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MMPOWER acute dose study in primary mitochondrial myopathy

Highest-dose group improved 64.5 m versus 20.4 m with placebo; nominal P=.053, with dose-response signal and adjusted analyses favoring high dose.

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Human evidence record

What this study tells us

Participants were assigned to comparison groups by chance, usually with placebo and/or blinding to reduce bias. This is a strong design for testing cause and effect, but the population, duration and endpoints still limit what can be concluded.

Who was studied?

Primary mitochondrial myopathy

How many?

n=36

What happened?

Highest-dose group improved 64.5 m versus 20.4 m with placebo; nominal P=.053, with dose-response signal and adjusted analyses favoring high dose.

What stops us overclaiming?

Small exploratory study; short duration; nominal primary comparison did not cross conventional significance threshold.

Need help with terms such as randomized, placebo, endpoint or sample size? Open the glossary โ†’

Key result

Highest-dose group improved 64.5 m versus 20.4 m with placebo; nominal P=.053, with dose-response signal and adjusted analyses favoring high dose.

Study details

Study designRandomized placebo-controlled dose-ranging study
PhasePhase II
PopulationPrimary mitochondrial myopathy
Sample size36
RouteIntravenous infusion
Regimen / exposure0.01, 0.1 or 0.25 mg/kg/hour for 2 hours
Duration5 consecutive days
ComparatorPlacebo
Primary endpoint / question6-minute walk test / exercise performance
Safety resultShort exposure; generally tolerated in study.
Key limitationsSmall exploratory study; short duration; nominal primary comparison did not cross conventional significance threshold.
Registry / identifierPMID 29500292