NCT02147639

Brief Summary

This study is intended to build on a growing body of literature showing a blood flow abnormality in patients with Becker muscular dystrophy. The investigators' laboratory recently showed that this blood flow abnormality could be corrected by a single oral dose of the drug Tadalafil (also known as Cialis). The investigators now wish to replicate these exciting results using a common nitric oxide donor (sodium nitrate).

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
19

participants targeted

Target at below P25 for phase_2

Timeline
Completed

Started Oct 2013

Shorter than P25 for phase_2

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

Study Start

First participant enrolled

October 1, 2013

Completed
6 months until next milestone

First Submitted

Initial submission to the registry

March 25, 2014

Completed
1 month until next milestone

Primary Completion

Last participant's last visit for primary outcome

May 1, 2014

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

May 1, 2014

Completed
27 days until next milestone

First Posted

Study publicly available on registry

May 28, 2014

Completed
Last Updated

January 14, 2020

Status Verified

May 1, 2014

Enrollment Period

7 months

First QC Date

March 25, 2014

Last Update Submit

January 10, 2020

Conditions

Outcome Measures

Primary Outcomes (1)

  • Skeletal muscle blood flow

    Skeletal muscle blood flow regulation will be assessed at each visit by near infrared spectroscopy and Doppler ultrasound.

    24 hours after initial visit

Study Arms (5)

Sodium Nitrate

EXPERIMENTAL

Patients will ingest a single oral dose of sodium nitrate (\~8.4 mmol)

Dietary Supplement: Sodium Nitrate

Baseline

NO INTERVENTION

This is a baseline study visit, which will serve to assess inclusion and exclusion criteria, as well as provide untreated measurments of skeletal muscle blood flow and perfusion.

Dose-escalation trial

EXPERIMENTAL

This is an optional study visit, where subjects will ingest twice the dose of sodium nitrate (\~16.8 mmol).

Dietary Supplement: Sodium Nitrate - double dose

Placebo-control trial

PLACEBO COMPARATOR

This is an optional study visit, where patients will ingest a placebo.

Dietary Supplement: Placebo

Increased exercise intensity

EXPERIMENTAL

This is an optional study visit, where patients will be asked to repeat all of the blood flow assessments, but the exercise intensity will be increased.

Procedure: Increased exercise intensity

Interventions

Sodium NitrateDIETARY_SUPPLEMENT
Sodium Nitrate
Dose-escalation trial
PlaceboDIETARY_SUPPLEMENT
Placebo-control trial
Increased exercise intensity

Eligibility Criteria

Age15 Years - 45 Years
Sexmale
Healthy VolunteersNo
Age GroupsChild (0-17), Adult (18-64)

You may qualify if:

  • Men 15-55 years of age with a pre-existing diagnosis of Becker Muscular Dystrophy by a clinical neurologist (based on clinical criteria plus previous muscle biopsy analysis and/or DNA analysis).

You may not qualify if:

  • Any evidence of cardiopulmonary disease by history or by physical examination
  • History of hypertension or blood pressure averaging ≥140/90 mmHg
  • Diabetes mellitus or other systemic illness
  • Heart failure by clinical exam, elevated BNP, or heart failure medication
  • Serum creatinine ≥ 1.5 mg/dL
  • Any history of substance abuse (including alcohol)
  • Any history of psychiatric illness

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Cedars-Sinai Heart Institute

Los Angeles, California, 90048, United States

Location

MeSH Terms

Conditions

Muscular Dystrophy, Duchenne

Interventions

sodium nitrate

Condition Hierarchy (Ancestors)

Muscular DystrophiesMuscular Disorders, AtrophicMuscular DiseasesMusculoskeletal DiseasesNeuromuscular DiseasesNervous System DiseasesGenetic Diseases, X-LinkedGenetic Diseases, InbornCongenital, Hereditary, and Neonatal Diseases and Abnormalities

Study Officials

  • Ronald G Victor, MD

    Cedars-Sinai Medical Center

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
phase 2
Allocation
NON RANDOMIZED
Masking
NONE
Purpose
OTHER
Intervention Model
SINGLE GROUP
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

March 25, 2014

First Posted

May 28, 2014

Study Start

October 1, 2013

Primary Completion

May 1, 2014

Study Completion

May 1, 2014

Last Updated

January 14, 2020

Record last verified: 2014-05

Locations