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

NCT ID: NCT05920018

Last Updated: 2024-05-08

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

2023-10-02

Study Completion Date

2025-02-28

Brief Summary

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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.

Detailed Description

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Conditions

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Multiple Sclerosis, Relapsing-Remitting

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

two-arm, randomized, double-blind, placebo-controlled, multicenter
Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors
Patients will be randomized after successful screening and inclusion. They will be randomized with a 1:1 ratio to receive either conjugated linoleic acid (CLA/Tonalin®) and probiotics (Vivomixx®) or the corresponding placebos as add-on therapy. Randomization will be stratified according to first-line therapy with Interferon-beta, Glatirameracetat / other glatirameroids, or Teriflunomid.

Study Groups

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Dietary supplement

1. Vivomixx®/VSL#3 sachets p.o. (1.800 bio bacteria/d) and
2. Conjugated linoleic acid (CLA/Tonalin® FFA 80) capsules p.o. (2 g/d)

Group Type ACTIVE_COMPARATOR

Vivomixx®

Intervention Type DIETARY_SUPPLEMENT

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

Conjugated linoleic acid (CLA/Tonalin® FFA 80)

Intervention Type DIETARY_SUPPLEMENT

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

Placebo-control

1. Maltose as Placebo to Vivomixx® and
2. Sunflower oil as Placebo to Conjugated linoleic acid (CLA/Tonalin® FFA 80)

Group Type PLACEBO_COMPARATOR

Maltose placebo

Intervention Type OTHER

Daily application of four sachets for 48 weeks

Sunflower oil placebo

Intervention Type OTHER

Daily application of two capsules p.o for 48 weeks

Interventions

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Vivomixx®

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

Intervention Type DIETARY_SUPPLEMENT

Conjugated linoleic acid (CLA/Tonalin® FFA 80)

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

Intervention Type DIETARY_SUPPLEMENT

Maltose placebo

Daily application of four sachets for 48 weeks

Intervention Type OTHER

Sunflower oil placebo

Daily application of two capsules p.o for 48 weeks

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* 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

Exclusion Criteria

* diagnosis of primary or secondary progressive MS or other active autoimmune disease
* intake/administration of the following disease modifying therapies:

1. at any time point: alemtuzumab, cladribine
2. during the last 6 months before inclusion: natalizumab, fingolimod, dimethyl fumarate, siponimod
3. during the last 12 months before inclusion: mitoxantron, ocrelizumab, ofatumumab, rituximab
* 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
Minimum Eligible Age

18 Years

Maximum Eligible Age

60 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Universität Münster

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Luisa Klotz, Prof.

Role: PRINCIPAL_INVESTIGATOR

Universität Münster

Locations

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Universitätsklinik Heidelberg, Neurologische Klinik

Heidelberg, Baden-Wurttemberg, Germany

Site Status RECRUITING

Neurological study centre, Department of Neurology

Mainz, Hesse, Germany

Site Status RECRUITING

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

Münster, North Rhine-Westphalia, Germany

Site Status RECRUITING

Klinikum Osnabrück GmbH, Klinik für Neurologie

Osnabrück, North Rhine-Westphalia, Germany

Site Status RECRUITING

Countries

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Germany

Central Contacts

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Luisa Klotz, Prof.

Role: CONTACT

+49 (0)251 83 ext. 48165

Jan Lünemann, Prof.

Role: CONTACT

+49 (0)251 83 ext. 48165

Facility Contacts

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Brigitte Wildemann, Prof.

Role: primary

Luisa Klotz, Prof.

Role: primary

+4925183 ext. 48165

Susanne Windhagen, Dr.

Role: primary

Other Identifiers

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WWU21_0013

Identifier Type: -

Identifier Source: org_study_id

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