Trial Outcomes & Findings for Supplementation of Glutamine and Fish Oil Versus Placebo in Patients With Heart Failure (NCT NCT01534663)

NCT ID: NCT01534663

Last Updated: 2020-12-22

Results Overview

For isometric contractions, participants contracted against a constant 60-degree angle at the knee (dominant leg) and a constant 30 degree angle at the elbow (dominant arm) for 6 seconds. Participants alternated between flexion and extension, 3 repetitions each with a 30 second rest period between each. Data was collected to determine peak torque to body weight (peak torque (PKTQ)/ body weight (BW)).

Recruitment status

COMPLETED

Study phase

PHASE2/PHASE3

Target enrollment

31 participants

Primary outcome timeframe

Baseline

Results posted on

2020-12-22

Participant Flow

Seventeen participants were randomized to the active treatment group and 14 to the placebo group. Three participants dropped out in the active treatment group. Two participants dropped out of the placebo group. A total of 14 participants completed the trial in the active treatment group and 12 in the placebo group.

Participant milestones

Participant milestones
Measure
Placebo
The placebo for fish oil will be safflower oil. For glutamine, soy powder will serve as the placebo. Placebo: This is a prospective, randomized double-blind, placebo-controlled study design. 38 subjects will be randomized to two groups (19 patients in each group), one taking active fish oil and glutamine supplementation and the other taking placebo for 90 days.
Glutamine/Fishoil
3.285 g of EPA and 3.285 g of DHA and L-alanyl-glutamine (8g/d). Glutamine and Fish Oil Supplementation: This is a prospective, randomized double-blind, placebo-controlled study design. 38 subjects will be randomized to two groups (19 patients in each group), one taking active fish oil and glutamine supplementation and the other taking placebo for 90 days.
Overall Study
STARTED
14
17
Overall Study
COMPLETED
12
14
Overall Study
NOT COMPLETED
2
3

Reasons for withdrawal

Reasons for withdrawal
Measure
Placebo
The placebo for fish oil will be safflower oil. For glutamine, soy powder will serve as the placebo. Placebo: This is a prospective, randomized double-blind, placebo-controlled study design. 38 subjects will be randomized to two groups (19 patients in each group), one taking active fish oil and glutamine supplementation and the other taking placebo for 90 days.
Glutamine/Fishoil
3.285 g of EPA and 3.285 g of DHA and L-alanyl-glutamine (8g/d). Glutamine and Fish Oil Supplementation: This is a prospective, randomized double-blind, placebo-controlled study design. 38 subjects will be randomized to two groups (19 patients in each group), one taking active fish oil and glutamine supplementation and the other taking placebo for 90 days.
Overall Study
Lost to Follow-up
0
2
Overall Study
Adverse Event
2
1

Baseline Characteristics

Supplementation of Glutamine and Fish Oil Versus Placebo in Patients With Heart Failure

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Placebo
n=12 Participants
The placebo for fish oil will be safflower oil. For glutamine, soy powder will serve as the placebo. Placebo: This is a prospective, randomized double-blind, placebo-controlled study design. 38 subjects will be randomized to two groups (19 patients in each group), one taking active fish oil and glutamine supplementation and the other taking placebo for 90 days.
Glutamine/Fishoil
n=14 Participants
3.285 g of EPA and 3.285 g of DHA and L-alanyl-glutamine (8g/d). Glutamine and Fish Oil Supplementation: This is a prospective, randomized double-blind, placebo-controlled study design. 38 subjects will be randomized to two groups (19 patients in each group), one taking active fish oil and glutamine supplementation and the other taking placebo for 90 days.
Total
n=26 Participants
Total of all reporting groups
Age, Continuous
56 years
STANDARD_DEVIATION 2 • n=5 Participants
59 years
STANDARD_DEVIATION 3 • n=7 Participants
59 years
STANDARD_DEVIATION 2 • n=5 Participants
Sex: Female, Male
Female
3 Participants
n=5 Participants
2 Participants
n=7 Participants
5 Participants
n=5 Participants
Sex: Female, Male
Male
9 Participants
n=5 Participants
12 Participants
n=7 Participants
21 Participants
n=5 Participants
Region of Enrollment
United States
12 participants
n=5 Participants
14 participants
n=7 Participants
26 participants
n=5 Participants

PRIMARY outcome

Timeframe: Baseline

For isometric contractions, participants contracted against a constant 60-degree angle at the knee (dominant leg) and a constant 30 degree angle at the elbow (dominant arm) for 6 seconds. Participants alternated between flexion and extension, 3 repetitions each with a 30 second rest period between each. Data was collected to determine peak torque to body weight (peak torque (PKTQ)/ body weight (BW)).

Outcome measures

Outcome measures
Measure
Placebo
n=12 Participants
The placebo for fish oil will be safflower oil. For glutamine, soy powder will serve as the placebo. Placebo: This is a prospective, randomized double-blind, placebo-controlled study design. 38 subjects will be randomized to two groups (19 patients in each group), one taking active fish oil and glutamine supplementation and the other taking placebo for 90 days.
Glutamine/Fishoil
n=14 Participants
3.285 g of EPA and 3.285 g of DHA and L-alanyl-glutamine (8g/d). Glutamine and Fish Oil Supplementation: This is a prospective, randomized double-blind, placebo-controlled study design. 38 subjects will be randomized to two groups (19 patients in each group), one taking active fish oil and glutamine supplementation and the other taking placebo for 90 days.
Baseline Skeletal Muscle Function Capacity- Isometric Contractions (PKTQ/BW)
Knee: Extension
177 Percent
Standard Deviation 18
196 Percent
Standard Deviation 10
Baseline Skeletal Muscle Function Capacity- Isometric Contractions (PKTQ/BW)
Knee: Flexion
76 Percent
Standard Deviation 6
90 Percent
Standard Deviation 5
Baseline Skeletal Muscle Function Capacity- Isometric Contractions (PKTQ/BW)
Elbow: Extension
65 Percent
Standard Deviation 6
59 Percent
Standard Deviation 4
Baseline Skeletal Muscle Function Capacity- Isometric Contractions (PKTQ/BW)
Elbow: Flexion
74 Percent
Standard Deviation 7
71 Percent
Standard Deviation 4

PRIMARY outcome

Timeframe: 90 Days

For isometric contractions, participants contracted against a constant 60-degree angle at the knee (dominant leg) and a constant 30 degree angle at the elbow (dominant arm) for 6 seconds. Participants alternated between flexion and extension, 3 repetitions each with a 30 second rest period between each. Data was collected to determine peak torque to body weight (peak torque (PKTQ)/ body weight (BW)).

Outcome measures

Outcome measures
Measure
Placebo
n=12 Participants
The placebo for fish oil will be safflower oil. For glutamine, soy powder will serve as the placebo. Placebo: This is a prospective, randomized double-blind, placebo-controlled study design. 38 subjects will be randomized to two groups (19 patients in each group), one taking active fish oil and glutamine supplementation and the other taking placebo for 90 days.
Glutamine/Fishoil
n=14 Participants
3.285 g of EPA and 3.285 g of DHA and L-alanyl-glutamine (8g/d). Glutamine and Fish Oil Supplementation: This is a prospective, randomized double-blind, placebo-controlled study design. 38 subjects will be randomized to two groups (19 patients in each group), one taking active fish oil and glutamine supplementation and the other taking placebo for 90 days.
90 Day Skeletal Muscle Function Capacity- Isometric Contractions (PKTQ/BW)
Knee: Extension
200 Percent
Standard Deviation 20
206 Percent
Standard Deviation 11
90 Day Skeletal Muscle Function Capacity- Isometric Contractions (PKTQ/BW)
Knee: Flexion
90 Percent
Standard Deviation 8
90 Percent
Standard Deviation 5
90 Day Skeletal Muscle Function Capacity- Isometric Contractions (PKTQ/BW)
Elbow: Extension
64 Percent
Standard Deviation 6
61 Percent
Standard Deviation 4
90 Day Skeletal Muscle Function Capacity- Isometric Contractions (PKTQ/BW)
Elbow: Flexion
74 Percent
Standard Deviation 6
74 Percent
Standard Deviation 4

PRIMARY outcome

Timeframe: Baseline

For isokinetic contractions, subjects performed flexion and extension movements at the knee and elbow for 5 repetitions at a speed of 60 degrees/second. This was followed by a rest period of 2.5 minutes. For the second isokinetic protocol, subjects performed 25 repetitions of flexion and extension movements at the knee and elbow at a speed of 180 degrees/second.

Outcome measures

Outcome measures
Measure
Placebo
n=12 Participants
The placebo for fish oil will be safflower oil. For glutamine, soy powder will serve as the placebo. Placebo: This is a prospective, randomized double-blind, placebo-controlled study design. 38 subjects will be randomized to two groups (19 patients in each group), one taking active fish oil and glutamine supplementation and the other taking placebo for 90 days.
Glutamine/Fishoil
n=14 Participants
3.285 g of EPA and 3.285 g of DHA and L-alanyl-glutamine (8g/d). Glutamine and Fish Oil Supplementation: This is a prospective, randomized double-blind, placebo-controlled study design. 38 subjects will be randomized to two groups (19 patients in each group), one taking active fish oil and glutamine supplementation and the other taking placebo for 90 days.
Baseline Muscle Function Capacity- Isokinetic Contractions (PKTQ/BW)
Knee: Extension, 5 repetitions
147 Percent
Standard Deviation 17
153 Percent
Standard Deviation 8
Baseline Muscle Function Capacity- Isokinetic Contractions (PKTQ/BW)
Knee: Flexion, 5 repetitions
61 Percent
Standard Deviation 6
70 Percent
Standard Deviation 5
Baseline Muscle Function Capacity- Isokinetic Contractions (PKTQ/BW)
Elbow: Extension, 5 repetitions
46 Percent
Standard Deviation 5
42 Percent
Standard Deviation 3
Baseline Muscle Function Capacity- Isokinetic Contractions (PKTQ/BW)
Elbow: Flexion, 5 repetitions
61 Percent
Standard Deviation 6
54 Percent
Standard Deviation 3
Baseline Muscle Function Capacity- Isokinetic Contractions (PKTQ/BW)
Knee: Extension, 25 repetitions
103 Percent
Standard Deviation 10
105 Percent
Standard Deviation 7
Baseline Muscle Function Capacity- Isokinetic Contractions (PKTQ/BW)
Knee: Flexion, 25 repetitions
55 Percent
Standard Deviation 5
96 Percent
Standard Deviation 33
Baseline Muscle Function Capacity- Isokinetic Contractions (PKTQ/BW)
Elbow: Extension, 25 repetitions
37 Percent
Standard Deviation 3
35 Percent
Standard Deviation 2
Baseline Muscle Function Capacity- Isokinetic Contractions (PKTQ/BW)
Elbow: Flexion, 25 repetitions
56 Percent
Standard Deviation 5
50 Percent
Standard Deviation 3

PRIMARY outcome

Timeframe: 90 Days

For isokinetic contractions, subjects performed flexion and extension movements at the knee and elbow for 5 repetitions at a speed of 60 degrees/second. This was followed by a rest period of 2.5 minutes. For the second isokinetic protocol, subjects performed 25 repetitions of flexion and extension movements at the knee and elbow at a speed of 180 degrees/second.

Outcome measures

Outcome measures
Measure
Placebo
n=12 Participants
The placebo for fish oil will be safflower oil. For glutamine, soy powder will serve as the placebo. Placebo: This is a prospective, randomized double-blind, placebo-controlled study design. 38 subjects will be randomized to two groups (19 patients in each group), one taking active fish oil and glutamine supplementation and the other taking placebo for 90 days.
Glutamine/Fishoil
n=14 Participants
3.285 g of EPA and 3.285 g of DHA and L-alanyl-glutamine (8g/d). Glutamine and Fish Oil Supplementation: This is a prospective, randomized double-blind, placebo-controlled study design. 38 subjects will be randomized to two groups (19 patients in each group), one taking active fish oil and glutamine supplementation and the other taking placebo for 90 days.
90 Day Muscle Function Capacity- Isokinetic Contractions (PKTQ/BW)
Knee: Extension, 5 repetitions
173 Percent
Standard Deviation 20
160 Percent
Standard Deviation 9
90 Day Muscle Function Capacity- Isokinetic Contractions (PKTQ/BW)
Knee: Flexion, 5 repetitions
76 Percent
Standard Deviation 9
77 Percent
Standard Deviation 4
90 Day Muscle Function Capacity- Isokinetic Contractions (PKTQ/BW)
Elbow: Extension, 5 repetitions
48 Percent
Standard Deviation 5
46 Percent
Standard Deviation 2
90 Day Muscle Function Capacity- Isokinetic Contractions (PKTQ/BW)
Elbow: Flexion, 5 repetitions
56 Percent
Standard Deviation 4
57 Percent
Standard Deviation 3
90 Day Muscle Function Capacity- Isokinetic Contractions (PKTQ/BW)
Knee: Extension, 25 repetitions
115 Percent
Standard Deviation 10
108 Percent
Standard Deviation 6
90 Day Muscle Function Capacity- Isokinetic Contractions (PKTQ/BW)
Knee: Flexion, 25 repetitions
58 Percent
Standard Deviation 4
67 Percent
Standard Deviation 3
90 Day Muscle Function Capacity- Isokinetic Contractions (PKTQ/BW)
Elbow: Extension, 25 repetitions
38 Percent
Standard Deviation 4
36 Percent
Standard Deviation 2
90 Day Muscle Function Capacity- Isokinetic Contractions (PKTQ/BW)
Elbow: Flexion, 25 repetitions
55 Percent
Standard Deviation 4
51 Percent
Standard Deviation 3

PRIMARY outcome

Timeframe: Baseline

For isokinetic contractions, subjects performed flexion and extension movements at the knee and elbow for 5 repetitions at a speed of 60 degrees/second. This was followed by a rest period of 2.5 minutes. For the second isokinetic protocol, subjects performed 25 repetitions of flexion and extension movements at the knee and elbow at a speed of 180 degrees/second.

Outcome measures

Outcome measures
Measure
Placebo
n=12 Participants
The placebo for fish oil will be safflower oil. For glutamine, soy powder will serve as the placebo. Placebo: This is a prospective, randomized double-blind, placebo-controlled study design. 38 subjects will be randomized to two groups (19 patients in each group), one taking active fish oil and glutamine supplementation and the other taking placebo for 90 days.
Glutamine/Fishoil
n=14 Participants
3.285 g of EPA and 3.285 g of DHA and L-alanyl-glutamine (8g/d). Glutamine and Fish Oil Supplementation: This is a prospective, randomized double-blind, placebo-controlled study design. 38 subjects will be randomized to two groups (19 patients in each group), one taking active fish oil and glutamine supplementation and the other taking placebo for 90 days.
Baseline Muscle Function Capacity- Isokinetic Contractions (Work (WK)/Body Weight (BW))
Knee: Extension, 5 repetitions
132 Percent
Standard Deviation 15
137 Percent
Standard Deviation 8
Baseline Muscle Function Capacity- Isokinetic Contractions (Work (WK)/Body Weight (BW))
Knee: Flexion, 5 repetitions
61 Percent
Standard Deviation 9
70 Percent
Standard Deviation 6
Baseline Muscle Function Capacity- Isokinetic Contractions (Work (WK)/Body Weight (BW))
Elbow: Extension, 5 repetitions
51 Percent
Standard Deviation 6
47 Percent
Standard Deviation 4
Baseline Muscle Function Capacity- Isokinetic Contractions (Work (WK)/Body Weight (BW))
Elbow: Flexion, 5 repetitions
70 Percent
Standard Deviation 7
65 Percent
Standard Deviation 4
Baseline Muscle Function Capacity- Isokinetic Contractions (Work (WK)/Body Weight (BW))
Knee: Extension, 25 repetitions
100 Percent
Standard Deviation 11
102 Percent
Standard Deviation 7
Baseline Muscle Function Capacity- Isokinetic Contractions (Work (WK)/Body Weight (BW))
Knee: Flexion, 25 repetitions
41 Percent
Standard Deviation 6
46 Percent
Standard Deviation 6
Baseline Muscle Function Capacity- Isokinetic Contractions (Work (WK)/Body Weight (BW))
Elbow: Extension, 25 repetitions
38 Percent
Standard Deviation 4
36 Percent
Standard Deviation 3
Baseline Muscle Function Capacity- Isokinetic Contractions (Work (WK)/Body Weight (BW))
Elbow: Flexion, 25 repetitions
63 Percent
Standard Deviation 6
55 Percent
Standard Deviation 3

PRIMARY outcome

Timeframe: 90 Days

For isokinetic contractions, subjects performed flexion and extension movements at the knee and elbow for 5 repetitions at a speed of 60 degrees/second. This was followed by a rest period of 2.5 minutes. For the second isokinetic protocol, subjects performed 25 repetitions of flexion and extension movements at the knee and elbow at a speed of 180 degrees/second.

Outcome measures

Outcome measures
Measure
Placebo
n=12 Participants
The placebo for fish oil will be safflower oil. For glutamine, soy powder will serve as the placebo. Placebo: This is a prospective, randomized double-blind, placebo-controlled study design. 38 subjects will be randomized to two groups (19 patients in each group), one taking active fish oil and glutamine supplementation and the other taking placebo for 90 days.
Glutamine/Fishoil
n=14 Participants
3.285 g of EPA and 3.285 g of DHA and L-alanyl-glutamine (8g/d). Glutamine and Fish Oil Supplementation: This is a prospective, randomized double-blind, placebo-controlled study design. 38 subjects will be randomized to two groups (19 patients in each group), one taking active fish oil and glutamine supplementation and the other taking placebo for 90 days.
90 Days Muscle Function Capacity- Isokinetic Contractions (Work (WK)/Body Weight (BW))
Knee: Extension, 5 repetitions
157 Percent
Standard Deviation 17
149 Percent
Standard Deviation 9
90 Days Muscle Function Capacity- Isokinetic Contractions (Work (WK)/Body Weight (BW))
Knee: Flexion, 5 repetitions
78 Percent
Standard Deviation 12
80 Percent
Standard Deviation 5
90 Days Muscle Function Capacity- Isokinetic Contractions (Work (WK)/Body Weight (BW))
Elbow: Extension, 5 repetitions
54 Percent
Standard Deviation 6
54 Percent
Standard Deviation 3
90 Days Muscle Function Capacity- Isokinetic Contractions (Work (WK)/Body Weight (BW))
Elbow: Flexion, 5 repetitions
68 Percent
Standard Deviation 5
71 Percent
Standard Deviation 4
90 Days Muscle Function Capacity- Isokinetic Contractions (Work (WK)/Body Weight (BW))
Knee: Extension, 25 repetitions
111 Percent
Standard Deviation 11
108 Percent
Standard Deviation 7
90 Days Muscle Function Capacity- Isokinetic Contractions (Work (WK)/Body Weight (BW))
Knee: Flexion, 25 repetitions
51 Percent
Standard Deviation 6
55 Percent
Standard Deviation 4
90 Days Muscle Function Capacity- Isokinetic Contractions (Work (WK)/Body Weight (BW))
Elbow: Extension, 25 repetitions
41 Percent
Standard Deviation 4
39 Percent
Standard Deviation 2
90 Days Muscle Function Capacity- Isokinetic Contractions (Work (WK)/Body Weight (BW))
Elbow: Flexion, 25 repetitions
60 Percent
Standard Deviation 5
58 Percent
Standard Deviation 3

PRIMARY outcome

Timeframe: Baseline

For isokinetic contractions, subjects performed flexion and extension movements at the knee and elbow for 5 repetitions at a speed of 60 degrees/second. This was followed by a rest period of 2.5 minutes. For the second isokinetic protocol, subjects performed 25 repetitions of flexion and extension movements at the knee and elbow at a speed of 180 degrees/second.

Outcome measures

Outcome measures
Measure
Placebo
n=12 Participants
The placebo for fish oil will be safflower oil. For glutamine, soy powder will serve as the placebo. Placebo: This is a prospective, randomized double-blind, placebo-controlled study design. 38 subjects will be randomized to two groups (19 patients in each group), one taking active fish oil and glutamine supplementation and the other taking placebo for 90 days.
Glutamine/Fishoil
n=14 Participants
3.285 g of EPA and 3.285 g of DHA and L-alanyl-glutamine (8g/d). Glutamine and Fish Oil Supplementation: This is a prospective, randomized double-blind, placebo-controlled study design. 38 subjects will be randomized to two groups (19 patients in each group), one taking active fish oil and glutamine supplementation and the other taking placebo for 90 days.
Baseline Muscle Function Capacity- Isokinetic Contractions (Total Work)
Knee: Extension, 5 repetitions
477 Joules
Standard Deviation 64
537 Joules
Standard Deviation 50
Baseline Muscle Function Capacity- Isokinetic Contractions (Total Work)
Knee: Flexion, 5 repetitions
209 Joules
Standard Deviation 35
264 Joules
Standard Deviation 36
Baseline Muscle Function Capacity- Isokinetic Contractions (Total Work)
Elbow: Extension, 5 repetitions
189 Joules
Standard Deviation 23
184 Joules
Standard Deviation 19
Baseline Muscle Function Capacity- Isokinetic Contractions (Total Work)
Elbow: Flexion, 5 repetitions
280 Joules
Standard Deviation 35
261 Joules
Standard Deviation 22
Baseline Muscle Function Capacity- Isokinetic Contractions (Total Work)
Knee: Extension, 25 repetitions
1551 Joules
Standard Deviation 200
1776 Joules
Standard Deviation 185
Baseline Muscle Function Capacity- Isokinetic Contractions (Total Work)
Knee: Flexion, 25 repetitions
552 Joules
Standard Deviation 102
742 Joules
Standard Deviation 118
Baseline Muscle Function Capacity- Isokinetic Contractions (Total Work)
Elbow: Extension, 25 repetitions
590 Joules
Standard Deviation 72
612 Joules
Standard Deviation 65
Baseline Muscle Function Capacity- Isokinetic Contractions (Total Work)
Elbow: Flexion, 25 repetitions
1108 Joules
Standard Deviation 141
992 Joules
Standard Deviation 74

PRIMARY outcome

Timeframe: 90 Days

For isokinetic contractions, subjects performed flexion and extension movements at the knee and elbow for 5 repetitions at a speed of 60 degrees/second. This was followed by a rest period of 2.5 minutes. For the second isokinetic protocol, subjects performed 25 repetitions of flexion and extension movements at the knee and elbow at a speed of 180 degrees/second.

Outcome measures

Outcome measures
Measure
Placebo
n=12 Participants
The placebo for fish oil will be safflower oil. For glutamine, soy powder will serve as the placebo. Placebo: This is a prospective, randomized double-blind, placebo-controlled study design. 38 subjects will be randomized to two groups (19 patients in each group), one taking active fish oil and glutamine supplementation and the other taking placebo for 90 days.
Glutamine/Fishoil
n=14 Participants
3.285 g of EPA and 3.285 g of DHA and L-alanyl-glutamine (8g/d). Glutamine and Fish Oil Supplementation: This is a prospective, randomized double-blind, placebo-controlled study design. 38 subjects will be randomized to two groups (19 patients in each group), one taking active fish oil and glutamine supplementation and the other taking placebo for 90 days.
90 Day Muscle Function Capacity- Isokinetic Contractions (Total Work)
Knee: Extension, 5 repetitions
586 Joules
Standard Deviation 69
603 Joules
Standard Deviation 51
90 Day Muscle Function Capacity- Isokinetic Contractions (Total Work)
Knee: Flexion, 5 repetitions
277 Joules
Standard Deviation 44
319 Joules
Standard Deviation 33
90 Day Muscle Function Capacity- Isokinetic Contractions (Total Work)
Elbow: Extension, 5 repetitions
209 Joules
Standard Deviation 26
193 Joules
Standard Deviation 18
90 Day Muscle Function Capacity- Isokinetic Contractions (Total Work)
Elbow: Flexion, 5 repetitions
272 Joules
Standard Deviation 27
283 Joules
Standard Deviation 15
90 Day Muscle Function Capacity- Isokinetic Contractions (Total Work)
Knee: Extension, 25 repetitions
1806 Joules
Standard Deviation 176
1816 Joules
Standard Deviation 168
90 Day Muscle Function Capacity- Isokinetic Contractions (Total Work)
Knee: Flexion, 25 repetitions
765 Joules
Standard Deviation 99
813 Joules
Standard Deviation 99
90 Day Muscle Function Capacity- Isokinetic Contractions (Total Work)
Elbow: Extension, 25 repetitions
655 Joules
Standard Deviation 83
598 Joules
Standard Deviation 50
90 Day Muscle Function Capacity- Isokinetic Contractions (Total Work)
Elbow: Flexion, 25 repetitions
1079 Joules
Standard Deviation 118
987 Joules
Standard Deviation 55

PRIMARY outcome

Timeframe: Baseline

For isokinetic contractions, subjects performed flexion and extension movements at the knee and elbow for 5 repetitions at a speed of 60 degrees/second. This was followed by a rest period of 2.5 minutes. For the second isokinetic protocol, subjects performed 25 repetitions of flexion and extension movements at the knee and elbow at a speed of 180 degrees/second.

Outcome measures

Outcome measures
Measure
Placebo
n=12 Participants
The placebo for fish oil will be safflower oil. For glutamine, soy powder will serve as the placebo. Placebo: This is a prospective, randomized double-blind, placebo-controlled study design. 38 subjects will be randomized to two groups (19 patients in each group), one taking active fish oil and glutamine supplementation and the other taking placebo for 90 days.
Glutamine/Fishoil
n=14 Participants
3.285 g of EPA and 3.285 g of DHA and L-alanyl-glutamine (8g/d). Glutamine and Fish Oil Supplementation: This is a prospective, randomized double-blind, placebo-controlled study design. 38 subjects will be randomized to two groups (19 patients in each group), one taking active fish oil and glutamine supplementation and the other taking placebo for 90 days.
Baseline Muscle Function Capacity- Isokinetic Contractions (Average Power)
Knee: Extension, 5 repetitions
65 Watts
Standard Deviation 10
75 Watts
Standard Deviation 33
Baseline Muscle Function Capacity- Isokinetic Contractions (Average Power)
Knee: Flexion, 5 repetitions
26 Watts
Standard Deviation 5
33 Watts
Standard Deviation 5
Baseline Muscle Function Capacity- Isokinetic Contractions (Average Power)
Elbow: Extension, 5 repetitions
24 Watts
Standard Deviation 3
23 Watts
Standard Deviation 3
Baseline Muscle Function Capacity- Isokinetic Contractions (Average Power)
Elbow: Flexion, 5 repetitions
35 Watts
Standard Deviation 4
32 Watts
Standard Deviation 3
Baseline Muscle Function Capacity- Isokinetic Contractions (Average Power)
Knee: Extension, 25 repetitions
106 Watts
Standard Deviation 14
121 Watts
Standard Deviation 13
Baseline Muscle Function Capacity- Isokinetic Contractions (Average Power)
Knee: Flexion, 25 repetitions
26 Watts
Standard Deviation 7
46 Watts
Standard Deviation 7
Baseline Muscle Function Capacity- Isokinetic Contractions (Average Power)
Elbow: Extension, 25 repetitions
37 Watts
Standard Deviation 5
38 Watts
Standard Deviation 5
Baseline Muscle Function Capacity- Isokinetic Contractions (Average Power)
Elbow: Flexion, 25 repetitions
64 Watts
Standard Deviation 9
57 Watts
Standard Deviation 5

PRIMARY outcome

Timeframe: 90 Days

For isokinetic contractions, subjects performed flexion and extension movements at the knee and elbow for 5 repetitions at a speed of 60 degrees/second. This was followed by a rest period of 2.5 minutes. For the second isokinetic protocol, subjects performed 25 repetitions of flexion and extension movements at the knee and elbow at a speed of 180 degrees/second.

Outcome measures

Outcome measures
Measure
Placebo
n=12 Participants
The placebo for fish oil will be safflower oil. For glutamine, soy powder will serve as the placebo. Placebo: This is a prospective, randomized double-blind, placebo-controlled study design. 38 subjects will be randomized to two groups (19 patients in each group), one taking active fish oil and glutamine supplementation and the other taking placebo for 90 days.
Glutamine/Fishoil
n=14 Participants
3.285 g of EPA and 3.285 g of DHA and L-alanyl-glutamine (8g/d). Glutamine and Fish Oil Supplementation: This is a prospective, randomized double-blind, placebo-controlled study design. 38 subjects will be randomized to two groups (19 patients in each group), one taking active fish oil and glutamine supplementation and the other taking placebo for 90 days.
90 Day Muscle Function Capacity- Isokinetic Contractions (Average Power)
Knee: Extension, 5 repetitions
80 Watts
Standard Deviation 9
84 Watts
Standard Deviation 7
90 Day Muscle Function Capacity- Isokinetic Contractions (Average Power)
Knee: Flexion, 5 repetitions
37 Watts
Standard Deviation 6
41 Watts
Standard Deviation 5
90 Day Muscle Function Capacity- Isokinetic Contractions (Average Power)
Elbow: Extension, 5 repetitions
26 Watts
Standard Deviation 3
25 Watts
Standard Deviation 2
90 Day Muscle Function Capacity- Isokinetic Contractions (Average Power)
Elbow: Flexion, 5 repetitions
34 Watts
Standard Deviation 4
34 Watts
Standard Deviation 2
90 Day Muscle Function Capacity- Isokinetic Contractions (Average Power)
Knee: Extension, 25 repetitions
128 Watts
Standard Deviation 13
140 Watts
Standard Deviation 15
90 Day Muscle Function Capacity- Isokinetic Contractions (Average Power)
Knee: Flexion, 25 repetitions
50 Watts
Standard Deviation 7
56 Watts
Standard Deviation 7
90 Day Muscle Function Capacity- Isokinetic Contractions (Average Power)
Elbow: Extension, 25 repetitions
40 Watts
Standard Deviation 6
36 Watts
Standard Deviation 4
90 Day Muscle Function Capacity- Isokinetic Contractions (Average Power)
Elbow: Flexion, 25 repetitions
62 Watts
Standard Deviation 8
57 Watts
Standard Deviation 4

PRIMARY outcome

Timeframe: Baseline

For isokinetic contractions, subjects performed flexion and extension movements at the knee and elbow for 5 repetitions at a speed of 60 degrees/second. This was followed by a rest period of 2.5 minutes. For the second isokinetic protocol, subjects performed 25 repetitions of flexion and extension movements at the knee and elbow at a speed of 180 degrees/second.

Outcome measures

Outcome measures
Measure
Placebo
n=12 Participants
The placebo for fish oil will be safflower oil. For glutamine, soy powder will serve as the placebo. Placebo: This is a prospective, randomized double-blind, placebo-controlled study design. 38 subjects will be randomized to two groups (19 patients in each group), one taking active fish oil and glutamine supplementation and the other taking placebo for 90 days.
Glutamine/Fishoil
n=14 Participants
3.285 g of EPA and 3.285 g of DHA and L-alanyl-glutamine (8g/d). Glutamine and Fish Oil Supplementation: This is a prospective, randomized double-blind, placebo-controlled study design. 38 subjects will be randomized to two groups (19 patients in each group), one taking active fish oil and glutamine supplementation and the other taking placebo for 90 days.
Baseline Muscle Function Capacity- Isokinetic Contractions (Time to Peak Torque)
Knee: Extension, 5 repetitions
526 msec
Standard Deviation 44
494 msec
Standard Deviation 27
Baseline Muscle Function Capacity- Isokinetic Contractions (Time to Peak Torque)
Knee: Flexion, 5 repetitions
828 msec
Standard Deviation 104
945 msec
Standard Deviation 84
Baseline Muscle Function Capacity- Isokinetic Contractions (Time to Peak Torque)
Elbow: Extension, 5 repetitions
426 msec
Standard Deviation 50
344 msec
Standard Deviation 26
Baseline Muscle Function Capacity- Isokinetic Contractions (Time to Peak Torque)
Elbow: Flexion, 5 repetitions
806 msec
Standard Deviation 89
1003 msec
Standard Deviation 76
Baseline Muscle Function Capacity- Isokinetic Contractions (Time to Peak Torque)
Knee: Extension, 25 repetitions
195 msec
Standard Deviation 12
212 msec
Standard Deviation 27
Baseline Muscle Function Capacity- Isokinetic Contractions (Time to Peak Torque)
Knee: Flexion, 25 repetitions
399 msec
Standard Deviation 61
546 msec
Standard Deviation 11
Baseline Muscle Function Capacity- Isokinetic Contractions (Time to Peak Torque)
Elbow: Extension, 25 repetitions
376 msec
Standard Deviation 58
417 msec
Standard Deviation 50
Baseline Muscle Function Capacity- Isokinetic Contractions (Time to Peak Torque)
Elbow: Flexion, 25 repetitions
435 msec
Standard Deviation 52
426 msec
Standard Deviation 42

PRIMARY outcome

Timeframe: 90 Days

For isokinetic contractions, subjects performed flexion and extension movements at the knee and elbow for 5 repetitions at a speed of 60 degrees/second. This was followed by a rest period of 2.5 minutes. For the second isokinetic protocol, subjects performed 25 repetitions of flexion and extension movements at the knee and elbow at a speed of 180 degrees/second.

Outcome measures

Outcome measures
Measure
Placebo
n=12 Participants
The placebo for fish oil will be safflower oil. For glutamine, soy powder will serve as the placebo. Placebo: This is a prospective, randomized double-blind, placebo-controlled study design. 38 subjects will be randomized to two groups (19 patients in each group), one taking active fish oil and glutamine supplementation and the other taking placebo for 90 days.
Glutamine/Fishoil
n=14 Participants
3.285 g of EPA and 3.285 g of DHA and L-alanyl-glutamine (8g/d). Glutamine and Fish Oil Supplementation: This is a prospective, randomized double-blind, placebo-controlled study design. 38 subjects will be randomized to two groups (19 patients in each group), one taking active fish oil and glutamine supplementation and the other taking placebo for 90 days.
90 Day Muscle Function Capacity- Isokinetic Contractions (Time to Peak Torque)
Knee: Extension, 5 repetitions
404 msec
Standard Deviation 37
456 msec
Standard Deviation 27
90 Day Muscle Function Capacity- Isokinetic Contractions (Time to Peak Torque)
Knee: Flexion, 5 repetitions
729 msec
Standard Deviation 45
780 msec
Standard Deviation 93
90 Day Muscle Function Capacity- Isokinetic Contractions (Time to Peak Torque)
Elbow: Extension, 5 repetitions
429 msec
Standard Deviation 65
469 msec
Standard Deviation 45
90 Day Muscle Function Capacity- Isokinetic Contractions (Time to Peak Torque)
Elbow: Flexion, 5 repetitions
808 msec
Standard Deviation 77
996 msec
Standard Deviation 80
90 Day Muscle Function Capacity- Isokinetic Contractions (Time to Peak Torque)
Knee: Extension, 25 repetitions
186 msec
Standard Deviation 12
177 msec
Standard Deviation 12
90 Day Muscle Function Capacity- Isokinetic Contractions (Time to Peak Torque)
Knee: Flexion, 25 repetitions
366 msec
Standard Deviation 53
507 msec
Standard Deviation 32
90 Day Muscle Function Capacity- Isokinetic Contractions (Time to Peak Torque)
Elbow: Extension, 25 repetitions
417 msec
Standard Deviation 54
314 msec
Standard Deviation 47
90 Day Muscle Function Capacity- Isokinetic Contractions (Time to Peak Torque)
Elbow: Flexion, 25 repetitions
420 msec
Standard Deviation 48
426 msec
Standard Deviation 43

PRIMARY outcome

Timeframe: Baseline to 90 Days

Peak effort oxygen consumption (VO2 max) is measured using Cardiopulmonary Exercise Testing (CPET).

Outcome measures

Outcome measures
Measure
Placebo
n=12 Participants
The placebo for fish oil will be safflower oil. For glutamine, soy powder will serve as the placebo. Placebo: This is a prospective, randomized double-blind, placebo-controlled study design. 38 subjects will be randomized to two groups (19 patients in each group), one taking active fish oil and glutamine supplementation and the other taking placebo for 90 days.
Glutamine/Fishoil
n=14 Participants
3.285 g of EPA and 3.285 g of DHA and L-alanyl-glutamine (8g/d). Glutamine and Fish Oil Supplementation: This is a prospective, randomized double-blind, placebo-controlled study design. 38 subjects will be randomized to two groups (19 patients in each group), one taking active fish oil and glutamine supplementation and the other taking placebo for 90 days.
Percent Change in Peak Effort Oxygen Consumption
7.9 Percent
Standard Deviation 4.7
0.1 Percent
Standard Deviation 0.7

SECONDARY outcome

Timeframe: Baseline

Systemic and local marker of inflammation as measured by tumor necrosis factor-alpha, units pg/mL

Outcome measures

Outcome measures
Measure
Placebo
n=12 Participants
The placebo for fish oil will be safflower oil. For glutamine, soy powder will serve as the placebo. Placebo: This is a prospective, randomized double-blind, placebo-controlled study design. 38 subjects will be randomized to two groups (19 patients in each group), one taking active fish oil and glutamine supplementation and the other taking placebo for 90 days.
Glutamine/Fishoil
n=14 Participants
3.285 g of EPA and 3.285 g of DHA and L-alanyl-glutamine (8g/d). Glutamine and Fish Oil Supplementation: This is a prospective, randomized double-blind, placebo-controlled study design. 38 subjects will be randomized to two groups (19 patients in each group), one taking active fish oil and glutamine supplementation and the other taking placebo for 90 days.
Baseline Systemic and Local Inflammation
3.4 pg/mL
Standard Deviation 0.6
3.1 pg/mL
Standard Deviation 0.8

SECONDARY outcome

Timeframe: 90 Days

Systemic and local marker of inflammation as measured by tumor necrosis factor-alpha, units pg/mL

Outcome measures

Outcome measures
Measure
Placebo
n=12 Participants
The placebo for fish oil will be safflower oil. For glutamine, soy powder will serve as the placebo. Placebo: This is a prospective, randomized double-blind, placebo-controlled study design. 38 subjects will be randomized to two groups (19 patients in each group), one taking active fish oil and glutamine supplementation and the other taking placebo for 90 days.
Glutamine/Fishoil
n=14 Participants
3.285 g of EPA and 3.285 g of DHA and L-alanyl-glutamine (8g/d). Glutamine and Fish Oil Supplementation: This is a prospective, randomized double-blind, placebo-controlled study design. 38 subjects will be randomized to two groups (19 patients in each group), one taking active fish oil and glutamine supplementation and the other taking placebo for 90 days.
90 Day Systemic and Local Inflammation
2.5 pg/mL
Standard Deviation 0.4
3.3 pg/mL
Standard Deviation 0.5

Adverse Events

Placebo

Serious events: 0 serious events
Other events: 2 other events
Deaths: 0 deaths

Glutamine/Fishoil

Serious events: 0 serious events
Other events: 1 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Placebo
n=12 participants at risk
The placebo for fish oil will be safflower oil. For glutamine, soy powder will serve as the placebo. Placebo: This is a prospective, randomized double-blind, placebo-controlled study design. 38 subjects will be randomized to two groups (19 patients in each group), one taking active fish oil and glutamine supplementation and the other taking placebo for 90 days.
Glutamine/Fishoil
n=14 participants at risk
3.285 g of EPA and 3.285 g of DHA and L-alanyl-glutamine (8g/d). Glutamine and Fish Oil Supplementation: This is a prospective, randomized double-blind, placebo-controlled study design. 38 subjects will be randomized to two groups (19 patients in each group), one taking active fish oil and glutamine supplementation and the other taking placebo for 90 days.
Gastrointestinal disorders
Diarrhea
16.7%
2/12 • 90 Days
7.1%
1/14 • 90 Days

Additional Information

Christian Schulze, MD, PhD

University Hospital Jena

Phone: 03641-9 32 41 04

Results disclosure agreements

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