Waves: in relapsing MS, not a drug-phase study

Dietary Approaches to Treat Multiple Sclerosis-Related Fatigue Study

CompletedNot a drug-phase studyRelapsing MSNCT02914964

What it found

Paper found, not read

A paper reports the results; we have not read it yet. See Papers below.

What was tested

Treatment tested

Swank Diet
Wahls Elimination Diet

What it measured

Main measures

Change in participant perceived fatigue severity
12-24 weeks
Fatigue
Change in participant perceived fatigue severity
12-36 weeks
Fatigue
Change in the impact of fatigue on daily life
12-24 weeks
Thinking and memoryFatigue
Change in the impact of fatigue on daily life
12-36 weeks
Thinking and memoryFatigue

Other measures (22)

Change in participant walk speed
12-24 weeks
Walking and mobility
Change in participant walk speed
12-36 weeks
Walking and mobility
Change in gait (walk)
12-24 weeks
Walking and mobility
Change in gait (walk)
12-36 weeks
Walking and mobility
Change in fine motor function
12-24 weeks
Change in fine motor function
12-36 weeks
Change in nutrient intake based on the recommended daily allowance (RDA)
12-24 weeks
Change in nutrient intake based on the recommended daily allowance (RDA)
12-36 weeks
Change in cognitive function
12-24 weeks
Thinking and memory
Change in cognitive function
12-36 weeks
Thinking and memory

Who could take part

Relapsing MS · 18 to 70

Show the full criteria

Inclusion criteria

* Willing to allow your neurologist to sign a letter confirming multiple sclerosis diagnosis and criteria used in diagnosis * Relapsing-Remitting Multiple Sclerosis as documented by the McDonald Criteria confirmed by their treating neurologist * Fatigue as documented by a Fatigue Severity Scale score of greater than or equal to 4 * Between the ages of 18 and 70 * Body Mass Index greater than or equal to 19 * Ability to shop for and prepare or have someone in the family shop for and prepare home cooked meals according to study diet guidelines * Willingness to keep detailed food records * Willing to eat a diet that includes more vegetables and excludes many comfort foods such as those made with white flour, * Willing to eat a diet that eliminates red meat (beef, pork, lamb, veal) and saturated fats (butter, coconut oil, margarine, hydrogenated oils found in processed foods) to 1 tablespoon per day * Must not be pregnant or planning to become pregnant in the next year * Willing to eat meat (eg, chicken, turkey, fish) * Willingness to follow either the Wahls Elimination diet or the Swank diet * Individuals who have had gastric bypass surgery have obtained a signed statement from their physician indicating they are weight stable and a suitable candidate for this study * Normal or mild cognitive impairment as measured by the Short Portable Mental Status Questionnaire * Willing to have blood drawn * Be able to walk 25 feet without support, or with only unilateral support (i.e. cane in one hand)

Exclusion criteria

* Taking insulin or Coumadin * Relapse within past 12 weeks * Treatment for a cancer (other than skin cancer) currently or in the prior 12 months * Diagnosis of heart failure, liver cirrhosis, angina, history of kidney stones, psychiatric disease likely to make adherence to the study interventions more difficult including eating disorders, but excluding depression and anxiety * Body Mass Index less than 19 * Moderate to severe mental impairment as measured by the Short Portable Mental Status questionnaire * Inability to shop for and prepare home cooked meals by the subject or a companion * Unwillingness to eat meat * Participation in another research study that involves multiple sclerosis or other medications, diet, supplement, exercise or other treatments * Inability to keep food records with sufficient detail to asses dietary intake or complete study questionnaires * Unwilling to have blood drawn * Pregnant or planning to become pregnant in the next year

As registered. Criteria can change, so ask the trial team or your neurologist.

About this trial

In the sponsor's words

The purpose of this study is to compare the effect of the Swank Diet (low saturated fat) and the Wahls Elimination Diet (modified paleo) on fatigue levels in individuals with relapsing-remitting multiple sclerosis who have documented fatigue. Participants will follow their usual diet for 12 weeks and then be randomly assigned to follow one of the two diets for 24 weeks.

Papers

Loading reviews and guidelines…

History

Started
Aug 2016
Main results due
Jan 2020
Finished
Feb 2025

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