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WithdrawnNCT04014712Updated Dec 19, 2023

O2 Transport and Utilization in Health and Lung Disease

A Phase 1 interventional study of Tetrahydrobiopterin and Placebo oral tablet in COPD, Tetrahydrobiopterin Deficiency and Oxidative Stress, sponsored by University of Massachusetts, Amherst. Withdrawn at 1 site in United States. Open to participants aged 18 Years to 85 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2023-12-19.

Sponsored by University of Massachusetts, Amherst · Phase 1, Interventional, and Basic science

Why this study was withdrawn
Unable to recruit due to COVID-19 pandemic
Phase
Phase 1
Study type
Interventional
Enrollment
0
Allocation
Randomized
Ages
18 Years to 85 Years
Sex
All
01

Study summary

Skeletal muscle dysfunction is a frequent and clinically relevant systemic manifestation of Chronic Pulmonary Obstructive Disease (COPD), which is still poorly understood. Therefore, the focus of this study is on the role of a deficit in tetrahydrobiopterin and nitric oxide synthase uncoupling induced by chronic oxidative stress on metabolic and vascular abnormalities in skeletal muscle of patients suffering from COPD.

Read the detailed description

The purpose of this study is to assess the efficacy of supplementation with tetrahydrobiopterin (BH4) for improving vascular and muscle function in patients with COPD and healthy controls.

02

Conditions studied

  • COPD
  • Tetrahydrobiopterin Deficiency
  • Oxidative Stress

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Keywords

  • BH4
  • Exercise
  • Mitochondria
  • Vascular function
03

In context

Phenylketonurias

183 studies on the registry are indexed under Phenylketonurias; 38 are open to participants now.

Browse Phenylketonurias studies →

Lead sponsor

University of Massachusetts, Amherst is the lead sponsor of 45 studies on the registry; 5 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 85 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • All subjects must be between the age of 18 and 85 years;
  • For the COPD cohort, patients with a diagnosis of stable COPD (i.e., those not experiencing an acute exacerbation of symptoms) and spirometric evidence of airway obstruction (FEV1 \<80% predicted, FEV/FVC\<0.70);
  • Ability to perform motor tests;
  • Ability to provide informed consent

Exclusion criteria

Exclusion Criteria:

  • uncontrolled hypertension;
  • hyperlipidemia;
  • recent exacerbation;
  • Major cardiovascular event procedure (\<3 months);
  • Pregnancy
  • known significant hepatic, renal disease, active substance abuse
  • contraindication to MRI, claustrophobia
05

Study design

Phase
Phase 1
Primary purpose
Basic science
Allocation
Randomized
Intervention model
Crossover assignment
Masking
Single (Participant)
Enrollment
0 participants (actual)

Study arms

  • Experimental
    acute BH4/Tetrahydrobiopterin treatment

    Oral supplement, Pill, 10 mg/kg of body weight

    Drug: Tetrahydrobiopterin

  • Placebo comparator
    Placebo

    Oral supplement, Pill, Placebo pill with inert excipient

    Drug: Placebo oral tablet

Interventions

  • DrugTetrahydrobiopterin

    Oral, Single dose

  • DrugPlacebo oral tablet

    Single dose

06

What researchers measure

Primary outcomes

  1. Mitochondrial function

    PCr recovery kinetics

    Time frame: 4 hours

  2. intracellular PO2

    Myoglobin oxygenation

    Time frame: 4 hours

Secondary outcomes

  1. systemic blood markers of oxidative stress

    blood markers

    Time frame: 4 hours

  2. Peripheral Blood flow

    Exercise Blood flow by Doppler Ultrasound

    Time frame: 4 hours

07

Study locations

1 site
  • Institute of Applied Life Sciences
    Amherst, Massachusetts 01003, United States
08

References and documents

Individual participant data

Plan to share: Yes

Supporting information: Study protocol, Icf

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 19, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04014712
Lead sponsor
University of Massachusetts, Amherst
Responsible party
Sponsor
First posted
Jul 10, 2019
Start date
Apr 2021 (estimated)
Primary completion
Aug 2022 (estimated)
Completion
Aug 2022 (estimated)
Last update
Dec 19, 2023

Oversight

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

Not currently enrolling

This study is withdrawn, as verified in Dec 2023. You cannot join it, but the record below documents what was studied.

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