Trial Outcomes & Findings for Muscle Regrowth During Physical Rehabilitation and Amino Acid Supplementation (NCT NCT00760383)

NCT ID: NCT00760383

Last Updated: 2014-12-04

Results Overview

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

60 participants

Primary outcome timeframe

6 weeks

Results posted on

2014-12-04

Participant Flow

Participants were recruited from the Slocum Center for Orthopedics and Sports Medicine.

Participants were selected from surgical candidates from the Slocum Center for Orthopedics and Sports Medicine. All subjects were scheduled to undergo primary TKA.

Participant milestones

Participant milestones
Measure
EAA+PT
20 g EAA daily for 7 days prior to TKA surgery and for 14 days after surgery. Essential amino acids: Subjects will ingest 20 grams of essential amino acids (EAA) daily for 7 days prior to total knee arthroplasty (TKA) surgery and for 14 days after surgery daily. On the days they are seen by physical therapy (PT) they will ingest the EAA supplement 30 minutes after the end of each PT rehabilitation session.
ALA+PT
20 g NEAA daily for 7 days prior to TKA surgery and for 14 days after surgery. Alanine: Subjects will ingest 20 grams of non-essential amino acid (NEAA) daily for 7 days prior to total knee arthroplasty (TKA) surgery and for 14 days after surgery daily. On the days they are seen by physical therapy (PT) they will ingest the NEAA supplement 30 minutes after the end of each PT rehabilitation session.
Overall Study
STARTED
21
19
Overall Study
COMPLETED
16
12
Overall Study
NOT COMPLETED
5
7

Reasons for withdrawal

Reasons for withdrawal
Measure
EAA+PT
20 g EAA daily for 7 days prior to TKA surgery and for 14 days after surgery. Essential amino acids: Subjects will ingest 20 grams of essential amino acids (EAA) daily for 7 days prior to total knee arthroplasty (TKA) surgery and for 14 days after surgery daily. On the days they are seen by physical therapy (PT) they will ingest the EAA supplement 30 minutes after the end of each PT rehabilitation session.
ALA+PT
20 g NEAA daily for 7 days prior to TKA surgery and for 14 days after surgery. Alanine: Subjects will ingest 20 grams of non-essential amino acid (NEAA) daily for 7 days prior to total knee arthroplasty (TKA) surgery and for 14 days after surgery daily. On the days they are seen by physical therapy (PT) they will ingest the NEAA supplement 30 minutes after the end of each PT rehabilitation session.
Overall Study
moved away; withdrew; medical reasons
5
7

Baseline Characteristics

Muscle Regrowth During Physical Rehabilitation and Amino Acid Supplementation

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
EAA+PT
n=21 Participants
20 g EAA daily for 7 days prior to TKA surgery and for 14 days after surgery. Essential amino acids: Subjects will ingest 20 grams of essential amino acids (EAA) daily for 7 days prior to total knee arthroplasty (TKA) surgery and for 14 days after surgery daily. On the days they are seen by physical therapy (PT) they will ingest the EAA supplement 30 minutes after the end of each PT rehabilitation session.
ALA+PT
n=19 Participants
20 g NEAA daily for 7 days prior to TKA surgery and for 14 days after surgery. Alanine: Subjects will ingest 20 grams of non-essential amino acid (NEAA) daily for 7 days prior to total knee arthroplasty (TKA) surgery and for 14 days after surgery daily. On the days they are seen by physical therapy (PT) they will ingest the NEAA supplement 30 minutes after the end of each PT rehabilitation session.
Total
n=40 Participants
Total of all reporting groups
Age, Continuous
68 years
STANDARD_DEVIATION 5 • n=5 Participants
70 years
STANDARD_DEVIATION 5 • n=7 Participants
69 years
STANDARD_DEVIATION 5 • n=5 Participants
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
6 Participants
n=5 Participants
2 Participants
n=7 Participants
8 Participants
n=5 Participants
Age, Categorical
>=65 years
15 Participants
n=5 Participants
17 Participants
n=7 Participants
32 Participants
n=5 Participants
Sex: Female, Male
Female
13 Participants
n=5 Participants
12 Participants
n=7 Participants
25 Participants
n=5 Participants
Sex: Female, Male
Male
8 Participants
n=5 Participants
7 Participants
n=7 Participants
15 Participants
n=5 Participants
Region of Enrollment
United States
21 participants
n=5 Participants
19 participants
n=7 Participants
40 participants
n=5 Participants

PRIMARY outcome

Timeframe: 6 weeks

Outcome measures

Outcome measures
Measure
EAA+PT
n=16 Participants
20 g EAA daily for 7 days prior to TKA surgery and for 14 days after surgery. Essential amino acids: Subjects will ingest 20 grams of essential amino acids (EAA) daily for 7 days prior to total knee arthroplasty (TKA) surgery and for 14 days after surgery daily. On the days they are seen by physical therapy (PT) they will ingest the EAA supplement 30 minutes after the end of each PT rehabilitation session.
ALA+PT
n=12 Participants
20 g NEAA daily for 7 days prior to TKA surgery and for 14 days after surgery. Alanine: Subjects will ingest 20 grams of non-essential amino acid (NEAA) daily for 7 days prior to total knee arthroplasty (TKA) surgery and for 14 days after surgery daily. On the days they are seen by physical therapy (PT) they will ingest the NEAA supplement 30 minutes after the end of each PT rehabilitation session.
Stair Time up
7 seconds
Standard Error 1
8 seconds
Standard Error 1

PRIMARY outcome

Timeframe: 6 weeks

Outcome measures

Outcome measures
Measure
EAA+PT
n=16 Participants
20 g EAA daily for 7 days prior to TKA surgery and for 14 days after surgery. Essential amino acids: Subjects will ingest 20 grams of essential amino acids (EAA) daily for 7 days prior to total knee arthroplasty (TKA) surgery and for 14 days after surgery daily. On the days they are seen by physical therapy (PT) they will ingest the EAA supplement 30 minutes after the end of each PT rehabilitation session.
ALA+PT
n=12 Participants
20 g NEAA daily for 7 days prior to TKA surgery and for 14 days after surgery. Alanine: Subjects will ingest 20 grams of non-essential amino acid (NEAA) daily for 7 days prior to total knee arthroplasty (TKA) surgery and for 14 days after surgery daily. On the days they are seen by physical therapy (PT) they will ingest the NEAA supplement 30 minutes after the end of each PT rehabilitation session.
Quadriceps Muscle Strength
65 Newtons
Standard Error 8
81 Newtons
Standard Error 7

SECONDARY outcome

Timeframe: 6 weeks

Analysis was performed using the Analyze 11 software package with semi-automated delineation of quadriceps, hamstrings, and adductors boarders. Using thresholding methods, the software can differentiate operator-delineated parameters set to distinguish muscle from non-muscle (i.e., adipose tissue) using voxel intensity within each border region for quantitative determination of muscle volume.

Outcome measures

Outcome measures
Measure
EAA+PT
n=16 Participants
20 g EAA daily for 7 days prior to TKA surgery and for 14 days after surgery. Essential amino acids: Subjects will ingest 20 grams of essential amino acids (EAA) daily for 7 days prior to total knee arthroplasty (TKA) surgery and for 14 days after surgery daily. On the days they are seen by physical therapy (PT) they will ingest the EAA supplement 30 minutes after the end of each PT rehabilitation session.
ALA+PT
n=12 Participants
20 g NEAA daily for 7 days prior to TKA surgery and for 14 days after surgery. Alanine: Subjects will ingest 20 grams of non-essential amino acid (NEAA) daily for 7 days prior to total knee arthroplasty (TKA) surgery and for 14 days after surgery daily. On the days they are seen by physical therapy (PT) they will ingest the NEAA supplement 30 minutes after the end of each PT rehabilitation session.
Mid-thigh Muscle Volume
109 Volume (cm^3)
Standard Error 11
108 Volume (cm^3)
Standard Error 9

Adverse Events

EAA+PT

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

ALA+PT

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Hans C. Dreyer, PT, PhD

Human Physiology, University of Oregon

Phone: 541-346-5775

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place