Effects of Individualized Training to Reduce Fatigue in Patients With Newly and Advanced Diagnosed Multiple Sclerosis

NCT ID: NCT06201026

Last Updated: 2024-10-23

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

96 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-09-12

Study Completion Date

2025-09-15

Brief Summary

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Multiple sclerosis (MS) is a chronic autoimmune inflammatory disease of the central nervous system. It is characterized by complex and heterogeneous symptoms. Chronic fatigue is the most reported symptom in MS patients (80%). Current pharmacological treatments for MS patients reduce the number of relapses and their severity but do not improve symptoms such as fatigue. Physical activity is a therapy that helps reduce this fatigue, in addition to improving muscular and cardiorespiratory functions. However, the results are not optimal because MS patients remain less active than the general population. The improvement of the benefits of exercise therapy could therefore be based on three approaches: personalization of the training program, home practice and early initiation.

Detailed Description

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The objective of this study will be to investigate the effects of individualized home-training, guided by a mobile application, to reduce fatigue in patients with newly (N) and advanced (A) diagnosed MS.

Conditions

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Sclerosis Fatigue

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

NONE

Study Groups

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Traditional exercise group in newly diagnosed patients with MS (SEP-R-TEM)

Newly diagnosed patients with MS who will be part of the group doing traditional exercises

Group Type ACTIVE_COMPARATOR

Traditional exercise

Intervention Type OTHER

Patients will perform aerobic and resistance exercises that are consistent with the exercise guidelines for MS patients at home

Individualized exercise group in newly diagnosed patients with MS (SEP-R-IND)

Newly diagnosed patients with MS who will be part of the group doing individualized exercises

Group Type EXPERIMENTAL

Individualized exercise

Intervention Type OTHER

Patients will performed a mobile-app guided program at home designed to address identified individual disabilities such as loss of muscle strength or cardiorespiratory deconditioning.

Traditional exercise group in advanced diagnosed patients with MS (SEP-A-TEM)

Advanced diagnosed patients with MS who will be part of the group doing traditional exercises

Group Type ACTIVE_COMPARATOR

Traditional exercise

Intervention Type OTHER

Patients will perform aerobic and resistance exercises that are consistent with the exercise guidelines for MS patients at home

Individualized exercise group in advanced diagnosed patients with MS (SEP-A-IND)

Advanced diagnosed patients with MS who will be part of the group doing individualized exercises.

Group Type EXPERIMENTAL

Individualized exercise

Intervention Type OTHER

Patients will performed a mobile-app guided program at home designed to address identified individual disabilities such as loss of muscle strength or cardiorespiratory deconditioning.

Interventions

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Traditional exercise

Patients will perform aerobic and resistance exercises that are consistent with the exercise guidelines for MS patients at home

Intervention Type OTHER

Individualized exercise

Patients will performed a mobile-app guided program at home designed to address identified individual disabilities such as loss of muscle strength or cardiorespiratory deconditioning.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Relapsing-remitting MS (RRMS) defined according to the criteria of McDonald
* MS diagnosed less than 2 years ago or whose first symptoms are estimated to be less than 5 years old OR MS diagnosed more than 2 years ago and whose first symptoms are estimated to be less than 5 years old
* With a high level of fatigue, corresponding to an FSS score \> 4
* Expanded Disability Status Scale (EDSS) score \< 4
* Medical Research Council (MRC) testing ≥ 4 in all leg muscles
* Ability to walk for 10 minutes without stopping (self-reported)
* Have a mobile phone with internet access
* Affiliated with or benefiting from a social security scheme
* Have freely given their written consent after being informed of the aim, the procedure and the potential risks involved

Exclusion Criteria

* Spasticity or severe cerebellar ataxia in either leg.
* Abnormal range of movement of the toes and/or ankle
* Musculoskeletal injury that impairs pedalling
* Appearance of a multiple sclerosis attack in the 90 days preceding the study
* Recent adjustment of any medication or drug that may have an impact on fatigue: treatment of neuropathic pain: anti-epileptic and/or taking stimulants for fatigue (e.g. modafinil, amantadine, fampridine...)
* History of comorbid illness or conditions that would compromise the subject's safety during the study
* Participation at the same time in another medical intervention study or having participated in such a study in the 30 days prior to this study
* Pregnant and breast-feeding women
* Patients who are unable to understand the purpose of the study and the conditions under which it will be conducted, or who are unable to give their consent.
* Patients deprived of their liberty or under guardianship
Minimum Eligible Age

18 Years

Maximum Eligible Age

60 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Centre Hospitalier Universitaire de Saint Etienne

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Jean-Philippe CAMDESSANCHE, PHD

Role: PRINCIPAL_INVESTIGATOR

CHU DE SAINT-ETIENNE

Locations

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Chu de Saint-Etienne

Saint-Etienne, , France

Site Status RECRUITING

Countries

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France

Central Contacts

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Jean-Philippe CAMDESSANCHE, PHD

Role: CONTACT

(4)77120559 ext. +33

Leonard FEASSON, PHD

Role: CONTACT

(4)77120559 ext. +33

Facility Contacts

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JEAN-PHILIPPE CAMDESSANCHE, PHD

Role: primary

(4)77120559

Other Identifiers

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ANSM

Identifier Type: OTHER

Identifier Source: secondary_id

23CH024

Identifier Type: -

Identifier Source: org_study_id

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