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Phase 2 N=40 Randomized Double-blind Treatment

Effectiveness of Two Types of Treatment in Restoring Muscle After Hip or Knee Surgery

Hip Fracture · Osteoarthritis · Femur Head Necrosis

Enrolled (actual)
40
Serious AEs
2.5%
Results posted
Jun 2014
Primary outcome: Primary: Muscle Protein Synthesis — 1.38; 0.84; 1.42; 1.36 %/d

Study Design & Population

Study type
Interventional
Phase
Phase 2
Interventions
Essential amino acid supplement (Drug); Ketoconazole (Drug); Placebo (Drug)
Age
Adult, Older Adult · 30+ yrs
Sex
All
Sponsor
University of Arkansas
Primary completion
Oct 2012

Outcome Measures

OutcomeResultp-value
PRIMARY
Muscle Protein Synthesis
1.38; 0.84; 1.42; 1.36; 1.23; 1.49
SECONDARY
Change in Maximal Voluntary Contraction
0.68; 0.34

Summary

The purpose of this study is to determine the effects of two postoperative interventions designed to preserve muscle protein after major hip or knee surgery.

Eligibility Criteria

Inclusion Criteria for All Participants:

  • Scheduled for surgery because of osteoarthritis, avascular necrosis, fracture, or revision of total joint replacement in the hip or knee

Exclusion Criteria for All Participants:

  • Taking insulin, thiazolidinediones (TZD), or metformin
  • Kidney insufficiency, as indicated by serum creatinine of more than 2.0 mg/dl
  • Recently treated cancer other than basal cell carcinoma
  • Any other condition or event that would be considered as reason for exclusion by the study investigators
  • Pregnancy

Exclusion Criteria for Experiment 1 Participants:

  • Severe hypertension as indicated by requiring more than two drugs for blood pressure control
  • History of hypo- or hypercoagulation disorders, including individuals who have taken warfarin (Coumadin)
  • Atrial fibrillation, angina, or congestive heart failure

Exclusion Criteria for Experiment 2 Participants:

  • Liver disease or abnormal liver function tests
  • HIV infected
  • Active hepatitis
  • Any uncontrolled metabolic disease, including liver or kidney disease
  • Taking medications that use the cytochrome P450 pathway for metabolism and unable to discontinue their use for the duration of the study
  • Require certain medications. More information on this criterion can be found in the protocol.
  • Gastrointestinal absorption disorders that affect nutrient uptake
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT00393848). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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