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Low Fat Diet and Multiple Sclerosis (MS)

Primary Purpose

Multiple Sclerosis

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
Low fat study diet
Sponsored by
Oregon Health and Science University
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Multiple Sclerosis focused on measuring Multiple sclerosis, Diet

Eligibility Criteria

18 Years - 70 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Clinical diagnosis of the relapsing-remitting form of MS
  • Age 18-70, inclusive
  • MS duration of less than 15 years
  • May or may not be on disease-modifying therapies for MS, but if on, must be on for more than 6 months of continuous therapy
  • Should not have diabetes
  • Able and willing to follow exercise instructions
  • Able and willing to travel to California for 10-day training program (cost covered by study)
  • Able and willing to travel to Portland, OR for 6 study visits over the 12 month study period (cost covered by study)

Exclusion Criteria:

  • No clinically significant MS exacerbation within 30 days of screening visit
  • No systemically administered corticosteroids within 30 days of study entry
  • Patient not pregnant or breastfeeding
  • Not taking fish oil/flax seed for at least 2 months prior to first visit
  • No other significant health programs (e.g. active coronary heart disease, liver disease, pulmonary disease) that might increase risk of patient experiencing adverse events

Sites / Locations

  • Oregon Health and Science University

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

No Intervention

Arm Label

1. Low fat study diet

2. Regular diet group

Arm Description

The low fat study diet arm will receive low fat diet training and followed for 12 months on the diet.

The regular diet arm will be a wait-listed group that will receive no training in diet and will be advised to continue their regular (usual) diet as was prior to entry into the study, for the duration of the study. They will have a similar clinic follow up schedule as the treatment group. The regular diet group will be given identical instructions to exercise regularly similar to the treatment group.

Outcomes

Primary Outcome Measures

Number of new MS T2 lesion formation on brain MRI in those randomized to the low fat study diet with that of subjects randomized to follow their regular diet.

Secondary Outcome Measures

To assess effects of the low fat study diet on clinical activity of MS as by relapse rate and disability progression and on fatigue, depression and quality of life.
To study the effects of the Low Fat Study Diet on serum markers of inflammation
To assess safety and tolerability of the low fat study diet upon 12 months of administration

Full Information

First Posted
February 26, 2009
Last Updated
February 2, 2015
Sponsor
Oregon Health and Science University
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1. Study Identification

Unique Protocol Identification Number
NCT00852722
Brief Title
Low Fat Diet and Multiple Sclerosis
Acronym
MS
Official Title
A Randomized, Controlled Study of Diet and Multiple Sclerosis
Study Type
Interventional

2. Study Status

Record Verification Date
February 2015
Overall Recruitment Status
Completed
Study Start Date
February 2009 (undefined)
Primary Completion Date
July 2014 (Actual)
Study Completion Date
July 2014 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Oregon Health and Science University

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The purpose of this study is to evaluate if following a specific low fat diet will improve the brain damage as seen by Magnetic Resonance Imaging (MRI) and to decrease the progression of multiple sclerosis (MS) as evidenced by clinical evaluation and symptoms.
Detailed Description
This research project has significance for its potential to develop a new therapeutic approach to MS. Current treatments in MS include disease modifying therapies such as human recombinant interferon beta, glatiramer acetate and natalizumab. However, these are only partially effective, cannot be taken orally, have side-effects and are very expensive. Developing treatment that can be combined with current disease modifying agent remains an important goal for improving the care of people with MS.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Multiple Sclerosis
Keywords
Multiple sclerosis, Diet

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
61 (Actual)

8. Arms, Groups, and Interventions

Arm Title
1. Low fat study diet
Arm Type
Experimental
Arm Description
The low fat study diet arm will receive low fat diet training and followed for 12 months on the diet.
Arm Title
2. Regular diet group
Arm Type
No Intervention
Arm Description
The regular diet arm will be a wait-listed group that will receive no training in diet and will be advised to continue their regular (usual) diet as was prior to entry into the study, for the duration of the study. They will have a similar clinic follow up schedule as the treatment group. The regular diet group will be given identical instructions to exercise regularly similar to the treatment group.
Intervention Type
Other
Intervention Name(s)
Low fat study diet
Intervention Description
The low fat study diet is a very low-saturated-fat, plant food based diet. It will be approximately 10% fat, 14% protein and 76% carbohydrate.The diet is is starched based and also contains fresh or frozen fruits and vegetables and there is no animal meat used, including no use of fish. This diet is very low in saturated fats and enriched in unsaturated fats. Subjects do not take dietary supplements.
Primary Outcome Measure Information:
Title
Number of new MS T2 lesion formation on brain MRI in those randomized to the low fat study diet with that of subjects randomized to follow their regular diet.
Time Frame
Baseline. Month 12.
Secondary Outcome Measure Information:
Title
To assess effects of the low fat study diet on clinical activity of MS as by relapse rate and disability progression and on fatigue, depression and quality of life.
Time Frame
Baseline. Month 3. Month 6. Month 9. Month 12.
Title
To study the effects of the Low Fat Study Diet on serum markers of inflammation
Time Frame
Baseline. Month 6. Month 12.
Title
To assess safety and tolerability of the low fat study diet upon 12 months of administration
Time Frame
Baseline. Month 3. Month 6. Month 9. Month 12.

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
70 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Clinical diagnosis of the relapsing-remitting form of MS Age 18-70, inclusive MS duration of less than 15 years May or may not be on disease-modifying therapies for MS, but if on, must be on for more than 6 months of continuous therapy Should not have diabetes Able and willing to follow exercise instructions Able and willing to travel to California for 10-day training program (cost covered by study) Able and willing to travel to Portland, OR for 6 study visits over the 12 month study period (cost covered by study) Exclusion Criteria: No clinically significant MS exacerbation within 30 days of screening visit No systemically administered corticosteroids within 30 days of study entry Patient not pregnant or breastfeeding Not taking fish oil/flax seed for at least 2 months prior to first visit No other significant health programs (e.g. active coronary heart disease, liver disease, pulmonary disease) that might increase risk of patient experiencing adverse events
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Vijayshree Yadav, MD
Organizational Affiliation
Oregon Health and Science University
Official's Role
Principal Investigator
Facility Information:
Facility Name
Oregon Health and Science University
City
Portland
State/Province
Oregon
ZIP/Postal Code
97239
Country
United States

12. IPD Sharing Statement

Links:
URL
http://www.ohsu.edu/ms
Description
MS Center of OHSU website

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Low Fat Diet and Multiple Sclerosis

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