NCT06915272

Brief Summary

In this study, we aim to evaluate the impact of head and neck cooling on symptoms and psychological states in individuals with Multiple Sclerosis (MS) during a 7-day Oceans of Hope Challenge sailing trip around the Greek islands of the Argosaronic Gulf in May 2023. Forty-five individuals with relapsing-remitting MS will participate in the sailing trip. Participants will be allocated to either a Cooling group (n=25), using a cooling cap and neck towel for at least two hours per day, or a Control group (n=20) without cooling interventions. Before and after the trip, participants will complete the Functional Assessment of Multiple Sclerosis Scale (FAMS), the Environmental Symptoms Questionnaire (ESQ), and the abbreviated 40-item Profile of Mood States (POMS-40). These assessments will be used to evaluate quality of life, environmental symptoms, and mood states. The study is designed to examine whether daily use of head and neck cooling during a prolonged outdoor activity influences MS-related symptoms, quality of life, and psychological well-being.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
45

participants targeted

Target at P25-P50 for not_applicable

Timeline
Completed

Started May 2023

Geographic Reach
1 country

1 active site

Status
completed

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

Trial Relationships

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Study Timeline

Key milestones and dates

Study Start

First participant enrolled

May 6, 2023

Completed
9 days until next milestone

Primary Completion

Last participant's last visit for primary outcome

May 15, 2023

Completed
2 days until next milestone

Study Completion

Last participant's last visit for all outcomes

May 17, 2023

Completed
1.8 years until next milestone

First Submitted

Initial submission to the registry

March 17, 2025

Completed
22 days until next milestone

First Posted

Study publicly available on registry

April 8, 2025

Completed
Last Updated

April 8, 2025

Status Verified

April 1, 2025

Enrollment Period

9 days

First QC Date

March 17, 2025

Last Update Submit

April 3, 2025

Conditions

Outcome Measures

Primary Outcomes (1)

  • Change in MS-related symptoms and heat sensitivity (as measured by Environmental Symptoms Questionnaire - ESQ-IV)

    Evaluated by comparing total symptom scores before and after the 7-day sailing intervention between the cooling group and the control group. This outcome directly assesses the effectiveness of the head and neck cooling intervention in managing MS symptoms exacerbated by heat stress.

    Change from baseline to immediately after the 7-day intervention period.

Secondary Outcomes (1)

  • Change in Mood Disturbances

    Change from baseline to immediately after the 7-day intervention period.

Other Outcomes (1)

  • Change in Quality of Life Assessed by the Functional Assessment of Multiple Sclerosis (FAMS) Total Score

    Change from baseline to immediately after the 7-day intervention period.

Study Arms (2)

Cooling Intervention

EXPERIMENTAL

Head and Neck Cooling Intervention

Other: Head and Neck Cooling Intervention

Control

NO INTERVENTION

Interventions

Participants received a head and neck cooling intervention involving the daily use (≥2 hours/day) of cooling devices consisting of a cooling cap and cooling towel specifically designed for localized head and neck cooling. Devices were activated by immersing them in cold water maintained at approximately 10°C.

Cooling Intervention

Eligibility Criteria

Sexall
Healthy VolunteersNo
Age GroupsChild (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

  • Had experienced no relapse within the past six months. Had an Expanded Disability Status Scale (EDSS) score between 0 and 5.5, indicating the ability to walk at least 100 meters independently without assistance.
  • Had a documented history of heat sensitivity confirmed by their physician. Had not used any cooling therapy within at least four months prior to study participation.
  • Were fluent in English (for accurate completion of questionnaires and instructions).

You may not qualify if:

  • Had experienced an MS relapse within the past six months. Had an Expanded Disability Status Scale (EDSS) score greater than 5.5 (unable to walk at least 100 meters independently).
  • Had no documented history of heat sensitivity related to MS. Had used any cooling therapies within four months prior to the study participation.
  • Were unable to understand or communicate fluently in English.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Greek Multiple Sclerosis Society

Thessaloniki, 55132, Greece

Location

MeSH Terms

Conditions

Multiple Sclerosis, Relapsing-Remitting

Condition Hierarchy (Ancestors)

Multiple SclerosisDemyelinating Autoimmune Diseases, CNSAutoimmune Diseases of the Nervous SystemNervous System DiseasesDemyelinating DiseasesAutoimmune DiseasesImmune System Diseases

Study Officials

  • Antonia Kaltsatou, PhD

    Department of Physical Education and Sport Science, University of Thessaly

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
OTHER
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Adjunct Assistant Professor in Clinical Exercise Physiology

Study Record Dates

First Submitted

March 17, 2025

First Posted

April 8, 2025

Study Start

May 6, 2023

Primary Completion

May 15, 2023

Study Completion

May 17, 2023

Last Updated

April 8, 2025

Record last verified: 2025-04

Data Sharing

IPD Sharing
Will not share

Individual participant data (IPD) will not be shared to protect participant confidentiality and privacy, as the informed consent obtained did not include provisions for data sharing with third-party researchers.

Locations