Impact on Functional Status in Older Adults Treated With L-Carnitine

NCT ID: NCT03180424

Last Updated: 2017-06-08

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

UNKNOWN

Clinical Phase

PHASE2/PHASE3

Total Enrollment

60 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-01-01

Study Completion Date

2017-09-30

Brief Summary

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This study evaluates the impact of the treatment with L-Carnitine on the function of adults over 65 years, in conjunction with regular exercise. Simple randomization will be performed, distributing patients in 3 treatment groups, with L-Carnitine or Placebo, and with physical exercise at home or supervised.

Detailed Description

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The supplemental intake of L-carnitine improves the physical functioning of the pre-fragile and fragile elder of the community.

Circulating L-carnitine levels increase after administration of the supplement. The impact on the function of L-carnitine in combination with physical exercise will be studied in a population of older adults in Montevideo.

The sample will be divided into 3 groups, according to the intervention:

Group 1: Patients who will receive L-Carnitine in addition to a manual to perform physical exercise at home.

Group 2: Patients receiving L-Carnitine plus supervised exercise plan. Group 3: Patients receiving placebo and supervised exercise plan. All three groups will be evaluated for functional and anthropometric parameters: prior, during and after intervention. In addition, the dosage of L-carnitine and acetylcarnitine will be evaluated before and after the intervention.

Conditions

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Carnitine; Muscle Functional Status Old Age; Debility

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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L Carnitine + Exercise at home

Patients who will receive L Carnitine, in liquid form, at a dosage of 2g per day, in a single intake, in addition to physical exercise advice at home for which a manual will be delivered in the consultation, for 12 weeks.

Group Type ACTIVE_COMPARATOR

L Carnitine

Intervention Type DRUG

L Carnitine liquid, single daily dose of 2g orally.

Exercise at home

Intervention Type BEHAVIORAL

A schedule of exercises will be given in the consultation, which the patient will perform at home, without supervision

L Carnitine + supervised exercise

Patients receiving L Carnitine, in liquid form, at doses of 2g per day, in a single intake, in addition to a supervised physical exercise plan, for 12 weeks.

Group Type EXPERIMENTAL

L Carnitine

Intervention Type DRUG

L Carnitine liquid, single daily dose of 2g orally.

Supervised exercise

Intervention Type BEHAVIORAL

Modified Otago exercise programme, 2 times a week with a duration of 45 minutes, to be supervised by a previously qualified and trained instructor. Follow up of the established plan includes an adequate monitoring, evaluating the evolution and the possible adverse effects that may appear.

Placebos + supervised exercise

Patients receiving placebo and supervised exercise plan.

Group Type PLACEBO_COMPARATOR

Supervised exercise

Intervention Type BEHAVIORAL

Modified Otago exercise programme, 2 times a week with a duration of 45 minutes, to be supervised by a previously qualified and trained instructor. Follow up of the established plan includes an adequate monitoring, evaluating the evolution and the possible adverse effects that may appear.

Placebos

Intervention Type DRUG

Liquid substance, similar to the one containing L carnitine, in the same presentation

Interventions

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L Carnitine

L Carnitine liquid, single daily dose of 2g orally.

Intervention Type DRUG

Supervised exercise

Modified Otago exercise programme, 2 times a week with a duration of 45 minutes, to be supervised by a previously qualified and trained instructor. Follow up of the established plan includes an adequate monitoring, evaluating the evolution and the possible adverse effects that may appear.

Intervention Type BEHAVIORAL

Placebos

Liquid substance, similar to the one containing L carnitine, in the same presentation

Intervention Type DRUG

Exercise at home

A schedule of exercises will be given in the consultation, which the patient will perform at home, without supervision

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Patients who meet at least 2 criteria for the fragility phenotype of Linda Fried
* Ability to comply with aerobic physical activity of moderate intensity and basic resistance.
* Not depressed patients (Yesavage \<5 in patients without previous depression or Hamilton \<7 in patients in treatment for depression)
* MMSE (Mini-Mental State Examination) greater than 24 points.
* Independent or mildly dependent patients, Barthel\> 95 points.
* Patients without visual disturbances or with decreased visual acuity corrected.
* No pain or with VAS (Visual analogue scale) \<3/10.
* Patients without nutritional risk, MNA (Mini Nutritional Assessment \> 23.5 / 30 points) and BMI (Body Mass Index) \> 23 kg / m2.

Exclusion Criteria

* Absolute contraindications for performing physical exercise: recent AMI or unstable angina, uncontrolled hypertension, acute HF and complete AV block.
* Patients with osteoarticular pathology that limits their physical activity.
* Previous neurological pathology (Stroke, Enf. Of Parkinson's).
* Acute or chronic diseases decompensated or with lymphedema that makes difficult the accomplishment of the bioimpedanciometry.
* Patients using orthopedic devices and prostheses or pacemakers that interfere with gait or impede the achievement of bioimpedanciometry.
* BMI less than 23 and / or an involuntary weight loss of 3kg or more in the last 3 months.
* Psychiatric disorders that hinder adherence to treatment.
* Moderate to severe Chronic Renal Disease
* Patient who does not agree to participate in the study.
Minimum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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University of the Republic, Uruguay

OTHER

Sponsor Role collaborator

Hospital de Clínicas Dr. Manuel Quintela

OTHER

Sponsor Role lead

Responsible Party

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Ana Barboza

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Aldo Sgaravatti, MD

Role: STUDY_DIRECTOR

HospítalCDMQ

Locations

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Hospital de Clinicas Dr. Manuel Quintela

Montevideo, , Uruguay

Site Status

Countries

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Uruguay

Other Identifiers

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Protocolo L-Carnitina

Identifier Type: -

Identifier Source: org_study_id

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