MitoQ for Fatigue in Multiple Sclerosis (MS)

NCT ID: NCT04267926

Last Updated: 2025-11-13

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

ACTIVE_NOT_RECRUITING

Clinical Phase

PHASE1/PHASE2

Total Enrollment

45 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-04-01

Study Completion Date

2026-03-31

Brief Summary

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The purpose of this study is to determine whether MS patients who receive Oral mitoquinone (MitoQ) have less fatigue than those receiving a placebo. A comparison between patient's fatigue scored at baseline and fatigue scored 12 weeks after drug initiation will assess if MitoQ has a significant change in fatigue.

Detailed Description

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Recruitment of subjects on hold due to COVID-19 pandemic

MitoQ is a potent antioxidant dietary supplement with potentially significant immunomodulatory and anti-inflammatory properties. While the cause of MS related fatigue is uncertain, the investigators believe that mitochondria dysfunction and resultant neuronal energy depletion may be an important contributor to fatigue in MS.

This clinical trial will evaluate the potential beneficial effects of MitoQ on MS fatigue. It will also explore the effects of MitoQ on cognitive function, quality of life and mood. If enrolled in the study, patients will take two capsules of the study drug or placebo at the same time every day for twelve weeks. There will be 4 study visits where the participant will undergo medical and nervous system examinations, questionnaires, and blood draws. Because it is a placebo-controlled trial, participants will have a 33% chance of receiving either placebo (inactive), 20mg of MitoQ, or 40mg of MitoQ. This will be a blinded randomized study, meaning neither the participant nor the investigator will know who received the placebo or study drug.

Conditions

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Multiple Sclerosis Fatigue

Keywords

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Multiple Sclerosis Fatigue Mitochondrial

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Double-blind, randomized trial
Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators
The subject and investigator will be blinded.

Study Groups

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Placebo

Placebo

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Subject will receive Placebo

20mg of MitoQ

20mg of oral mitoquinol

Group Type ACTIVE_COMPARATOR

20 mg MitoQ

Intervention Type DRUG

a third of subject will receive 20mg of oral MitoQ

40mg of MitoQ

40mg of Oral Mitoquinol

Group Type ACTIVE_COMPARATOR

40mg of MitoQ

Intervention Type DRUG

a third of subjects will receive 40mg of MitoQ

Interventions

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20 mg MitoQ

a third of subject will receive 20mg of oral MitoQ

Intervention Type DRUG

Placebo

Subject will receive Placebo

Intervention Type DRUG

40mg of MitoQ

a third of subjects will receive 40mg of MitoQ

Intervention Type DRUG

Other Intervention Names

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Oral Mitoquinol Oral Mitoquinol

Eligibility Criteria

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Inclusion Criteria

* MS (any clinical subtype) as diagnosed by the 2017 McDonald criteria
* EDSS score of 2 to 8
* complaint of fatigue that has been persistent for at least two months
* Modified Fatigue Impact Scale (MFIS) score of 38 or greater

Exclusion Criteria

* treatment with systemic glucocorticoids in the prior six weeks
* Beck Depression Inventory (BDI) \>31 or BDI-FS\>10 (severe depression)
* significant MS exacerbation in prior 30 days
* previous use of MitoQ or Coenzyme Q10 (CoQ10) within thirty days of screening appointment
* other significant health problem that might increase risk of patient experiencing Adverse Events (AEs), e.g.:

* active coronary heart disease
* liver disease
* pulmonary disease
* diabetes mellitus
* pregnancy or intending to become pregnant or breastfeeding
* unable to complete the self-report forms
* unable to give informed consent
* prisoners
* any condition which would make the patient in the opinion of the investigator unsuitable for the study
Minimum Eligible Age

18 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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VA Office of Research and Development

FED

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Vijayshree Yadav, MBBS

Role: PRINCIPAL_INVESTIGATOR

VA Portland Health Care System, Portland, OR

Locations

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VA Portland Health Care System, Portland, OR

Portland, Oregon, United States

Site Status

Countries

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United States

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Document Type: Informed Consent Form

View Document

Other Identifiers

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4337

Identifier Type: OTHER_GRANT

Identifier Source: secondary_id

NURB-022-19S

Identifier Type: -

Identifier Source: org_study_id