NCT03759249

Brief Summary

This study evaluates the effect of an extensive sleep medical investigation and of the subsequent treatment on multiple sclerosis (MS) related fatigue (provided a previously unknown sleep disorder was found).

Trial Health

57
Monitor

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
51

participants targeted

Target at P50-P75 for not_applicable multiple-sclerosis

Timeline
Completed

Started Dec 2015

Longer than P75 for not_applicable multiple-sclerosis

Geographic Reach
1 country

1 active site

Status
terminated

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

December 8, 2015

Completed
3 years until next milestone

First Submitted

Initial submission to the registry

November 28, 2018

Completed
1 day until next milestone

First Posted

Study publicly available on registry

November 29, 2018

Completed
2.5 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

May 31, 2021

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

May 31, 2021

Completed
Last Updated

August 3, 2021

Status Verified

July 1, 2021

Enrollment Period

5.5 years

First QC Date

November 28, 2018

Last Update Submit

July 28, 2021

Conditions

Keywords

multiple sclerosispolysomnography

Outcome Measures

Primary Outcomes (1)

  • Modified Fatigue Impact Scale value

    Measuring fatigue Total value of the Modified Fatigue Impact Scale: 0-84 (min-max), higher values represent increased fatigue, and lower values are considered to be a better outcome

    six months after treatment

Study Arms (2)

Treatment group

EXPERIMENTAL

Standard Treatment of Sleep disorder according to applicable guideline

Other: Sleep medical treatment

Waiting list

NO INTERVENTION

Continuation of former treatment, after completing the study standard treatment of Sleep disorder according to applicable guidelines

Interventions

The participant ungo Standard Sleep medical diagnostics. If a sleep disorder is diagnosed in the interventional Group the applicable therapy is conducted. If the participant is randomized in the waiting Group the applicable Therapy is initiated after study completion.

Treatment group

Eligibility Criteria

Age18 Years - 75 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • multiple sclerosis
  • fatigue
  • MFIS values greater than 34 or Pittsburgh Sleep Quality Index greater than 5

You may not qualify if:

  • Expanded disability status scale greater than 5
  • relapse in the last four weeks
  • immunosuppressants in the last two years
  • therapy with positive airway pressure (CPAP or BIPAP/ASV)
  • treatment with opioids
  • treatment with oestrogen
  • body mass index greater than 40
  • depression (beck depression inventory (BDI) values greater 20; in case of treatment with antidepressants BDI values greater than 12 or suicidal ideas)
  • pregnancy
  • anaemia (hemoglobine \< 11,5 g/dl in women and \< 12,5 g/dl in men)
  • thyroid-stimulating hormone outside the normal range
  • renal insufficiency (creatinine clearance \< 75ml/min)
  • elevated transaminases (tripled)
  • chronic heart failure (NYHA II, III or IV)
  • respiratory insufficiency (CO2 \> 45 mmHg or pO2 \< 60 mmHg (capillary or arterial) or long-term oxygen therapy)
  • +16 more criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Charité University Medicine Berlin

Berlin, 10117, Germany

Location

Related Publications (6)

  • Veauthier C, Hasselmann H, Gold SM, Paul F. The Berlin Treatment Algorithm: recommendations for tailored innovative therapeutic strategies for multiple sclerosis-related fatigue. EPMA J. 2016 Nov 24;7(1):25. doi: 10.1186/s13167-016-0073-3. eCollection 2016.

    PMID: 27904656BACKGROUND
  • Veauthier C, Paul F. Fatigue in multiple sclerosis: which patient should be referred to a sleep specialist? Mult Scler. 2012 Feb;18(2):248-9. doi: 10.1177/1352458511411229. Epub 2011 Jun 7. No abstract available.

    PMID: 21652611BACKGROUND
  • Veauthier C, Gaede G, Radbruch H, Gottschalk S, Wernecke KD, Paul F. Treatment of sleep disorders may improve fatigue in multiple sclerosis. Clin Neurol Neurosurg. 2013 Sep;115(9):1826-30. doi: 10.1016/j.clineuro.2013.05.018. Epub 2013 Jun 12.

    PMID: 23764040BACKGROUND
  • Veauthier C, Radbruch H, Gaede G, Pfueller CF, Dorr J, Bellmann-Strobl J, Wernecke KD, Zipp F, Paul F, Sieb JP. Fatigue in multiple sclerosis is closely related to sleep disorders: a polysomnographic cross-sectional study. Mult Scler. 2011 May;17(5):613-22. doi: 10.1177/1352458510393772. Epub 2011 Jan 28.

    PMID: 21278050BACKGROUND
  • Kaminska M, Kimoff RJ, Benedetti A, Robinson A, Bar-Or A, Lapierre Y, Schwartzman K, Trojan DA. Obstructive sleep apnea is associated with fatigue in multiple sclerosis. Mult Scler. 2012 Aug;18(8):1159-69. doi: 10.1177/1352458511432328. Epub 2011 Dec 19.

    PMID: 22183937BACKGROUND
  • Cote I, Trojan DA, Kaminska M, Cardoso M, Benedetti A, Weiss D, Robinson A, Bar-Or A, Lapierre Y, Kimoff RJ. Impact of sleep disorder treatment on fatigue in multiple sclerosis. Mult Scler. 2013 Apr;19(4):480-9. doi: 10.1177/1352458512455958. Epub 2012 Aug 22.

    PMID: 22914848BACKGROUND

MeSH Terms

Conditions

Multiple SclerosisFatigue

Condition Hierarchy (Ancestors)

Demyelinating Autoimmune Diseases, CNSAutoimmune Diseases of the Nervous SystemNervous System DiseasesDemyelinating DiseasesAutoimmune DiseasesImmune System DiseasesSigns and SymptomsPathological Conditions, Signs and Symptoms

Study Officials

  • Friedemann Paul, MD

    Charite University, Berlin, Germany

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Prof. Dr. Friedemann Paul

Study Record Dates

First Submitted

November 28, 2018

First Posted

November 29, 2018

Study Start

December 8, 2015

Primary Completion

May 31, 2021

Study Completion

May 31, 2021

Last Updated

August 3, 2021

Record last verified: 2021-07

Data Sharing

IPD Sharing
Will not share

Locations