ClinicalTrials.gg
RecruitingNCT05312424GG-statinUpdated Sep 11, 2026

Annatto-derived GG for Statin-associated Myopathy

A Phase 1/2 interventional study of Placebo and Low GG in Myopathy; Primary, sponsored by Texas Tech University Health Sciences Center. Recruiting at 1 site in United States. Open to participants aged 40 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-09-11.

Sponsored by Texas Tech University Health Sciences Center · Phase 1/2, Interventional, and Treatment

From the registry’s dates

  • Started Jul 2022; still recruiting 4 years 3 months later.
Phase
Phase 1/2
Study type
Interventional
Enrollment
95
Allocation
Randomized
Ages
40 Years and older
Sex
All
01

Study summary

To evaluate the effects of 3-months annatto-derived geranylgeraniol (GG) supplementation on statin-associated skeletal muscle health.

Read the detailed description

Statins are widely prescribed cholesterol-lowering oral drugs. The majority of reported adverse effects due to statin include muscle pain, weakness, cramp, and tiredness. CoQ10 supplementation has been widely used to reduce statin-related muscle complaints. Several human studies have been reported with inconsistent effects of CoQ10 on statin-related symptoms. This study is to investigate the role of 3-month annatto-derived geranylgeraniol (GG) in statin-related muscle outcomes in humans. Qualified subjects will be matched by age, gender, and body weight, and then randomly assigned to a no GG group, a low GG dose group, or a high GG dose group. The outcome measures will be assessed at baseline and after 3 months. Muscle-associated measurements will be recorded using subject questionnaires (also follow-up after 3 and 6 months), muscle performance results, and blood samples. We will monitor the safety of subjects after 3 months. Food intake, physical activity, and medication changes will be recorded at baseline and after 3 months. All data will be analyzed statistically.

02

Conditions studied

  • Myopathy; Primary

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03

In context

Muscular Diseases

232 studies on the registry are indexed under Muscular Diseases; 54 are open to participants now.

This study's planned enrollment of 95 is above the median of 38 across 134 interventional studies indexed under Muscular Diseases.

Browse Muscular Diseases studies →

Lead sponsor

Texas Tech University Health Sciences Center is the lead sponsor of 100 studies on the registry; 14 are open to participants now.

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

04

Who can participate

Ages eligible
40 Years and older
Sexes eligible
All
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Age ≥40 of either sex
  • Statin-treated patients with muscle pain alone or accompanied by other symptoms.
  • Patients currently receiving a statin who developed new-onset myalgias in within 90 day of initiation or a dosage increase

Exclusion criteria

Exclusion Criteria:

  • or significant neurological or psychiatric disturbances, including alcohol or drug abuse.
  • Woman who is pregnant, breastfeeding, or of and not taking adequate precautions.
  • Had CoQ10 supplement one month before starting the study.
  • Genetic musculoskeletal and neurologic disorder known to affect skeletal muscle metabolism
  • Had medication one month before starting the study.
Terms in these criteria, in plain language(4)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

05

Study design

Phase
Phase 1 / Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Investigator, Outcomes assessor)
Enrollment
95 participants (estimated)

Study arms

  • Placebo comparator
    Placebo

    Placebo group: subject will take one pill (150 mg olive oil) after breakfast and another pill (150 mg olive oil) after dinner

    Dietary Supplement: Placebo

  • Active comparator
    Low GG

    LOW GG group: subject will take one pill (150 mg olive oil) after breakfast and another pill (150 mg GG) after dinner

    Dietary Supplement: Low GG

  • Active comparator
    High GG

    HIGH GG group: subject will take one pill (150 mg GG) after breakfast and another pill (150 mg GG) after dinner

    Dietary Supplement: High GG

Interventions

  • Dietary supplementPlacebo

    300 mg olive oil

  • Dietary supplementLow GG

    150 mg GG

  • Dietary supplementHigh GG

    300 mg GG

06

What researchers measure

Primary outcomes

  1. SAMS-CI

    Statin-Associated Muscle Symptom Clinical Index (SAMS-CI) is to assess muscle pain, muscle weakness, tiredness, and cramps.

    Time frame: change in SAMS-CI at 3 months

  2. BPI

    Brief Pain Inventory (BPI) is to assess pain and interference of pain with everyday life.

    Time frame: change in BPI at 3 months

Secondary outcomes

  1. Lower body isometric strength

    Lower body (i.e., predominantly of the quadriceps and hip extensors) isometric strength is measured using a dynamometer

    Time frame: change in lower body isometric strength at 3 months

  2. Functional lower body strength

    Functional lower body strength is measured using a loaded 50m walk.

    Time frame: change in functional lower body strength at 3 months

  3. Wall-sit test

    Wall-sit test (wall-slide test) is to assess static leg strength and endurance, particularly of the quadriceps and hip extensors

    Time frame: change in wall-sit test at 3 months

  4. Heel raise test

    Heel raise test is commonly used to test calf muscle endurance, function, and performance. Single-leg or both-leg raise will be tested while staining on a step bench

    Time frame: change in heel raise test at 3 months

  5. blood biomarkers: serum creatinine kinase activity

    Creatine kinase is to assess muscle damage.

    Time frame: change in serum creatinine kinase activity at 3 months

  6. blood biomarkers: myostatin

    Myostatin is to assess muscle damage

    Time frame: changes in serum myostatin at 3 months

  7. blood biomarkers: atrogin 1

    atrogin 1 is to assess muscle damage

    Time frame: changes in serum atrogin 1 at 3 months

  8. blood biomarkers: hsCRP

    hsCRP is to assess inflammation

    Time frame: changes in serum hsCRP at 3 months

  9. blood biomarker: IL-6

    IL-6 is to assess inflammation

    Time frame: changes in serum IL-6 at 3 months

  10. blood lipid profiles

    lipid profiles include total triglycerides, total cholesterol, HDL, and calculated LDL

    Time frame: changes in blood lipid profiles at 3 months

  11. plasma menaquinone-4 (MK4) + menaquinone-4 (MK7)

    MK4 and MK4 are vitamin K2 homologues and are measured by HPLC

    Time frame: changes in plasma MK4+MK7 at 3 months

07

Study locations

1 of 1 sites recruiting
08

References and documents

Individual participant data

Plan to share: No

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 Sep 11, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05312424
Responsible party
Sponsor
First posted
Apr 5, 2022
Start date
Jul 15, 2022
Primary completion
Jun 30, 2027 (estimated)
Completion
Dec 31, 2027 (estimated)
Last update
Sep 11, 2026

Study contacts

Chwan-Li (Leslie) Shen, PhD
Contact
leslie.shen@ttuhsc.edu
8067432815
Chwan-Li (Leslie) Shen, PhD
principal investigator · Texas Tech Health Science 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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