Confirmatory Trial for Alleviating Fatigue in Multiple Sclerosis

NCT ID: NCT06441617

Last Updated: 2026-01-20

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

2000 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-12-05

Study Completion Date

2027-09-14

Brief Summary

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CAFE-MS will assess the effectiveness of two online programs for fatigue in multiple sclerosis (MS). Although they differ, both of these online programs contain information about MS and fatigue intended to help people with MS understand and manage their fatigue.

This large-scale, decentralized clinical trial is projected to enroll 2,000 people with MS. The collaboration between iConquerMS and 5 Veterans Affairs (VA) sites in the MS Centers of Excellence is designed to ensure sufficient representation of people with MS from populations traditionally under-represented in MS clinical trials.

The study is a 3-arm, randomized controlled clinical trial with study participation lasting 1 year. Two of the trial arms will include one of two online programs for managing fatigue in MS added to the trial participants' usual MS treatment, and the third arm will include usual MS treatment alone. The online program phase of the trial lasts for 6 months after randomization followed by a final study visit at 12 months. Participants in the usual MS treatment alone arm for the first 6 months will have an opportunity to choose one of the online programs for the final 6 months of the trial.

Detailed Description

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Conditions

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Multiple Sclerosis Fatigue

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Outcome Assessors
Participants will be blinded with respect to Program A and Program B. However, the third arm of the trial, Treatment as Usual, will not be blinded. Since outcome assessments are collected online via surveys, the outcome assessor is a blinded entity.

Study Groups

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Fatigue Program A added to Treatment as Usual

An MS-specific fatigue management program, delivered as a stand-alone, fully automated intervention via an internet-browser.

Group Type EXPERIMENTAL

Online Program for Fatigue

Intervention Type DEVICE

An MS-specific fatigue management program, delivered as a stand-alone, fully automated intervention via an internet-browser.

Fatigue Program B added to Treatment as Usual

Fatigue Program B will use a web-based interface with similar design and functionality as Fatigue Program A.

Group Type ACTIVE_COMPARATOR

Online Program for Fatigue

Intervention Type DEVICE

An MS-specific fatigue management program, delivered as a stand-alone, fully automated intervention via an internet-browser.

Treatment as Usual

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Online Program for Fatigue

An MS-specific fatigue management program, delivered as a stand-alone, fully automated intervention via an internet-browser.

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Informed consent by person with MS
* Living in the US
* Age ≥ 22
* Confirmed diagnosis of MS by a physician, who is a neurologist or has access to a neurologist's statement of diagnosis
* Fatigue Severity Scale score at or above eligibility threshold
* Fluent in English
* Willingness to engage in self-administration of an online intervention for 24 weeks and complete follow-up assessments
* Access to the internet and e-mail with a compatible device (smartphone, computer, or tablet)
* No MS relapse / no steroid treatment in the 4 weeks prior to answering the screening questionnaire (self-reported)
* No disease-modifying therapeutic (DMT) started in the 4 weeks prior to answering the screening questionnaire (self-reported)

Exclusion Criteria

* Unwilling or unable to consent
* Refusal to saving, processing and forwarding of pseudonymized data
* Concurrent participation in another interventional trial
Minimum Eligible Age

22 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Congressionally Directed Medical Research Programs

FED

Sponsor Role collaborator

United States Department of Defense

FED

Sponsor Role collaborator

Charite University, Berlin, Germany

OTHER

Sponsor Role collaborator

University Medical Center Goettingen

OTHER

Sponsor Role collaborator

US Department of Veterans Affairs

FED

Sponsor Role collaborator

Accelerated Cure Project for Multiple Sclerosis

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Washington VA Medical Center

Washington D.C., District of Columbia, United States

Site Status RECRUITING

Baltimore VA Medical Center

Baltimore, Maryland, United States

Site Status RECRUITING

iConquerMS

Waltham, Massachusetts, United States

Site Status RECRUITING

Portland VA Medical Center

Portland, Oregon, United States

Site Status RECRUITING

Nashville VA Medical Center

Nashville, Tennessee, United States

Site Status RECRUITING

Seattle VA Medical Center

Seattle, Washington, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Grace Okafor

Role: CONTACT

781-487-0008

Facility Contacts

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Bryan Smith, MD

Role: primary

202-745-8000 ext. 55828

Mitchell Wallin, MD, MPH

Role: backup

Spencer Lin, BS

Role: primary

202-745-8146

Grace Okafor Clinical Trial Manager

Role: primary

781-487-0008

Christopher Hollen, MD

Role: primary

503-220-8262 ext. 57019

Carin Waslo, MPH

Role: backup

Taegan Vinarsky

Role: primary

615-421-0590

Jennifer Ives

Role: primary

206-277-3593

Other Identifiers

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CDMRP- MS220136

Identifier Type: OTHER_GRANT

Identifier Source: secondary_id

ACP-CAFE-MS-001

Identifier Type: -

Identifier Source: org_study_id

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