Resveratrol improves motor function in patients with muscular dystrophies: an open-label, single-arm, phase IIa study

• Published in: Scientific reports Vol. 10; no. 1; p. 20585
• Main Authors: Kawamura, Kentaro, Fukumura, Shinobu, Nikaido, Koki, Tachi, Nobutada, Kozuka, Naoki, Seino, Tsugumi, Hatakeyama, Kingya, Mori, Mitsuru, Ito, Yoichi M., Takami, Akiyoshi, Hinotsu, Shiro, Kuno, Atsushi, Kawasaki, Yukihiko, Horio, Yoshiyuki, Tsutsumi, Hiroyuki
• Format: Journal Article
• Language: English
• Published: London Nature Publishing Group UK 25.11.2020; Nature Publishing Group; Nature Portfolio
• Subjects: 631/154; 692/308; 692/617; 692/699; Adolescent; Adult; Animal models; Antioxidants; Antioxidants - therapeutic use; Biopsy; Child; Creatine; Creatine kinase; Creatine Kinase - analysis; Creatine Kinase - blood; Diarrhea; Drug dosages; Family medical history; Female; Glycoproteins; Haplotypes; Hereditary diseases; Humanities and Social Sciences; Humans; Japan; Kinases; Male; Medicine; Motor Activity - drug effects; multidisciplinary; Muscle function; Muscle strength; Muscle Strength - drug effects; Muscle Weakness - drug therapy; Muscular Dystrophies - drug therapy; Muscular Dystrophies - physiopathology; Muscular dystrophy; Mutation; Patients; Resveratrol; Resveratrol - therapeutic use; Scapula; Science; Science (multidisciplinary); SIRT1 protein; Stilbenes - therapeutic use; trans-Stilbene; Young Adult; Japan
• ISSN: 2045-2322; 2045-2322
• DOI: 10.1038/s41598-020-77197-6

Muscular dystrophies (MDs) are inherited disorders characterized by progressive muscle weakness. Previously, we have shown that resveratrol (3,5,4′-trihydroxy-trans-stilbene), an antioxidant and an activator of the protein deacetylase SIRT1, decreases muscular and cardiac oxidative damage and improves pathophysiological conditions in animal MD models. To determine whether resveratrol provides therapeutic benefits to patients with MDs, an open-label, single-arm, phase IIa trial of resveratrol was conducted in 11 patients with Duchenne, Becker or Fukuyama MD. The daily dose of resveratrol was 500 mg/day, which was increased every 8 weeks to 1000 and then 1500 mg/day. Primary outcomes were motor function, evaluated by a motor function measure (MFM) scale, muscular strength, monitored with quantitative muscle testing (QMT), and serum creatine kinase (CK) levels. Adverse effects and tolerability were evaluated as secondary outcomes. Despite the advanced medical conditions of the patients, the mean MFM scores increased significantly from 34.6 to 38.4 after 24 weeks of medication. A twofold increase was found in the mean QMT scores of scapula elevation and shoulder abduction. Mean CK levels decreased considerably by 34%. Diarrhoea and abdominal pain was noted in six and three patients, respectively. Resveratrol may provide some benefit to MD patients.