ClinicalTrials.gg
CompletedNCT03256851Updated Oct 30, 2019Results posted

Telephone-Delivered Exercise for Multiple Sclerosis Fatigue

An interventional study of Telephone-Delivered Exercise Therapy and In-Person Delivered Exercise Therapy in Multiple Sclerosis, Fatigue and Physical Activity, sponsored by Wayne State University. Completed at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2019-10-30.

Sponsored by Wayne State University · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
20
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 1,192 studies in Multiple Sclerosis with a site in United States — 184 open to participants now, 260 under way, 23 of them phase 3. Multiple Sclerosis · United States.

Enrollment
670th of 879
20 · median 50
Started
2017
with 59 others
No phase
381 of 1,192
69 open now
Registered
611th of 1,192
by date

Among the 1,192 studies in Multiple Sclerosis with a site in United States, this one is the 670th largest by enrollment of the 879 interventional ones that give a count, is one of 60 that started in 2017, is one of 381 with no phase, and was the 611th registered.

Multiple Sclerosis

3,264 studies on the registry are indexed under Multiple Sclerosis; 659 are open to participants now.

Browse Multiple Sclerosis studies →

Open to participants now

184 of the 1,192 studies in Multiple Sclerosis with a site in United States are open now. Recruiting first, the newest first:

179 more — sign in →

All 184 open studies →

A study can be open while its sites in United States have not opened yet or have stopped. Only those recruiting at a site in United States →

Who these studies take

Of the 430 Multiple Sclerosis studies recruiting now, 163 (38%) set no upper age limit and 211 (49%) stop at 75 or younger; 40 take children under 18; 96 take healthy volunteers.

This study: 18 Years and older · all sexes · no healthy volunteers.

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02

Study summary

Multiple sclerosis (MS) is a progressive demyelinating disorder that damages white matter in the central nervous system. Although individuals experience mobility (e.g., walking, balance) impairments that lower quality of life and limit participation in daily activities, one of the most prominent symptoms is fatigue. Up to 92% of individuals report fatigue that manifests as lack of energy, exhaustion or worsening of MS symptoms and ultimately contributes to increasing disability. The currently available pharmaceutical treatments fail to fully control fatigue in the majority of individuals with MS; non-pharmacologic therapies such as exercise and behavioral therapies offer the best hope for combating MS fatigue in the majority of individuals.

Exercise therapy is effective in reducing MS fatigue. However, access to exercise therapy is seriously limited for many individuals with MS due to geographical location, limited resources (e.g., financial, transportation), and/or disability. Thus, the development and evaluation of an alternative delivery method for exercise therapy to target MS-related fatigue that increases participation and reduces barriers is critical.

In this study, the investigators will compare traditional in-person delivered exercise therapy to telephone-delivered exercise therapy to target fatigue in persons with MS.

03

Conditions studied

  • Multiple Sclerosis
  • Fatigue
  • Physical Activity
04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Diagnosis of RRMS, SPMS, or PPMS
  • Ambulatory for at least 5 minutes at a time
  • Self-reported fatigue on Fatigue Severity Scale
  • Able to follow study-related commands
  • Able to attend study appointments

Exclusion criteria

Exclusion Criteria:

  • MS exacerbation within the past 30 days
  • Evidence of another neurological disorder or orthopedic disorder that would interfere with exercise participation
  • Acute illness or injury that prevents participation in the intervention
  • Pregnancy
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
20 participants (actual)

Study arms

  • Active comparator
    In-Person Delivered Exercise

    Participants in the in-person training group will: 1. participate in a home exercise program including aerobic training 2x/week and strength training 3x/week. 2. complete one of their prescribed training sessions (lasting 1 hour total) each week with a physical therapist or trained member of the research team. Training sessions will focus on progression of aerobic and strength training exercises.

    Behavioral: In-Person Delivered Exercise Therapy

  • Experimental
    Telephone-Delivered Exercise

    Participants in the telephone-delivered training group will: 1. participate in a home exercise program including aerobic training 2x/week and strength training 3x/week. 2. receive a 60-minute, 1x/week telephone call from a trained research team member. Participants will report their progress from the prior week, discuss/troubleshoot any issues or problems, and receive progressions of both aerobic and strength training exercises for the upcoming week.

    Behavioral: Telephone-Delivered Exercise Therapy

Interventions

  • BehavioralTelephone-Delivered Exercise Therapy

    A combination of aerobic and resistance training has been shown to be most effective for reducing fatigue in persons with MS. Aerobic training will consist of: 30 minutes of either cycling, treadmill walking or overground walking, 2x/week. Participants will be given a wrist-worn pedometer with heart-rate monitor to track their heart rate during training. Participants will be progressed to reach 60-70% of their maximal heart rate during aerobic training over the course of the study. Strength training will consist of hip extension, hip flexion, hip abduction, knee extension and knee flexion movements with resistance bands performed 3x/week. This home exercise program will be paired with a 1x/week telephone call with an investigator.

  • BehavioralIn-Person Delivered Exercise Therapy

    A combination of aerobic and resistance training has been shown to be most effective for reducing fatigue in persons with MS. Aerobic training will consist of: 30 minutes of either cycling, treadmill walking or overground walking, 2x/week. Participants will be given a wrist-worn pedometer with heart-rate monitor to track their heart rate during training. Participants will be progressed to reach 60-70% of their maximal heart rate during aerobic training over the course of the study. Strength training will consist of hip extension, hip flexion, hip abduction, knee extension and knee flexion movements with resistance bands performed 3x/week. This home exercise program will be paired with a 1x/week visit to the laboratory to work with a physical therapist or trained team member.

06

What researchers measure

Primary outcomes

  1. Daily Average Fatigue Intensity Score

    Rated on a 0-10 numerical rating scale, entered directly on the PRO-Diary (CamNTech, Cambridge, UK), which provides a more reliable and sensitive assay of symptoms compared to traditional recall measures. A score of 0 indicates no fatigue and a score of 10 indicates extremely severe fatigue.

    Time frame: Baseline (pre) and 8 weeks (post)

  2. Daily Average Fatigue Interference Score

    Rated on a 0-10 numerical rating scale, entered directly on the PRO-Diary (CamNTech, Cambridge, UK), which provides a more reliable and sensitive assay of symptoms compared to traditional recall measures.' A score of 0 indicates no interference while a score of 10 indicates complete interference (i.e., worse).

    Time frame: Baseline (pre) and 8 weeks (post)

07

Results

Posted Oct 30, 2019

Participant flow

Participant flow — Overall Study
MilestoneIn-Person Delivered ExerciseTelephone-Delivered Exercise
Started1010
Completed910
Not completed10
Withdrew: Withdrawal by subject10

Outcome measures

PrimaryDaily Average Fatigue Intensity Score

Rated on a 0-10 numerical rating scale, entered directly on the PRO-Diary (CamNTech, Cambridge, UK), which provides a more reliable and sensitive assay of symptoms compared to traditional recall measures. A score of 0 indicates no fatigue and a score of 10 indicates extremely severe fatigue.

Time frame:
Baseline (pre) and 8 weeks (post)
Reported as:
Mean · units on a scale
Daily Average Fatigue Intensity Score
units on a scaleIn-Person Delivered ExerciseTelephone-Delivered Exercise
Pre3.9 ± 1.94.4 ± 1.1
Post3.2 ± 1.92.3 ± 1.5
PrimaryDaily Average Fatigue Interference Score

Rated on a 0-10 numerical rating scale, entered directly on the PRO-Diary (CamNTech, Cambridge, UK), which provides a more reliable and sensitive assay of symptoms compared to traditional recall measures.' A score of 0 indicates no interference while a score of 10 indicates complete interference (i.e., worse).

Time frame:
Baseline (pre) and 8 weeks (post)
Reported as:
Mean · units on a scale
Daily Average Fatigue Interference Score
units on a scaleIn-Person Delivered ExerciseTelephone-Delivered Exercise
Pre3.1 ± 1.93.0 ± 1.3
Post2.7 ± 1.81.5 ± 1.7

Adverse events

Collected over 8 weeks. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
In-Person Delivered Exercise0/10 (0%)0/10 (0%)0/10 (0%)
Telephone-Delivered Exercise0/10 (0%)0/10 (0%)0/10 (0%)

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)In-Person Delivered ExerciseTelephone-Delivered ExerciseTotal
<=18 years000
Between 18 and 65 years101020
>=65 years000
Age, Continuous
Age, Continuous(years)In-Person Delivered ExerciseTelephone-Delivered ExerciseTotal
Mean50.7 ± 7.445.9 ± 8.048.3 ± 7.9
Sex: Female, Male
Sex: Female, Male(Participants)In-Person Delivered ExerciseTelephone-Delivered ExerciseTotal
Female9918
Male112
Race and Ethnicity Not Collected
Race and Ethnicity Not Collected(Participants)In-Person Delivered ExerciseTelephone-Delivered ExerciseTotal
Count of participants——0
Region of Enrollment
Region of Enrollment(Participants)In-Person Delivered ExerciseTelephone-Delivered ExerciseTotal
United States101020
Fatigue Severity Scale
Fatigue Severity Scale(units on a scale)In-Person Delivered ExerciseTelephone-Delivered ExerciseTotal
Mean51.1 ± 4.147.8 ± 9.548.5 ± 7.3
Patient Determined Disease Steps (PDDS)
Patient Determined Disease Steps (PDDS)(units on a scale)In-Person Delivered ExerciseTelephone-Delivered ExerciseTotal
Mean3.5 (3 to 5)2 (1 to 3)3 (1 to 4)
BMI
BMI(kg/m^2)In-Person Delivered ExerciseTelephone-Delivered ExerciseTotal
Median29.1 (27.1 to 34.7)33.8 (30.8 to 38.7)32.9 (27.8 to 36.4)

1 further baseline measures are reported on the registry.

08

Study locations

1 site
  • Wayne State University
    Detroit, Michigan 48201, United States
09

References and documents

Publications

  • Kratz AL, Atalla M, Whibley D, Myles A, Thurston T, Fritz NE. Calling Out MS Fatigue: Feasibility and Preliminary Effects of a Pilot Randomized Telephone-Delivered Exercise Intervention for Multiple Sclerosis Fatigue. J Neurol Phys Ther. 2020 Jan;44(1):23-31. doi: 10.1097/NPT.0000000000000296. PubMed 31738192 ↗

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: No

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Jun 2017 to primary completion in May 2018, 11 months.

Results were first posted in Oct 2019, 1 year 4 months after primary completion.

Of 847 non-industry interventional studies with no phase under Multiple Sclerosis, half reached primary completion within 22 months of starting (the median), counting those still running; a quarter within 8 and three quarters within 43. This study's 11 months is below that.

Counting every sponsor, half of 869 studies reached it within 21 months; a quarter within 9 and three quarters within 43.

How these figures are worked out, and which studies are left out of them.

Registered
Aug 16, 2017
First posted
Aug 22, 2017
StartActual
Jun 1, 2017
Primary completionActual
May 31, 2018
CompletionActual
Jul 31, 2018
Results first posted
Oct 30, 2019
Last update
Oct 30, 2019
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Oct 30, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03256851
Collaborators
National Multiple Sclerosis Society, University of Michigan
Responsible party
Nora Fritz (Assistant Professor, Wayne State University) — Principal investigator
First posted
Aug 22, 2017
Start date
Jun 1, 2017
Primary completion
May 31, 2018
Completion
Jul 31, 2018
Results posted
Oct 30, 2019
Last update
Oct 30, 2019

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Oct 2019. You cannot join it, but the record below documents what was studied.

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