About this trial
Mitochondrial diabetes mellitus (MDM) is a rare subtype of diabetes caused by mitochondrial dysfunction, often accompanied by hepatic steatosis. Coenzyme Q10 (CoQ10), a key electron carrier and antioxidant, may improve mitochondrial function and lipid metabolism. This prospective study aims to evaluate the effect of 12-week CoQ10 supplementation (300 mg/day) on liver fat content (assessed by FibroTouch CAP ) in MDM patients with m.3243A\>G mutation. An exploratory case-control design will compare baseline characteristics among MDM patients, type 1 diabetes patients, and healthy controls. This study is the first to explore the link between mitochondrial defects and hepatic fat accumulation specifically in MDM, and to test CoQ10 as a potential therapy, offering new insights for both MDM and MAFLD management.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
Confirmed as a carrier of the mitochondrial DNA m.3243A>G mutation through genetic testing;
Meeting the diagnostic criteria for diabetes (WHO 1999 diagnostic criteria);
Aged between 18 and 70 years;
Willing to participate and having signed the informed consent form.
Disqualifiers
Type 1 or type 2 diabetes (not caused by mitochondrial gene mutations);
Comorbid with viral hepatitis, drug-induced hepatitis, alcoholic liver disease, Wilson's disease, or other specific diseases that can lead to fatty liver;
Severe cardiac, pulmonary, or renal insufficiency;
Pregnant or lactating women;
Trial design
Parallel
Treatments tested in this trial
Coenzyme Q10 (drug)
DrugThis prospective study aims to evaluate the effect of 12 week CoQ10 supplementation (300 mg/day) on liver fat content (assessed by FibroTouch CAP) in MDM patients with m.3243A\>G mutation. An exploratory case control design will compare baseline characteristics among MDM patients, type 1 diabetes patients, and healthy controls.
Only undergo baseline assessments without intervention.
Other interventionOnly undergo baseline assessments without intervention.
Only undergo baseline assessments without intervention.
Other interventionOnly undergo baseline assessments without intervention.
Treatment groups
Trial outcomes
Primary outcomes
Liver Fat Quantification
The degree of hepatic fat deposition is assessed using the Controlled Attenuation Parameter (CAP) value measured by FibroTouch ultrasound imaging. The CAP value, expressed in dB/m, indicates the severity of hepatic steatosis, with higher values reflecting more advanced fat accumulation in the live.
Secondary outcomes
Blood biochemistry indicators
1. Liver Function Tests (LFTs) Includes: Alanine aminotransferase (ALT), Aspartate aminotransferase (AST), Albumin (ALB), Total bilirubin (TBIL), etc. 2. Kidney Function Tests Includes: Blood urea nitrogen (BUN), Creatinine (Cr), Estimated glomerular filtration rate (eGFR), etc. 2\. Lipid Panel Includes (TG), High-density lipoprotein cholesterol (HDL-C), Low-density lipoprotein cholesterol (LDL-C), etc. 3\. Glucose Metabolism Markers Includes: Fasting blood glucose (FBG), Oral glucose tolerance test (OGTT), Glycated hemoglobin (HbA1c), etc. 4\. Pancreatic Islet Function Tests Includes: Fasting insulin, C-peptide, Glucose-stimulated insulin secretion test (e.g., after OGTT), etc.
Other outcomes
Anthropometric Indicators
Body Mass Index (BMI) = Weight (kg) / Height (m)²
Sponsors and contacts
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