Nicotinamide Riboside Supplementation In Progressive Multiple Sclerosis

Trial statusRecruiting
Trial phasePhase 2
Trial typeInterventional
Biological sexAll
Age18-65
SponsorHaukeland University Hospital

About this trial

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,

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

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

Disqualifiers

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

Trial design

Design model

Parallel

Treatments tested in this trial

  • Nicotinamid riboside

    Dietary supplement

    500 mg x 2 po

  • Placebo

    Dietary supplement

    Placebo tablets

Treatment groups

300 Participants
are divided into 2 treatment groups
Group A: PlaceboExperimental treatment 1 intervention
Group B: Nicotinamid RibosideExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Proportion of patients with sustained disability progression over the treatment period

Defined as an increase in either expanded disability status scale (EDSS), timed 25 foot -walk test (T25W) or 9-hole-peg test. EDSS is measured in scores from 0 - 10. The higher the score the less ambulatory ability. Progression is defined as an increase of \>/=1.0 point if baseline EDSS is \</= 5.5 or an increase of \>/=0.5 point if baseline EDSS is \>/= 5.5. Progression in T25WT and 9HPT is defined as an increase of 20% from baseline measures in minutes/seconds.

Time frame
Baseline to month 30

Secondary outcomes

1

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

Proportion of patients with sustained disability progression over the treatment period

Time frame
Baseline to month 30
2

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

Proportion of patients with sustained disability progression over the treatment period

Time frame
Baseline to month 30
3

To determine the efficacy of NR compared with placebo, as reflected by 9-Hole Peg test

Proportion of patients with sustained disability progression over the treatment period

Time frame
Baseline to month 30
4

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

MRI

Time frame
Baseline to month 24

Other outcomes

Sponsors and contacts

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