10 Participants Needed

Amino Acid Intake for FSHD

(FSHD Trial)

Recruiting at 1 trial location
TA
AZ
Overseen ByArianne Zabbal, B.Sc.
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

Trial Summary

Will I have to stop taking my current medications?

The trial requires that you maintain stable use of your current medications and supplements throughout the study, so you should not stop taking them.

What data supports the effectiveness of the treatment Amino Acid Intake for FSHD?

Research suggests that amino acids play a crucial role in supporting muscle health and recovery, especially in conditions involving muscle wasting. While specific data on FSHD (a muscle disorder) is not provided, amino acids have been shown to be beneficial in other conditions involving muscle loss, indicating potential effectiveness.12345

Is amino acid intake generally safe for humans?

Amino acids are generally considered safe for humans, but safety assessments are needed for high doses, especially in supplements. Some studies have proposed safe intake levels for specific amino acids, and no major toxicity has been observed in humans at these levels.678910

How does amino acid intake differ from other treatments for FSHD?

Amino acid intake for FSHD is unique because it focuses on providing specific nutrients, like leucine, that may support muscle health and protein synthesis, unlike other treatments that might target symptoms or disease mechanisms directly. This approach is based on understanding how amino acids are metabolized and utilized in the body, which can be different from traditional drug therapies.1112131415

What is the purpose of this trial?

Facioscapulohumeral muscular dystrophy (FSHD) is one of the most common types of muscular dystrophy, affecting about 4 out of 100,000 individuals. The disease is characterized by progressive muscle loss (i.e., muscle atrophy) commonly affecting the face, shoulders, and upper arm muscles. The muscle loss ultimately results in reduced strength and impaired physical performance. At present there is no cure for FSHD, therefore, physicians have focused on therapeutic interventions to help alleviate these symptoms.Daily consumption of adequate amounts of dietary protein is essential to support muscle mass maintenance and overall health and function across the lifespan. However, previous research has reported inadequate protein intake in individuals with FSHD. The characteristic of progressive muscle loss in individuals with FSHD and other muscular dystrophies is ultimately due to an imbalance in the rate of muscle building (i.e., muscle protein synthesis) and muscle breakdown (i.e., muscle protein breakdown), where individuals with FSHD have been shown to have reduced rates of muscle building. As inadequate protein intake is known to result in a loss of muscle mass, strength and function, this loss may be amplified in individuals with FSHD.Dietary recommendations traditionally have been determined through nitrogen balance techniques, where the current recommended dietary allowance (RDA) for daily protein intake for adults is 0.8 g/kg/d. However, recent research indicates how the nitrogen balance technique potentially underestimates protein requirements. Therefore, there is a need to reassess current dietary recommendations in adults with FSHD in order to help support the maintenance of muscle strength and function.Recent efforts to understand protein requirements in various populations have been completed using the indicator amino acid oxidation technique (IAAO). This non-invasive method is reported to provide a robust measure of protein requirements. Due to its non-invasive nature, the IAAO method allows researchers to use this technique in individuals with FSHD, where there is currently limited work in studying this population.The purpose of this study is to measure the protein requirements in individuals with FSHD using the non-invasive IAAO technique.

Eligibility Criteria

This trial is for adults with Facioscapulohumeral Muscular Dystrophy (FSHD), a condition causing progressive muscle loss. Participants should have FSHD and be interested in how dietary protein affects their muscle health.

Inclusion Criteria

My condition is genetically confirmed as FSHD.
I've kept my diet, lifestyle, and weight stable for the last 3 months.
I am between 26 and 55 years old.
See 2 more

Exclusion Criteria

My kidney function is impaired with high creatinine levels.
I am currently pregnant or breastfeeding.
I have used corticosteroids recently or for more than a year in the past.
See 11 more

Timeline

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants are randomly assigned varying levels of amino acid intakes ranging between 0.2 to 2.8 g/kg/d to measure protein requirements using the IAAO technique

7 weeks

Follow-up

Participants are monitored for safety and effectiveness after treatment

4 weeks

Treatment Details

Interventions

  • Amino Acid Intake
Trial Overview The study aims to measure the daily protein needs of individuals with FSHD using a non-invasive method called the Indicator Amino Acid Oxidation (IAAO) technique, which could lead to improved dietary recommendations.
Participant Groups
1Treatment groups
Experimental Treatment
Group I: Individuals with FSHDExperimental Treatment1 Intervention
Participants are to be randomly assigned varying levels of amino acid intakes ranging between 0.2 to 2.8 g/kg/d.

Find a Clinic Near You

Who Is Running the Clinical Trial?

McGill University

Lead Sponsor

Trials
421
Recruited
1,017,000+

Findings from Research

In critical illness, skeletal muscle undergoes adaptations that can lead to insulin resistance and muscle wasting, making adequate protein and amino acid nutrition essential for recovery, with optimal intake levels suggested to be between 1.3 and 1.5 g/kg/day.
Anabolic resistance in critically ill patients reduces the effectiveness of protein intake, highlighting the importance of mobility protocols in intensive care to enhance nutritional interventions and improve patient outcomes.
Protein metabolism and requirements.Biolo, G.[2019]
The increasing use of amino acids from various sources necessitates thorough safety assessments due to the potential for high intake levels that exceed normal dietary amounts.
Establishing reliable Tolerable Upper Intake Levels (ULs) for amino acids is challenging due to insufficient toxicity studies and lack of clinical data, highlighting the need for comprehensive safety evaluations that include quality specifications and potential interactions with medications.
The Importance of Quality Specifications in Safety Assessments of Amino Acids: The Cases of l-Tryptophan and l-Citrulline.Oketch-Rabah, HA., Roe, AL., Gurley, BJ., et al.[2023]
The study established no observed adverse effect levels (NOAELs) for supplemental methionine (46 mg/kg/d), histidine (8.0 g/d), and lysine (6.0 g/d) in healthy adults, indicating these amounts are safe for consumption in fortified foods or dietary supplements.
These safety recommendations are crucial for regulatory and nutritional practices, as they guide the safe use of amino acids in various dietary contexts aimed at improving health outcomes.
Proposals for Upper Limits of Safe Intake for Methionine, Histidine, and Lysine in Healthy Humans.Cynober, L., Bier, DM., Stover, P., et al.[2023]

References

What are the essential elements needed for the determination of amino acid requirements in humans? [2023]
Amino acid adequacy in pathophysiological states. [2019]
Essential and non-essential amino acid requirement in injured patients receiving total parenteral nutrition. [2019]
Protein metabolism and requirements. [2019]
Use of selected visceral protein measurements in the comparison of branched-chain amino acids with standard amino acids in parenteral nutrition support of injured patients. [2013]
The Safety and Regulatory Process for Amino Acids in Europe and the United States. [2023]
The Importance of Quality Specifications in Safety Assessments of Amino Acids: The Cases of l-Tryptophan and l-Citrulline. [2023]
Proposals for Upper Limits of Safe Intake for Methionine, Histidine, and Lysine in Healthy Humans. [2023]
Tolerable Upper Intake Level for Individual Amino Acids in Humans: A Narrative Review of Recent Clinical Studies. [2023]
10.United Statespubmed.ncbi.nlm.nih.gov
Application of the concepts of risk assessment to the study of amino acid supplements. [2018]
11.United Statespubmed.ncbi.nlm.nih.gov
Intravenously infused 13C-leucine is retained in fasting healthy adult men. [2018]
Modelling of protein turnover provides insight for metabolic demands on those specific amino acids utilised at disproportionately faster rates than other amino acids. [2019]
Nitrogen Balance in Female Japanese National Handball Players During Training Camp. [2020]
Leucine kinetics during three weeks at submaintenance-to-maintenance intakes of leucine in men: adaptation and accommodation. [2013]
15.United Statespubmed.ncbi.nlm.nih.gov
Validation of the tracer-balance concept with reference to leucine: 24-h intravenous tracer studies with L-[1-13C]leucine and [15N-15N]urea. [2018]
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