RecruitingNot ApplicableNCT05920018

Effects of a Combined Supplementation of Conjugated Linoleic Acid (CLA) and Probiotics (Vivomixx®) as add-on to a First-line Immunotherapy in Relapsing-remitting Multiple Sclerosis

Effects of a Combined Supplementation of Conjugated Linoleic Acid (CLA/Tonalin® FFA 80) and Probiotics (Vivomixx®/VSL#3) as add-on to a First-line Immunotherapy in Relapsing-remitting Multiple Sclerosis


Sponsor

Universität Münster

Enrollment

100 participants

Start Date

Oct 2, 2023

Study Type

INTERVENTIONAL

Conditions

Summary

The goal of this randomized, double-blind, placebo-controlled multicenter study is to investigate whether the combination of food supplementation with Tonalin® and specific probiotics is a safe and effective add-on to first-line disease modifying treatment (DMT, interferon-beta derivatives as well as glatirameracetate and other glatirameroids) in relapsing remitting MS (RRMS). 100 patients will be randomly assigned in a 1:1 ratio to receive either both food supplements for 48 weeks or to receive placebo in addition to their established first-line disease modifying treatment (DMT). The two randomized groups will be compared concerning the change in volume of T2-weighted hyperintense lesions from baseline to 48 weeks.


Eligibility

Min Age: 18 YearsMax Age: 60 Years

Inclusion Criteria9

  • Relapsing-remitting multiple sclerosis according to current McDonald Criteria, EDSS maximal 5.5, 18-60 years
  • stable treatment with first-line DMT (IFNbeta, teriflunomide or glatiramer acetate/ other glatirameroids) for at least 6 months
  • absence of a clinical relapse for at least 3 months before inclusion
  • Written informed consent
  • ingestion of other dietary supplementation (e.g. vitamins, probiotics, iron, calcium, prebiotics, such as omega-3-fatty acids)
  • significant gastroenterological abnormality (e.g. inflammatory bowel disease, short bowel disease, preexisting digestive lesions)
  • accompanying systemic immunosuppressive treatment
  • relevant dietary restriction (e.g. strictly vegan nutrition)
  • women during pregnancy or lactation

Exclusion Criteria3

  • diagnosis of primary or secondary progressive MS or other active autoimmune disease
  • intake/administration of the following disease modifying therapies:
  • at any time point: alemtuzumab, cladribine

Interventions

DIETARY_SUPPLEMENTVivomixx®

Daily application of four sachets, i.e. 1.800 bio bacteria/day for 48 weeks

DIETARY_SUPPLEMENTConjugated linoleic acid (CLA/Tonalin® FFA 80)

Daily application of two capsules p.o., i.e. 2g/day for 48 weeks

OTHERMaltose placebo

Daily application of four sachets for 48 weeks

OTHERSunflower oil placebo

Daily application of two capsules p.o for 48 weeks


Locations(4)

Universitätsklinik Heidelberg, Neurologische Klinik

Heidelberg, Baden-Wurttemberg, Germany

Neurological study centre, Department of Neurology

Mainz, Hesse, Germany

IIT unit of the Department of Neurology with Institute of Translational Neurology

Münster, North Rhine-Westphalia, Germany

Klinikum Osnabrück GmbH, Klinik für Neurologie

Osnabrück, North Rhine-Westphalia, Germany

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NCT05920018


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