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Tolerance, Efficacy, revAlidation, Myostim

Not Applicable
Completed
Conditions
Anterior Cruciate Ligament Rupture
Interventions
Dietary Supplement: MYOSTIM®
Dietary Supplement: PLACEBO
Registration Number
NCT04684771
Lead Sponsor
Alternativa International S.A
Brief Summary

Evaluation of efficacy and tolerance of a food supplement (MYOSTIM®) versus a placebo in postoperative revalidation of patients after reconstructive surgery of anterior cruciate ligament.

The food supplement (MYOSTIM®) has been developped and is supplied as food bars and composed of pomegranate, leucine, creatine, proteins and D vitamin. The aim of this exploratory study is to assess the efficacy and tolerance of MYOSTIM® on muscle performance after ACL reconstructive surgery and in postoperative revalidation phase.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
35
Inclusion Criteria
  • Male between the age of 18 and 40
  • BMI (Body Mass Index) ≤ 27
  • Candidates for ACL reconstruction surgery of DIDT (Droit Interne et du Demi Tendineux) type
  • Able to follow the instruction of the study, to go to the postoperative visits to the investigator, to go to the isokinetic and to the MRI visits
  • Having signed an informed consent
Exclusion Criteria

Related to the pathology:

  • Patient who have undergone previous ACL reconstruction surgery on the same knee
  • Patient who have participated to a therapeutic clinical study 3 months before inclusion
  • Patient who plan to follow a workout or a revalidation program after surgery different from classical physiotherapy prescribed by the orthopedic surgeon
  • Contralateral limb suffered from trauma, surgery, fracture, tear, tendinopathy, sepsis or immobilization for more than 3 weeks during the last 5 years

Related to treatment:

  • Patient who have eaten doping substances or food supplement building mass and muscle strength during 3 months before inclusion excepted for creatine and beta-alanine for which the washout period is of 6 month before inclusion
  • Patient who were treated with antibiotics in the month preceding the inclusion
  • Patient treated with pharmacologic agents like statins, immunosuppressors or anti-malaria
  • Patient taking androgens (steroids...)
  • Patient under treatments which may interfere with the neuromuscular system
  • Patient who were treated with analgesic or non-steroidal anti-inflammatory drugs (NSAIDS) 24 hours before inclusion visit

Related to associated diseases:

  • Patient with associated uncontrolled severe disease: severe liver or kidney disease, severe and uncontrolled cardiovascular disease, HIV, B or C hepatitis, tumor
  • Patient with thromboembolism disorders
  • Patient with inflammatory bowel disease
  • Anorexic patient
  • Diabetic patient
  • Patient with traumatic, neurologic or rheumatic history of the lower limbs

Related to patient:

  • Allergy or contraindication to soy, milk, gluten, nuts or wheat
  • Forecasting a high protein diet during the study
  • Under guardianship or judicial protection

Related to MRI counter-indication:

  • Patient with a pacemaker, an implantable defibrillator, neurosurgical clips, a neurostimulator, cochlear implant, a stent from less than 3 weeks, an insulin pump
  • Patient with a ferromagnetic splinter in the body, or having wire sutures
  • Serious mobility problem (Parkinson, tremors)
  • Claustrophobia

Related to impedancemeter test:

• Patient with a metal plate at the right ankle

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
MYOSTIM®MYOSTIM®MYOSTIM® 2 bars/day during 12 weeks MYOSTIM® as a food bar. Active ingredient: Pomegranate extract, L-leucine, Creatine, D3 Vitamin, Proteins IP Status: Food supplement n° NCT 2485/8 (Red fruits flavor bar) and NCT 2485/7 (Black chocolate flavor bar) delivered by the Federal Public Service, Health, Food chain safety and environment.
PLACEBOPLACEBOPLACEBO 2 bars/day during 12 weeks
Primary Outcome Measures
NameTimeMethod
Assess the efficacy of MYOSTIM® on the muscular strength recoveryChange from Baseline at 14 weeks post ACL surgery

Evaluation by isokinetic test performed (extension/flexion of the hamstrings)

Assess the efficacy of MYOSTIM® on the muscular mass recoveryChange from Baseline at 14 weeks post ACL surgery

Evaluation by impedancemetry

Assess the efficacy of MYOSTIM® on the global judgment of the patientChange from Baseline at 2 and14 weeks post ACL surgery

Evaluation of global judgment of the patient by one visual analogue scale (VAS)

Assess the efficacy of MYOSTIM® on physical performance recoveryChange from Baseline at 14 weeks post ACL surgery

Evaluation with one self-administrated knee evaluation questionnaire from the International Knee Documentation Committee

Assess the effect of MYOSTIM® on blood biomarkerChange from Baseline at 2 and14 weeks post ACL surgery

Evaluation of blood concentration of biomarker (Myostatin (muscular atrophy), Myeloperoxidase (chronic joint inflammation), Coll2-1 and Coll2-1NO2 (Cartilage inflammation and degradation), IL6 (muscular atrophy and inflammation), MMP3 and NT-CAF (cartilage and neuro-muscular junction), TNFa (inflammation))

Assess the efficacy of MYOSTIM® on the pain of the patientChange from Baseline at 2 and14 weeks post ACL surgery

Evaluation of pain of the patient by one visual analogue scale (VAS)

Assessment of the tolerance of the patient with the MYOSTIM®At 14 weeks post ACL surgery

Evaluation according the number of Adverse Events (AE), remaining bars and satisfaction scale for the product

Assessment of the compliance of the patient with the MYOSTIM®At 14 weeks post ACL surgery

Evaluation according the number of remaining bars

Assessment of the satisfaction of the patient with the MYOSTIM®At 14 weeks post ACL surgery

Evaluation according the satisfaction scale for the product

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (2)

Hospital Bois de l'Abbaye et de Hesbaye

🇧🇪

Seraing, Liège, Belgium

CHU de Liège

🇧🇪

Liège, Belgium

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