Optimizing Detection and Prediction of Changes in Cognitive Function in Multiple Sclerosis (MS)
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ClinicalTrials.gov Identifier: NCT05252195 |
Recruitment Status :
Recruiting
First Posted : February 23, 2022
Last Update Posted : August 15, 2022
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The researchers will use technology-assisted ambulatory assessment techniques to examine cognitive dysfunction in people with Multiple Sclerosis (MS).
The researchers will determine if ambulatory assessments are sensitive to subtle declines in cognitive functioning. They will also explore the impact of modifiable factors, such as sleep, physical activity, mood, and somatic symptoms on cognitive function. These efforts will uncover behavioral and medical intervention methods. Finally, they will explore whether variability in cognitive functioning predicts short- and long-term changes in other patient-centered functional domains, social participation and physical functioning.
Condition or disease |
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Multiple Sclerosis |
Study Type : | Observational |
Estimated Enrollment : | 250 participants |
Observational Model: | Cohort |
Time Perspective: | Prospective |
Official Title: | Optimizing Detection and Prediction of Changes in Cognitive Function in Multiple Sclerosis |
Actual Study Start Date : | May 24, 2022 |
Estimated Primary Completion Date : | March 2027 |
Estimated Study Completion Date : | March 2027 |

Group/Cohort |
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Participants
Participants with Multiple Sclerosis who meet eligibility criteria.
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- Change in Cognitive Function - Ambulatory measurement via Dot Memory Test [ Time Frame: Baseline up to year 2 ]
Reported in terms of Euclidian distance/error
Cognition Covariates may include: age, sex, disease duration, Multiple Sclerosis (MS) subtype (relapsing vs. progressive subtypes combined), personality variables, and cognitive reserve (education plus scores on test of vocabulary).
- Change in Cognitive Function - Ambulatory measurement via Symbol Search Test [ Time Frame: Baseline up to year 2 ]
Reported in Reaction Time (milliseconds)
Cognition Covariates may include: age, sex, disease duration, Multiple Sclerosis (MS) subtype (relapsing vs. progressive subtypes combined), personality variables, and cognitive reserve (education plus scores on test of vocabulary).
- Change in Cognitive Function - clinic-based neurocognitive measurement via NIH Toolbox Cognitive Battery [ Time Frame: Baseline up to year 2 ]Test Battery reported in T-scores. Covariates may include: age, sex, disease duration, MS subtype (relapsing vs. progressive subtypes combined), personality variables, and cognitive reserve (education plus scores on test of vocabulary).
- Change in Cognitive Function - clinic-based neurocognitive measurement via Symbol Digit Modalities test [ Time Frame: Baseline up to year 2 ]
Covariates may include: age, sex, disease duration, MS subtype (relapsing vs. progressive subtypes combined), personality variables, and cognitive reserve (education plus scores on test of vocabulary).
The score is the number of correct answers in 90 seconds. Higher scores indicates better attention and processing speed.
- Change in Cognitive Function - clinic-based neurocognitive measurement via Paced Auditory Serial Addition Test [ Time Frame: Baseline up to year 2 ]
Covariates may include: age, sex, disease duration, MS subtype (relapsing vs. progressive subtypes combined), personality variables, and cognitive reserve (education plus scores on test of vocabulary).
The score range is 0-60 and higher numbers indicate better sustained attention, speed of information processing, and working memory.
- Change in Cognitive Function - clinic-based neurocognitive measurement via Rey Auditory Verbal Learning Test [ Time Frame: Baseline up to year 2 ]
Covariates may include: age, sex, disease duration, MS subtype (relapsing vs. progressive subtypes combined), personality variables, and cognitive reserve (education plus scores on test of vocabulary).
The scores from the test represent the total immediate recall (over 5 learning trials), delayed recall, and recognition. Higher scores indicate better verbal learning and memory.

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Ages Eligible for Study: | 18 Years and older (Adult, Older Adult) |
Sexes Eligible for Study: | All |
Sampling Method: | Non-Probability Sample |
Inclusion Criteria:
- Are able to fluently converse and read in English.
- Multiple Sclerosis (MS) diagnosis (confirmed from neurologist, all relapsing and progressive subtypes included)
- Ambulate either independently or with the use of a cane or walker (or similar device) for at least 50% of the time at baseline
Exclusion Criteria:
- MS relapse within the past 30 days (may become eligible after 30 days; criteria used at T1, T2, and T3).
- Inability to use study data collection tools (i.e., ActiGraph wrist-worn activity watch, smart phone app).

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT05252195
Contact: Kristi Pickup | 734-764-4072 | knpicku@umich.edu |
United States, Michigan | |
University of Michigan | Recruiting |
Ann Arbor, Michigan, United States, 48109 | |
Contact: Kristi Pickup | |
Principal Investigator: Anna Kratz | |
Wayne State University | Recruiting |
Detroit, Michigan, United States, 48202 | |
Principal Investigator: Nora Fritz | |
United States, Washington | |
University of Washington | Recruiting |
Seattle, Washington, United States, 98195 | |
Principal Investigator: Kevin Alschuler |
Principal Investigator: | Anna Kratz | University of Michigan | |
Principal Investigator: | Nora Fritz | Wayne State University |
Responsible Party: | Anna Kratz, Associate Professor of Physical Medicine and Rehabilitation, University of Michigan |
ClinicalTrials.gov Identifier: | NCT05252195 |
Other Study ID Numbers: |
HUM00199732 R01HD102337-01 ( U.S. NIH Grant/Contract ) |
First Posted: | February 23, 2022 Key Record Dates |
Last Update Posted: | August 15, 2022 |
Last Verified: | August 2022 |
Individual Participant Data (IPD) Sharing Statement: | |
Plan to Share IPD: | No |
Studies a U.S. FDA-regulated Drug Product: | No |
Studies a U.S. FDA-regulated Device Product: | No |
Cognitive dysfunction |
Multiple Sclerosis Sclerosis Pathologic Processes Demyelinating Autoimmune Diseases, CNS Autoimmune Diseases of the Nervous System |
Nervous System Diseases Demyelinating Diseases Autoimmune Diseases Immune System Diseases |