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NCT06324214CompletedPhase 2

Oral Supplementation During PR Participation in COPD

Urolithin A Supplementation During Pulmonary Rehabilitation Participation in Patients With Chronic Obstructive Pulmonary Disease: a Randomized Pilot and Feasibility Study

Source: ClinicalTrials.gov · Last updated 15 Oct 2026

Brief summary (registry, in English)

Chronic obstructive pulmonary disease (COPD) is a very common and chronic lung condition and is a leading cause of morbidity and death. These patients have persistent breathlessness and exercise intolerance, affecting their ability to carry out routine daily tasks. Standard COPD treatments include medicines/puffers as well as participation in a Pulmonary Rehabilitation (PR) program. PR programs are delivered by a diverse team of healthcare experts in exercise and nutrition. It is possible that an emerging nutritional oral supplement could target the muscular dysfunction seen in patients with COPD in part by promoting better working mitochondria, the energy 'engine' of muscle. A series of recently published studies in sedentary adults and in older adults have demonstrated the safety, tolerability, and potential clinical effectiveness of this supplement. In this regard, the investigators plan to lead a large randomized controlled trial (RCT) to test whether oral supplementation in patients with COPD who are also participating in a standard PR program will improve overall exercise performance. The investigators will also test muscle strength, cognition, body composition, and other clinically important outcomes such as quality of life. Lastly, the investigators will use muscle tissue from a subgroup of volunteers to investigate the effect on muscle/mitochondrial structure/function. The focus is actually the critical 'first step' before the larger RCT: a pilot and feasibility study on a smaller number of participants with COPD, as an important proof-of-concept that the larger study can, and should, be conducted.

Status (registry)
Completed
Phase (registry)
Phase 2
Study type
Interventional
Enrollment
22 (actual)
First submitted
4 Mar 2024
Start date
11 Mar 2024
Primary completion date
29 Jul 2026
Lead sponsor
McGill University Health Centre/Research Institute of the McGill University Health Centre
Diseases
COPD
NCT number
NCT06324214

What you commit to

  • Study type: Interventional · Phase 2
  • Participants enrolled: 22
  • From 11 Mar 2024 to the primary completion date, 29 Jul 2026
  • 3 sites in 1 country
  • Visits and tests: ask the trial team, the registry does not list them

Built from the registry fields of ClinicalTrials.gov. It describes the study, not your situation.

Who cannot take part

Copied verbatim from ClinicalTrials.gov and grouped by topic. Only the trial team decides who can take part.

Prior treatment

  • Previous PR participation in the last 12 months, or in a study involving an exercise program in the last 6 months
  • Experienced an exacerbation of COPD (ECOPD) within the prior 4 weeks
  • Long-term oxygen therapy use, or maintenance oral corticosteroid use
  • Unwilling to agree to refrain from using, or are found to be using, the following supplementary antioxidant vitamins from 7 days prior to dosing and throughout the treatment period: Coenzyme Q10, resveratrol, and L-carnitine
  • Unwilling to agree to refrain from using, or are found to be using, the following dietary restrictions from 7 days prior to dosing and throughout the treatment period: pomegranate juice, walnuts, pecans, strawberries, raspberries, and blackberries
  • Metal fixation plates or screws in the legs from a previous surgery (if participating in muscle biopsy subgroup)

Other illness

  • Severe/unstable cardiac disease, neurological or orthopedic conditions which could hinder exercise performance
  • Allergy to lecithin, to soy or to sunflower
  • Any condition, including but not limited to, the use of anticoagulant, presence of a clotting disorder, allergy to anesthetics such as xylocaine and lidocaine, that is not stable in the opinion of the investigator that could affect the safety of the patient in the study (if participating in muscle biopsy group).
  • Chronic myalgia, fibromyalgia or conditions characterized by regular muscle pain (if participating in muscle biopsy subgroup)

Other

  • Inability to participate in a standard PR program
  • Inability to provide consent due to language or cognitive barrier
  • Presence of pacemaker or implantable cardioverter defibrillator (ICD) (unless participant opts out of bioelectrical impedance assay)
  • Pregnant, breastfeeding or planning to become pregnant

Who the study is looking for

  • Males and females, aged \>40, former smokers with ≥10 pack-year smoking history
  • Post-bronchodilator forced expiratory volume at one second (FEV1) / forced vital capacity (FVC) ratio \< 0.7, with FEV1 \< 80% (moderate, Global Initiative for Chronic Obstructive Lung Disease '(GOLD) 2') FEV1 \< 50% (severe, 'GOLD 3') or FEV1 \< 30% (very severe, 'GOLD 4') COPD
  • Baseline 6MWD of ≥50m

Age in the registry: 40 years to - · Sex: All · Does not accept healthy volunteers

Full criteria on ClinicalTrials.gov

Sites (3)

Sites in registry order. Pick your city on the disease page to sort them by distance.

SiteCityCountrySite status
Centre d'Expertise en Maladies Chroniques (CEMC)
Coordinator of this site? Confirm its status
LongueuilCanadaUnknown status
Mount Sinai Hospital
Coordinator of this site? Confirm its status
MontrealCanadaUnknown status
McGill University Health Centre
Coordinator of this site? Confirm its status
MontrealCanadaUnknown status

This page is information, not medical advice. Discuss any trial with your doctor.