Study of Healthy Aging and Physical Function With Elamipretide
SHAPE
Open-Label, Single-Arm Phase 2a Pilot Study to Evaluate the Safety and Tolerability of a Daily Subcutaneous Dose of Elamipretide in Older Adults
1 other identifier
interventional
30
1 country
1
Brief Summary
This study will utilize a daily dose of elamipetide for 4 weeks and will screen a sufficient number of subjects for 30 subjects to enroll in the study. The planned duration of the study includes baseline measurement, followed by 4 weeks intervention period, a midpoint (2week ±3days) check-in phone interview, and post intervention visits that mirror the baseline visits. After the last injection, subjects will enter the 2-week follow-up period, concluded by the end-of-study contact.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for phase_2
Started Nov 2025
Shorter than P25 for phase_2
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
October 15, 2025
CompletedStudy Start
First participant enrolled
November 26, 2025
CompletedFirst Posted
Study publicly available on registry
December 10, 2025
CompletedPrimary Completion
Last participant's last visit for primary outcome
March 15, 2026
CompletedStudy Completion
Last participant's last visit for all outcomes
April 15, 2026
CompletedDecember 10, 2025
December 1, 2025
4 months
October 15, 2025
December 9, 2025
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
To evaluate the safety and tolerability of daily subcutaneous injections of elamipetide: Number of participants with treatment-related adverse events and Number of participants completed 4 weeks of injection
4 week
Secondary Outcomes (5)
blood inflammation markers
up to 5 months from first enrollment
blood inflammation marker
up to 5 months from first enrollment
Delta 6 minute walk test
4-6 weeks after enrollment
Delta cognitive function score
4-6 weeks after enrollment
Delta skeletal muscle strength
4-6 weeks from enrollment
Study Arms (1)
Safety and tolerability of daily subcutaneous injection of elamipretide
OTHERsingle arm ELAM intervention
Interventions
Primary Study Objective To evaluate the safety and tolerability of daily subcutaneous injections of elamipetide for 4 weeks in adults aged 65-80 Secondary Objective To assess inflammatory biomarker changes with 4-week daily injection of elamipetide on healthy aging To assess the skeletal muscle health in older subjects with lower aerobic capacity (cardiovascular health) To assess cognitive function changes with 4-week SC daily injection of elamipetide
Eligibility Criteria
You may qualify if:
- Male or female aged ≥65 and ≤80 years
- VO2peak ≤ 37.3ml/kg/min for men and ≤ 25.7ml/kg/min for women as evidence of lower mitochondrial function
- Are ambulatory and able to perform activities of daily living without assistance
- Have sufficient venous access for clinical blood draw
- Willing and able to self-administer injections or have a willing caregiver who is able to administer injections.
- Speak and read English
- Have no established daily exercise routine and are not participating in any exercise training program or physical hobby (i.e. dance, martial arts, yoga) and agree to not start any such activities during the course of study participation
- Willing to avoid the following medications during the course of the study:
- Anti-seizure medications
- Coenzyme Q10, creatine, L-carnitine, and other supplements intended to increase muscle mass, energy or function
- Muscle relaxants
- Systemic steroid or immunosuppressive use
- Opioids (regular use of \> 10 mg/day morphine equivalents) 9. No known allergies/adverse effects from Fexofenadine 10. Provide documentation of informed consent
You may not qualify if:
- Have significant disease(s) or condition(s) which, in the opinion of the investigator, may put the subject at risk because of their participation in the study or may influence either the results of the study or the subject's ability to participate in the study
- Presence of severe renal disease (eGFR \<30 mL/min) or hepatic disease (aspartate aminotransferase \[AST\] or alanine aminotransferase \[ALT\] \>2x the upper limit of normal) as evidenced by laboratory results at Screening.
- Have a history of rhabdomyolysis
- Have been hospitalized within 3 months prior to screening for major atherosclerotic events (e.g., myocardial infarction, target-vessel revascularization, coronary bypass surgery or stroke) or other major medical condition (as deemed by the primary investigator)
- Are currently enrolled in a clinical study involving an investigational product or non- approved use of a drug or device or concurrently enrolled in any other type of medical research judged to be scientifically or medically incompatible with this study
- Have participated within the last 30 days of screening visit in a clinical study involving an investigational product.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- David Marcineklead
- Stealth BioTherapeutics Inc.collaborator
Study Sites (1)
University of Washington
Seattle, Washington, 98109, United States
MeSH Terms
Interventions
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
David Marcinek, PhD
University of Washington
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- NA
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR INVESTIGATOR
- PI Title
- Professor
Study Record Dates
First Submitted
October 15, 2025
First Posted
December 10, 2025
Study Start
November 26, 2025
Primary Completion
March 15, 2026
Study Completion
April 15, 2026
Last Updated
December 10, 2025
Record last verified: 2025-12
Data Sharing
- IPD Sharing
- Will share
Data will be published and listed on clinical trial.gov