Sarcopenia MedDRA version: 17.1 Level: PT Classification code 10063024 Term: Sarcopenia System Organ Class: 10028395 - Musculoskeletal and connective tissue disorders
Conditions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Age 70 and over Sarcopenia criteria according to European Working Group definition, based on: - low total skeletal muscle mass on BioImpedance Assay (BIA) using the BIA 101 device (=65 years) yes F.1.3.1 Number of subjects for this age range 440
Exclusion criteria
Exclusion criteria: a) Contraindications or existing indications to therapies or placebo -Known clinical diagnosis of chronic heart failure (by European Society of Cardiology criteria) -Confirmed LV systolic dysfunction on any imaging modality -Known aortic stenosis (peak gradient >30mmHg) -Systolic BP20/10mmHg (asymptomatic orthostatic hypotension will not be a contraindication) -Serum Creatinine >180 umol/L or eGFR5.0 mmol/L; Na10% in last 6 months (to exclude significant cachexia) -Known uncontrolled thyrotoxicosis ->7.5mg/day prednisolone use (or equivalent)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: To determine the efficacy of leucine and ACEi in improving physical function in older people with sarcopenia;Secondary Objective: To evaluate the effect of leucine and ACE inhibition on muscle mass in older people To evaluate biomarkers that can predict response to leucine and ACE inhibition therapies in patients with sarcopenia ;Primary end point(s): Between group difference in Short Physical Performance Battery (SPPB) score at 12 months;Timepoint(s) of evaluation of this end point: 0, 6 and 12 months | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): Between group differences in: - Appendicular muscle mass/height squared (measured by dual energy-X ray absorptiometry), - Grip strength - Quadriceps strength (handheld dynamometry) - 6 minute walk test - Gait speed (4m walk) - Chair stands (Sit to stand test x 5) - Activities of daily living (Nottingham extended ADL questionnaire) and quality of life (EuroQol 5D questionnaire). - HOMA IR (Homeostatic Index of insulin resistance; measured from glucose and insulin levels) ;Timepoint(s) of evaluation of this end point: 0,6 and 12 months | — |
Countries
United Kingdom