Completed

Effect of High-fiber Supplement in Multiple Sclerosis

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What is being tested

NBT-NM108

Drug
Who is being recruted

Autoimmune Diseases+4

+ Demyelinating Diseases

+ Immune System Diseases

From 21 to 55 Years
See all eligibility criteria
How is the trial designed

Basic Science Study

Phase 1 & 2
Interventional
Study Start: March 2022
See protocol details

Summary

Principal SponsorSuhayl Dhib-Jalbut, MD
Last updated: January 28, 2026
Sourced from a government-validated database.Claim as a partner

Study start date: March 21, 2022

Actual date on which the first participant was enrolled.

Our collaborator, Dr. Liping Zhao, developed a high-fiber supplement (HFS), NBT-NM108. His recent study has suggested an association between intake of NBT-NM108 and increased abundance of short-chain fatty acid (SCFA)-producing gut bacteria. Recent studies have suggested that Relapsing-Remitting Multiple Sclerosis (RRMS) is associated with gut dysbiosis, alteration of gut bacteria, and decreased production of SCFAs. Therefore, we have investigated the effect of NBT-NM108 on RRMS-associated gut dysbiosis and the cytokines produced by immune cells. Seven patients were enrolled, and their stool samples were collected before the treatment with NBT-NM108 (Baseline). Three patients from the enrolled patients consumed NBT-NM108 three times a day at 60 g/day for 8 weeks. Two patients further consumed NBT-NM108 for four more weeks (a total of 12 weeks). Stool and blood samples were collected at 3 time points (baseline, 8 weeks post-NBT-NM108, and 12 weeks post-NBT-NM108). We have investigated the effect of NBT-NM108 on gut microbiota and immune parameters involved in MS.

Official TitleEffect of High-fiber Supplement in Multiple Sclerosis
NCT04574024
Principal SponsorSuhayl Dhib-Jalbut, MD
Last updated: January 28, 2026
Sourced from a government-validated database.Claim as a partner

Protocol

This section provides details of the study plan, including how the study is designed and what the study is measuring.
Design Details

7 patients to be enrolled

Total number of participants that the clinical trial aims to recruit.

Basic Science Study

Basic science studies help researchers understand how the body works or how a disease develops. They don't test treatments, but they build the foundation for future therapies.



Eligibility

Researchers look for people who fit a certain description, called eligibility criteria: person's general health condition or prior treatments.
Conditions
Criteria

Any sex

Biological sex of participants that are eligible to enroll.

From 21 to 55 Years

Range of ages for which participants are eligible to join.

Healthy volunteers allowed

If individuals who are healthy and do not have the condition being studied can participate.

Conditions

Pathology

Autoimmune DiseasesDemyelinating DiseasesImmune System DiseasesMultiple SclerosisNervous System DiseasesAutoimmune Diseases of the Nervous SystemDemyelinating Autoimmune Diseases, CNS

Criteria

Inclusion Criteria: Patients with the first demyelinating event who meet the McDonald criteria for relapsing remitting MS. Exclusion Criteria: 1. Primary or secondary progressive MS. 2. Patients with autoimmune comorbidities. 3. Having received prior chemotherapy. 4. Having received Dimethylfumarate (DMF). 5. Pregnant women. 6. Cognitively impaired. 7. Antibiotic use within last 6 months. 8. Probiotic use within 2 months. 9. Self-reported allergy or intolerance to any ingredients in the fiber supplement. 10. Self-reported or diagnosed gastrointestinal symptoms, disorders or adenomas. 11. Active or history of malignant tumors.

Study Plan

Find out more about all the medication administered in this study, their detailed description and what they involve.
Treatment Groups
Study Objectives

One single intervention group is designated in this study

This study does not include a placebo group 

Treatment Groups

Group I

Baseline: 7 MS patients enrolled for the study. No treatment or before treatment. NBT-NM108-Treatment for 8 weeks: 3 out of 7 MS patients consumed the NBT-NM108 for 8 weeks. NBT-NM108-Treatment for 12 weeks: 2 MS patients further consumed the NBT-NM108 for four more weeks. Patients consumed dietary fiber three times a day at 60 g/day

Study Objectives

Primary Objectives

Study Centers

These are the hospitals, clinics, or research facilities where the trial is being conducted. You can find the location closest to you and its status.

This study has 1 location

Suspended

Robert Wood Johnson University Hospital

New Brunswick, United StatesOpen Robert Wood Johnson University Hospital in Google Maps
CompletedOne Study Center