Effect of High-fiber Supplement in Multiple Sclerosis

CompletedPhase 1Phase 2Relapsing MSNCT04574024

What it found

Results posted, not judged

Results are posted in the registry, but without a statistical test of the main measure. See the numbers below.

What was tested

Treatment tested

  • NBT-NM108

Results by group

Assess the Effect of NBT-NM108 on Serum TNF-alpha Levels in MS Patients

Baseline; and 8 weeks and 12 weeks post-NBT-NM108 treatment.

GroupValueIntervalNumber analysed
Baseline25.62 pg/ml1.28 (Standard Error)3
NBT-NM108 Treatment for 8 Weeks.22.58 pg/ml0.78 (Standard Error)3
NBT-NM108 Treatment for 12 Weeks20.73 pg/ml0.56 (Standard Error)2

Baseline

25.62

NBT-NM108 Treatment for 8 Weeks.

22.58

NBT-NM108 Treatment for 12 Weeks

20.73

Examine the Effect of NBT-NM108 on Anaerostipes in MS Patients.

Baseline; and 8 weeks and 12 weeks post-NBT-NM108 treatment.

GroupValueIntervalNumber analysed
Baseline1.94 % abundance0.89 (Standard Error)7
NBT-NM108 Treatment for 8 Weeks4.23 % abundance0.52 (Standard Error)3
NBT-NM108 Treatment for 12 Weeks4.52 % abundance0.35 (Standard Error)2

Baseline

1.94

NBT-NM108 Treatment for 8 Weeks

4.23

NBT-NM108 Treatment for 12 Weeks

4.52

Effect of NBT-NM108 on Fecal Lcn-2 Levels in MS Patients

Baseline, and 8 weeks and 12 weeks post-NBT-NM108 treatment.

GroupValueIntervalNumber analysed
Baseline68.7 ng/mg30.9 (Standard Error)7
NBT-NM108 Treatment for 8 Weeks24.4 ng/mg3.8 (Standard Error)3
NBT-NM108 Treatment for 12 Weeks33.4 ng/mg2.7 (Standard Error)2

Baseline

68.7

NBT-NM108 Treatment for 8 Weeks

24.4

NBT-NM108 Treatment for 12 Weeks

33.4

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

Safety

GroupParticipants at riskSerious adverse eventsDeaths
MS Study Cohort70 (0.0%)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

  • Assess the Effect of NBT-NM108 on Serum TNF-alpha Levels in MS Patients

    Baseline; and 8 weeks and 12 weeks post-NBT-NM108 treatment.

  • Examine the Effect of NBT-NM108 on Anaerostipes in MS Patients.

    Baseline; and 8 weeks and 12 weeks post-NBT-NM108 treatment.

  • Effect of NBT-NM108 on Fecal Lcn-2 Levels in MS Patients

    Baseline, and 8 weeks and 12 weeks post-NBT-NM108 treatment.

Who could take part

Relapsing MS · 21 to 55

Show the full criteria

Inclusion criteria

Patients with the first demyelinating event who meet the McDonald criteria for relapsing remitting MS.

Exclusion criteria

1. Primary or secondary progressive MS. 2. Patients with autoimmune comorbidities. 3. Having received prior chemotherapy. 4. Having received Dimethylfumarate (DMF). 5. Pregnant women. 6. Cognitively impaired. 7. Antibiotic use within last 6 months. 8. Probiotic use within 2 months. 9. Self-reported allergy or intolerance to any ingredients in the fiber supplement. 10. Self-reported or diagnosed gastrointestinal symptoms, disorders or adenomas. 11. Active or history of malignant tumors.

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 an autoimmune disease directed against the Central Nervous System (CNS). Recent studies have indicated that changes in the gut microbiota are associated with disease initiation and progression. The reduction of bacterial taxa involved in producing health-promoting metabolites, such as short-chain fatty acids (SCFAs), has been reported in MS patients. SCFAs play an important role in the suppression of inflammation. The levels of SCFAs in the blood of MS patients are significantly reduced when compared to those of healthy controls. Since the intake of dietary fiber increases the growth of SCFA-producing bacteria, we investigated the effect of a high-fiber supplement (HFS) on gut bacteria and immunological parameters in MS patients.

Papers

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    History

      1. Started

        Mar 2022

      2. Main results due

        Jun 2024

      3. Finished

        Jul 2024

      4. Results posted

        Dec 2024

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