Amino Acids and Exercise in FSHD

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-50
SponsorUniversity of Pavia

About this trial

This study evaluates whether amino acid supplementation, combined with a structured diet and exercise program, improves body composition (increased muscle mass and reduced fat mass) and physical performance in individuals with facioscapulohumeral muscular dystrophy (FSHD). The study also compares responses to the intervention between individuals with FSHD and healthy individuals matched for age and sex.

Eligibility criteria

This trial accepts healthy volunteers

Qualifiers

Subjects of both sexes with a diagnosis of FSHD, confirmed by genetic testing.

Age between 18 and 50 years.

Belonging to clinical category A among the four defined in the Comprehensive Clinical Evaluation Form. These patients present the most characteristic signs of the disease: muscle weakness of the facial and scapular girdle.

Clinical score ranging from 2 to 5.

Disqualifiers

Use of beta-blocker medications;

Psychological or psychiatric disorders;

Musculoskeletal injuries that impair the ability to perform physical exercise;

Recent medication adjustment, use of drugs that may affect fatigue, or use of fatigue-stimulating agents (e.g., Modafinil, amantadine);

Trial design

Design model

Crossover

Treatments tested in this trial

  • Essential Amino Acids Supplementation intervention

    Dietary supplement

    Use of a balanced essential amino acids mixture to counteract muscle deterioration in FSHD

  • Exercise

    Behavioral

    Tailored exercise

  • Diet

    Behavioral

    Tailored balanced diet

  • Placebo Control

    Other intervention

    Placebo, diet and exercise in FSHD

Treatment groups

48 Participants
are divided into 3 treatment groups
Group A: Exercise, diet and amino acids in FSHDExperimental treatment 3 interventions
Group B: Exercise, diet and placebo in FSHDPlacebo comparator 3 interventions
Group C: Exercise and diet in healthy controlOther 2 interventions

Trial outcomes

Primary outcomes

1

Change in fat mass in FSHD

Change in fat mass (kg) Time Frame: Baseline, after each 6-month intervention phase Fat mass will be assessed to evaluate changes following amino acid supplementation compared to placebo in participants with FSHD undergoing a standardized nutritional and exercise program.

Time frame
From enrollment to the end of treatment at 15 months
2

Change in fat-free mass in FSHD

Change in fat-free mass (kg) Time Frame: Baseline, after each 6-month intervention phase Fat-free mass will be assessed to evaluate changes following amino acid supplementation compared to placebo.

Time frame
From enrollment to the end of treatment at 15 months
3

Change in aerobic capacity in FSHD

Change in maximal oxygen consumption (VO₂max) (mL/kg/min) Time Frame: Baseline, after each 6-month intervention phase VO₂max will be measured to assess changes in aerobic capacity following amino acid supplementation compared to placebo.

Time frame
From enrollment to the end of treatment at 15 months
4

Change in muscle strength in FSHD

Change in handgrip strength (kg) Time Frame: Baseline, after each 6-month intervention phase Handgrip strength will be measured using a dynamometer to evaluate changes in muscle strength following amino acid supplementation compared to placebo.

Time frame
From enrollment to the end of treatment at 15 months

Secondary outcomes

Other outcomes

Sponsors and contacts

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