Pediatric rheumatology

Creatine and Coenzyme Q10 (CoQ10) with physical activity on muscle function in children with myositis: a proof-of-concept trial

Rheumatology (Oxford)Published double-blinded, placebo-controlled, randomized, multiple-baseline trial

Authors' conclusion

Cr+CoQ10 supplementation combined with physical activity showed positive effects; however, these findings may be attributable to chance imbalances in baseline values. Alternatively, the lack of statistical significance in the sensitivity analyses may reflect a Type II error, as the study size was set for the more powerful primary analysis. Further research is necessary to fully understand the impact of Cr and CoQ10 supplementation in children with JIIM.

Study context

Population
Children aged 9–17 with juvenile idiopathic inflammatory myopathies (JIIM) from SickKids' JIIM clinic8 male/ 7 female
Participants
15 children
Comparison
Creatine (Cr)+CoQ10 supplementation combined with physical activity (intervention periods) vs placebo periods
Primary endpoint
Muscle function, measured by the Wingate Test
Methodological detailsall participants participated in both the placebo and intervention periods
  • All participants participated in both the placebo and intervention periods

Primary result

As reported in the abstract

Mean difference, peak power

95 Watts

P = 0.02

INTERVENTION PERIODS vs PLACEBO PERIODS

Mean difference, mean power

74 Watts

P = 0.02

INTERVENTION PERIODS vs PLACEBO PERIODS

Mean difference, minimum power

47 Watts

P = 0.01

INTERVENTION PERIODS vs PLACEBO PERIODS

Secondary outcomes

OutcomeMean difference (Watts)P value
Vertical jump peak powerIncreased significantly in the intervention period · not replicated in the prespecified sensitivity analyses493P = 0.02

Original publication

Creatine and CoQ10 with physical activity on muscle function in children with myositis: a proof-of-concept trial. Rheumatology (Oxford). Published 12 November 2026. doi:10.1093/rheumatology/keag629

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