Study Purpose:
Amyotrophic lateral sclerosis (ALS) is a serious rapidly progressive disease of the nervous system. The average survival from the time of diagnosis is 3 years. Apart from Riluzole, there is no effective treatment. Care of advanced ALS will have a cost of 4-8 million NOK per yearResearch i.a. from the investigators department has shown that increased activity in histone deacetylation enzymes (sirtuins) together with increased access to NAD can delay disease progression. Nicotinamide riboside (NR) can increase cells' access to NAD and Pterostilben will stimulate sirtuins.
The investigators want to study whether combination therapy with NR and Pterostilben can inhibit neurodegeneration in ALS and thereby delay disease development, increase survival and improve quality of life in ALS.
In the study, the investigators will use 2 different dosages on the active treatment and strength calculations show that 180 patients are needed to show a rather weak effect. Patients will be recruited in collaboration with hospitals in Helse Vest, AHUS, Drammen, OUS and St. Olavs hospital.
Study Status:
Recruiting
Disease:
Amyotrophic Lateral Sclerosis
Study Type:
Interventional
Type of Intervention:
Dietary Supplement
Intervention Name:
EH301 (Nicotinamide Riboside/Pterostilbene)
Placebo:
Phase:
N/A
Study Chair(s)/Principal Investigator(s):
Ole-Bjørn Tysnes, Haukeland University Hospital
Clinicaltrials.gov ID:
Neals Affiliated?
No
Coordinating Center Contact Information
Ole-Bjørn Tysnes / email hidden; JavaScript is required / +4755975063
Study Sponsor:
Haukeland University Hospital
Estimated Enrollment:
380
Estimated Study Start Date:
10 / 07 / 2020
Estimated Study Completion Date:
10 / 01 / 2022
Posting Last Modified Date:
03 / 22 / 2022
Date Study Added to neals.org:
09 / 24 / 2020
Minimum Age:
35 Years
Maximum Age:
N/A
Inclusion Criteria:Arm 1 (newly diagnosed ALS patients)
- Have a clinical diagnosis of probable ALS according to the revised El Escorial criteria.
- MR of the brain and cervical spine cannot explain symptoms.
- Diagnosed with likely ALS within 6 months from enrolment and treated with Riluzole 50mg x 2
- Symptom onset no longer than 2 year prior to inclusion.
- ALS-FRC-R of 36 or more (not any item below 2).
- Age equal to or greater than 35 years at time of enrollment
Arm 2 (earlier diagnosed ALS patients)
- Have a clinical diagnosis of probable ALS according to the revised El Escorial criteria.
- MR of the brain and cervical spine cannot explain symptoms.
- Treated with Riluzole 50mg x 2.
Exclusion Criteria:
- Dementia, FTD or other neurodegenerative disorder at baseline visit
- Any psychiatric disorder that would interfere with compliance in the study.
- Use of high dose vitamin B3 supplementation within 30 days of enrollment
- Metabolic, neoplastic, or other physically or mentally debilitating disorder at baseline visit.
- Genetically confirmed mitochondrial disease
- Patients who become tracheostomized as part of the treatment of ALS
- Patients with short expected survival at the discretion of the investigator. Such cases cannot be expected to follow protocol procedures.
Haukeland University Hospital | Recruiting
Ole-Bjørn Tysnes
Principal Investigator : Ole-Bjørn Tysnes
Bergen
Norway
Vestre Viken HF | Recruiting
Ingrid Kristine Bjørnå
Principal Investigator : Ingrid Kristine Bjørnå
Drammen
Norway
Helse Førde HF | Recruiting
Kristin Lif Breivik
Principal Investigator : Kristin Lif Breivik
Førde
Norway
Helse Fonna HF | Recruiting
Ineke HogenEsch
Principal Investigator : Ineke HogenEsch
Haugesund
Norway
Akershus University Hospital | Recruiting
Ola Nakken
Principal Investigator : Ola Nakken
Lørenskog
Norway
Oslo University Hospital | Recruiting
Angelina Maniaol
Principal Investigator : Angelina Maniaol
Oslo
Norway
Stavanger University Hospital | Recruiting
Katrin Ruth Schlüter
Principal Investigator : Katrin Ruth Schlüter
Stavanger
Norway
Universitetssykehuset Nord-Norge | Recruiting
Margitta Kampmann
Principal Investigator : Margitta Kampmann
Tromsø
Norway
St.Olavs Hospital HF | Recruiting
Sigrid Botne Sando
Principal Investigator : Sigrid Botne Sando
Trondheim
Norway