A Trial of Bile Acid Supplementation in Patients With Multiple Sclerosis

NCT ID: NCT03423121

Last Updated: 2023-05-03

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE1/PHASE2

Total Enrollment

59 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-06-19

Study Completion Date

2022-07-05

Brief Summary

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This study aims to identify the safety and tolerability of bile acid supplementation in patients with progressive Multiple Sclerosis (MS). Participants will also be assessed for an impact of the bile acid on their immune system and gut microbiome. Half of the participants will receive the bile acid tauroursodeoxycholic acid (TUDCA) and half will receive placebo. The investigators believe participants who take TUDCA will have normalization of blood bile acid levels, a normalization of abnormal immune response and a normalization of the gut microbiome.

Detailed Description

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Conditions

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Progressive Multiple Sclerosis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Caregivers

Study Groups

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TUDCA Treatment

Tauroursodeoxycholic acid (Taurolite) 250 mg four capsules by mouth, twice daily for 16 weeks.

Group Type EXPERIMENTAL

Tauroursodeoxycholic Acid

Intervention Type DRUG

Participants will be given 1 gram of Tauroursodeoxycholic acid twice daily in the form of four 250mg capsules.

Placebo oral capsule

Placebo oral capsule four capsules by mouth, twice daily for 16 weeks.

Group Type PLACEBO_COMPARATOR

Placebo oral capsule

Intervention Type DRUG

Participants will be given four capsules of the placebo twice daily.

Interventions

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Tauroursodeoxycholic Acid

Participants will be given 1 gram of Tauroursodeoxycholic acid twice daily in the form of four 250mg capsules.

Intervention Type DRUG

Placebo oral capsule

Participants will be given four capsules of the placebo twice daily.

Intervention Type DRUG

Other Intervention Names

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Taurolite

Eligibility Criteria

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Inclusion Criteria

* Diagnosis of Progressive MS based on Lublin Criteria
* Low bile acid levels identified using targeted metabolomics analysis
* On the same therapy for the past 6 months and not expected to switch therapy in the next 6 months
* No relapse in the past 3 months

Exclusion Criteria

* No previous history of liver disease or cholecystectomy
* No stage IV/V chronic kidney disease or other severe metabolic derangements (e.g. poorly controlled thyroid disease or diabetes)
* BMI \< 15 kg/m2 and BMI \> 40 kg/m2
* Female patients who are pregnant or nursing, or not willing to use contraception
* Chronic antibiotic use
* Corticosteroid treatment within the past 30 days
* Known history of other neuroinflammatory, neurodegenerative or systemic autoimmune disease
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Johns Hopkins University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Pavan Bhargava, MBBS, MD

Role: PRINCIPAL_INVESTIGATOR

Johns Hopkins University

Locations

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Johns Hopkins University

Baltimore, Maryland, United States

Site Status

Countries

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United States

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Other Identifiers

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IRB00144766

Identifier Type: -

Identifier Source: org_study_id

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