About this trial
This study is a randomised, double-blind, placebo-controlled trial investigating the effects of Hesperidin supplementation on cognitive function, fatigue, and stress.
Participants will be randomly assigned to receive either 500mg of Hesperidin or a matching placebo daily for 12 weeks. The primary outcome is fatigue, with secondary outcomes including cognitive performance and mood. The trial seeks to determine if this dietary intervention offers symptom-alleviating benefits.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Diagnosis of Multiple Sclerosis, Aged 18 years or older.
Disqualifiers
Known food allergies, intolerances, or significant gastrointestinal (GI) problems, Participants under the age of 18 years.
Trial design
Parallel
Treatments tested in this trial
Hesperidin
Dietary supplement500 mg/day Hesperidin capsules for 12 weeks
Placebo
Dietary supplementMatching maltodextrin capsules for 12 weeks.
Treatment groups
Trial outcomes
Primary outcomes
Fatigue
Fatigue will be assessed using the Modified Fatigue Impact Scale (MFIS; Fisk et al., 1994), with the MFIS total score as the primary endpoint. MFIS subscale scores (physical, cognitive, psychosocial) and the Fatigue Severity Scale (FSS; Krupp et al., 1989) will be analysed as secondary outcomes to determine effects across different components of fatigue.
Secondary outcomes
Mood and Stress
Mood and stress symptoms will be assessed using the Depression Anxiety Stress Scales (DASS). Secondary outcomes will include the Depression, Anxiety, and Stress subscale scores.
Cognitive Function Battery
Global cognitive performance will be summarised using a composite score calculated as the mean of standardized (z) scores from a prespecified cognitive battery including: Continuous Performance Task (attention), Auditory Verbal Learning Task (verbal memory), Digit Symbol Substitution Task (speed of information processing), Stroop Task (selective attention/inhibitory control), and Trail Making Task (processing speed/set-shifting). Scores will be coded so that higher values indicate better performance (completion time measures will be reverse-scored prior to standardisation).Individual task outcomes will also be analysed separately to explore domain-specific effects (attention, memory, speed). Fatigue/mood ratings are taken before and after the test to assess cognitive fatigue relating to the tests.
Sponsors and contacts
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Swansea University
Lead sponsor
BioActor B.V.
Collaborator