Coenzyme Q10 in Huntington's Disease (HD) (2CARE)
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Purpose
The goals of this trial are to determine if coenzyme Q10 is effective in slowing the worsening symptoms of Huntington's disease and to learn about the safety and acceptability of long-term coenzyme Q10 use by determining its effects on people with Huntington's disease.
| Condition | Intervention | Phase |
|---|---|---|
|
Huntington's Disease |
Drug: coenzyme Q10 Other: placebo |
Phase 3 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Double Blind (Subject, Caregiver, Investigator) Primary Purpose: Treatment |
| Official Title: | Coenzyme Q10 in Huntington's Disease (HD) |
- Change in total functional capacity [ Time Frame: over 5 years ] [ Designated as safety issue: No ]
- Change in other UHDRS scores; Tolerability - proportion of subjects completing the study at the assigned dosage level; Safety - frequency of adverse events; Times to decline in TFC by 2 and 3 points [ Time Frame: duration of the trial ] [ Designated as safety issue: Yes ]
| Estimated Enrollment: | 608 |
| Study Start Date: | March 2008 |
| Estimated Study Completion Date: | September 2017 |
| Estimated Primary Completion Date: | August 2017 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Active Comparator: A
Randomized to active treatment (coenzyme Q10 2400 mg/day)
|
Drug: coenzyme Q10
4 - 300 mg CoQ chewable wafers taken orally twice a day
Other Name: CoQ
|
|
Placebo Comparator: B
Randomized to placebo
|
Other: placebo
an inactive substance
|
Detailed Description:
Huntington's disease (HD) is a slowly progressive disorder that devastates the lives of those affected and their families. There are no treatments that slow the progression of HD, only mildly effective symptomatic therapies are available.
The purpose of this trial is to find out if coenzyme Q10 (CoQ) is effective in slowing the worsening symptoms of HD. In this study, researchers also will learn about the safety and acceptability of long-term CoQ use by determining its effects on people with HD.
Participants in this trial will be randomly chosen to one of two groups. Group 1 will receive CoQ (2400 mg/day), and group 2 will receive a placebo (an inactive substance). Researchers will compare the change in total functional capacity (TFC)—a measure of functional disability—in the two groups. The TFC is a valid and reliable measure of disease progression and is particularly responsive to change in the early and mid-stages of HD. Researchers will also compare the changes in other components of the Unified Huntington's Disease Rating Scale '99 (UHDRS) including: the total motor score, total behavioral frequency score, total behavior frequency X severity score, verbal fluency test, symbol digit modalities test, Stroop, interference test, functional checklist, and independence scale scores. The groups will also be compared with respect to tolerability, adverse events, vital signs, and laboratory test results as measures of safety.
Eligibility| Ages Eligible for Study: | 16 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
To be eligible for enrollment into this study, subjects must meet the following eligibility criteria within 28 days prior to randomization:
- Subjects must have clinical features of HD and a confirmed family history of HD, OR a CAG repeat expansion ≥ 36.
- TFC > 9.
- Must be ambulatory and not require skilled nursing care.
- Age ≥ 16 years.
- Women must not be able to become pregnant (e.g., post menopausal, surgically sterile or using adequate birth control methods for the duration of the study).
- If psychotropic medications are taken (e.g., anxiolytics, hypnotics, benzodiazepines, antidepressants), they must be at a stable dosage for four weeks prior to randomization and should be maintained at a constant dosage throughout the study, as possible. (Note: stable dosing of tetrabenazine is allowable.) Any changes to these medications mandated by clinical conditions will be systematically recorded and the subject will be permitted to remain in the trial.
- Able to give informed consent and comply with trial procedures
- Able to take oral medication.
- May be required to identify an informant or caregiver who will be willing and able to supervise the daily dosing of study medications and to maintain control of study medications in the home.
- A designated individual will be identified by the subject to participate in the ongoing consent process should the subject's cognitive capacity to consent become compromised during participation in the study.
Exclusion Criteria:
- History or known sensitivity of intolerability to CoQ.
- Exposure to any investigational drug within 30 days of the Baseline visit.
- Clinical evidence of unstable medical illness in the investigator's judgment.
- Unstable psychiatric illness defined as psychosis (hallucinations or delusions), untreated major depression or suicidal ideation within 90 days of the Baseline visit.
- Substance (alcohol or drug) abuse within one year of the Baseline visit.
- Women who are pregnant or breastfeeding.
- Use of supplemental coenzyme Q10 within 30 days prior to the Baseline visit
- Clinically serious abnormalities in the screening laboratory studies (Screening creatinine greater than 2.0, alanine aminotransferase (ALT) or total bilirubin greater than 3 times the upper limit of normal, absolute neutrophil count of ≤1000/ul, platelet concentration of <100,000/ul, hematocrit level of <33 for female or <35 for male, or coagulation tests > 1.5 time upper limit of normal).
- Known allergy to FD&C yellow #5 or any other ingredient in the study drug (active and placebo)
Contacts and Locations
Hide Study Locations| United States, Alabama | |
| University of Alabama At Birmingham, Pediatric Neurology Childrens, Harbor Bldg Suite 314, 1600 7Th Avenue South | |
| Birmingham, Alabama, United States, 35233-1711 | |
| United States, Arizona | |
| Mayo Clinic Arizona, 13400 East Shea Boulevard, Csu-Cp21B | |
| Scottsdale, Arizona, United States, 85259 | |
| United States, Arkansas | |
| WASHINGTON REGIONAL MEDICAL CENTER, 3215 N. North Hills Blvd | |
| Fayetteville, Arkansas, United States, 72703 | |
| United States, California | |
| University of California Irvine, Department of Neurology, 100 Irvine Hall | |
| Irvine, California, United States, 92697-4275 | |
| University of California Davis, Medical Center Dept of Neurology, Acc Building Suite 3700, 4860 Y Street | |
| Sacramento, California, United States, 95817 | |
| United States, Colorado | |
| Colorado Neurological Institute, Movement Disorders Center, 701 East Hampden Avenue Suite 510 | |
| Littleton, Colorado, United States, 80120 | |
| United States, Florida | |
| University of Florida Center for Movement Disorders and Neurorestoration, 3450 Hull Road, 4th Floor | |
| Gainesville, Florida, United States, 32607 | |
| UNIVERSITY OF MIAMI, 1150 NW 14th STREET, #401 | |
| Miami, Florida, United States, 33136 | |
| University of South Florida, College of Medicine Dept of Neurology, 12901 Bruce B Downs Blvd Mdc-55 | |
| Tampa, Florida, United States, 33612 | |
| United States, Georgia | |
| Emory University, Wesley Woods Center, 1841 Clifton Road NE Room 314 | |
| Atlanta, Georgia, United States, 30329 | |
| United States, Idaho | |
| Idaho Elks Rehabilitation Hospital, 600 North Robbins Road | |
| Boise, Idaho, United States, 83702 | |
| United States, Illinois | |
| Rush University Medical Center, Department of Neurological Sciences, 1725 West Harrison Suite 755 | |
| Chicago, Illinois, United States, 60612 | |
| United States, Indiana | |
| Indiana University School of Medicine, Outpatient Clinical Research Facility, 535 Barnhill Drive Room #150 | |
| Indianapolis, Indiana, United States, 46202 | |
| United States, Iowa | |
| University of Iowa Hospital and Clinics, 200 Hawkins Road, Room W263 General Hospital | |
| Iowa City, Iowa, United States, 52242-1000 | |
| United States, Kansas | |
| University of Kansas Medical Center, Department of Neurology, 3599 Rainbow Blvd Mail Stop 2012 | |
| Kansas City, Kansas, United States, 66160-7314 | |
| HEREDITARY NEUROLOGICAL DISEASE CENTRE (HNDC), 9340 EAST CENTRAL, Ste L | |
| Wichita, Kansas, United States, 67206 | |
| United States, Maryland | |
| Johns Hopkins University, 600 North Wolfe Street, Meyer 2-181 | |
| Baltimore, Maryland, United States, 21287 | |
| University of Maryland School of Medicine, 22 South Greene Street, N4 W49-B | |
| Baltimore, Maryland, United States, 21201 | |
| United States, Massachusetts | |
| Boston University School of Medicine, Department of Neurology, 715 Albany Street C329 | |
| Boston, Massachusetts, United States, 02118 | |
| Massachusetts General Hospital, 149 13Th Street Suite 2241 | |
| Charlestown, Massachusetts, United States, 02129 | |
| United States, Michigan | |
| University of Michigan, 1500 E Medical Center Drive, B1 H202 Nuclear Medicine | |
| Ann Arbor, Michigan, United States, 48109-0028 | |
| United States, Minnesota | |
| Struthers Parkinson'S Center, 6701 Country Club Drive | |
| Golden Valley, Minnesota, United States, 55427 | |
| United States, Missouri | |
| Washington University School of Medicine, Box 8111, 660 South Euclid | |
| St Louis, Missouri, United States, 63110 | |
| United States, Nevada | |
| University of Las Vegas School of Medicine, 1707 W. Charleston Blvd, Suite 220 | |
| Las Vegas, Nevada, United States, 89102 | |
| United States, New Jersey | |
| Cooper University Hospital | |
| Camden, New Jersey, United States, 08103 | |
| Nj Neuroscience Institute, Jfk Medical Center, 65 James Street | |
| Edison, New Jersey, United States, 08818 | |
| United States, New York | |
| Albany Medical College, Parkinson'S Disease & Movement Disorders Ctr | |
| Albany, New York, United States, 12208 | |
| North Shore-Lij Health System, 350 Community Drive Room 110, Research Institute | |
| Manhasset, New York, United States, 11030 | |
| Columbia University, Sergievsky Center P&S Box 16, 630 West 168Th Street | |
| New York, New York, United States, 10032 | |
| University of Rochester, Department of Neurology, 919 Westfall Road Building C Suite 220 | |
| Rochester, New York, United States, 14618 | |
| United States, North Carolina | |
| Duke University, 932 Morreene Road #213 | |
| Durham, North Carolina, United States, 27705 | |
| Wake Forest University, Baptist Med Center, Department of Neurology, Medical Center Boulevard | |
| Winston Salem, North Carolina, United States, 27157 | |
| United States, Ohio | |
| University of Cincinnati/Cincinnati Children'S Hospital, 222 Piedmont Avenue, Suite 3200 | |
| Cincinnati, Ohio, United States, 45219 | |
| OHIO STATE UNIVERSITY , 2006 Kenny Road | |
| Columbus, Ohio, United States, 43212 | |
| United States, Pennsylvania | |
| ST. LUKE'S HOSPITAL, 240 Centronia Road | |
| Allentown, Pennsylvania, United States, 18104 | |
| University of Pennsylvania, Pennsylvania Hospital Department of Neurology , 330 South 9Th Street | |
| Philadelphia, Pennsylvania, United States, 19107 | |
| University of Pittsburgh Kaufmann Medical Building, 3471 Fifth Avunue, Suite 811 | |
| Pittsburgh, Pennsylvania, United States, 15213 | |
| United States, Rhode Island | |
| BUTLER HOSPTIAL MOVEMENT DISORDER PROGRAM, 345 Blackstone Boulevard | |
| Providence, Rhode Island, United States, 02906 | |
| United States, Tennessee | |
| The University of Tennesee Health Science Cen, 855 Monroe Avenue, Department of Neurology, Room 415 Link Bldg | |
| Memphis, Tennessee, United States, 38163 | |
| United States, Texas | |
| UN oF TEXAS SOUTHWESTERN MED CENTER DALLAS, 5323 HARRY HINES BOULEVARD H1.108 | |
| Dallas, Texas, United States, 75390-9016 | |
| Baylor College of Medicine, 6550 Fannin Suite 1801 | |
| Houston, Texas, United States, 77030 | |
| Australia, New South Wales | |
| Westmead Hospital, Department of Neurology Level 1, Po Box 533 | |
| Wentworthville, New South Wales, Australia, 2145 | |
| Canada, Alberta | |
| University of Calgary, Heritage Medical Research Clinic, Trw Bldg 5 Floor, 3280 Hospital Dri. NW | |
| Calgary, Alberta, Canada, T2N 4Z6 | |
| University of Alberta, Glenrose Rehab Hosp, Movement Disorder Clinic , Rm 0601 Gleneast 10230 - 111 Avenue | |
| Edmonton, Alberta, Canada, T5G 0B7 | |
| Canada, British Columbia | |
| Department of Medical Genetics, Ubc Hospital, Room S179-2211 Westbrook Mall | |
| Vancouver, British Columbia, Canada, V6T 2B5 | |
| Canada, Ontario | |
| London Health Sciences Centre, University Hospital, 339 Windermere Road | |
| London, Ontario, Canada, N6A 5A5 | |
| Centre For Movement Disorders, 2780 Bur Oak Avenue | |
| Markham, Ontario, Canada, L4A 1G8 | |
| North York General Hospital, 4001 Leslie Street | |
| Toronto, Ontario, Canada, M2R 1N5 | |
| NORTH YORK GENERAL HOSPITAL (2), 4001 Leslie Street | |
| Toronto, Ontario, Canada, M2K 1E1 | |
| Principal Investigator: | Merit Cudkowicz, MD MSc | Massachusetts General Hospital |
| Principal Investigator: | Michael McDermott, PhD | University of Rochester, Biostatistics |
| Principal Investigator: | Karl Kieburtz, MD MPH | Director, Clinical Trials Coordination Center, University of Rochester |
More Information
Publications:
| Responsible Party: | Merit E. Cudkowicz, MD, Julieanne Dorn Professor of Neurology, Massachusetts General Hospital |
| ClinicalTrials.gov Identifier: | NCT00608881 History of Changes |
| Other Study ID Numbers: | 2CARE 01.00, 5U01NS052592, 5R01NS052619 |
| Study First Received: | February 4, 2008 |
| Last Updated: | May 29, 2013 |
| Health Authority: | United States: Food and Drug Administration Australia: Department of Health and Ageing Therapeutic Goods Administration Canada: Health Canada |
Keywords provided by Massachusetts General Hospital:
|
Huntington's disease Huntington disease HD coenzyme Q10 CoQ |
Additional relevant MeSH terms:
|
Huntington Disease Coenzyme Q10 Basal Ganglia Diseases Brain Diseases Central Nervous System Diseases Nervous System Diseases Dementia Chorea Dyskinesias Movement Disorders Heredodegenerative Disorders, Nervous System |
Neurodegenerative Diseases Genetic Diseases, Inborn Cognition Disorders Delirium, Dementia, Amnestic, Cognitive Disorders Mental Disorders Ubiquinone Micronutrients Growth Substances Physiological Effects of Drugs Pharmacologic Actions Vitamins |
ClinicalTrials.gov processed this record on June 17, 2013