Protocol summary
-
Study aim
-
Investigating the effect of spirulina algae supplement on the quality of life, speed of nerve pulse transmission and antioxidant status of patients with progressive-recovery multiple sclerosis.
-
Design
-
Clinical trial with a control group, with parallel groups, double-blind, randomized, phase 3 on 80 patients. The rand function of Excel software was used for randomization.
-
Settings and conduct
-
The present study will be a double-blind clinical trial in Isfahan city on patients with progressive-recovery MS in two intervention and control groups with random blinding method. Personal, demographic, anthropometric, economic-social information, quality of life and work and food intake will be evaluated by questionnaire. In order to measure the speed of nerve message transmission, visual induction potential test will be used. Changes in the antioxidant level of the body will be checked by biochemical kits. The amount of spirulina supplement (intervention) and placebo (control) will be 1000 mg for 12 weeks.
-
Participants/Inclusion and exclusion criteria
-
Criteria for entering the study
Patients with MS of RRMS type
Age of patients 18-50 years
Having an Extended Disability Status Scale (EDSS) between 0 and 6
Criteria for not entering the study:
Pregnant, lactating and hospitalized participants
History of viral diseases, asthma, and other autoimmune diseases that affect the Th1/Th2 balance
obese patients (body mass index (BMI) ≥ 30 kg/m2), malnourished patients (BMI < 18.5 kg/m2)
Not taking anticoagulants
-
Intervention groups
-
The intervention group includes patients with progressive-relapsing MS with an EDSS score of 0-6 who receive spirulina supplements.
The control group includes patients with progressive-remitting MS with an EDSS score of 0-6 who receive a placebo.
-
Main outcome variables
-
Improving patients' quality of life, antioxidant status and speed of nerve message transmission
General information
-
Reason for update
-
Evaluation of interleukins IL-1 and IL-6 in the patients' serum has been added, which does not affect the intervention process and is only considered an additional evaluation.
-
Acronym
-
-
IRCT registration information
-
IRCT registration number:
IRCT20240124060794N1
Registration date:
2024-02-04, 1402/11/15
Registration timing:
prospective
Last update:
2024-12-08, 1403/09/18
Update count:
1
-
Registration date
-
2024-02-04, 1402/11/15
-
Registrant information
-
-
Recruitment status
-
Recruitment complete
-
Funding source
-
-
Expected recruitment start date
-
2024-04-18, 1403/01/30
-
Expected recruitment end date
-
2024-06-19, 1403/03/30
-
Actual recruitment start date
-
empty
-
Actual recruitment end date
-
empty
-
Trial completion date
-
empty
-
Scientific title
-
Investigating the effect of spirulina algae supplement on the quality of life, speed of nerve pulse transmission and antioxidant status of patients with progressive-recovery multiple sclerosis.
-
Public title
-
The effect of spirulina supplementation on MS
-
Purpose
-
Supportive
-
Inclusion/Exclusion criteria
-
Inclusion criteria:
Patients with MS of RRMS type
Age of patients 18-50 years
Receiving immunosuppressive drugs for at least three months
Not taking multivitamin supplements (except vitamin D) at least 3 months before participating in the study
Having an Extended Disability Status Scale (EDSS) between 0 and 6
Exclusion criteria:
Pregnancy
Presentation of acute forms of liver and biliary system disease and pancreatic disease
History of viral diseases
Chronic renal or cardiovascular disease and diseases where oxidative stress is considered as their etiology
Obese patients (body mass index (BMI) ≥ 30 kg/m2), malnourished patients (BMI < 18.5 kg/m2)
Dependence on drugs, smoking or alcohol
Not taking anticoagulants
Breastfeeding
Hospitalized
Autoimmune diseases that affect the Th1/Th2 balance
Asthma
Diseases in which oxidative stress is proposed as their etiology
-
Age
-
From 18 years old to 50 years old
-
Gender
-
Both
-
Phase
-
3
-
Groups that have been masked
-
-
Sample size
-
Target sample size:
80
-
Randomization (investigator's opinion)
-
Randomized
-
Randomization description
-
In this study, the random sequence will be determined using the simple randomization method using www.sealedenvelope.com. Based on the sample size, people will be placed in two intervention and control groups with a specific code and following the concealment process. Each patient will be assigned a unique code. The specific code will be determined by a third person, and the researcher and the participant do not know to which person each code will be assigned and in which group.
-
Blinding (investigator's opinion)
-
Double blinded
-
Blinding description
-
The drug and placebo are provided to both groups in completely similar containers without name labels, which are prepared in the same color and smell and coded based on random allocation by the project partner, so none of the patients and the researcher were aware of the assigned treatment and until the end The study will not be informed
The random allocation list of patients will be in the sole possession of an individual outside the plan. In order to hide the random allocation process, random codes are written on the paper label without a specific order and framework, which is the identification number of the relevant treatment and only a person outside the plan will be aware of the relevant code. The labels will be stuck on the medicine packages in the order of the randomization list. Medicine packages will be arranged in the order of the randomization list inside the box. When a patient's eligibility is determined, the researcher will provide the patient with a treatment plan.
-
Placebo
-
Used
-
Assignment
-
Parallel
-
Other design features
-
Evaluation of the improvement of the transmission of nerve messages by measuring the visual evoked potential, following supplementation with spirulina
Ethics committees
1
-
Ethics committee
-
-
Approval date
-
2024-01-20, 1402/10/30
-
Ethics committee reference number
-
IR.MUI.PHANUT.REC.1402.070
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
-
Investigating antioxidant status
-
Timepoint
-
Before and after supplementation
-
Method of measurement
-
Biochemical kit for measurement of antioxidant level
2
-
Description
-
Investigating the quality of life and work
-
Timepoint
-
Before and after supplementation
-
Method of measurement
-
Quality of life questionnaire
3
-
Description
-
Investigating the speed of nerve transmission
-
Timepoint
-
Before and after supplementation
-
Method of measurement
-
Skin electrode
4
-
Description
-
Investigating the inflammation status
-
Timepoint
-
Before and after supplementation
-
Method of measurement
-
IL-1 and IL-6 measurement by ELISA
Intervention groups
1
-
Description
-
Intervention group: spirulina algae supplement, 500 mg capsules, twice a day for three months, consumption after the main meal, Spiro Company (Bushehr-Iran).
-
Category
-
Rehabilitation
2
-
Description
-
Control group: Placebo capsules containing corn starch, twice a day for three months, consumed after the main meal, Spiro Company (Bushehr-Iran).
-
Category
-
N/A
1
-
Sponsor
-
-
Grant name
-
-
Grant code / Reference number
-
-
Is the source of funding the same sponsor organization/entity?
-
Yes
-
Title of funding source
-
Esfahan 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
Sharing plan
-
Deidentified Individual Participant Data Set (IPD)
-
No - There is not a plan to make this available
-
Justification/reason for indecision/not sharing IPD
-
Due to the commitment to the confidentiality of the personal information of the people in the consent form, there is no plan to publish it.
-
Study Protocol
-
Undecided - It is not yet known if there will be 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
-
No - There is not a plan to make this available
-
Analytic Code
-
No - There is not a plan to make this available
-
Data Dictionary
-
Not applicable