Comprehensive Lifestyle Intervention for Reducing Cardiometabolic Risk and Symptom Burden in Adults With Multiple Sclerosis

Stopped earlyNot a drug-phase studyRelapsing MSNCT03808545

What it found

Stopped

The trial ended early for another reason (see below).

Reason given: Lack of enrollment

What was tested

Treatment tested

  • BIPAMS + Diet

Compared with

  • Behavioral Intervention for Physical Activity in Multiple Sclerosis (BIPAMS)

Results by group

BMI Change

Baseline and16 weeks

GroupValueIntervalNumber analysed
BIPAMS.60 kg/m21.36 (Standard Deviation)5
BIPAMS + Diet.49 kg/m21.3 (Standard Deviation)4

BIPAMS

0.6

BIPAMS + Diet

0.49

Waist Circumference Change

Baseline and 16 weeks

GroupValueIntervalNumber analysed
BIPAMS.31 cm3.07 (Standard Deviation)5
BIPAMS + Diet.31 cm5.54 (Standard Deviation)4

BIPAMS

0.31

BIPAMS + Diet

0.31

Fat Mass Change

Baseline and 16 weeks

GroupValueIntervalNumber analysed
BIPAMS2.14 lb6.07 (Standard Deviation)5
BIPAMS + Diet.05 lb3.07 (Standard Deviation)4

BIPAMS

2.14

BIPAMS + Diet

0.05

Values as posted on ClinicalTrials.gov. Outcomes measured differently across trials are not directly comparable.

Safety

GroupParticipants at riskSerious adverse eventsDeaths
BIPAMS60 (0.0%)0
BIPAMS + Diet51 (20.0%)0

As posted on ClinicalTrials.gov. Serious adverse events include any serious health event during the trial, whether or not the treatment caused it.

What it measured

Main measures

  • BMI Change

    Baseline and16 weeks

  • Waist Circumference Change

    Baseline and 16 weeks

  • Fat Mass Change

    Baseline and 16 weeks

    Physical function

Other measures (12)

  • Diastolic Blood Pressure Change

    Baseline and 16 weeks

  • Systolic Blood Pressure Change

    Baseline and 16 weeks

  • Glucose Change

    Baseline and16 weeks

  • Insulin Change

    Baseline and16 weeks

  • Triglycerides Change

    Baseline and 16 weeks

  • LDL-C Change

    Baseline and16 weeks

  • HDL-C Change

    Baseline and 16 weeks

  • Total Cholesterol Change

    Baseline and 16 weeks

  • Change in Fatigue Severity Scale

    Baseline and16 weeks

    Fatigue
  • Change in Modified Fatigue Impact Scale

    Baseline and 16 weeks

    Fatigue

Who could take part

Relapsing MS · 18 to 65

Show the full criteria

Inclusion criteria

* Relapsing-Remitting MS * On disease modifying treatment for 6 months * No relapse within the previous 30 days * BMI 25-55 kg/m2 * Self-identify as not currently meeting recommendations for healthy diet and physical activity * Ambulatory with or without assistance * Reliable access to the internet via computer or smartphone * Responsible for their personal food preparation or have input into the food prepared for them * Score indicating low cognitive functioning on the Telephone Interview for Cognitive Status assessment

Exclusion criteria

* Physician does not approve participation * Use of the following diabetes medications: Acetohexamide, Chlorpropamide (Diabinese), Tolbutamide (Orinase, Tol-Tab), Tolazamide (Tolinase), Glipizide (Glucotrol, Glucotrol XL, Metaglip), Glyburide (Micronase, DiaBeta, Glynase, Glucovance), Glimepiride (Amaryl), Humalog or lispro, Novolog or aspart, Apidra or glulisine, Regular (R) humulin or novolin, Velosulin (for use in the insulin pump), NPH (N), Lente (L), Ultralente (U), Lantus, Levemir or detemir, Humulin 70/30, Novolin 70/30, Novolog 70/30, Humulin 50/50, or Humalog mix 75/25 * Already on a specific diet meant to improve health * Heart attack, stroke, or heart bypass surgery less than 6 months ago * Pulmonary disease, cardiovascular disease or renal failure less than 6 months ago * Smoking * Cancer, HIV or liver/kidney disease * Inability to travel to Lakeshore for testing

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

About this trial

In the sponsor's words

Multiple sclerosis (MS) is the leading cause of irreversible neurological disability among young women and the second leading cause of disability among young men in the U.S. Cardiometabolic risk factors including obesity and hyperlipidemia are common among people with MS, and these risk factors are associated with severity and frequency of MS relapses and disease progression. People with MS often experience symptoms of pain, fatigue, and depression, which make adhering to a healthy lifestyle difficult, as evidenced by the high rates of unhealthy behaviors including poor diet and physical inactivity among this group. Physical activity has reduced symptoms of MS and improved metabolic risk profiles, but little research has focused on the role of a dietary intervention combined with physical activity in this group. Therefore, the purpose of this study is to test the efficacy of a combined diet and physical activity intervention for reducing cardiometabolic risks and MS symptoms when compared to a physical activity intervention alone.

Papers

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    History

      1. Started

        Feb 2019

      2. Main results due

        Mar 2020

      3. Finished

        Mar 2020

      4. Results posted

        Nov 2022

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