New drug aims to help mitochondrial disease patients walk farther

NCT ID NCT05162768

First seen Jun 27, 2026 · Last updated Jun 27, 2026

Summary

This Phase 3 trial tested a daily injection called elamipretide in 102 adults with primary mitochondrial myopathy, a genetic condition that causes muscle weakness and fatigue. Participants received either the drug or a placebo for 48 weeks. The main goal was to see if the drug could improve how far they could walk in six minutes.

What this could mean

Our plain-language read of the trial. This is informational only — not medical advice or a prediction.

Active substance

elamipretide (a drug given as a daily injection)

What this could lead to

If it works, this could point toward a treatment that improves muscle function and daily activity in people with mitochondrial disease.

What could go wrong

This is a completed Phase 3 trial, but results are not yet public. The drug requires daily injections, and its benefits may be modest or not outweigh the burden of treatment.

Disclaimer Read more

This is a summary of the original study . Summaries may miss details or leave out important information. Before applying or accepting participation, make sure you have read and understood the full study. Curemydisease.com takes no responsibility whatsoever for anything missed, misunderstood, or acted upon as a result of our summary — we know it does not capture everything.

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Conditions

The condition(s) this trial relates to.

inborn mitochondrial metabolism disorder inborn mitochondrial myopathy mitochondrial complex I deficiency mitochondrial disease mitochondrial DNA depletion syndrome Muscle Weakness progressive external ophthalmoplegia

As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.

Contacts and locations

Locations

  • Akron Children's Hospital

    Akron, Ohio, 44308, United States

  • Azienda Ospedaliero Universitaria Policlinico G. Martino

    Messina, 98125, Italy

  • Azienda Ospedaliero Universitario Pisana, Dipartimento Ambientale di Neuroscienze

    Pisa, 56126, Italy

  • Calvary Health Care Bethlehem

    Parkdale, Victoria, 3162, Australia

  • Columbia University Medical Center College of Physician and Surgeon

    New York, New York, 10032, United States

  • Department of Neurology, University Clinics Munich

    Munich, Bavaria, 80336, Germany

  • Helse Bergen HF

    Bergen, 5021, Norway

  • Hospital Clinic de Barcelona

    Barcelona, 8036, Spain

  • Hospital Universitario 12 de Octubre

    Madrid, 28041, Spain

  • Hospital de la Sta Creu i Sant Pau

    Barcelona, 8025, Spain

  • Hospital la Fe de Valencia

    Valencia, 46026, Spain

  • IRCCS Institute of Neorological Sciences of Bologna Bellaria Hospital

    Bologna, Italy

  • Istituto Nazionale Neurologico Carlo Besta

    Milan, 20133, Italy

  • Istituto di Neurologia, Fondazione Policlinico Universitario A. Gemelli, Università Cattolica del Sacro Cuore

    Rome, Lazio, 00168, Italy

  • Massachusetts General Hospital

    Boston, Massachusetts, 02114, United States

  • Newcastle upon Tyne Hospitals Freeman Hospital

    Newcastle, NE77DN, United Kingdom

  • Queen Square Centre for Neuromuscular Diseases The National Hospital for Neurology and Neurosurgery

    London, WC1N 3BG, United Kingdom

  • Radboud University Medical Center

    Nijmegen, 6525, Netherlands

  • Rare Disease Research, LLC

    Atlanta, Georgia, 30329, United States

  • Royal North Shore Hospital Neurology

    Sydney, New South Wales, 2065, Australia

  • Semmelweis Egyetem Genomikai Medicina es Ritka Betegsegek

    Budapest, 1083, Hungary

  • The Children's Hospital of Philadelphia

    Philadelphia, Pennsylvania, 19104, United States

  • UT Health,Center for the Treatment of Pediatric Neurodegenerative Disease

    Houston, Texas, 77030, United States

  • Univ of Tubingen, Hertie Institute for Clinical Brain Research

    Tübingen, Germany

  • Universitaetsklinikum Carl Gustav Carus Dresden Neurologie

    Dresden, Germany

  • University of Auckland - Auckland City Hospital, Neurology Department

    Auckland, 1023, New Zealand

  • University of Brescia, NeMO Clinical Center for Neuromuscular Diseases

    Gussago, Brescia, 25064, Italy

  • University of California, San Diego

    San Diego, California, 92093, United States

  • University of Cambridge, Department of Clinical Neurosciences

    Cambridge, CB2 0QQ, United Kingdom

  • University of Pittsburgh School of Medicine Children's Hospital of Pittsburgh of UPMC Department of Genetics

    Pittsburgh, Pennsylvania, 15224, United States

  • University of Pécs, Department of Neurology Klinikai Kozpont - neurologiai Klinika

    Pécs, 7624, Hungary

  • Washington University School of Medicine

    St Louis, Missouri, 63110, United States