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CompletedNCT02306109ermoSlaUpdated Aug 7, 2018

Effect of Motor Rehabilitation Treatment on Amyotrophic Lateral Sclerosis (ALS)

An interventional study of Standard motor rehabilitation treatment and Intensive motor rehabilitation treatment in Amyotrophic Lateral Sclerosis, sponsored by Azienda Unita' Sanitaria Locale Di Modena. Completed at 3 sites in Italy. Open to participants aged 18 Years to 85 Years. Per ClinicalTrials.gov, last updated 2018-08-07.

Sponsored by Azienda Unita' Sanitaria Locale Di Modena · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
65
Allocation
Randomized
Ages
18 Years to 85 Years
Sex
All
01

Study summary

ErmoSLA is a multicentric, randomized, controlled trial to compare effects of an "intensive" or "standard" motor rehabilitation treatment on motor disability in people with ALS

Read the detailed description

The study is a multicentric, randomized, controlled trial to compare effects of standard versus intensive motor rehabilitation treatment for people with ALS.

Eligible patients are going to be randomly assigned to the Standard or Intensive treatment (controlling for ALSFRSR rates at enrollment, age and site of onset). Randomization ratio is 1:1.

Standard treatment: 2 sessions/week of motor rehabilitation treatment (45 minutes each one) for 10 weeks for a total of 20 sessions. The program consists of exercises for aerobic endurance, reinforcement at low load and stretching. At the end of the 20 sessions patient and caregiver are going to continue activity with supervision through regular follow up.

Intensive treatment is characterized by an increased volume of the above mentioned exercises: 5 sessions/week (45 minutes each one) for 10 weeks for a total of 50 sessions. At the end of the 50 sessions patient and caregiver are going to continue activity with supervision through regular follow up.

Collection and analysis of data

Recruitment: during the first 18 months of the study. Outcome measures: evaluated at T0-T3-T6-T9-T12-T15-T18-T21-T24. Rating scales will be administered by a neurologist in singe blind method with respect to the treatment.

Data collection will be done through an ad hoc Case Report Form and entered into a database on a dedicated website.

02

Conditions studied

  • Amyotrophic Lateral Sclerosis

Keywords

  • Motor Rehabilitation Treatment
  • Intensive versus standard
  • Motor Disability
03

In context

Motor Neuron Disease

717 studies on the registry are indexed under Motor Neuron Disease; 137 are open to participants now.

This study's enrollment of 65 is above the median of 35 across 461 interventional studies indexed under Motor Neuron Disease.

Browse Motor Neuron Disease studies →

Lead sponsor

Azienda Unita' Sanitaria Locale Di Modena is the lead sponsor of 4 studies on the registry; none are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 85 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Diagnosis of possible, probable or definite ALS according to the Revised El Escorial Criteria
  • Time from diagnosis \<18 months at screening.
  • Forced vital capacity (FVC)> 50% at screening
  • Written informed consent

Patients will be required to take the full dose of Riluzole, but not assuming Riluzole do not constitute a criterion for exclusion.

Exclusion criteria

Exclusion Criteria:

  • Enrolment in any other clinical trial in the three months prior to screening
  • Tracheostomy or NIV for> 23h/day for 14 consecutive days at screening.
  • Diagnosis of severe neurodegenerative diseases in addition to the ALS
  • Diagnosis of severe heart disease, current neoplasia, any unstable medical condition that contraindicates an intensive rehabilitation treatment
  • State of pregnancy or breastfeeding
  • Residency outside Emilia-Romagna Region
  • Lack of multidisciplinary follow-up
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Investigator)
Enrollment
65 participants (actual)

Study arms

  • Active comparator
    Standard motor rehabilitation treatment

    Procedure: Standard motor rehabilitation treatment

  • Experimental
    Intensive motor rehabilitation treatment

    Procedure: Intensive motor rehabilitation treatment

Interventions

  • ProcedureStandard motor rehabilitation treatment

    Standard treatment: 2 sessions/week of motor rehabilitation treatment (45 minutes each one) for 10 weeks for a total of 20 sessions, including exercises for aerobic endurance, reinforcement at low load and stretching. At the end of the 20 sessions, patient and caregiver are going to continue motor activity with therapist supervision through regular follow up

  • ProcedureIntensive motor rehabilitation treatment

    Intensive treatment is characterized by an increased exercises volume: 5 sessions/week)(45 minutes each one) for 10 weeks for a total of 50 sessions, including exercises for aerobic endurance, reinforcement at low load and stretching. At the end of the 50 sessions, patient and caregiver are going to continue motor activity with therapist supervision through regular follow up

06

What researchers measure

Primary outcomes

  1. Change from Baseline in ALSFRS R

    Time frame: 12 months

Secondary outcomes

  1. Rate of complications related to the disease: pressure sores, hospitalizations, infections

    Time frame: 12 months

  2. Perceived quality of care

    Time frame: 12 months

  3. Tracheostomy free survival

    Time frame: 12 months

  4. Time to supporting procedures (NIV and PEG)

    Time frame: 12 months

  5. Respiratory function: measured by FVC

    Time frame: 12 months

  6. Quality of Life: measured by McGill and ALSAQ40 scales

    Time frame: 12 months

  7. Disease symptoms (fatigue) measured with FSS

    Time frame: 12 months

  8. Depression measured by Beck Inventory Scale

    Time frame: 12 months

07

Study locations

3 sites
  • Department of Neuroscience, S. Anna Hospital
    Ferrara, Italy
  • Department of Neuroscience, S.Agostino-Estense Hospital
    Modena, Italy
  • Department of Neuroscience, IRCCS Arcispedale Santa Maria Nuova
    Reggio Emilia, Italy
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 7, 2018, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT02306109
Lead sponsor
Azienda Unita' Sanitaria Locale Di Modena
Collaborators
University of Modena and Reggio Emilia, Azienda Unita Sanitaria Locale Reggio Emilia, S. Anna Hospital, Azienda Unità Sanitaria Locale Ferrara
Responsible party
Jessica Mandrioli (MD, Department of Neuroscience, St. Agostino-Estense Hospital, Modena (IT), Azienda Unita' Sanitaria Locale Di Modena) — Principal investigator
First posted
Dec 3, 2014
Start date
Jan 2015
Primary completion
Dec 2017
Completion
Apr 2018
Last update
Aug 7, 2018

Study contacts

Marco Vinceti, MD
study chair · Public Health Department, University of Modena and Reggio Emilia (IT)

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Aug 2018. You cannot join it, but the record below documents what was studied.

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