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CompletedNCT04929145MICROMS5YUpdated Jul 23, 2021

The Gut Microbiome in Adult Multiple Sclerosis

An observational study in Multiple Sclerosis, sponsored by National MS Center Melsbroek. Completed at 2 sites in Belgium. Open to participants aged 18 Years to 65 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2021-07-23.

Sponsored by National MS Center Melsbroek · Observational

Study type
Observational
Model
Case-control
Time perspective
Prospective
Enrollment
152
Ages
18 Years to 65 Years
Sex
All
01

Study summary

This study aims to assess the following research questions:

  1. Map and benchmark the gut microbiome of patients with RRMS, and PPMS versus matched healthy controls
  2. Determine whether RRMS or PPMS have a unique bias for a gut microbiome classification recently characterized.
  3. Search for relationship with inflammation, amino acid plasma levels, heart rate variability (vagus nerve tone) and hair cortisol as a biological marker of chronic stress
  4. Determine whether the gut microbiome is different in MS patients during a relapse.
  5. Determine whether the gut microbiome remains stable after 3 months
Read the detailed description

This study is a prospective multi-center cohort study (University Hospital Brussels, National Multiple Sclerosis Center Melsbroek). This is an exploratory study and there is no specific outcome on which a power calculation can be made. We will include different subgroups of patients with MS: stable non-benign RRMS, PPMS, benign MS [Benign MS is defined as RRMS with an EDSS ≤ 3, 15 years after disease onset], RRMS during a relapse (before the administration of corticosteroids) [Relapses are defined as the development of new or recurrent neurologic symptoms not associated with fever or infection or change in medication, lasting at least 24 hours, and accompanied by new, objective neurologic findings]. Age and sex matched healthy controls will be included as well. All participants will provide a faecal, hair, and blood sample twice (baseline and after 3 months). Patients will be assessed clinically at baseline, 3 months after baseline, and approximately 1, 2, 4.5 years after baseline.

The results of this study have the potential to identify novel simple strategies to strengthen or alter the microbiome ecosystem and strengthen the overall treatment process. In case of a positive result, this would form the basis for a follow-up study on medical modulation of the microbiome with the aim of finding new treatment options for MS.

02

Conditions studied

  • Multiple Sclerosis

Keywords

  • gut microbiome
03

In context

Multiple Sclerosis

3,460 studies on the registry are indexed under Multiple Sclerosis; 661 are open to participants now.

This study's enrollment of 152 is above the median of 100 across 1,016 observational studies indexed under Multiple Sclerosis.

Browse Multiple Sclerosis studies →

Lead sponsor

National MS Center Melsbroek is the lead sponsor of 5 studies on the registry; none are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
Yes
Sampling method
Non-probability sample

Study population

This is an exploratory study and there is no specific outcome on which a power calculation can be made. We included 122 patients with MS and 30 age and sex matched healthy controls as well.

Inclusion criteria

  1. Signed written informed consent.
  2. RRMS or PPMS, as defined by the McDonald criteria.
  3. Ages 18-65 years.
  4. EDSS \< 7
  5. Treatment with IFN-beta

Exclusion criteria

Exclusion Criteria:

  1. SPMS without relapses during the past year at screening.
  2. Use of high dose systemic steroids within the last 2 months.
  3. Gastrointestinal disease, such as inflammatory bowel disease
  4. Use of antibiotics within the last 4 weeks.
05

Study design

Observational model
Case-control
Time perspective
Prospective
Enrollment
152 participants (actual)
Patient registry
No
Biospecimen retention
Samples with dna

Groups and cohorts

  • MICROMS

    No intervention will be administered. Stool, hair, and blood samples will be collected at baseline and three months post baseline. Clinical follow-up will occur at year 1, 2, and 4.5 (neurological consultation) and in-between visits (regular follow-up).

06

What researchers measure

Primary outcomes

  1. Sustained disability worsening

    Sustained disability worsening will be assessed using the Expanded Disability Status Scale (EDSS)-Plus outcome. This is a composite measure that assesses disability worsening based on changes of the EDSS score (difference of at least 1.5;1.0;0.5 depending on baseline score), the timed 25-foot walk (T25FW) score (\>=20%), and the 9-hole peg test (9-HPT) score (\>=20%). If worsening of any of these measures occurred, the patient has clinically deteriorated according to the EDSS-Plus outcome.

    Time frame: 5 years

Secondary outcomes

  1. Clinical evidence for active disease

    Time to first relapse (after baseline) will be reported for all patients. Annualized relapse frequency

    Time frame: 5 years

07

Study locations

2 sites
  • Universitair Ziekenhuis Brussel
    Jette, Brussel-Hoofdstedelijk-Gewest 1090, Belgium
  • Nationaal Multiple Sclerose Centrum Melsbroek
    Melsbroek, Vlaams-Brabant 1820, Belgium
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 23, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT04929145
Lead sponsor
National MS Center Melsbroek
Responsible party
Marie D'hooghe (Neurologist/Clinical Professor, National MS Center Melsbroek) — Principal investigator
First posted
Jun 18, 2021
Start date
Oct 2, 2013
Primary completion
Sep 16, 2019
Completion
Apr 2020
Last update
Jul 23, 2021

Study contacts

Marie D'hooghe, M.D.
principal investigator · National MS Center Melsbroek

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jul 2021. You cannot join it, but the record below documents what was studied.

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