NCT02865460

Brief Summary

The primary objective of this clinical trial is to determine if treatment with ubiquinol, a form of coenzyme Q10, improves the physical function of men and women Veterans suffering from Gulf War Illness (GWI). The primary outcome measure is a change from baseline on the Short Form Health Survey 36-item (SF-36), with respect to physical functioning and symptoms. Secondary outcome measures include changes from baseline levels on GWI-associated biomarkers in peripheral blood and GWI-associated symptoms of chronic pain, fatigue, insomnia, activity level, and cognitive and mental functioning.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
100

participants targeted

Target at P25-P50 for phase_3

Timeline
Completed

Started Jul 2017

Typical duration for phase_3

Geographic Reach
1 country

4 active sites

Status
completed

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

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

July 28, 2016

Completed
15 days until next milestone

First Posted

Study publicly available on registry

August 12, 2016

Completed
12 months until next milestone

Study Start

First participant enrolled

July 24, 2017

Completed
3.2 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

October 7, 2020

Completed
3 months until next milestone

Study Completion

Last participant's last visit for all outcomes

December 31, 2020

Completed
2.1 years until next milestone

Results Posted

Study results publicly available

February 15, 2023

Completed
Last Updated

February 15, 2023

Status Verified

February 1, 2023

Enrollment Period

3.2 years

First QC Date

July 28, 2016

Results QC Date

July 29, 2022

Last Update Submit

February 10, 2023

Conditions

Keywords

Chronic PainCognitive DisordersInflammationNeurologic manifestationsDementiaMental DisordersUbiquinol/ubiquinonePathologic ProcessesNervous System DiseasesHormones, Hormone Substitutes, and Hormone AntagonAnti-Inflammatory AgentsPharmacologic ActionsTherapeutic UsesPhysiological Effects of DrugsGulf war illnessChronic fatigue

Outcome Measures

Primary Outcomes (1)

  • Veterans Short Form 36-Item Health Survey Physical Component Summary

    Veterans Health Survey contains 36 items to measure health functioning from the patient's point of view. The scale is 0-100. The higher value indicates better physical health.

    Baseline, Weeks 4, 8, 12, 16, 20, and 24

Secondary Outcomes (30)

  • Multidimensional Fatigue Inventory (MFI)

    Baseline, Weeks 4, 8, 12, 16, 20, and 24

  • Gulf War Illness Health Symptom Checklist

    Baseline, Weeks 4, 8, 12, 16, 20, 24, and 28

  • Brief Pain Inventory

    Baseline, Weeks 4, 8, 12, 16, 20, and 24

  • Pittsburgh Sleep Quality Index

    Baseline, Weeks 4, 8, 12, 16, 20, and 24

  • Hamilton Anxiety Scale (HAM-A)

    Baseline, Weeks 8, 16, and 24

  • +25 more secondary outcomes

Study Arms (2)

Ubiquinol

EXPERIMENTAL

Take oral tablets as directed (2x200 mg for 2 months; 1x200 mg for 4 months) with food each morning- upon waking

Drug: Ubiquinol

Placebo

PLACEBO COMPARATOR

Take oral tablets as directed (2x200 mg for 2 months; 1x 200 mg for 4 months) with food each morning-upon waking

Drug: Placebo

Interventions

Take oral tablets as directed (2x200 mg for 2 months; 1x200 mg for 4 months) with food each morning- upon waking

Also known as: Coenzyme Q10, CoQ10
Ubiquinol

Take oral tablets as directed (2x200 mg for 2 months; 1x200 mg for 4 months) with food each morning- upon waking

Also known as: Sugar pill, inactive substance
Placebo

Eligibility Criteria

Age35 Years - 70 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Male and female Veterans who were deployed in 1990 -1991 Gulf War.
  • Veterans who currently meet the Kansas Gulf War Study Case Definition for Gulf War Illness.
  • Veterans who were in good health based on medical history prior to 1990.
  • Veterans whose severity of illness is moderate to severe, evidenced by scoring less than 30 of 100 on the physical domain of SF36.

You may not qualify if:

  • Veteran has a condition that may interfere with the ability to accurately report symptoms, such as:
  • severe psychiatric problems
  • schizophrenia
  • bipolar disorder
  • major depression with psychotic or melancholic features
  • delusional disorders alcohol or drug dependence requiring hospitalization, or regular illegal drug use or other psychiatric condition requiring inpatient stay in the 6 months prior to study entry.
  • Has dementias of any type
  • Is pregnant or breastfeeding or plans to become pregnant within the next 6 months.
  • Medical conditions excluded:
  • organ failure
  • defined rheumatologic inflammatory disorders
  • chronic active infections such as HIV, hepatitis B and C, or transplant
  • primary sleep disorders
  • Medications that could potentially impact immune function excluded:
  • steroids
  • +7 more criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (4)

Miami VA Healthcare System, Miami, FL

Miami, Florida, 33125, United States

Location

VA Boston Healthcare System Jamaica Plain Campus, Jamaica Plain, MA

Boston, Massachusetts, 02130, United States

Location

Minneapolis VA Health Care System, Minneapolis, MN

Minneapolis, Minnesota, 55417, United States

Location

James J. Peters VA Medical Center, Bronx, NY

The Bronx, New York, 10468, United States

Location

MeSH Terms

Conditions

Chronic PainCognitive DysfunctionInflammationNeurologic ManifestationsDementiaMental DisordersPathologic ProcessesNervous System Diseases

Interventions

ubiquinolcoenzyme Q10

Condition Hierarchy (Ancestors)

PainSigns and SymptomsPathological Conditions, Signs and SymptomsCognition DisordersNeurocognitive DisordersBrain DiseasesCentral Nervous System Diseases

Limitations and Caveats

Study recruitment closed on 4/1/2020, coinciding with the onset of the COVID-19 pandemic. Participants could not complete their in-person visits due to the closure of VA research services and VA outpatient labs.

Results Point of Contact

Title
Nancy Klimas, MD
Organization
Miami VA Healthcare System

Study Officials

  • Nancy G Klimas, BS MD

    Miami VA Healthcare System, Miami, FL

    PRINCIPAL INVESTIGATOR

Publication Agreements

PI is Sponsor Employee
Yes

Study Design

Study Type
interventional
Phase
phase 3
Allocation
RANDOMIZED
Masking
QUADRUPLE
Who Masked
PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
FED
Responsible Party
SPONSOR

Study Record Dates

First Submitted

July 28, 2016

First Posted

August 12, 2016

Study Start

July 24, 2017

Primary Completion

October 7, 2020

Study Completion

December 31, 2020

Last Updated

February 15, 2023

Results First Posted

February 15, 2023

Record last verified: 2023-02

Data Sharing

IPD Sharing
Will not share

Locations