Trial Outcomes & Findings for MitoQ for Fatigue in Multiple Sclerosis (MS) (NCT NCT04267926)

NCT ID: NCT04267926

Last Updated: 2025-11-13

Results Overview

MFIS is a self - reported fatigue survey. Scale 0 - 84. Higher scores indicate a greater impact of fatigue.

Recruitment status

ACTIVE_NOT_RECRUITING

Study phase

PHASE1/PHASE2

Target enrollment

45 participants

Primary outcome timeframe

Week 1, Week 7, Week 13

Results posted on

2025-11-13

Participant Flow

Patients seen at the Multiple Sclerosis at Portland VA Medical Center (PORVAMC)and Oregon Health \& Science University (OHSU) were main sources of recruitment. PORVAMC and OHSU MS clinics neurologists' referrals, chart reviews of MS patients at PORVAMC and OHSU Electronic medical records using the Mychart tool were used for help with recruitment. We additionally reached to a wide network of interested referring physicians from Portland and its surrounding areas.

Out of 46 screened subjects, 45 were randomized. One subject was NOT randomized due to abnormal screening labs. Two subjects were excluded after randomization (one subject had abnormal screening labs, second subject received IV Iron infusion for anemia). Thus, data from 43 subjects is available for the statistical analysis.

Participant milestones

Participant milestones
Measure
Placebo
Capsule containing Placebo ingredient.
20 mg of MitoQ
This group received one pill of the placebo and the second pill containing 20 mg of oral Mitoquinol (active drug) by mouth. Study drug was given empty stomach as described in the protocol.
40mg of MitoQ
This group received two pills, each containing 20 mg of oral Mitoquinol (active drug) thus total dose of 40 mg Mitoquinol, by mouth. Study drug was given empty stomach as described in the protocol.
Overall Study
STARTED
16
15
14
Overall Study
COMPLETED
15
15
13
Overall Study
NOT COMPLETED
1
0
1

Reasons for withdrawal

Reasons for withdrawal
Measure
Placebo
Capsule containing Placebo ingredient.
20 mg of MitoQ
This group received one pill of the placebo and the second pill containing 20 mg of oral Mitoquinol (active drug) by mouth. Study drug was given empty stomach as described in the protocol.
40mg of MitoQ
This group received two pills, each containing 20 mg of oral Mitoquinol (active drug) thus total dose of 40 mg Mitoquinol, by mouth. Study drug was given empty stomach as described in the protocol.
Overall Study
abnormal labs. No longer eligible
0
0
1
Overall Study
Iron infusion for fatigue. No longer eligible for study.
1
0
0

Baseline Characteristics

MitoQ for Fatigue in Multiple Sclerosis (MS)

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Placebo
n=16 Participants
Placebo
20mg of MitoQ
n=15 Participants
20mg of oral mitoquinol
40mg of MitoQ
n=14 Participants
40mg of Oral Mitoquinol
Total
n=45 Participants
Total of all reporting groups
Age, Continuous
54.8 Years
STANDARD_DEVIATION 8.46 • n=10 Participants
55.7 Years
STANDARD_DEVIATION 9.32 • n=10 Participants
52.6 Years
STANDARD_DEVIATION 12.06 • n=20 Participants
54.42 Years
STANDARD_DEVIATION 9.83 • n=45 Participants
Sex: Female, Male
Female
12 Participants
n=10 Participants
12 Participants
n=10 Participants
10 Participants
n=20 Participants
34 Participants
n=45 Participants
Sex: Female, Male
Male
4 Participants
n=10 Participants
3 Participants
n=10 Participants
4 Participants
n=20 Participants
11 Participants
n=45 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=10 Participants
0 Participants
n=10 Participants
0 Participants
n=20 Participants
0 Participants
n=45 Participants
Race (NIH/OMB)
Asian
0 Participants
n=10 Participants
0 Participants
n=10 Participants
0 Participants
n=20 Participants
0 Participants
n=45 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=10 Participants
0 Participants
n=10 Participants
0 Participants
n=20 Participants
0 Participants
n=45 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=10 Participants
0 Participants
n=10 Participants
1 Participants
n=20 Participants
1 Participants
n=45 Participants
Race (NIH/OMB)
White
16 Participants
n=10 Participants
15 Participants
n=10 Participants
13 Participants
n=20 Participants
44 Participants
n=45 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=10 Participants
0 Participants
n=10 Participants
0 Participants
n=20 Participants
0 Participants
n=45 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=10 Participants
0 Participants
n=10 Participants
0 Participants
n=20 Participants
0 Participants
n=45 Participants

PRIMARY outcome

Timeframe: Week 1, Week 7, Week 13

MFIS is a self - reported fatigue survey. Scale 0 - 84. Higher scores indicate a greater impact of fatigue.

Outcome measures

Outcome measures
Measure
Placebo
n=16 Participants
Placebo
20mg of MitoQ
n=15 Participants
20mg of oral mitoquinol
40mg of MitoQ
n=14 Participants
40mg of Oral Mitoquinol
Modified Fatigue Inventory Scale (MFIS)
Week 1
46.5 units on a scale
Standard Error 2.8
55.2 units on a scale
Standard Error 2.8
54.3 units on a scale
Standard Error 2.9
Modified Fatigue Inventory Scale (MFIS)
Week 7
45.1 units on a scale
Standard Error 3.1
50.5 units on a scale
Standard Error 2.9
49 units on a scale
Standard Error 3.1
Modified Fatigue Inventory Scale (MFIS)
Week 13
39.7 units on a scale
Standard Error 2.8
48.7 units on a scale
Standard Error 2.8
47.8 units on a scale
Standard Error 3

SECONDARY outcome

Timeframe: Week 1, Week 7, Week 13

SDMT measures cognitive function. Scale 0-110. Higher scores reflect a better outcome.

Outcome measures

Outcome measures
Measure
Placebo
n=16 Participants
Placebo
20mg of MitoQ
n=15 Participants
20mg of oral mitoquinol
40mg of MitoQ
n=14 Participants
40mg of Oral Mitoquinol
Symbol Digit Modalities Test (SDMT)
Week 1
31.3 units on a scale
Standard Error 8.4
25.9 units on a scale
Standard Error 8.1
33.3 units on a scale
Standard Error 8.4
Symbol Digit Modalities Test (SDMT)
Week 7
33.2 units on a scale
Standard Error 8.0
28.8 units on a scale
Standard Error 8.0
36.1 units on a scale
Standard Error 8.2
Symbol Digit Modalities Test (SDMT)
Week 13
32.6 units on a scale
Standard Error 8.4
30.4 units on a scale
Standard Error 8.1
35.6 units on a scale
Standard Error 8.2

SECONDARY outcome

Timeframe: 12 weeks

EDSS measures neurological function. Scale 0-10

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 12 weeks

BDI is a self-reported questionnaire measuring depression. Scale 0-21

Outcome measures

Outcome data not reported

Adverse Events

Placebo

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

20mg of MitoQ

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

40mg of MitoQ

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=16 participants at risk
Placebo
20mg of MitoQ
n=15 participants at risk
20mg of oral mitoquinol
40mg of MitoQ
n=14 participants at risk
40mg of Oral Mitoquinol
General disorders
Flu
0.00%
0/16 • From enrollment to end of follow-up (13 weeks)
0.00%
0/15 • From enrollment to end of follow-up (13 weeks)
7.1%
1/14 • From enrollment to end of follow-up (13 weeks)
Injury, poisoning and procedural complications
Fall
6.2%
1/16 • From enrollment to end of follow-up (13 weeks)
0.00%
0/15 • From enrollment to end of follow-up (13 weeks)
0.00%
0/14 • From enrollment to end of follow-up (13 weeks)
General disorders
Cold
6.2%
1/16 • From enrollment to end of follow-up (13 weeks)
0.00%
0/15 • From enrollment to end of follow-up (13 weeks)
0.00%
0/14 • From enrollment to end of follow-up (13 weeks)
Reproductive system and breast disorders
Hot Flashes
0.00%
0/16 • From enrollment to end of follow-up (13 weeks)
6.7%
1/15 • From enrollment to end of follow-up (13 weeks)
0.00%
0/14 • From enrollment to end of follow-up (13 weeks)

Additional Information

Vijayshree Yadav MBBS, MCR

Department of Veterans Affairs MS Center of Excellence-West and Portland, Oregon Health & Science University

Phone: 503-494-3813

Results disclosure agreements

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