Creatine plus HMB to improve strength, balance, and body composition in people with Down syndrome

Effects of Chronic Creatine and Beta-Hydroxy-Beta-Methylbutyrate Supplementation on Oxidative Stress, Inflammation, Muscle Strength, and Body Composition in Individuals With Down Syndrome

Not applicable Interventional Universidad de Burgos · NCT07213063

This study will test whether taking creatine (3 g/day) and HMB (3 g/day) for 8 weeks can help people with Down syndrome gain strength, improve body composition, balance, and overall health.

Quick facts

PhaseNot applicable
Study typeInterventional
Enrollment50 (estimated)
Ages18 Years and up
SexAll
SponsorUniversidad de Burgos Academic / other
Locations1 site (Burgos, Burgos)
Trial IDNCT07213063 on ClinicalTrials.gov

What this trial studies

This is an 8-week randomized, placebo-controlled, crossover trial in which participants with Down syndrome receive daily creatine monohydrate (3 g) plus HMB (3 g) or placebo, with nutritional education provided throughout. Outcomes are measured at baseline and after each 8-week supplementation period and include DXA-measured lean mass (primary), body composition by bioimpedance, bone mineral density, multiple muscle strength and balance tests, a dual-task cognitive mobility measure, and blood biomarkers of oxidative stress and inflammation. The crossover design allows each participant to serve as their own control, and safety exclusions include chronic kidney disease and known allergies to study supplements or placebo components. All assessments are performed at the Universidad de Burgos site in Burgos, Spain.

Who should consider this trial

Good fit: People with a medical diagnosis of Down syndrome who can perform basic physical tests (for example, stand up from a chair or walk without assistance) and who can provide informed consent together with their legal guardian are eligible.

Not a fit: Individuals with chronic kidney disease, severe motor limitations that prevent required testing, or known allergy/intolerance to creatine or placebo components are unlikely to benefit and may be excluded.

Why it matters

Potential benefit: If effective, this regimen could increase muscle mass and strength, improve balance, and support better daily functioning and health in people with Down syndrome.

How similar studies have performed: Creatine and HMB have shown benefits for muscle mass and strength in older adults and other populations, but evidence specifically in people with Down syndrome is limited.

Eligibility criteria

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Diagnosis: Medical confirmation of Down syndrome (trisomy of chromosome 21).
* Physical capacity: Ability to perform basic physical tests (e.g., standing up from a chair or walking without assistance).
* Informed consent: Informed consent will be obtained from both the participant and their legal representative, in compliance with current legislation for individuals requiring support measures.

Exclusion Criteria:

* Chronic kidney disease: Diagnosis of chronic kidney disease.
* Severe motor limitations: Inability to perform the required physical tests (e.g., paralysis or mobility impairments preventing the execution of muscle strength assessments).
* Participation in other studies: Participation in another nutritional or supplementation intervention study within the last 6 months.
* Allergies or intolerances: Known allergy to creatine or to components of the placebo (inulin).

Where this trial is running

Burgos, Burgos

Study contacts

How to participate

  1. Review the eligibility criteria above with your treating physician.
  2. Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
  3. Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.
Conditions Down SyndromeSupplementationcreatinedown syndromebone mineral health
Last reviewed 2026-06-13 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.