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Improved Muscle Function in Duchenne Muscular Dystrophy Through L-Arginine and Metformin

Phase 1
Completed
Conditions
Duchenne Muscular Dystrophy
Interventions
Registration Number
NCT02516085
Lead Sponsor
University Hospital, Basel, Switzerland
Brief Summary

The purpose of the study is to show that the intake of L-arginine and metformin improves muscle function and delays disease progression in patients with Duchenne's muscular dystrophy.

Detailed Description

This is an investigator-initiated, open-label, single-center, proof-of-concept-study. The study medication consists of L-arginine and metformin. The duration of the study is 16 weeks and comprehends one screening and four study visits.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
5
Inclusion Criteria
  • Molecular diagnosis of DMD
  • Patients 7 - 10 years of age at time of screening
  • Ambulant
Exclusion Criteria
  • Previous (3 months or less) or concomitant participation in another therapeutic trial
  • Use of L-arginine, L-citrulline or metformin within the last 3 months
  • Known individual hypersensitivity to L-citrulline or metformin
  • Other chronic disease or clinical relevant limitation of renal, liver, heart function according to discretion of the investigator

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
L-arginine and metforminMetformin7.5 g L-arginine p.o. and 500 mg metformin p.o. per day (3x 2.5 g, respectively 3x 250 mg) for 16 weeks
L-arginine and metforminL-Arginine7.5 g L-arginine p.o. and 500 mg metformin p.o. per day (3x 2.5 g, respectively 3x 250 mg) for 16 weeks
Primary Outcome Measures
NameTimeMethod
Mean change of muscle metabolismbaseline to week 16

mitochondrial protein expression analysis in muscular biopsies

Secondary Outcome Measures
NameTimeMethod
In vivo change of muscle metabolismbaseline to week 16

indirect calorimetry, Dual-Energy X-Ray Absorptiometry, quantitative thigh muscle MRI, clinical score of muscle performance

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