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Not yet recruitingNCT07836777Updated Sep 23, 2026

Efficacy and Safety of MitoQ in Improving Cancer Cachexia

A Phase 2 interventional study of MitoQ (mitoquinol mesylate) in Cancer Cachexia (CC) and Cancer Patients With Solid Tumors, sponsored by The First Affiliated Hospital of Xinxiang Medical College. Not yet recruiting. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-09-23.

Sponsored by The First Affiliated Hospital of Xinxiang Medical College · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
20
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

Muscle strength was evaluated in subjects with malignant solid tumors and cachexia after 12 weeks of oral MitoQ treatment.

Read the detailed description

Primary Efficacy Endpoint:

To evaluate the preliminary efficacy of MitoQ in patients with cancer cachexia by comparing muscle function before and after MitoQ administration at Weeks 7 and 13, as assessed by handgrip strength and the 6-minute walk test (6MWT).

Key Secondary Efficacy Endpoints:

Inflammatory and Metabolic Markers: Changes in the levels of C-reactive protein (CRP), interleukin-6 (IL-6), and tumor necrosis factor-alpha (TNF-α); effects on oxidative stress markers (MDA, SOD, GPx); and levels of prealbumin and serum albumin.

Clinical Benefit Endpoints:

Changes in skeletal muscle mass at Weeks 7 and 13, as measured by the skeletal muscle index (SMI) at the third lumbar vertebra (L3) level using computed tomography (CT), as well as changes in body weight, including total body weight, fat mass, and lean body mass.

Quality of life and symptom assessment using validated instruments: the EORTC QLQ-C30 (quality of life), the Functional Assessment of Anorexia/Cachexia Therapy (FAACT), the Hospital Anxiety and Depression Scale (HADS), and the Cancer Fatigue Scale (CFS).

Other Secondary Efficacy Endpoints:

Tumor Response and Survival Endpoints: Objective response rate (ORR) based on RECIST version 1.1 criteria and progression-free survival (PFS).

Safety Assessment: Hepatic function tests and lipid profile. Exploratory Endpoints: Exploratory biomarkers including metabolic and inflammatory factors.

Safety Endpoints:

Vital signs, physical examination, laboratory parameters, electrocardiogram (ECG), echocardiography, and adverse events (AEs), with AEs graded according to the NCI Common Terminology Criteria for Adverse Events (CTCAE) version 5.0.

02

Conditions studied

  • Cancer Cachexia (CC)
  • Cancer Patients With Solid Tumors

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03

In context

Cachexia

331 studies on the registry are indexed under Cachexia; 75 are open to participants now.

This study's planned enrollment of 20 is below the median of 74 across 226 interventional studies indexed under Cachexia.

Browse Cachexia studies →

Lead sponsor

The First Affiliated Hospital of Xinxiang Medical College is the lead sponsor of 42 studies on the registry; 38 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

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

  • Subjects must meet all of the following inclusion criteria at screening to be eligible for enrollment in this study:

Subjects aged ≥ 18 years at the time of screening. Subjects who are willing and able to comply with all scheduled visits, treatment plans, laboratory tests, and other study procedures.

Ability to sign the form. (ECOG) performance status of 0, 1, or 2. of more than 3 months. Patients with or cytologically confirmed malignant solid tumors (patients with hepatocellular carcinoma may be enrolled based on clinical diagnosis).

Medically documented cachexia or pre-cachexia (patient-reported weight loss data are acceptable for patients receiving treatment):

Cachexia: Involuntary weight loss of >5% within 6 months prior to screening. Pre-cachexia: Involuntary weight loss of ≤5% within 6 months prior to screening, accompanied by anorexia or metabolic alterations.

Adequate organ function, as defined by the following:

Serum total ≤ 1.5 × (ULN), unless the subject has a confirmed diagnosis of Gilbert's syndrome.

(AST) and alanine aminotransferase (ALT) ≤ 2.5 × ULN; if tumor involves the liver, ≤ 5.0 × ULN.

Creatinine ≤ 2 mg/dL, or (GFR) ≥ 30 mL/min/1.73 m², calculated according to the Modification of Diet in Renal Disease (MDRD) formula.

Subjects of must agree to use at least one medically acceptable and effective method of during sexual intercourse throughout the study period and for 6 months after the last dose of study drug, and must have no plans for pregnancy or sperm/egg donation.

Subjects who clearly understand the study, voluntarily agree to participate, and sign the informed consent form personally.

Exclusion criteria

Exclusion Criteria:

  • Subjects presenting with any of the following at screening will not be eligible for enrollment in this study:

Known to MitoQ capsules or any of the . Subjects with known symptomatic requiring regular use of . Asymptomatic or previously diagnosed brain metastases may be included if the following conditions are met: treatment has been completed, and the subject has recovered from acute effects of radiation therapy or surgery prior to screening; corticosteroid therapy for brain metastases has been discontinued, and the neurological status is stable prior to the first dose of study drug.

Known active virus (HBV) or virus (HCV) infection (subjects with HBV-DNA \< 10⁴ IU/mL may be enrolled).

Known positive test for (HIV) or positive treponemal antibody (TP-Ab) test.

Currently existing reversible reduction in food intake, as determined by the investigator, including but not limited to:

National Cancer Institute (NCI) (CTCAE) Grade 3 or 4 oral mucositis; NCI CTCAE Grade 3 or 4 gastrointestinal (GI) disorders (e.g., nausea, vomiting, diarrhea, and constipation); Mechanical obstruction preventing oral intake. Receiving tube feeding or parenteral nutrition (whether total or partial parenteral nutrition) at the time of screening.

Major surgery within 4 weeks prior to the first dose of study drug (central venous access device placement and tumor are not considered major surgery); subjects must have adequately recovered from the acute effects of surgery prior to screening, and no major surgery should be planned during the study period.

Severe gastrointestinal disorders (including esophagitis, gastritis, and malabsorption).

History of subtotal gastrectomy or small bowel resection (more than one-third).

Cachexia caused by other conditions, as determined by the investigator, including but not limited to:

Severe (COPD); (NYHA) Class III or IV heart failure; Acquired immunodeficiency syndrome (AIDS). Any of the following events within the past 3 months: myocardial infarction, congenital long syndrome, torsades de pointes, cardiac arrhythmia (including sustained ventricular tachycardia and ventricular fibrillation), unstable angina, coronary artery or peripheral artery bypass graft, symptomatic congestive heart failure (CHF, NYHA Class III or IV), severe cerebrovascular accident, or symptomatic pulmonary embolism or other cardiovascular/thromboembolic disease.

Persistent malignant arrhythmia of NCI CTCAE Grade ≥ 2. Initiation of new systemic corticosteroid therapy within 4 weeks prior to the first dose of study drug. Stable corticosteroid therapy (i.e., no significant change in dose or frequency of administration within 4 weeks prior to the first dose) is permitted, such as dexamethasone used as a premedication or daily oral prednisone.

Planned anti-tumor therapy during the study that includes agents known to cause weight gain, such as ALK inhibitors, ROS1 inhibitors, or docetaxel, within 4 weeks or 5 half-lives of the drug (whichever is longer) prior to the first dose of study drug.

Use of any prescription medication that increases appetite or ameliorates weight loss within 4 weeks or 5 half-lives of the drug (whichever is longer) prior to the first dose of study drug, including but not limited to anamorelin, medroxyprogesterone acetate, dronabinol, medical cannabis, etc.

Currently receiving another drug, or use of another investigational drug within 4 weeks prior to the first dose of study drug or within 5 half-lives of the previous investigational drug (whichever is longer).

Female subjects who are pregnant or breastfeeding. Any other acute or chronic medical or psychiatric condition, including recent (within the past year) or active suicidal ideation or behavior, or laboratory abnormalities that may increase the risk associated with study participation or use of the study drug, or that may interfere with the interpretation of study results. The investigator may exclude a subject from participation if, in the investigator's judgment, the subject is unsuitable for enrollment in this study for any of these reasons.

Terms in these criteria, in plain language(25)

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.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

ECOG performance status

A scale of how much an illness limits everyday activity. For people being assessed to join a study, scores run from 0 (fully active) to 4; lower is more active.

0
Fully active, no restrictions.
1
Limited in strenuous activity, but walking and able to do light work, such as housework or office work.
2
Walking and able to look after yourself, but unable to work; up and about more than half of waking hours.
3
Able to look after yourself only in part; in bed or a chair more than half of waking hours.
4
Unable to look after yourself at all; in bed or a chair all day.

Studies most often ask for 0–1 or 0–2. Your doctor gives the score; the WHO scale uses the same steps. The full scale also has 5, which records death.

Life expectancy

The study doctor’s estimate of how long someone is likely to live. Criteria use it so that people can stay in the study long enough for it to answer its question.

Histologically or cytologically confirmed

The diagnosis was confirmed by looking at a sample under a microscope: tissue from a biopsy or surgery (histology), or cells from a fluid or needle sample (cytology).

Your pathology report is the document that shows this.

Line of therapy

A line of therapy is one course of treatment, which may combine several drugs. First-line is the first course given; second-line follows when that stops working or is not tolerated.

“Two prior lines” means two courses that count separately under the study’s rules — not simply two drugs. Ask the study team if you are unsure how yours are counted.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

GFR and eGFR (kidney filtering)

GFR (glomerular filtration rate) is how much blood the kidneys filter each minute. It is usually estimated from a blood test — eGFR, by formulas such as CKD-EPI or MDRD — and some studies ask for it to be measured directly instead. Usually given in mL/min/1.73 m².

Check the method, the units and the minimum the study states. A value of 90 or above is in the normal-or-high range, but kidney damage can show in other tests too.

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.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Excipients

The other ingredients in a medicine besides the active drug, such as fillers, colours or preservatives.

Brain metastases

Cancer deposits in the brain from a cancer that started elsewhere in the body (CNS metastases include the spinal cord).

Studies differ: some leave out any brain metastases, some accept ones treated and stable for some weeks. Check what this study allows.

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.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

CTCAE grade

The US National Cancer Institute’s scale of how severe an adverse event is — any unwanted medical event during a study, such as a symptom, an illness or an abnormal test result, whether or not a treatment caused it. Whether it did is judged separately.

1
Mild.
2
Moderate.
3
Severe.
4
Life-threatening.
5
Death due to the event.

“Side effects of earlier treatment resolved to grade 1 or less” means they have settled to mild or gone.

Biopsy and archival tissue

A biopsy takes a small piece of tissue to examine. “Archival tissue” is a sample already taken, for example at diagnosis, and kept by the hospital.

Whether a stored sample will do depends on when it was taken, how much there is and what the study needs. Ask whether the study accepts your stored sample or needs a new biopsy.

COPD

Chronic obstructive pulmonary disease: long-term lung disease that makes it hard to breathe out, including emphysema and chronic bronchitis.

NYHA class (heart failure)

The New York Heart Association’s four classes of how much heart failure limits physical activity.

I
No limits: ordinary activity causes no undue tiredness or breathlessness.
II
Slight limits: comfortable at rest, ordinary activity causes symptoms.
III
Marked limits: comfortable at rest, less than ordinary activity causes symptoms.
IV
Symptoms even at rest; any activity makes them worse.

Studies set their own limit — many outside heart failure leave out class III–IV, while heart failure studies may ask for a particular class. Check the class this study names.

QT and QTc

On an ECG, the QT interval is the time the heart’s lower chambers take to activate electrically and recover in each beat. QTc is that time adjusted for heart rate (QTcF by Fridericia’s formula, QTcB by Bazett’s). Some medicines lengthen it, and a long QTc can raise the risk of a dangerous heart rhythm.

The study may name a correction formula and a limit in milliseconds, often around 450–480.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
20 participants (estimated)

Study arms

  • Experimental
    MITOQ group

    MitoQ 20 mg/day (one 20 mg capsule), administered orally once daily in the morning on an empty stomach.

    Dietary Supplement: MitoQ (mitoquinol mesylate)

Interventions

  • Dietary supplementMitoQ (mitoquinol mesylate)

    MitoQ 20 mg/day (one 20 mg capsule), administered orally once daily in the morning on an empty stomach.

06

What researchers measure

Primary outcomes

  1. To evaluate the preliminary efficacy of MitoQ in patients with cancer cachexia

    To evaluate the preliminary efficacy of MitoQ in patients with cancer cachexia by comparing muscle function before and after MitoQ administration at Weeks 13, as assessed by handgrip strength.

    Time frame: 0-13 Weeks

Secondary outcomes

  1. Inflammatory and Metabolic Markers

    Changes in the levels of C-reactive protein (CRP).

    Time frame: 0-13 Weeks

  2. Clinical Benefit Endpoints

    Changes in skeletal muscle mass at Weeks 13, as measured by the skeletal muscle index (SMI) at the third lumbar vertebra (L3) level using computed tomography (CT).

    Time frame: 0-13 Weeks

  3. Clinical Benefit Endpoints

    Quality of life and symptom assessment using validated instruments: the EORTC QLQ-C30 (quality of life).

    Time frame: 0-13 weeks

07

Study locations

No study locations are listed for this record.

08

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: Undecided

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 23, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07836777
Lead sponsor
The First Affiliated Hospital of Xinxiang Medical College
Responsible party
Yinghua Ji (The First Affiliated Hospital of Henan Medical University, The First Affiliated Hospital of Zhengzhou University) — Principal investigator
First posted
Sep 23, 2026
Start date
Oct 10, 2026 (estimated)
Primary completion
Oct 10, 2026 (estimated)
Completion
Jun 1, 2027 (estimated)
Last update
Sep 23, 2026

Study contacts

Yinghua Ji
Contact
54234317@qq.com
+8613663030446

Oversight

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

Not currently enrolling

This study is not yet recruiting, as verified in Aug 2026. You cannot join it, but the record below documents what was studied.

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Discussion

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Studies of the drug tested here: Mitoquinone

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