Table 1.
Event | Baseline | Phase 1 | Washout period | Phase 2 | Follow-up | ||||||||||
|
Month 0 | Month 1 | Month 2 | Month 3 | Month 4 | Month 5 | Month 6 | Month 7 | Month 8 | Month 9 | Month 10 | ||||
Informed consent | ✓a | N/Ab | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | ||||
Height and weight | ✓ | N/A | N/A | N/A | ✓ | N/A | N/A | N/A | N/A | ✓ | N/A | ||||
Medical history | ✓ | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | ||||
Clinical examinationc | ✓ | N/A | N/A | N/A | ✓ | N/A | N/A | N/A | N/A | ✓ | N/A | ||||
Bicycle ergometry (exercise bike test) | |||||||||||||||
|
Peak oxygen consumption | ✓ | N/A | N/A | N/A | ✓ | N/A | N/A | N/A | N/A | ✓ | N/A | |||
|
Tissue Doppler studies | ✓ | N/A | N/A | N/A | ✓ | N/A | N/A | N/A | N/A | ✓ | N/A | |||
Echocardiogram (at rest and during exercise)d | ✓ | N/A | N/A | N/A | ✓ | N/A | N/A | N/A | N/A | ✓ | N/A | ||||
12-lead ECGe at rest and during exercise (during echo) | ✓ | N/A | N/A | N/A | ✓ | N/A | N/A | N/A | N/A | ✓ | N/A | ||||
Blood sample (20-30 mL total)f | |||||||||||||||
|
Transformed lymphoblast line for in vitro incubation with bezafibrate and resveratrol | ✓ | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |||
|
FBCg, absolute neutrophil count, urea/electrolytes, LFTh, CKi, plasma arginine/cysteine, full lipid profile (total cholesterol, high-density lipoprotein, and triglycerides), and brain natriuretic peptide | ✓ | N/A | N/A | N/A | ✓ | N/A | N/A | N/A | N/A | ✓ | N/A | |||
|
Mitochondrial assessment | ✓ | N/A | N/A | N/A | ✓ | N/A | N/A | N/A | N/A | ✓ | N/A | |||
Blood sample (safety assessment) done locally to the patient | |||||||||||||||
|
FBC including absolute neutrophil count, routine renal and LFT, plasma triglyceride/total cholesterol/LDLj-cholesterol and creatine kinase, and creatinine | N/A | ✓ | ✓ | ✓ | N/A | ✓ | ✓ | ✓ | ✓ | N/A | N/A | |||
Cardiac/skeletal muscle MRIk,l/MRSm,n scan | ✓ | N/A | N/A | N/A | ✓ | N/A | N/A | N/A | N/A | ✓ | N/A | ||||
PedsQLo | ✓ | N/A | N/A | N/A | ✓ | N/A | N/A | N/A | N/A | ✓ | N/A | ||||
Adverse events | N/A | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ||||
Drug prescribing | ✓ | N/A | N/A | N/A | ✓ | N/A | N/A | N/A | N/A | N/A | N/A | ||||
Qualitative interview | N/A | N/A | N/A | N/A | ✓ | N/A | N/A | N/A | N/A | ✓ | N/A |
aData was collected (or event took place) at this time.
bN/A: not applicable.
cIncluding resting blood pressure, heart rate, and oxygen saturation.
dCardiac status: left ventricular ejection fraction and 2D strain.
eECG: electrocardiogram.
fSamples for detailed cardiolipin profiling and calculation of MLCL/L4-CL ratio; examination of mitochondria of the blood cells by electron microscopy; measurements of size, number, and shape recorded; and the analysis of mitochondrial function studies including the analysis of respiratory chain enzyme complexes.
gFBC: full blood count.
hLFT: liver function test.
iCK: creatine kinase.
jLDL: low-density lipoprotein
kMRI: magnetic resonance imaging.
lCardiac magnetic resonance imaging will be used to assess right and left ventricular functions and volumetrics.
mMRS: magnetic resonance spectroscopy.
nMagnetic resonance spectroscopy will be used to assess phosphocreatine to adenosine triphosphate ratio and oxidative function (phosphocreatine recovery kinetics) in cardiac and skeletal muscles.
oPedsQL: Pediatric Quality of Life Inventory.