NCT07048860

Brief Summary

ICOPE could constitute the reference model of care for healthy aging. More specifically, our hypothesis is that the intervention implemented in ICOPE may directly or indirectly prevent immuno-senescence, the loss of mobility and the cognitive decline. In future Geroscience clinical trials, ICOPE-Intense could become a benchmark to reduce the rate of aging with a strong non-pharmacological intervention and state a reference intervention to compare with new gerotherapeutic drugs.

Trial Health

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Monitor

Trial Health Score

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

Trial has exceeded expected completion date
Enrollment
40

participants targeted

Target at P25-P50 for not_applicable

Timeline
Completed

Started Jul 2025

Shorter than P25 for not_applicable

Geographic Reach
1 country

1 active site

Status
recruiting

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 19, 2024

Completed
7 months until next milestone

First Posted

Study publicly available on registry

July 3, 2025

Completed
6 days until next milestone

Study Start

First participant enrolled

July 9, 2025

Completed
6 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 31, 2025

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

December 31, 2025

Completed
Last Updated

July 23, 2025

Status Verified

July 1, 2025

Enrollment Period

6 months

First QC Date

December 19, 2024

Last Update Submit

July 22, 2025

Conditions

Keywords

cognitionmorbilityintrinsic capacitybiomarker of aging

Outcome Measures

Primary Outcomes (3)

  • Estimation of the effect size of the intervention on the cognitive function

    The cognitive function will be assessed using the Cambridge Neuropsychological Test Automated Battery (CANTAB), a computerized neuropsychological test with a game-like and non-verbal environment that assesses the different cognitive domains, at baseline and day 60.

    60 days

  • Estimation of the effect size of the intervention on the muscle function

    The muscle function will be assessed using 3 validated clinical approaches that investigate muscle endurance, muscle strength/power and muscle mass at baseline and day 60: * Muscle endurance will be tested using the 6-min walk test * Lower body power assessed with the 5-time chair rise test * Muscle mass will be assessed using the Deuterated-Creatine Dilution approach

    60 days

  • Estimation of the effect size of the intervention on the immune function

    The analysis of immune function will be determined by the analysis of PBMC collected and bio banked at baseline and at 60 days. Specific assay decisions will be determined and fixed in 2026 by the scientific adversary board of the financer application.

    60 days

Study Arms (4)

ICOPE-intense group

EXPERIMENTAL

ICOPE intense intervention + placebo

Other: ICOPE intense interventionDietary Supplement: PlaceboDietary Supplement: Vitamin D3Dietary Supplement: OMega 3Dietary Supplement: vitamin B9Dietary Supplement: Vitamin B12Dietary Supplement: Leucin-rich whey

The ICOPE-intense + Ketone Ester (KE) group

EXPERIMENTAL

ICOPE intense intervention + nutritional ketone esther suplementation

Other: ICOPE intense interventionDietary Supplement: Ketone Ester (KE) supplementationDietary Supplement: Vitamin D3Dietary Supplement: OMega 3Dietary Supplement: vitamin B9Dietary Supplement: Vitamin B12Dietary Supplement: Leucin-rich whey

The Ketone group

EXPERIMENTAL

Usual ICOPE step 1 + ketone esther supplementation

Dietary Supplement: Ketone Ester (KE) supplementationOther: ICOPE Step 1

Control group

PLACEBO COMPARATOR

Usual ICOPE step 1 + placebo

Dietary Supplement: PlaceboOther: ICOPE Step 1

Interventions

The ICOPE-intense intervention (45 hours centre-based (in-group and in-person) multidomain intervention, everyday home-based lifestyle improvement, and weekly individual phone/video call for support)

ICOPE-intense groupThe ICOPE-intense + Ketone Ester (KE) group

12.5g once a day of KE for week 1, and 25g once a day of KE supplementation week 2 to week 8.

The ICOPE-intense + Ketone Ester (KE) groupThe Ketone group
PlaceboDIETARY_SUPPLEMENT

2.5 g of nonketogenic canola oil

Control groupICOPE-intense group
Vitamin D3DIETARY_SUPPLEMENT

2 sprays (i.e. 2000 iu) per day in the morning for 60 days

ICOPE-intense groupThe ICOPE-intense + Ketone Ester (KE) group
OMega 3DIETARY_SUPPLEMENT

1000 mg: 1 table per day in the morning during 60 days

ICOPE-intense groupThe ICOPE-intense + Ketone Ester (KE) group
vitamin B9DIETARY_SUPPLEMENT

5 mg cp: 1 tablet morning and 1 tablet evening for 60 days

ICOPE-intense groupThe ICOPE-intense + Ketone Ester (KE) group
Vitamin B12DIETARY_SUPPLEMENT

250 microgram: 1 tablet per day in the morning for 30 days, then 1 tablet every 10 days for 30 days

ICOPE-intense groupThe ICOPE-intense + Ketone Ester (KE) group
Leucin-rich wheyDIETARY_SUPPLEMENT

In case of Sarcopenia or low protein intake (\<1.2 g/kg/day), Oral Nutritional Supplementation enriched in essential amino acid (leucin)

ICOPE-intense groupThe ICOPE-intense + Ketone Ester (KE) group

usual ICOPE Step 1

Control groupThe Ketone group

Eligibility Criteria

Age65 Years - 85 Years
Sexall
Healthy VolunteersYes
Age GroupsOlder Adult (65+)

You may qualify if:

  • Independent-living (ADL ≥5/6)
  • Men and women
  • Mobility impairment (5 Chair-rise test \>12 seconds)
  • Sedentarism (spend six or more hours per day sitting or lying down)
  • Positive screening for cognitive impairment according to the ICOPE screening tool with MMSE \[25-28\]
  • BMI ≥25 kg/m2

You may not qualify if:

  • Unintentional weight loss (≥10%) in past 6 months
  • Dementia
  • Life-threatening illnesses, with a life expectancy (judged by the investigating doctor) of less than 1 year
  • Severe cardiac disease, including NYHA Class III or IV congestive heart failure, clinically significant aortic stenosis, history of cardiac arrest, use of a cardiac defibrillator, or uncontrolled angina or any other contraindication to physical activity (as determined by a physician) or comorbid disease that would impair ability to participate in the ICOPE intense intervention such as renal failure on hemodialysis, severe psychiatric disorder (depressive participant will not be excluded)
  • Organizational inability (three-time per week during the 60 days)
  • Living in a Nursing-Home
  • Under legal protection measure (guardianship, curatorship, safeguard of justice

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Cité de la santé - Hopital La Grave

Toulouse, 31059, France

RECRUITING

MeSH Terms

Interventions

Dietary SupplementsCholecalciferolDocosahexaenoic AcidsFolic AcidVitamin B 12

Intervention Hierarchy (Ancestors)

FoodDiet, Food, and NutritionPhysiological PhenomenaFood and BeveragesCholestenesCholestanesSteroidsFused-Ring CompoundsPolycyclic CompoundsSterolsVitamin DSecosteroidsMembrane LipidsLipidsFatty Acids, Omega-3Dietary Fats, UnsaturatedDietary FatsFatsFatty Acids, UnsaturatedFatty AcidsFish OilsOilsPterinsPteridinesHeterocyclic Compounds, 2-RingHeterocyclic Compounds, Fused-RingHeterocyclic CompoundsCorrinoidsTetrapyrrolesPyrrolesAzolesHeterocyclic Compounds, 1-RingHeterocyclic Compounds, 4 or More RingsMacrocyclic Compounds

Central Study Contacts

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
PARTICIPANT
Purpose
SUPPORTIVE CARE
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

December 19, 2024

First Posted

July 3, 2025

Study Start

July 9, 2025

Primary Completion

December 31, 2025

Study Completion

December 31, 2025

Last Updated

July 23, 2025

Record last verified: 2025-07

Locations