Impact of Exercise Training on Serum Neurofilament Light Chain (NfL), Brain Volumetry, and Functional Outcomes in Multiple Sclerosis
The Effect of an Exercise Intervention on Serum Neurofilament Light Chain and Brain Volumetry in Patients With Multiple Sclerosis: A Randomized Controlled Trial
1 other identifier
interventional
26
1 country
1
Brief Summary
This single-blind, randomized controlled trial will employ a two-arm parallel design (exercise group vs. control group) with a 12-week intervention period. Randomization will be implemented using SPSS 25.0 (IBM Corporation, Armonk, NY, USA) to ensure balanced group allocation. All outcome measures will be assessed at baseline and post-intervention.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for not_applicable multiple-sclerosis
Started Apr 2026
Shorter than P25 for not_applicable multiple-sclerosis
1 active site
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
First Submitted
Initial submission to the registry
April 3, 2026
CompletedFirst Posted
Study publicly available on registry
April 9, 2026
CompletedStudy Start
First participant enrolled
April 15, 2026
CompletedPrimary Completion
Last participant's last visit for primary outcome
April 30, 2026
CompletedStudy Completion
Last participant's last visit for all outcomes
August 15, 2026
ExpectedApril 9, 2026
April 1, 2026
15 days
April 3, 2026
April 3, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (2)
MRI Acquisition and Volumetric Analysis
Volumetric brain analysis will be conducted using VolBrain, an open-access automated segmentation platform for brain MRI.
12 weeks
Serum Neurofilament Light Chain (NfL) measurement
All patients will be asked to provide blood samples in the morning following their overnight (12 h) fast before and after the study. The unit ng/ml will be used for serum Neurofilament Light Chain.
12 Weeks
Secondary Outcomes (5)
Multiple Sclerosis Functional Composite
12 Weeks
Fatigue Impact Scale
12 Weeks
Short form-12 version 2 (SF-12v2)
12 Weeks
Problem-Solving inventory (PSI)
12 Weeks
Emotional intelligence scale (EIS)
12 Weeks
Study Arms (2)
Exercise
EXPERIMENTALBased on current recommendations for individuals with MS, the PRT program will last 12 weeks and will include three sessions per week, each lasting 60-90 minutes at 60-80% of one-repetition maximum.
Control
NO INTERVENTIONInterventions
According to current clinical guidelines for multiple sclerosis patients, the progressive resistance training (PRT) protocol will be implemented as follows: a 12-week intervention consisting of three supervised 60-90 minute sessions per week at 60-80% of one-repetition maximum intensity. All training sessions will be conducted under the direct supervision of a certified physiotherapist to ensure proper technique adherence and safety throughout the intervention period
Eligibility Criteria
You may qualify if:
- Clinically confirmed relapsing-remitting multiple sclerosis (RRMS) diagnosis according to revised McDonald criteria (2017)
- Mild-to-moderate disability (EDSS score 1.0-5.5)
- No corticosteroid treatment within the previous 3 months
You may not qualify if:
- Acute MS relapse within 90 days prior to enrollment
- Regular participation in structured exercise programs (\>3 hours/week)
- Comorbid conditions that may limit exercise participation, including; significant orthopedic impairments, unstable cardiopulmonary conditions and other systemic disorders affecting physical activity
- Standard MRI contraindications (metallic implants, claustrophobia, etc.)
- Concurrent neurological disorders (other than MS)
- Initiation or modification of disease-modifying therapy within 6 months
- Severe spasticity (Modified Ashworth Scale ≥3 in any major muscle group)
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Firat Universitylead
Study Sites (1)
Fırat University
Elâzığ, 23100, Turkey (Türkiye)
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- OUTCOMES ASSESSOR
- Masking Details
- All clinical assessments will be performed by a blinded neurologist to eliminate measurement bias.
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Principal Investigator
Study Record Dates
First Submitted
April 3, 2026
First Posted
April 9, 2026
Study Start
April 15, 2026
Primary Completion
April 30, 2026
Study Completion (Estimated)
August 15, 2026
Last Updated
April 9, 2026
Record last verified: 2026-04