NCT05284149

Brief Summary

Sarcopenia has now been officially recognized as a muscle disease related to aging, which may increase the risk of falls and fractures and both heart and respiratory diseases in the elderly. Sarcopenia causes inconvenience in the elderly, affecting their quality of life and often requiring long-term care or even resulting in death. Moreover, the elderly often encountered malnutrition due to inadequate nutrient intake and scarce nutrient diversity. Furthermore, malnutrition is often one of the leading causes of sarcopenia. Therefore, effective nutritional supplementation is essential to improve or prevent muscle loss for the elderly. Cordyceps sinensis is a well-known valuable traditional Chinese medicine and Hirsutella sinensis was an asexual strain of Cordyceps sinensis. Researchers have found that Hirsutella sinensis can help to increase connection between gastrocnemius muscle fibers and spinal nerve under the amyotrophic lateral sclerosis animal disease model. However, culturing conditions for Hirsutella sinensis are extremely difficult and long, one of the key culturing condition is the temperature, must be maintaining at 16-20℃for 45 days. Fortunately, Grape King Biotech has core technology using liquid fermentation which greatly shortened the cultivation time, thus, providing sufficient and safe products to patients. The investigators designed a randomized placebo-controlled study first to investigate the relationship and clinical impact Hirsutella Sinensis had on muscle mass and function in the elderly. Second, investigate the metabolic impact Hirsutella Sinensis had on muscle mass.

Trial Health

43
At Risk

Trial Health Score

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

Trial has exceeded expected completion date
Enrollment
100

participants targeted

Target at P50-P75 for not_applicable

Timeline
Completed

Started Feb 2022

Typical duration for not_applicable

Geographic Reach
1 country

1 active site

Status
unknown

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

First Submitted

Initial submission to the registry

December 22, 2021

Completed
2 months until next milestone

Study Start

First participant enrolled

February 15, 2022

Completed
1 month until next milestone

First Posted

Study publicly available on registry

March 17, 2022

Completed
1.9 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

February 15, 2024

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

February 15, 2024

Completed
Last Updated

March 17, 2022

Status Verified

March 1, 2022

Enrollment Period

2 years

First QC Date

December 22, 2021

Last Update Submit

March 8, 2022

Conditions

Outcome Measures

Primary Outcomes (2)

  • The effect of Hirsutella sinensis nutrient supplements had on muscle health

    The change in muscle mass (in grams) as assessed by dual-energy fan-beam X-ray absorptiometry.

    1 year

  • Metabolite alternations of Hirsutella Sinensis on muscle health

    The changes in major metabolite pathways as assessed (such as amino acids, lipids, in m/z) using the metabolomic liquid chromatography coupled to mass. spectrometry (LC-MS)

    1 year

Study Arms (2)

H.S. Supplement

ACTIVE COMPARATOR

Patients taking Hirsutella Sinensis Nutrient Supplements

Dietary Supplement: Hirsutella Sinensis Nutrient Supplements

Placebo

PLACEBO COMPARATOR

Patients taking placebo

Dietary Supplement: Placebo

Interventions

This randomized control study will be conducted in 2 years. We expect to recruit 50 participants with age ≥ 50 years old. Enrolled participants will be recruited into Hirsutella Sinensis nutrient supplement group (50 patients H.S. suppl.) . The medication will be given to the participants by a third party. All participants will have two different follow-up periods (6, 12 months). These follow-ups included clinical, laboratory, and imaging studies to analyze muscle health changes after receiving Hirsutella Sinensis nutrient supplement.

H.S. Supplement
PlaceboDIETARY_SUPPLEMENT

We expect to recruit 50 placebo participants with age ≥ 50 years old. This randomized control study will be conducted in 2 years. The placebo will be given to the participants by a third party. All participants will have two different follow-up periods (6, 12 months). These follow-ups included clinical, laboratory, and imaging studies to analyze muscle health changes after receiving placebo.

Placebo

Eligibility Criteria

Age50 Years+
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Age \>50 years old.
  • Negative pregnancy test for women of childbearing potential.
  • Ability to understand and willingness to be enrolled in our study and sign a written informed consent document

You may not qualify if:

  • Participant who has any of the following criteria will be excluded from the trial:
  • Physical or mental inability.
  • Body mass index (BMI) \> 35 kg/m2
  • Participants have acute medical conditions (such as bacterial or viral infection or active cardiopulmonary disease) that may be incapable of having regular image study.
  • Participants are under regular steroid or hyperthyroid medications, which may have great impact on the whole-body metabolism.
  • Participants are under-nutrient, and they need to have regular liquid oral nutrition formulas support.
  • Participants not expecting to comply with follow up.
  • Received barium study within a week
  • Participants allergic or unable ingest Hirsutella Sinensis nutrient supplement

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Chang Gung Memorial Hospital, Keelung Branch

Keelung, 204, Taiwan

RECRUITING

MeSH Terms

Conditions

SarcopeniaFrailtyMuscular Atrophy

Condition Hierarchy (Ancestors)

Neuromuscular ManifestationsNeurologic ManifestationsNervous System DiseasesAtrophyPathological Conditions, AnatomicalPathological Conditions, Signs and SymptomsSigns and SymptomsPathologic Processes

Central Study Contacts

Yu-Hsiang Juan, MD

CONTACT

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
QUADRUPLE
Who Masked
PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Associate Professor

Study Record Dates

First Submitted

December 22, 2021

First Posted

March 17, 2022

Study Start

February 15, 2022

Primary Completion

February 15, 2024

Study Completion

February 15, 2024

Last Updated

March 17, 2022

Record last verified: 2022-03

Data Sharing

IPD Sharing
Will not share

Locations