Functional Outcomes From Diets in Multiple Sclerosis

NCT ID: NCT05327322

Last Updated: 2026-01-29

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Clinical Phase

NA

Total Enrollment

100 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-03-20

Study Completion Date

2026-11-01

Brief Summary

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The purpose of this study is to test the effects of two dietary interventions, glycemic load and calorie restriction, on physical function, cognition, pain, fatigue, mood, and anxiety in adults with multiple sclerosis (MS). The investigators will also explore the how the diet interventions impact inflammation, immunity, and metabolic biomarkers.

Detailed Description

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100 participants will be randomized 1:1 to follow either a low glycemic load (GL) or standard GL diet for 32 weeks. For the first 16 weeks, all participants will eat enough calories to maintain their baseline weight. During the second 16 weeks, all participants will reduce calorie intake by 500kcal/day, with a goal of losing 5-10% of initial body weight. Participants will complete data collection at baseline (prior to randomization), at 17 weeks (after the weight stable phase) and again after completing the calorie restriction phase.

All participants will receive meal plans and groceries for the duration of the trial.

Conditions

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Relapsing Remitting Multiple Sclerosis Secondary Progressive Multiple Sclerosis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Participants will be randomized to follow either a low GL or standard GL diet for 32 weeks. For the first 16 weeks, both groups will eat enough calories to maintain baseline weight. During the second 16 weeks, both groups will reduce calorie intake by 500 kcal/day,
Primary Study Purpose

OTHER

Blinding Strategy

SINGLE

Outcome Assessors
All staff collecting outcomes data will be randomized to treatment group (low GL vs standard GL).

Study Groups

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Low Glycemic Load

This group will be prescribed a daily GL of \<45 points/1000 kcal and 25% of daily calorie intake from carbohydrates. This group will be provided few processed foods. During the first 16 weeks, this group will eat enough calories to maintain baseline weight, and will reduce daily calorie intake by 500 kcal/day in the second 16 weeks.

Group Type EXPERIMENTAL

Glycemic load

Intervention Type BEHAVIORAL

Participants will be provided food to meet GL prescription for the duration of the trial.

Calorie restriction

Intervention Type BEHAVIORAL

Participants will be provided food to meet their prescribed daily calorie intake for the duration of the trial (weight stable in first 16 weeks, weight loss in second 16 weeks).

Behavioral support

Intervention Type BEHAVIORAL

All participants will receive behavioral supports in the form of email, text, information pages and weekly calls from the study staff to maximize adherence.

Standard Glycemic Load

This group will be prescribed a daily GL of \>75 points/1000kcal and 60% of daily calorie intake from carbohydrates. This group will be provided more processed foods than the low GL group. During the first 16 weeks, this group will eat enough calories to maintain baseline weight, and will reduce daily calorie intake by 500 kcal/day in the second 16 weeks.

Group Type ACTIVE_COMPARATOR

Glycemic load

Intervention Type BEHAVIORAL

Participants will be provided food to meet GL prescription for the duration of the trial.

Calorie restriction

Intervention Type BEHAVIORAL

Participants will be provided food to meet their prescribed daily calorie intake for the duration of the trial (weight stable in first 16 weeks, weight loss in second 16 weeks).

Behavioral support

Intervention Type BEHAVIORAL

All participants will receive behavioral supports in the form of email, text, information pages and weekly calls from the study staff to maximize adherence.

Interventions

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Glycemic load

Participants will be provided food to meet GL prescription for the duration of the trial.

Intervention Type BEHAVIORAL

Calorie restriction

Participants will be provided food to meet their prescribed daily calorie intake for the duration of the trial (weight stable in first 16 weeks, weight loss in second 16 weeks).

Intervention Type BEHAVIORAL

Behavioral support

All participants will receive behavioral supports in the form of email, text, information pages and weekly calls from the study staff to maximize adherence.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Diagnosed with RRMS or SPMS
* BMI 25-50 kg/m2 (overweight/obese)
* EDSS ≤6.5 (able to walk 100m with or without assistance)
* If on disease-modifying treatment (DMT), stable for 6 months
* If not on DMT, no DMT in previous 6 months
* No expected change to DMT in next 34 weeks
* Responsible for food preparation or have input into food preparation

Exclusion Criteria

* MS relapse in previous 30 days
* Unable to walk 25 feet with or without assistive device
* Pregnant or breastfeeding
* Current use of insulin or sulfonylurea agents
* Score indicating low cognitive functioning on the Telephone Interview for Cognitive Status (TICS-m) assessment
* Actively engaged in a weight loss program or unwilling to follow assigned dietary pattern
* Unable to receive, store, or prepare food according to diet plan
* Medical contraindication to either treatment or control diet (including severe allergies that cannot be accommodated within either group)
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Alabama at Birmingham

OTHER

Sponsor Role lead

Washington University School of Medicine

OTHER

Sponsor Role collaborator

United States Department of Defense

FED

Sponsor Role collaborator

Responsible Party

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Brooks C. Wingo, PhD

Associate Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Brooks Wingo, PhD

Role: PRINCIPAL_INVESTIGATOR

University of Alabama at Birmingham

Locations

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University of Alabama at Birmingham

Birmingham, Alabama, United States

Site Status RECRUITING

Washington University

St Louis, Missouri, United States

Site Status NOT_YET_RECRUITING

Countries

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United States

Central Contacts

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Brooks C Wingo, PhD

Role: CONTACT

(205) 934-5982

Kathryn Green, BS

Role: CONTACT

205-319-1424

Facility Contacts

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Brooks C Wingo, PhD

Role: primary

2059345982

Kathryn Green, BS

Role: backup

Laura Piccio, MD, PhD

Role: primary

Courtney Dula

Role: backup

References

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Martin K, Cofield SS, Cross AH, Goss AM, Raji CA, Rinker JR, Wu GF, Blair J, Fuchs A, Ghezzi L, Green K, Pace F, Pastori G, Taylor MG, Piccio L, Wingo BC. Functional outcomes of diets in multiple sclerosis (FOOD for MS): Protocol for a parallel arm randomized feeding trial for low glycemic load and calorie restriction. Contemp Clin Trials. 2024 Aug;143:107584. doi: 10.1016/j.cct.2024.107584. Epub 2024 May 29.

Reference Type DERIVED
PMID: 38821260 (View on PubMed)

Other Identifiers

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CDMRP-MS210011

Identifier Type: OTHER_GRANT

Identifier Source: secondary_id

300009050

Identifier Type: -

Identifier Source: org_study_id

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