Nicotinamide Riboside Supplementation In Progressive Multiple Sclerosis: A Randomised Controlled Trial: The NORSEMAN Study

RecruitingPhase 2Progressive MSNCT05740722

What it found

Still running

No result yet.

What was tested

Treatment tested

  • Nicotinamid riboside

Placebo

  • Placebo

What it measured

Main measures

  • Proportion of patients with sustained disability progression over the treatment period

    Baseline to month 30

    Disability progressionWalking and mobility

Other measures (7)

  • To determine the efficacy of NR compared with placebo, as reflected by EDSS

    Baseline to month 30

    Disability progression
  • To determine the efficacy of NR compared with placebo, as reflected by 25-footwalk

    Baseline to month 30

    Disability progressionWalking and mobility
  • To determine the efficacy of NR compared with placebo, as reflected by 9-Hole Peg test

    Baseline to month 30

    Disability progression
  • To determine the efficacy of NR compared with placebo, as reflected by total volume of T2 lesions on MRI scans of the brain

    Baseline to month 24

    MRI lesions
  • To determine the efficacy of NR compared with placebo, as reflected by formation of lesions

    Baseline to month 24

    MRI lesions
  • Changes in brain atrophy in NR-treated patients with primary progressive multiple sclerosis as compared with placebo

    Baseline to month 24

    MRI lesionsBrain volume loss
  • Time to onset of sustained disability progression over the treatment period

    Baseline to month 30

    Disability progression

Who could take part

Progressive MS · 18 to 65 · EDSS 3 to 6.5

Show the full criteria

Inclusion criteria

* A diagnosis of progressive MS (secondary; SPMS or primary; PPMS) according to the 2013 revisions of clinical course of multiple sclerosis and the 2017 revisions of the McDonald criteria. * Aged 18-65 years. * EDSS 3-6.5 * Able to perform T25FW test * The participant must have documented evidence of disability progression observed during the 24 months before screening. * With or without a stable disease modifying therapy during the last three months. * Written informed consent for study participation.

Exclusion criteria

* A diagnosis of relapsing MS according to the revisions of the McDonald criteria * Neoplastic disease at baseline * Previous history of malignant melanoma or breast cancer * Stable phase of a progressive disease course * Pregnancy or lactating female patients * Dementia or other neurodegenerative disorder at baseline visit * Comorbidity (psychiatric or somatic) that precludes study participation * Use of high dose vitamin B3 supplementation within 30 days of enrolment * Genetically confirmed mitochondrial disease or metabolic disorder

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

Contact details on the registry

About this trial

In the sponsor's words

The purpose of this study is to assess the safety and efficacy of Nicotinamide riboside (NR) for treatment of patients with progressive multiple sclerosis. The main question it aims to answer is: • Does NR delay disability progression in progressive multiple sclerosis? Participants will be treated with NR or placebo for 30 months,

Papers

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    History

      1. Started

        May 2023

      2. Main results due

        Aug 2027

      3. Finished

        Dec 2027

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