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Trial registered on ANZCTR
Registration number
ACTRN12616001399482
Ethics application status
Approved
Date submitted
5/10/2016
Date registered
10/10/2016
Date last updated
11/07/2017
Type of registration
Prospectively registered
Titles & IDs
Public title
Profiling skeletal muscle loss during leg immobilisation
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Scientific title
The injured athlete: genetic profiling of skeletal muscle atrophy with limb immobilisation
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Secondary ID [1]
290270
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None
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Skeletal muscle atrophy
300503
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Condition category
Condition code
Musculoskeletal
300360
300360
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0
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Other muscular and skeletal disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
14 days of limb (leg) immobilisation and unloading will be undertaken using a Donjoy X-ACT ROM Universal leg brace to be worn for 24 h, Adherence will be monitored through actigraph accelerometers to determine physical activity levels and a unique
identifier on tape wrapped around to the brace will determine if/when a brace is removed. Muscle biopsies and venous blood samples will be obtained on day 0, 3 and 14.
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Intervention code [1]
296067
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Treatment: Other
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Comparator / control treatment
No control group; within participant design using contra-lateral control limb for comparison
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Control group
Active
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Outcomes
Primary outcome [1]
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Changes in quadriceps muscle mass quantified by MRI and DEXA scans
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Assessment method [1]
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Timepoint [1]
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Baseline (Day 0), day 3 and day 14 measurements
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Primary outcome [2]
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Exploratory genetic analysis using RNA sequencing will be undertaken to better understand RNA expression changes in blood and muscle tissue samples due to immobilization induced atrophy.
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Assessment method [2]
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Timepoint [2]
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Day 0 and day 14
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Secondary outcome [1]
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Change in muscle strength as determined by isometric and isoinertial testing
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Assessment method [1]
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Timepoint [1]
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Baseline (day 0) and day 14
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Eligibility
Key inclusion criteria
Physically active individuals undertaking 5 h per week of moderate-vigorous exercise
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Minimum age
20
Years
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Maximum age
40
Years
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Sex
Males
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
Recent (<6 months) injury requiring immobilsation, medical conditions that would place participants at increased risk during
exercise, currently taking medications known to affect body composition, employment requiring physical labour.
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Study design
Purpose of the study
Diagnosis
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Single group
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
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Statistical methods / analysis
Repeated measures ANOVA and RNA sequencing biostatistics
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
17/10/2016
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Actual
17/10/2016
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Date of last participant enrolment
Anticipated
5/06/2017
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Actual
8/05/2017
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Date of last data collection
Anticipated
28/07/2017
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Actual
1/07/2017
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Sample size
Target
40
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Accrual to date
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Final
21
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Recruitment in Australia
Recruitment state(s)
QLD
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Funding & Sponsors
Funding source category [1]
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Government body
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Name [1]
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Department of Education and Training
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Address [1]
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Department of Education and Training
GPO Box 9880
Canberra ACT 2601
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Country [1]
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Australia
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Primary sponsor type
University
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Name
Bond University
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Address
14 University Drive
ROBINA QLD 4226, AUSTRALIA
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
293501
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Address [1]
293501
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Country [1]
293501
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Bond University Human Research Ethics Committee
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Ethics committee address [1]
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Bond University University Drive, Robina Gold Coast, QLD 4226
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Ethics committee country [1]
296073
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Australia
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Date submitted for ethics approval [1]
296073
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Approval date [1]
296073
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12/04/2016
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Ethics approval number [1]
296073
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15478
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Summary
Brief summary
The nature of training and competition in the majority of popular sports dictates that debilitating injury is not uncommon when individuals engage in high musculoskeletal loading patterns and/or high impact collisions. A consequence of such injuries is that repair and remodelling of tissues often requires significant periods of limb immobilisation. It is during immobilisation that normal mechanical loading of skeletal muscle is significantly reduced and muscle wasting (atrophy) ensues. Disuse atrophy is a secondary complication that exacerbates the aetiology of injury and complicates the return to appropriate quality and quantity of training. Better understanding of the genetic bases of disuse muscle atrophy in athletes following abrupt cessation of regular training and competition may ultimately result in improved countermeasures to mitigate short term muscle wasting. Specific strategies such as individualised nutrition and exercise rehabilitation to promote the prompt return of functional capacity may be entirely plausible with greater understanding of changes in inducible expression in skeletal muscle with shortterm immobilisation. The primary aim of the proposed study is to determine changes in inducible gene expression in the early (3 d) and short term (14 d) immobilisation period. The research question is novel and will have the capacity to inform sports medicine and exercise science in characterising individuals ‘at risk’ of rapid degeneration of muscle mass with disuse or those that may be “protected” from muscle loss with short term unloading. It is hypothesised that 14 days of limb immobilisation will modulate expression of the transcriptome in skeletal muscle and generate a distinct genomic profile associated with the early time course of muscle atrophy in healthy, young men.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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A/Prof Vernon Coffey
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Address
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Bond Institute of Health and Sport
2 Promethean Way
Robina, QLD, 4226
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Country
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Australia
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Phone
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+61755952162
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Vernon Coffey
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Address
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Bond Institute of Health and Sport
2 Promethean Way
Robina, QLD 4226
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Country
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Australia
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Phone
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+61755952162
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
69472
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Vernon Coffey
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Address
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Bond Institute of Health and Sport
2 Promethean Way
Robina, QLD 4226
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Country
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Australia
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Phone
69472
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+61755952162
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Fax
69472
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Email
69472
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
Source
Title
Year of Publication
DOI
Embase
The muscle proteome reflects changes in mitochondrial function, cellular stress and proteolysis after 14 days of unilateral lower limb immobilization in active young men.
2022
https://dx.doi.org/10.1371/journal.pone.0273925
N.B. These documents automatically identified may not have been verified by the study sponsor.
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