Protocol summary

Study aim
Investigating the effect of oral magnesium supplementation on cognitive function, fatigue, depression, anxiety and serum levels of magnesium, BDNF, IL-6 and Superoxide Dismutase II in relapsing-remitting multiple sclerosis patients
Design
Clinical trial with placebo control group, with parallel groups, triple blind, randomized, on 58 MS patients, randomization with blocks of 4 using software
Settings and conduct
The place is the MS Research Center of Sina Hospital in Tehran; on relapsing relapsing MS patients; triple blind; Blinding, randomization and preparation of supplement cans are done by a trained person outside the study so that the participants, researchers and the statistician remain blind until the end of the analyses.
Participants/Inclusion and exclusion criteria
Inclusion criteria: the individual's willingness to participate in the study; definite patients with relapsing-remitting MS based on the 2017 McDonald diagnostic criteria who are on file at Sinai Hospital; age range 18-55 years old; EDSS less than 5.5; education above diploma; more than one month has passed since the last corticosteroid injection (pulse therapy); more than one month has passed since the last relapse of the disease. Exclusion criteria: suffering from another neurological disease other than MS; pregnancy or breastfeeding; suffering from chronic gastrointestinal, liver, kidney, heart, respiratory and cancer diseases; having a diet for any reason; suffering from severe psychological disorders such as major depression History of allergy to Magnesium.
Intervention groups
Intervention group: Magnesium oxide supplement 750 mg in the form of three 250 mg tablets (TDS) for 12 weeks. Control group: placebo supplement, 750 mg of corn starch powder in the form of three 250 mg tablets (TDS) for 12 weeks.
Main outcome variables
Cognition; depression; anxiety; fatigue; serum levels of magnesium; BDNF; IL-6, and Superoxide Dismutase II

General information

Reason for update
Acronym
IRCT registration information
IRCT registration number: IRCT20220101053582N2
Registration date: 2023-06-20, 1402/03/30
Registration timing: prospective

Last update: 2023-06-20, 1402/03/30
Update count: 0
Registration date
2023-06-20, 1402/03/30
Registrant information
Name
Abdorreza Naser Moghadasi
Name of organization / entity
Country
Iran (Islamic Republic of)
Phone
+98 937 438 1919
Email address
abdorrezamoghadasi@gmail.com
Recruitment status
Recruitment complete
Funding source
Expected recruitment start date
2023-07-21, 1402/04/30
Expected recruitment end date
2024-02-19, 1402/11/30
Actual recruitment start date
empty
Actual recruitment end date
empty
Trial completion date
empty
Scientific title
Investigating the effect of oral magnesium supplementation on cognitive function, fatigue, depression, anxiety and serum levels of magnesium, BDNF, IL-6 and Superoxide Dismutase II in relapsing-remitting multiple sclerosis patients
Public title
Investigating the effect of oral magnesium supplementation on cognitive function, fatigue, depression, anxiety of multiple sclerosis patients
Purpose
Supportive
Inclusion/Exclusion criteria
Inclusion criteria:
The individual's willingness to participate in the study Definite patients with relapsing-remitting MS based on the 2017 McDonald diagnostic criteria (20) who are on file at Sinai Hospital Age range 18-55 years EDSS less than 5.5 Education above diploma More than one month has passed since the last corticosteroid injection (pulse therapy) More than one month has passed since the last relapse of the disease
Exclusion criteria:
Suffering from another neurological disease other than MS Pregnancy or breastfeeding Suffering from chronic gastrointestinal, liver, kidney, heart, respiratory and cancer diseases Having a diet for any reason Suffering from severe psychological disorders such as major depression History of allergy to Magnesium
Age
From 18 years old to 55 years old
Gender
Both
Phase
N/A
Groups that have been masked
  • Participant
  • Care provider
  • Investigator
  • Outcome assessor
  • Data analyser
Sample size
Target sample size: 58
Randomization (investigator's opinion)
Randomized
Randomization description
People participating in the study are selected by easy sampling method. Patients are classified according to age and gender, and each person will be placed in the group receiving magnesium supplement or placebo using random blocks of four with a ratio of 1:1. Blocks of four are randomly designed through the software, such as (ABAB), (BBAB), (AABB), (ABBA), (BAAB). Allocation of A or B to the supplement or placebo group will be done by a person outside of the research implementation, and the researchers will remain blind. Based on the list of prepared random blocks of four, a trained person outside the research team is responsible for randomly allocating patients. After the arrival of each patient, according to the 15 quadruple blocks prepared in the first stage, each patient will be randomly placed in group A or B, and the sample allocation process will be done consecutively until the end of sampling.
Blinding (investigator's opinion)
Triple blinded
Blinding description
Patients are classified according to gender and each person will be placed in the group receiving magnesium supplement or placebo using block randomization of four with a ratio of 1:1. This study will be a triple-blind clinical trial, so participants, researchers, neurologists, and data analysts will be unaware that each patient is receiving magnesium supplements or placebo. In this method, one of the letters A or B will be assigned to each group, and for the purpose of blinding, this will be done by the manufacturer of the supplement and placebo.
Placebo
Used
Assignment
Parallel
Other design features

Secondary Ids

empty

Ethics committees

1

Ethics committee
Name of ethics committee
Neurorehabilitation Research Institute/MS R.C, Sinai Hospital
Street address
"Neural Rehabilitation" Neuroscience Research Institute, Imam Khomeini Hospital, Keshavarz Blvd.
City
Tehran
Province
Tehran
Postal code
1419733139
Approval date
2023-06-11, 1402/03/21
Ethics committee reference number
IR.TUMS.NI.REC.1402.007

Health conditions studied

1

Description of health condition studied
Multiple Sclerosis
ICD-10 code
G35
ICD-10 code description
Multiple sclerosis

Primary outcomes

1

Description
Cognition
Timepoint
At the beginning of the study and at the end of the 12th week
Method of measurement
MACFIMS test

2

Description
Anxiety
Timepoint
At the beginning of the study and at the end of the 12th week
Method of measurement
Beck Anxiety Inventory (BAI)

3

Description
Depression
Timepoint
At the beginning of the study and at the end of the 12th week
Method of measurement
Beck Depression Inventory (BDI)

4

Description
Fatigue
Timepoint
and at the end of the 12th week
Method of measurement
Fatigue Severity Scale (FSS) questionnaire

5

Description
Physical Activity
Timepoint
At the beginning of the study
Method of measurement
International Physical Activity Questionnaire (IPAQ)

6

Description
Magnesium level
Timepoint
At the beginning of the study and at the end of the 12th week
Method of measurement
Blood test

7

Description
BDNF level
Timepoint
At the beginning of the study and at the end of the 12th week
Method of measurement
Blood test

8

Description
IL-6 level
Timepoint
At the beginning of the study and at the end of the 12th week
Method of measurement
Blood test

9

Description
Superoxide Dismutase II activity
Timepoint
At the beginning of the study and at the end of the 12th week
Method of measurement
Calorimetry

Secondary outcomes

empty

Intervention groups

1

Description
Intervention group: The duration of intervention in this clinical trial will be 12 weeks. Individuals receiving a magnesium supplement will receive 750 mg of magnesium per day in three 250 mg tablets (TDS).
Category
Rehabilitation

2

Description
Control group: The duration of intervention in this clinical trial will be 12 weeks. The control group will receive placebo with an equal amount of 750 mg of cornstarch powder daily in the form of three 250 mg dose tablets (TDS).
Category
Placebo

Recruitment centers

1

Recruitment center
Name of recruitment center
MS research center, Sina hospital
Full name of responsible person
Abdorreza Naser Moghadasi
Street address
Imam Khomeini Street
City
Tehran
Province
Semnan
Postal code
1136749986
Phone
+98 21 6634 8571
Email
abdorrezamoghadasi@gmail.com

Sponsors / Funding sources

1

Sponsor
Name of organization / entity
Tehran University of Medical Sciences
Full name of responsible person
Dr MohammadAli Sahraian
Street address
Tehran University of Medical Sciences, Poursina St., 16th Azar St., Keshavarz Blvd.
City
Tehran
Province
Tehran
Postal code
1136749986
Phone
+98 21 6634 8571
Email
sahraian1350@yahoo.com
Grant name
Grant code / Reference number
Is the source of funding the same sponsor organization/entity?
Yes
Title of funding source
Tehran University of Medical Sciences
Proportion provided by this source
100
Public or private sector
Public
Domestic or foreign origin
Domestic
Category of foreign source of funding
empty
Country of origin
Type of organization providing the funding
Academic

Person responsible for general inquiries

Contact
Name of organization / entity
Tehran University of Medical Sciences
Full name of responsible person
Ali Rezaei Ahvanouei
Position
Researcher
Latest degree
Medical doctor
Other areas of specialty/work
General Practitioner
Street address
Tehran University of Medical Sciences, Poursina St., 16th Azar St., Keshavarz Blvd.
City
Tehran
Province
Tehran
Postal code
1136749986
Phone
+98 21 6634 8571
Email
alirezaeeii1375@gmail.com

Person responsible for scientific inquiries

Contact
Name of organization / entity
Tehran University of Medical Sciences
Full name of responsible person
Abdorreza Naser Moghadasi
Position
Assistant Professor
Latest degree
Specialist
Other areas of specialty/work
Neurology
Street address
Tehran University of Medical Sciences, Poursina St., 16th Azar St., Keshavarz Blvd.
City
Tehran
Province
Tehran
Postal code
1136749986
Phone
+98 21 6634 8571
Email
abdorrezamoghadasi@gmail.com

Person responsible for updating data

Contact
Name of organization / entity
Tehran University of Medical Sciences
Full name of responsible person
Abdorreza Naser Moghadasi
Position
Assistant Professor
Latest degree
Specialist
Other areas of specialty/work
Neurology
Street address
Tehran University of Medical Sciences, Poursina St., 16th Azar St., Keshavarz Blvd.
City
Tehran
Province
Tehran
Postal code
1136749986
Phone
+98 21 6634 8571
Email
abdorrezamoghadasi@gmail.com

Sharing plan

Deidentified Individual Participant Data Set (IPD)
Yes - There is a plan to make this available
Study Protocol
Yes - There is a plan to make this available
Statistical Analysis Plan
Not applicable
Informed Consent Form
No - There is not a plan to make this available
Clinical Study Report
Yes - There is a plan to make this available
Analytic Code
Undecided - It is not yet known if there will be a plan to make this available
Data Dictionary
Undecided - It is not yet known if there will be a plan to make this available
Title and more details about the data/document
All information can be shared
When the data will become available and for how long
Beginning of the access period, 6 months after the publication of the results
To whom data/document is available
for everyone
Under which criteria data/document could be used
no other conditions
From where data/document is obtainable
To the email address: abdorrezamoghadasi@gmail.com
What processes are involved for a request to access data/document
Send me an email
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