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Validating IAAO for Muscle Outcomes

Validating the Indicator Amino Acid Oxidation Technique for Muscle Outcomes

Status
Recruiting
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT07317921
Acronym
VIM
Enrollment
8
Registered
2026-01-05
Start date
2025-12-01
Completion date
2026-05-20
Last updated
2026-01-05

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Protein Metabolism

Keywords

Muscle biopsy, Protein Metabolism, Stable isotopes, Protein oxidation, Indicator amino acid oxidation, Protein synthesis

Brief summary

Consuming dietary protein stimulates whole-body and muscle protein synthesis, the latter of which is typically measured using invasive primed constant infusions of stable isotopes with concurrent muscle biopsies. Alternative non-invasive methodologies have been developed (namely the indicator amino acid oxidation (IAAO) technique) to estimate the impact of protein ingestion on whole-body protein synthesis as a proxy for determining dietary protein requirements. Given that the IAAO technique is based on principles of protein metabolism which occur in the liver, it is unclear how representative the IAAO outcomes of whole-body protein synthesis is to skeletal muscle protein synthesis. Validation of the IAAO technique against gold-standard, biopsy-derived measures of muscle metabolism (i.e., muscle protein synthesis) would assist in mitigating the invasiveness of muscle physiology and nutrition research.

Interventions

DIETARY_SUPPLEMENTProtein + Stable Isotope Tracer Beverage

Participants will consume 12 half-hourly (6 hours) isoenergetic, isonitrogenous beverages containing 0.9g/kg fat-free mass/day protein. Drinks will be enriched with stable isotopes \[2H5\]Phenylalanine and \[1-13C\]Phenylalanine, which will respectively allow for determination of muscle protein synthesis and whole-body protein synthesis over the subsequent 6 hours of feeding

Sponsors

University of Toronto
Lead SponsorOTHER

Study design

Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
BASIC_SCIENCE
Masking
NONE

Intervention model description

Single group: Eight healthy young (18-35 years, 4 females and 4 males) will be subjected to 2 skeletal muscle biopsies, collection of blood and urine samples, and a non-invasive 13CO2 breath-test over a 6.5-hour period while ingesting half-hourly protein beverages with stable isotope tracers. The breath-test is based on the indicator amino acid oxidation (IAAO) method.

Eligibility

Sex/Gender
ALL
Age
18 Years to 35 Years
Healthy volunteers
Yes

Inclusion criteria

* Participants will be aged 18-35 years old * Participants will have a BMI within the normal range (i.e., 18.5-24.9) and waist-to-hip circumference ratio of \<0.95 for males and \<0.8 for circumference for females to ensure homogeneity of the sample population * Participants are willing to abide by the compliance rules of this study (e.g., abstain from extraneous physical activity 48h prior to session 4 * Self-reported regular menstrual cycle (25-35d) within the last 3 months (female participants) * Physical activity score of ≥24 units as measured by the Godin leisure time exercise questionnaire

Exclusion criteria

* Inability to adhere to any of the compliance rules judged by principal investigator * Self-reported regular tobacco or illicit drug use (e.g., growth hormone or testosterone) * Current use of hormonal contraceptives * Individuals with a history of allergy to local anesthetics (e.g., lidocaine)

Design outcomes

Primary

MeasureTime frameDescription
Phenylalanine excretion (umol/kg/h)6.5 hoursRate of whole-body phenylalanine excretion following orally ingested amino acid tracer \[1-13C\]Phenylalanine determined from the product of breath 13CO2 enrichment and carbon dioxide production rate (VCO2).
Phenylalanine oxidation (umol/kg/h)6.5 hoursRate of whole-body phenylalanine oxidation following orally ingested amino acid tracer \[1-13C\]Phenylalanine determined from the correction of phenylalanine excretion by the phenylalanine precursor enrichment via urine enrichment.
Myofibrillar protein synthesis (%/hr)6.5 hoursRate of myofibrillar fractional synthesis is determined by rate of incorporation of orally ingested tracer \[2H5\]Phenylalanine into myofibrillar proteins (isolated from skeletal muscle biopsies) and the enrichment of \[2H5\]Phenylalanine in plasma collected over the 6 hours protein consumption period. Enrichment will be quantified via tandem LC-MS/MS to derive a rate of incorporation over the 6-hour period.
Sarcoplasmic protein synthesis (%/hr)6.5 hoursRate of sarcoplasmic fractional synthesis is determined by rate incorporation of orally ingested tracer \[2H5\]Phenylalanine into sarcoplasmic (ie., soluble) proteins (isolated from skeletal muscle biopsies) and the enrichment of \[2H5\]Phenylalanine in plasma collected over the 6 hours protein consumption period. Enrichment will be quantified via tandem LC-MS/MS to derive a rate of incorporation over the 6-hour period.

Countries

Canada

Contacts

Primary ContactSabrina T Barsky, Ph.D.
sabrina.barsky@utoronto.ca16475400115

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026