detailed Description

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Malnutrition in the elderly causes an important public health problem because their response to re nutrition is highly decreased. Several experimental studies have shown that an amino acid named citrulline could avoid this, by restoring protein synthesis.

The treated group will receive each morning for three weeks a supplementation of 10 g of citrulline and the control group, non essential amino acids in iso-nitrogenous quantity to the 10g of citrulline.

During the three weeks of supplementation, clinical tolerance and physical exercise will be evaluated regularly.

On the 21st day, whole body protein synthesis rate in the post-absorptive state will be measured by the isotopic dilution of L-leucine (1-13C expressed in g / kg of lean mass / 24h) as well as other parameters of the protein turn-over in the post-absorptive and post-prandial state.

Conditions

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Metabolism Elderly

Keywords

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citrulline protein-energy malnutrition aged protein biosynthesis amino acid

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Caregivers Investigators

Study Groups

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1

Citrulline

Group Type EXPERIMENTAL

Citrulline

Intervention Type DIETARY_SUPPLEMENT

1 unit of 10 g L-Citrulline, 1 time on morning during 21 days

2

Amino acids

Group Type ACTIVE_COMPARATOR

Amino acids

Intervention Type DIETARY_SUPPLEMENT

1 unit of an equivalent quantity of iso nitrogenous of non-essential amino acids(alanine, aspartate, glycine, serine, histidine, proline), 1 time on morning during 21 days.

Interventions

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Citrulline

1 unit of 10 g L-Citrulline, 1 time on morning during 21 days

Intervention Type DIETARY_SUPPLEMENT

Amino acids

1 unit of an equivalent quantity of iso nitrogenous of non-essential amino acids(alanine, aspartate, glycine, serine, histidine, proline), 1 time on morning during 21 days.

Intervention Type DIETARY_SUPPLEMENT

Eligibility Criteria

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Inclusion Criteria

* elderly hospitalised in geriatric medicine or in following care and rehabilitation, moderately malnourished
* aged more than 70 years
* recent moderate undernutrition (30 g/l \< albuminemia \< 35 g/l and 18 \< BMI \< 22 or a score of the Mini Nutritional Assessment (MNA) \< 17 with albuminemia \> 30 g/l)
* ingesta of at least 20 kcal / kg / d and 0,8 g / kg / d of proteins

Exclusion Criteria

* hospitalisation \< 21d
* C reactive protein (CRP) \> 50 mg / l
* end-stage cardiac insufficiency
* severe digestive incapacity
* renal insufficiency (Creatinine Clearance \< 30 ml / mn)
* respiratory failure
* MMS \< 18
* uncontrolled acute or chronic infectious pathology (HIV, tuberculosis)
* corticoids treatment
* evolutionary neoplasia
* palliative phase of severe pathology
* Mental Mini Score status of Folstein (MMS) \< 8
* parenteral nutrition
* active chronic hepatitis or cirrhosis
* participation in another trial
Minimum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Kyowa Hakko Kogyo (Japan) providing the amino acids

UNKNOWN

Sponsor Role collaborator

Assistance Publique - Hôpitaux de Paris

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Jean-Claude Melchior

Role: PRINCIPAL_INVESTIGATOR

Assistance Publique - Hôpitaux de Paris

Locations

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Hôpital Emile Roux

Limeil-Brévannes, , France

Site Status

Countries

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France

References

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Moinard C, Nicolis I, Neveux N, Darquy S, Benazeth S, Cynober L. Dose-ranging effects of citrulline administration on plasma amino acids and hormonal patterns in healthy subjects: the Citrudose pharmacokinetic study. Br J Nutr. 2008 Apr;99(4):855-62. doi: 10.1017/S0007114507841110. Epub 2007 Oct 22.

Reference Type BACKGROUND
PMID: 17953788 (View on PubMed)

Osowska S, Duchemann T, Walrand S, Paillard A, Boirie Y, Cynober L, Moinard C. Citrulline modulates muscle protein metabolism in old malnourished rats. Am J Physiol Endocrinol Metab. 2006 Sep;291(3):E582-6. doi: 10.1152/ajpendo.00398.2005. Epub 2006 Apr 11.

Reference Type BACKGROUND
PMID: 16608884 (View on PubMed)

Other Identifiers

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P070127

Identifier Type: -

Identifier Source: org_study_id