Mitochondrial Function in Peripheral Blood Mononuclear Cells, Muscle, and Skin of Long COVID Patients
MitoLoCo
Mitochondrial Oxygen Consumption and Substrate Utilisation In Vitro in Peripheral Blood Mononuclear Cells, and In Vivo on Muscle and Skin in Long COVID Patients and Convalescent Individuals: A Case-Control and Diagnostic Accuracy Study
2 other identifiers
observational
54
1 country
1
Brief Summary
Mitochondria are structures inside cells that are responsible for producing energy from nutrients through a series of steps, using oxygen. To have an idea of how well the mitochondria can produce energy, we can measure how much oxygen they use. The goal of this study is to:
- Complete surveys,
- Wear an activity tracker (7 days),
- Undergo several non-invasive tests, and
- Donate a blood sample The study will take place in UZ Brussel hospital and will take 2 study visits, approximately 7 days apart.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for all trials
Started Jan 2026
Shorter than P25 for all trials
1 active site
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
June 25, 2025
CompletedFirst Posted
Study publicly available on registry
August 21, 2025
CompletedStudy Start
First participant enrolled
January 21, 2026
CompletedPrimary Completion
Last participant's last visit for primary outcome
July 1, 2026
ExpectedStudy Completion
Last participant's last visit for all outcomes
July 1, 2026
April 22, 2026
August 1, 2025
5 months
June 25, 2025
April 21, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (4)
Basal Oxygen Consumption rate (pmol O2/min)
Seahorse XF Substrate Oxidation Stress test analysis of the peripheral blood mononuclear cells (PBMCs)
Blood sample is taken during the second study visit (approximately 7 days after the first study visit) and the PBMCs are cryopreserved until analysis (after all participants have been recruited, estimated to be within 1 year of the start of the study)
Tissue Saturation Index (TSI)
Near-infrared spectroscopy
Second study visit (approximately 7 days after the first study visit)
Mitochondrial oxygen tension (mitoPO2) (mmHg/s)
Cellular Oxygen Metabolism monitoring
Second study visit (approximately 7 days after the first study visit)
Mitochondrial oxygen consumption (mitoVO2)
Cellular Oxygen Metabolism monitoring
Second study visit (minimally 7 days after the first study visit)
Secondary Outcomes (16)
Proportion of participants meeting the criteria for PEM
Second study visit (minimally 7 days after the first study visit)
General fatigue
Second study visit (approximately 7 days after the first study visit)
Physical fatigue
Second study visit (approximately 7 days after the first study visit)
Mental fatigue
Second study visit (approximately 7 days after the first study visit)
Reduced activities
Second study visit (approximately 7 days after the first study visit)
- +11 more secondary outcomes
Other Outcomes (1)
Weight (kg)
Second study visit (approximately 7 days after the first study visit)
Study Arms (2)
Individuals with long COVID
History of a confirmed or documented SARS-CoV-2 infection and long COVID according to the World Health Organisation's clinical case definition
Convalescent individuals
History of a confirmed or documented SARS-CoV-2 infection, complete recovery after the SARS-CoV-2 infection, no history of long COVID according to the World Health Organisation's clinical case definition
Eligibility Criteria
Study participants will be recruited in the Universitair Ziekenhuis Brussel, from the general population in Belgium through traditional and social media, as well as in the vicinity of the study site through leaflets and posters.
You may qualify if:
- Long COVID diagnosis, based on the WHO definition;
- Presence of long COVID symptoms for a minimum of 6 months.
- History of confirmed or documented SARS-CoV-2 infection.
- Adult (≥18 years of age).
- Post-COVID-19 Functional Status Scale grade 2-4, while they had a grade 0 before the SARS-CoV-2 infection.
You may not qualify if:
- Pre-existing chronic diseases potentially affecting the functional status scale.
- Treatment with metabolism altering drugs.
- \> 10 standard units of alcohol (10 grams of alcohol/glass) per week.
- Unable to understand oral and written instructions in Dutch, French or English.
- Allergies to medical adhesive bandages.
- Porphyria and other skin conditions aggravated by sunlight.
- Convalescent individuals
- History of confirmed or documented SARS-CoV-2 infection.
- Complete recovery after the SARS-CoV-2 infection, no history of long COVID based on the WHO definition;
- Post-COVID-19 Functional Status Scale \[2\] grade 0 both before the infection and currently.
- Adult (≥18 years of age).
- Pre-existing chronic non-communicable diseases (e.g. hypertension, chronic respiratory diseases, diabetes).
- Treatment with metabolism altering drugs.
- \> 10 standard units of alcohol (10 grams of alcohol/glass) per week.
- Unable to understand oral and written instructions in Dutch, French or English.
- +2 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Laarbeeklaan 101
Jette, Brussels Capital, 1090, Belgium
Biospecimen
Peripheral Blood Mononuclear Cells
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Elisabeth De Waele, MD. PhD.
Vitality Research Group, Metabolism and Nutrition, Vrije Universiteit Brussel (VUB), Clinical Nutrition Department, Universitair Ziekenhuis Brussel (UZ Brussel)
Central Study Contacts
Berenice G. Jimenez Garcia, Master of Science
CONTACT
Study Design
- Study Type
- observational
- Observational Model
- CASE CONTROL
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Head of the Department of Clinical Nutrition, Co-director of Vitality Research Group
Study Record Dates
First Submitted
June 25, 2025
First Posted
August 21, 2025
Study Start
January 21, 2026
Primary Completion (Estimated)
July 1, 2026
Study Completion (Estimated)
July 1, 2026
Last Updated
April 22, 2026
Record last verified: 2025-08