Remediation Program Via a "Serious Game" for the Cognitive Functions of Multiple Sclerosis Patients

NCT ID: NCT04694534

Last Updated: 2025-09-04

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Clinical Phase

NA

Total Enrollment

150 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-10-08

Study Completion Date

2027-03-01

Brief Summary

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The main goal of this study is to assess the effectiveness of a cognitive remediation program based on a "serious game" on the information processing speed evolution and the process of learning via episodic memory in multiple sclerosis patients.

Detailed Description

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Cognitive impairment affects 40 to 70% multiple sclerosis patients. This condition is characterized by slower information processing, associated with deficits in episodic memory, attention and executive functions. These disorders appear early, regardless of functional impairment, in "benign" forms and in clinically isolated syndromes of multiple sclerosis. These disruptions can have a significant impact in the socio-professional and personal life of patients and also in the quality of life (job loss risks, daily activities limitations).

Even if these disorders are now well documented, remediation strategies remain less studied. Some studies show that the "training" methods, often used, do not seem suitable for clinical monitoring, with benefits that do not persist over time. Despite their impact on daily life, no specific care for planning abilities, mental inhibition and flexibility, or even social cognition, have been well studied until today. The same is true concerning metacognitive abilities. Finally, remedial techniques are time consuming and difficult to adapt to patients still in professional activity.

Conditions

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Multiple Sclerosis Memory Learning

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

1 Control group

1 Experimental group
Primary Study Purpose

DIAGNOSTIC

Blinding Strategy

SINGLE

Outcome Assessors
This is a blinded study for neuropsychological assessment.

Study Groups

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Remediation program via a "serious game"

Classic care (recommended by the French Haute Autorité de Santé) accompanied by cognitive remediation by "serious game"

Group Type EXPERIMENTAL

Serious game

Intervention Type DIAGNOSTIC_TEST

The serious game is accessible via an online platform, on a tablet: 4 20-minutes activities sessions per week must be carried out.

The program format in the serious game form makes possible to simultaneously understand a large number of cognitive functions.

Classic care (French Haute Autorité de Santé)

Classic care (recommended by French Haute Autorité de Santé)

Group Type PLACEBO_COMPARATOR

Usual HAS care

Intervention Type DIAGNOSTIC_TEST

The control group patients will follow the care they need, according to the HAS recommendations. Non-specific cognitive activities notebooks will be provided to them. They will be instructed to perform the 4 20-minutes sessions per week for 4 months.

Interventions

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Serious game

The serious game is accessible via an online platform, on a tablet: 4 20-minutes activities sessions per week must be carried out.

The program format in the serious game form makes possible to simultaneously understand a large number of cognitive functions.

Intervention Type DIAGNOSTIC_TEST

Usual HAS care

The control group patients will follow the care they need, according to the HAS recommendations. Non-specific cognitive activities notebooks will be provided to them. They will be instructed to perform the 4 20-minutes sessions per week for 4 months.

Intervention Type DIAGNOSTIC_TEST

Eligibility Criteria

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Inclusion Criteria

* Relapsing-remitting or progressive multiple sclerosis people defined according to Mc Donald's criteria revised in 2005
* Age between ≥ 18 and ≤ 65 years old
* Cognitive complaint, with at least one deficient score at the initial neuropsychological examination (\<5th percentile of the reference group), one of the scores of which concerns at least one BICAMS test
* Have not had a definite relapse for at least 6 weeks
* Be at least 4 weeks away from a corticosteroid bolus
* Lack of neuroleptic treatment
* Patient with an Internet connection
* Signed informed consent

Exclusion Criteria

* Severe cognitive deficit defined by obtaining a deficit score in more than six cognitive processes at the initial neuropsychological assessment.
* Neuropsychological care
* Inability to receive oral and written information
* Inability to use the software (due in particular to motor and / or sensory difficulties),
* Neurological or psychiatric comorbidity, other than MS and anxiodepressive syndrome
* Patient with severe anxiodepressive syndrome (BDI\> 27)
* Participation in an interventional study on cognitive functions
* Patient under legal protection, guardianship or curatorship
* Pregnant or breastfeeding women
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Lille Catholic University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Bruno Lenne

Role: PRINCIPAL_INVESTIGATOR

Hôpital Saint-Vincent de Paul

Locations

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CH Arras

Arras, Hauts-de-France, France

Site Status RECRUITING

CH LENS

Lens, Hauts-de-France, France

Site Status RECRUITING

CHRU

Lille, Hauts-de-France, France

Site Status RECRUITING

Saint Vincent hospital

Lille, Hauts-de-France, France

Site Status RECRUITING

Saint-Philibert hospital

Lomme, Nord, France

Site Status RECRUITING

Charles Nicolle Hospital

Rouen, Normandy, France

Site Status RECRUITING

Countries

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France

Central Contacts

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Amélie Lausiaux, MD, PhD

Role: CONTACT

03.20.22.52.69

Elodie Moutailler

Role: CONTACT

03.20.22.52.69

Facility Contacts

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Patrick LE COZ

Role: primary

03 21 21 13 60

Julien LANNOY

Role: primary

Camille Jougleux

Role: primary

06 09 76 13 29

Bruno Lenne, MD

Role: primary

Lansiaux Amélie, MD, PhD

Role: primary

03.20.22.52.69

Moutailler Elodie

Role: backup

03.20.22.52.69

Bertrand Bourre

Role: primary

02 32 88 33 99

References

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Lenne B, Degraeve B, Davroux J, Norberciak L, Kwiatkowski A, Donze C. Improving cognition in people with multiple sclerosis: study protocol for a multiarm, randomised, blinded trial of multidomain cognitive rehabilitation using a video-serious game (E-SEP cognition). BMJ Neurol Open. 2023 Nov 27;5(2):e000488. doi: 10.1136/bmjno-2023-000488. eCollection 2023.

Reference Type DERIVED
PMID: 38033375 (View on PubMed)

Other Identifiers

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RC-P0066

Identifier Type: -

Identifier Source: org_study_id

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