About this trial
This multicenter, randomized, open-label clinical trial aims to evaluate the efficacy and safety of taurine as an adjunctive therapy to standard disease-modifying treatments (DMTs) in patients with multiple sclerosis (MS). The study seeks to determine whether oral taurine can reduce the number and volume of new or enlarging MRI lesions, decrease relapse rates, and slow disability progression as measured by the Expanded Disability Status Scale (EDSS). It will also explore the effects of taurine on gut microbiota composition, serum neurodegeneration biomarkers (GFAP and NfL), and cognitive function assessed by MMSE and MoCA. Approximately 80 eligible participants will be enrolled and randomly assigned to either continue standard DMT therapy or receive taurine supplementation in addition to DMTs. The treatment duration will be 24 months, with follow-up visits every 3 months for clinical assessment, blood and stool sample collection, and MRI scans every 6 months. This study aims to provide new clinical evidence supporting taurine as a safe and potentially beneficial adjunctive therapy for multiple sclerosis.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
1.Age and Gender: Male or female participants aged 18 to 65 years.
2.Diagnosis: Patients diagnosed with multiple sclerosis (MS) according to the 2017 revised McDonald criteria.
3.Treatment Background: Patients receiving stable disease-modifying therapy (DMT) prior to enrollment.
4. EDSS score between 1.0 and 5.5 at screening.
Disqualifiers
1. Patients with known hypersensitivity to taurine or any of its components
2. Women who are pregnant or breastfeeding
3. Patients currently participating in other clinical trials
4. Patients who refuse to participate in the relevant clinical study
Trial design
Parallel
Treatments tested in this trial
DMTs + taurine
DrugDMTs + Taurine
DMTs
DrugDMTs
Treatment groups
Trial outcomes
Primary outcomes
MRI leision activity
Change in the number, size, and volume of new or enlarging T2 and Gd-enhancing T1 lesions on brain and spinal MRI scans
Secondary outcomes
EDSS score
Change in Expanded Disability Status Scale (EDSS) score to assess disability progression or improvement
Annualized Relapse Rate (ARR)
Number of confirmed clinical relapses per patient-year during the 24-month treatment period
Gut Microbiota Composition
Alterations in gut microbial diversity and relative abundance of key taxa analyzed by 16S rRNA sequencing of stool samples at baseline, Month 12, and Month 24
Serum Biomarkers (GFAP and NfL)
Change in serum levels of glial fibrillary acidic protein (GFAP) and neurofilament light chain (NfL) from baseline to Month 24 as indicators of neuroinflammation and axonal injury.
Other outcomes
Safety Outcome Measures
All adverse events occurring during the study period will be recorded, including their onset time, duration, severity, outcome, and relationship to the study drug (taurine). Serious adverse events will be reported immediately according to GCP requirements.
Locations
Sponsors and contacts
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Sichuan Academy of Medical Sciences
Lead sponsor
First Affiliated Hospital of Chongqing Medical University
Collaborator
Tang-Du Hospital
Collaborator
The First Affiliated Hospital of Hainan Medical University
Collaborator
Lanzhou University Second Hospital
Collaborator
First Affiliated Hospital of Kunming Medical University
Collaborator
Daping Hospital of Army Medical University
Collaborator
Shandong Provincial Hospital
Collaborator
Affiliated Hospital of North Sichuan Medical College
Collaborator
Beijing Tiantan Hospital
Collaborator
The People's Hospital of Leshan
Collaborator
The Affiliated Hospital of Inner Mongolia Medical University
Collaborator
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