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.
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
Acronym
IRCT registration information
IRCT registration number:IRCT20240124060794N1
Registration date:2024-02-04, 1402/11/15
Registration timing:prospective
Last update:2024-02-04, 1402/11/15
Update count:1
Registration date
2024-02-04, 1402/11/15
Registrant information
Name
Sheno Karimi
Name of organization / entity
Country
Iran (Islamic Republic of)
Phone
+98 919 521 6837
Email address
shenokarimi0617@gmail.com
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
Participant
Investigator
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
Secondary Ids
empty
Ethics committees
1
Ethics committee
Name of ethics committee
Ethics committee of Esfahan University of Medical Sciences
Street address
Isfahan, Hezar Jerib Avenue, JM76+5M3
City
Esfahan
Province
Isfehan
Postal code
73461-81746
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
Improve antioxidant status
Timepoint
Before and after supplementation
Method of measurement
Biochemical kit for measurement of antioxidant level
2
Description
Improving the quality of life and work
Timepoint
Before and after supplementation
Method of measurement
Quality of life questionnaire
3
Description
Improving the speed of nerve transmission
Timepoint
Before and after supplementation
Method of measurement
Skin electrode
Secondary outcomes
empty
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
Recruitment centers
1
Recruitment center
Name of recruitment center
Isfahan - Kashani St., Kashani Hospital
Full name of responsible person
Vahid Shaigan Nezhad
Street address
Isfahan - Kashani St., Kashani Hospital
City
Esfahan
Province
Isfehan
Postal code
73461-81746
Phone
+98 31 3303 1700
Email
vshaygannejad@gmail.com
Sponsors / Funding sources
1
Sponsor
Name of organization / entity
Esfahan University of Medical Sciences
Full name of responsible person
Mohammad Hasan Entezari
Street address
Isfahan, Hezar Jerib Avenue, JM76+5M3
City
Esfahan
Province
Isfehan
Postal code
73461-8174600
Phone
+98 31 3792 3172
Email
entezari@hlth.mui.ac.ir
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
Person responsible for general inquiries
Contact
Name of organization / entity
Esfahan University of Medical Sciences
Full name of responsible person
Mohammad Hasan Entezari
Position
Professor
Latest degree
Ph.D.
Other areas of specialty/work
Nutrition
Street address
Hezar Jerib Avenue, Isfahan
City
Esfahan
Province
Isfehan
Postal code
8174673461
Phone
+98 31 3792 3172
Email
entezari@hlth.mui.ac.ir
Person responsible for scientific inquiries
Contact
Name of organization / entity
Esfahan University of Medical Sciences
Full name of responsible person
Mohammad Hasan Entezari
Position
Professor
Latest degree
Ph.D.
Other areas of specialty/work
Nutrition
Street address
Hezar Jerib Avenue, Isfahan
City
Isfahan
Province
Isfehan
Postal code
8174673461
Phone
+98 31 3792 3172
Email
entezari@hlth.mui.ac.ir
Person responsible for updating data
Contact
Name of organization / entity
Esfahan University of Medical Sciences
Full name of responsible person
Mohammad Hasan Entezari
Position
Professor
Latest degree
Ph.D.
Other areas of specialty/work
Nutrition
Street address
Hezar Jerib Avenue, Isfahan
City
Esfahan
Province
Isfehan
Postal code
8174673461
Phone
+98 31 3792 3172
Email
entezari@hlth.mui.ac.ir
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