Status:

ACTIVE_NOT_RECRUITING

Calorie Restriction in Multiple Sclerosis

Lead Sponsor:

Federico II University

Collaborating Sponsors:

Fondazione Italiana Sclerosi Multipla

Conditions:

Multiple Sclerosis, Relapsing-Remitting

Caloric Restriction

Eligibility:

All Genders

18-60 years

Phase:

NA

Brief Summary

There is a strong relationship between metabolic state and immune tolerance through a direct control exerted on immune cells by specific intracellular nutrient-energy sensors. An increased "metabolic ...

Detailed Description

Multiple sclerosis (MS) is an autoimmune disorder characterized by central nervous system (CNS) inflammation, demyelination, and axonal damage. Its pathogenesis consists of an initial T cell priming a...

Eligibility Criteria

Inclusion

  • Subjects with early diagnosis (no more than 2 years) of RR-MS according to the revised McDonald (2017) criteria;
  • Subjects naïve-to-treatment;
  • Subjects with EDSS between 0-5.5;
  • No use of oral or systemic corticosteroids or adrenocorticotropic hormone (ACTH) within 30 days prior to screening visit;
  • Subjects with BMI \> 22 kg/m2 and BMI \< 28 kg/m2;
  • Willing to collect a food diary for one week and to donate a blood and stool samples;
  • No antibiotic treatment within 3 months of enrolment;
  • No immunosuppressive therapy;
  • Signed informed consent.

Exclusion

  • Pregnancy and breast-feeding;
  • History of alcohol or drug abuse;
  • Serious psychiatric disorders;
  • Any major medical problem that in the opinion of the investigator could bias the results (e.g. HIV infection) or affect adherence to the protocol;
  • Subjects with inadequate haematological function (defined by leukocyte ≤ 2,0 x 109; platelets \<100 x 109; haemoglobin \<12 g/dl for female and \<13 g/dl for male), liver function (defined by aspartate transaminase (AST), alanine transaminase (ALT), alkaline phosphatase \> 2.0 times upper limit of normal), thyroid function (according to physician's discretion);
  • Known hypersensitivity to gadolinium;
  • Any other condition that would prevent the subject from undergoing a contrast-enhanced MRI scan;
  • Any contra-indication according to the specific first line treatment for MS.

Key Trial Info

Start Date :

July 14 2020

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

September 1 2025

Estimated Enrollment :

93 Patients enrolled

Trial Details

Trial ID

NCT04042415

Start Date

July 14 2020

End Date

September 1 2025

Last Update

August 20 2024

Active Locations (1)

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Neuromed - Istituto Neurologico Mediterraneo Pozzilli

Pozzilli, IS, Italy, 86077