About this trial
ICOPE could constitute the reference model of care for healthy aging. More specifically, our hypothesis is that the intervention implemented in ICOPE may directly or indirectly prevent immuno-senescence, the loss of mobility and the cognitive decline. In future Geroscience clinical trials, ICOPE-Intense could become a benchmark to reduce the rate of aging with a strong non-pharmacological intervention and state a reference intervention to compare with new gerotherapeutic drugs.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
Independent-living (ADL ≥5/6)
Men and women
Mobility impairment (5 Chair-rise test >12 seconds)
Sedentarism (spend six or more hours per day sitting or lying down)
Disqualifiers
Unintentional weight loss (≥10%) in past 6 months
Dementia
Life-threatening illnesses, with a life expectancy (judged by the investigating doctor) of less than 1 year
Severe cardiac disease, including NYHA Class III or IV congestive heart failure, clinically significant aortic stenosis, history of cardiac arrest, use of a cardiac defibrillator, or uncontrolled angina or any other contraindication to physical activity (as determined by a physician) or comorbid disease that would impair ability to participate in the ICOPE intense intervention such as renal failure on hemodialysis, severe psychiatric disorder (depressive participant will not be excluded)
Trial design
Parallel
Treatments tested in this trial
ICOPE intense intervention
Other interventionThe ICOPE-intense intervention (45 hours centre-based (in-group and in-person) multidomain intervention, everyday home-based lifestyle improvement, and weekly individual phone/video call for support)
Ketone Ester (KE) supplementation
Dietary supplement12.5g once a day of KE for week 1, and 25g once a day of KE supplementation week 2 to week 8.
Placebo
Dietary supplement2.5 g of nonketogenic canola oil
Vitamin D3
Dietary supplement2 sprays (i.e. 2000 iu) per day in the morning for 60 days
OMega 3
Dietary supplement1000 mg: 1 table per day in the morning during 60 days
vitamin B9
Dietary supplement5 mg cp: 1 tablet morning and 1 tablet evening for 60 days
Vitamin B12
Dietary supplement250 microgram: 1 tablet per day in the morning for 30 days, then 1 tablet every 10 days for 30 days
Leucin-rich whey
Dietary supplementIn case of Sarcopenia or low protein intake (\<1.2 g/kg/day), Oral Nutritional Supplementation enriched in essential amino acid (leucin)
ICOPE Step 1
Other interventionusual ICOPE Step 1
Treatment groups
Trial outcomes
Primary outcomes
Estimation of the effect size of the intervention on the cognitive function
The cognitive function will be assessed using the Cambridge Neuropsychological Test Automated Battery (CANTAB), a computerized neuropsychological test with a game-like and non-verbal environment that assesses the different cognitive domains, at baseline and day 60.
Estimation of the effect size of the intervention on the muscle function
The muscle function will be assessed using 3 validated clinical approaches that investigate muscle endurance, muscle strength/power and muscle mass at baseline and day 60: * Muscle endurance will be tested using the 6-min walk test * Lower body power assessed with the 5-time chair rise test * Muscle mass will be assessed using the Deuterated-Creatine Dilution approach
Estimation of the effect size of the intervention on the immune function
The analysis of immune function will be determined by the analysis of PBMC collected and bio banked at baseline and at 60 days. Specific assay decisions will be determined and fixed in 2026 by the scientific adversary board of the financer application.
Sponsors and contacts
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