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CompletedNCT03019458MINGOUpdated Apr 30, 2020Results posted

MINGO Supplemental Trial in X-linked Dystonia-Parkinsonism Patients

An interventional study of MINGO in X-Linked Dystonia Parkinsonism, sponsored by Sunshine Care Foundation. Completed at 1 site in Philippines. Open to participants aged 18 Years to 90 Years. Per ClinicalTrials.gov, last updated 2020-04-30.

Sponsored by Sunshine Care Foundation · Not applicable, Interventional, and Supportive care

Phase
Not applicable
Study type
Interventional
Enrollment
50
Allocation
Randomized
Ages
18 Years to 90 Years
Sex
All
01

Study summary

To see whether MINGO, a food supplement, will be able to lessen the drastic weight loss seen among X-linked Dystonia Parkinsonism patients.

Read the detailed description

X-linked dystonia parkinsonism (XDP, formerly known as DYT3) occurs primarily in Filipino males and is characterized by neurodegenerative dystonia and parkinsonism. It is currently recognized to have wide phenotypic variability relating to age of onset, location of disease onset and rate of severity/disease progression. Most patients begin with focal dystonia that generalizes with the development of parkinsonism later in disease course. XDP patients suffer from severe nutritional loss due to symptoms such as dysphagia, loss of appetite, and consistently high metabolic requirements brought about by their movement disorder. Approximately 79% of patients with XDP have experienced rapid weight loss since the onset of their disease. It is the aim of the researchers to assess the clinical usefulness of adding a nutritional supplement to the daily dietary needs of these patients.

MINGO is a supplement consisting of local ingredients such as moringa, rice and mung beans, which can be added to any type of edible paste, food, and liquid. Mingo has gained popularity as an emergency food in disaster relief operations due to the ease of its preparation, its high nutritional value and relatively low price. For the last two years, it has also been used as an agent for nutritional build up in malnourished populations of children. This study will provide valuable information on whether patients with XDP can increase their weight by consuming MINGO, which will lead to improvements in the patients' medical care and wellbeing.

02

Conditions studied

  • X-Linked Dystonia Parkinsonism

Keywords

  • prospective randomized trial
03

In context

Dystonia

319 studies on the registry are indexed under Dystonia; 56 are open to participants now.

This study's enrollment of 50 is above the median of 32 across 181 interventional studies indexed under Dystonia.

Browse Dystonia studies →

Lead sponsor

This is the only study on the registry with Sunshine Care Foundation as lead sponsor.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 90 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Subject is above the age of 18
  • Positive Diagnosis of XDP by movement disorder specialist/fellow
  • Subject with a yes response to a "supportive home environment" in the patient's most recent "doctors monthly report"
  • Subject are easily accessible to passable roads and pubic transportation

Exclusion criteria

Exclusion Criteria:

  • Subjects who have extreme movements that prevent staff from performing BMI or MUAC measurements
  • Subjects who have abnormal metabolic labs prior to the start of the study
  • Subjects who are taking pharmacological or medicinal supplements that may effect weight
  • Subjects who have been hospitalized within the last 2 weeks from the start of the trial
  • Subjects who have a Nasogastric tube or G-tube
  • Subjects with a history of other diseases that my effect weight (eg: hypo/hyperthyroidism)
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Study design

Phase
Not applicable
Primary purpose
Supportive care
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
50 participants (actual)

Study arms

  • Experimental
    MINGO

    MINGO is a supplement consisting of local ingredients such as moringa, rice and mung beans, which can be added to any type of edible paste, food, and liquid. The experimental group is required to take 6 sachets per day for 12 weeks in addition to their regular diet. They are required to keep a daily food diary

    Dietary Supplement: MINGO

  • No intervention
    Control

    The control group is required to eat their normal diet. They are also required to keep a daily food diary.

Interventions

  • Dietary supplementMINGO

    6 20oz sachets will be taken daily by intervention group

06

What researchers measure

Primary outcomes

  1. The Body Mass Index (BMI in kg/m^2) Using a Bathroom Weighing Scale.

    The investigators will first take a baseline Body Mass Index in kg/m\^2 for both control and intervention group, then subsequent measures every two weeks for 3 month duration of he trial. The goal of the investigators is to compare the net change in Body Mass Index in a 3 month period.

    Time frame: after baseline Body Mass Index, we will measure Body Mass Index every 2 weeks for 3 months

Secondary outcomes

  1. All Cause Mortality

    number of deaths in both arms at the end of the study

    Time frame: 3 months (study close out)

  2. Number of Hospitalizations Secondary to Infectious Causes

    number of hospitalizations secondary to infections in both arms at the end of the study

    Time frame: 3 months (study close out)

  3. Mid Upper Arm Circumference (MUAC) in cm Using a Tailor's Tape Measure

    It has been reported that the Mid Upper Arm Circumference is a good predictor for BMI. It will serve as an indirect measurement to the subjects' BMI

    Time frame: After baseline measurements, the investigators will measure the MUAC evey month for 3 months

07

Results

Posted Apr 6, 2020
Limitations and caveats
A major limitation to this trial is that it was a community-based clinical trial that relied on 14 CHWs to measure the weight and MUAC due to the far distance and difficult terrain. The accuracy of subject's food diary is a limitation.

Participant flow

Participant flow — Overall Study
MilestoneMINGOControl
Started2426
Completed2425
Not completed01
Withdrew: Death01

Outcome measures

PrimaryThe Body Mass Index (BMI in kg/m^2) Using a Bathroom Weighing Scale.

The investigators will first take a baseline Body Mass Index in kg/m\^2 for both control and intervention group, then subsequent measures every two weeks for 3 month duration of he trial. The goal of the investigators is to compare the net change in Body Mass Index in a 3 month period.

Time frame:
after baseline Body Mass Index, we will measure Body Mass Index every 2 weeks for 3 months
Reported as:
Mean · Kg/m^2
The Body Mass Index (BMI in kg/m^2) Using a Bathroom Weighing Scale.
Kg/m^2MINGOControl
baseline18.86 (17.66 to 20.06)18.17 (17.24 to 19.09)
week 219.00 (17.75 to 20.24)18.31 (17.30 to 19.31)
week 419.14 (17.91 to 20.37)18.27 (17.25 to 19.29)
week 619.11 (17.90 to 20.33)18.06 (17.01 to 19.11)
week 819.15 (17.89 to 20.40)18.24 (17.24 to 19.24)
week 1019.03 (17.77 to 20.28)18.05 (17.01 to 19.10)
week 1219.07 (17.83 to 20.31)17.95 (16.90 to 18.99)
Statistical analysis
  • MINGO vs Control · Mixed Models Analysis · p = 0.084 (The p value was not adjusted for multiple comparisons but rather it is the priori threshold for statistical significance at p\<0.05.)We adjusted for baseline Eating Assessment Tool-10 (EAT-10), MGH-Swallowing Screening Test (MGH-SST), and the Burkes-Fahn-Marsden Dysonia Scale (BFM).
SecondaryAll Cause Mortality

number of deaths in both arms at the end of the study

Time frame:
3 months (study close out)
Reported as:
Count of participants · Participants
All Cause Mortality
ParticipantsMINGOControl
All Cause Mortality01
SecondaryNumber of Hospitalizations Secondary to Infectious Causes

number of hospitalizations secondary to infections in both arms at the end of the study

Time frame:
3 months (study close out)
Reported as:
Count of participants · Participants
Number of Hospitalizations Secondary to Infectious Causes
ParticipantsMINGOControl
Number of Hospitalizations Secondary to Infectious Causes00
SecondaryMid Upper Arm Circumference (MUAC) in cm Using a Tailor's Tape Measure

It has been reported that the Mid Upper Arm Circumference is a good predictor for BMI. It will serve as an indirect measurement to the subjects' BMI

Time frame:
After baseline measurements, the investigators will measure the MUAC evey month for 3 months
Reported as:
Mean · cm
Mid Upper Arm Circumference (MUAC) in cm Using a Tailor's Tape Measure
cmMINGOControl
baseline26.54 (25.39 to 27.59)26.54 (25.24 to 27.84)
month 126.93 (25.86 to 28.00)26.58 (25.23 to 27.93)
month 226.96 (25.85 to 28.07)26.69 (25.13 to 28.07)
month 326.69 (25.41 to 27.97)26.62 (25.03 to 28.18)

Adverse events

Collected over 3 months. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
MINGO0/24 (0%)0/24 (0%)4/24 (16.7%)
Control1/26 (3.8%)0/26 (0%)1/26 (3.8%)
Most frequent other events
Most frequent other events
EventMINGOControl
Intolerance to taking MINGOGastrointestinal disorders4/240/26
GI symptomsGastrointestinal disorders0/241/26

Baseline characteristics

Age, Continuous
Age, Continuous(years)MINGOControlTotal
Mean54.2 ± 1.656.4 ± 1.655.4 ± 1.2
Sex: Female, Male
Sex: Female, Male(Participants)MINGOControlTotal
Female000
Male242650
Race (NIH/OMB)
Race (NIH/OMB)(Participants)MINGOControlTotal
American Indian or Alaska Native000
Asian242650
Native Hawaiian or Other Pacific Islander000
Black or African American000
White000
More than one race000
Unknown or Not Reported000
Region of Enrollment
Region of Enrollment(participants)MINGOControlTotal
Philippines242650
Duration of Illness
Duration of Illness(years)MINGOControlTotal
Mean9.4 ± 1.18.2 ± 1.18.8 ± 0.8
Body Mass Index (BMI)
Body Mass Index (BMI)(kg/m^2)MINGOControlTotal
Mean18.9 ± 0.618.2 ± 0.418.5 ± 0.4
Mean Upper Arm Circumference (MUAC)
Mean Upper Arm Circumference (MUAC)(cm)MINGOControlTotal
Mean26.5 ± 0.526.5 ± 0.626.5 ± 0.4
Burkes-Fahn-Marsden (BFM)
Burkes-Fahn-Marsden (BFM)(units on a scale)MINGOControlTotal
Mean44.1 ± 5.340.2 ± 4.842.1 ± 3.5

2 further baseline measures are reported on the registry.

08

Study locations

1 site
  • Health Centrum
    Roxas City, Capiz 5800, Philippines
09

References and documents

Study documents

  • Study protocol · Jan 25, 2017
  • Statistical analysis plan · Nov 11, 2016

Documents are hosted by the registry — open the source record to download them.

Individual participant data

Plan to share: No

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 30, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03019458
Lead sponsor
Sunshine Care Foundation
Collaborators
Jose R. Reyes Memorial Medical Center, Massachusetts General Hospital
Responsible party
Sponsor
First posted
Jan 12, 2017
Start date
Feb 10, 2017
Primary completion
May 8, 2017
Completion
Jun 26, 2017
Results posted
Apr 6, 2020
Last update
Apr 30, 2020

Study contacts

Criscely L Go, MD,FPNA,DPBP
principal investigator · Jose R. Reyes Memorial Medical Center

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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