A Randomized Placebo-controlled Trial of Nicotinamide/Pterostilbene Supplement in ALS: The NO-ALS Study. Extension Protocol

Study Purpose:

Amyotrophic lateral sclerosis (ALS) is a serious rapidly progressive disease of the nervous system. The mean survival from the time of diagnosis is 2.5 years. Apart from Riluzole, there is no effective treatment. Care of advanced ALS will have a cost of 4-8 million NOK per year.

Research 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 NO-ALS extension study the investigators will follow the patients who completed the original NO-ALS study. Objectives are to evaluate adverse events and give patients possibility of compassionate use, and secondarily to see if EH301 will decrease progression of motor symptoms and loss of vital capacity, and increase survival time in patients with ALS.

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:

NCT05095571

Neals Affiliated?

No

Coordinating Center Contact Information

Ole-Bjørn Tysnes / email hidden; JavaScript is required / +4755975063

Study Sponsor:

Haukeland University Hospital

Estimated Enrollment:

300

Estimated Study Start Date:

10 / 07 / 2021

Estimated Study Completion Date:

10 / 31 / 2023

Posting Last Modified Date:

10 / 27 / 2021

Date Study Added to neals.org:

10 / 27 / 2021

Minimum Age:

35 Years

Maximum Age:

N/A

Inclusion Criteria:

- Patients who fulfilled the criteria for the NO-ALS study and have completed the study will be proposed inclusion in the NO-ALS extension study protocol. Patients from both arm 1 and arm 2 in the NO-ALS study will be allowed inclusion in the prolongation study

Exclusion Criteria:

Individuals will be excluded if any of the following exclusion criteria apply:

- Dementia, FTD or other neurodegenerative disorder interfereing with compliance.

- Metabolic, neoplastic, or other physically or mentally debilitating disorder.

- 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.

- Use of Vit B3 or blue berry extracts outside the study

Haukeland University Hospital | Recruiting

Ole-Bjørn Tysnes / +4755975063/+4790686700 / email hidden; JavaScript is required

Principal Investigator : Ole-Bjørn Tysnes

Bergen
Norway

Helse Nord-Trøndelag HF | Not yet recruiting

Kristina Devik / +4798833255 / email hidden; JavaScript is required

Principal Investigator : Kristina Devik

Namsos
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St. Olavs Hospital HF | Not yet recruiting

Helene Ballo Kvernmo / +4791167718 / email hidden; JavaScript is required

Principal Investigator : Helene Ballo Kvernmo

Trondheim
Norway

Universitetssykehuset Nord-Norge | Not yet recruiting

Margitta Kampmann

Principal Investigator : Margitta Kampmann

Tromsø
Norway

Stavanger University Hospital | Not yet recruiting

Katrin Ruth Schlüter / +4745236149 / email hidden; JavaScript is required

Principal Investigator : Katrin Ruth Schlüter

Stavanger
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Sykehuset i Telemark HF | Not yet recruiting

Anne Berit Jøntvedt / +4747262912 / email hidden; JavaScript is required

Principal Investigator : Anne Berit Jøntvedt

Skien
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Erika Hallerstig / +4798455652 / email hidden; JavaScript is required

Principal Investigator : Erika Hallerstig

Sarpsborg
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Angelina Maniaol / +4797674106 / email hidden; JavaScript is required

Principal Investigator : Angelina Maniaol

Oslo
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Åse Morsund / +4747756360 / email hidden; JavaScript is required

Principal Investigator : Åse Morsund

Molde
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Nordlandssykehuset HF | Not yet recruiting

Espen Benjaminsen / +4748103893 / email hidden; JavaScript is required

Principal Investigator : Espen Benjaminsen

Bodø
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Akershus University Hospital | Not yet recruiting

Ola Nakken / +4797659796 / email hidden; JavaScript is required

Principal Investigator : Ola Nakken

Lørenskog
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Sykehuset Innlandet HF | Not yet recruiting

Grethe Kleveland / +4797157819 / email hidden; JavaScript is required

Principal Investigator : Grethe Kleveland

Lillehammer
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Unn Ljøstad / +4741208824 / email hidden; JavaScript is required

Principal Investigator : Unn Ljøstad

Kristiansand
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Ineke HogenEsch / +4752732590 / email hidden; JavaScript is required

Principal Investigator : Ineke HogenEsch

Haugesund
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Helse Førde HF | Not yet recruiting

Kristin Lif Breivik / +4793630457 / email hidden; JavaScript is required

Principal Investigator : Kristin Lif Breivik

Førde
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Vestre Viken HF | Not yet recruiting

Ingrid Kristine Bjørnå / +4741339297 / email hidden; JavaScript is required

Principal Investigator : Ingrid Kristine Bjørnå

Drammen
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Sykehuset i Vestfold HF | Not yet recruiting

Nicolai Johan Brun / +4793243780 / email hidden; JavaScript is required

Principal Investigator : Nicolai Johan Brun

Tønsberg
Norway