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CompletedNCT03806387Updated Sep 6, 2023

Physical and Cognitive Performance During the Two First Years of Lemtrada Treatment

An observational study in Multiple Sclerosis, sponsored by University of Aarhus. Completed at 1 site in Denmark. Open to participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2023-09-06.

Sponsored by University of Aarhus · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
17
Ages
18 Years to 65 Years
Sex
All
01

Study summary

Multiple Sclerosis (MS) is a chronic autoimmune neurodegenerative disease of the central nervous system (CNS). The symptoms of MS are wide-ranging, but patients perceive loss of physical function (gait) and cognitive function as the most critical consequences of the disease. Moreover, recent studies have shown that already at early disease stages functional impairments are present.

One of the more recent approved medical treatments for MS patients is Alemtuzumab (product name Lemtrada), a humanized monoclonal antibody targeting CD52 cells, that depletes and repopulates B lymphocytes and T lymphocytes, causing sustained changes in the adaptive immunity. In 2013 and 2014 Alemtuzumab was approved in EU and USA, respectively.

With the exception of the MS Functional Composite z-score, the previous clinical studies investigating the effect of Alemtuzumab have exclusively focused on clinical parameters such as MRI indications of disease activity (accumulation of lesion, total and regional brain atrophy etc.), relapse-rates, changes in 'expanded disability status scale' (EDSS) and side-effects/adverse events. However, no previous studies have performed in depth monitoring on how physical or cognitive performance are affected following initiation of treatment with Alemtuzumab despite the paramount importance to patients.

The primary purpose of this project is to monitor the changes in physical performance during the first two years of treatment with Alemtuzumab in a well characterised Danish cohort of people with relapsing-remitting MS. A secondary purpose is to monitor the impact of Alemtuzumab treatment on cognition during the first two years of treatment.

02

Conditions studied

  • Multiple Sclerosis

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03

In context

Multiple Sclerosis

3,460 studies on the registry are indexed under Multiple Sclerosis; 661 are open to participants now.

This study's enrollment of 17 is below the median of 100 across 1,016 observational studies indexed under Multiple Sclerosis.

Browse Multiple Sclerosis studies →

Lead sponsor

University of Aarhus is the lead sponsor of 1,274 studies on the registry; 183 are open to participants now.

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

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Who can participate

Ages eligible
18 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Multiple Sclerosis patients will be recruited from MS clinics all over Denmark.

Inclusion criteria

  • Clinical definite Multiple Sclerosis diagnosis according to the McDonald criteria
  • About to commence alemtuzumab (Lemtrada) treatment
  • Expanded Disability Status Scale (EDSS) ≤ 5.5
  • Signed informed consent

Exclusion criteria

Exclusion Criteria:

  • Co-morbidities that prevent participation in the project (dementia, serious cognitive disorders etc.)
05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
17 participants (actual)
Patient registry
No

Interventions

  • DrugAlemtuzumab

    Alemtuzumab will be given two times, separated by 1 year.

    Also known as: Lemtrada

06

What researchers measure

Primary outcomes

  1. Six minute walking test (6MWT)

    Change in maximal walking distance covered in 6 minutes

    Time frame: From baseline to 24 months

Secondary outcomes

  1. Six minute walking test (6MWT)

    Change in maximal walking distance covered in 6 minutes

    Time frame: From baseline to 3 months, 6 months, and 12 months

  2. Timed 25 foot walk (T25FWT)

    Change in maximal walking speed

    Time frame: From baseline to 3 months, 6 months, 12 months, and 24 months

  3. 5 times sit to stand test (5STS)

    Change in time to perform 5 times sit to stand test (5STS)

    Time frame: From baseline to 3 months, 6 months, 12 months, and 24 months

  4. Timed Up and Go (TUG)

    Change in time to perform Timed Up and Go (TUG)

    Time frame: From baseline to 3 months, 6 months, 12 months, and 24 months

  5. Stair Climbing test

    Change in time to perform 9-step stair climbing

    Time frame: From baseline to 3 months, 6 months, 12 months, and 24 months

  6. Six Spot Step Test (SSST)

    Change in maximal walking speed while challenging coordination/balance

    Time frame: From baseline to 3 months, 6 months, 12 months, and 24 months

  7. Maximal oxygen uptake (VO2 max)

    Change in aerobic power

    Time frame: From baseline to 3 months, 6 months, 12 months, and 24 months

  8. Maximal muscle strength

    Change in isometric and dynamic knee extensor muscle strength, isometric hand grip strength

    Time frame: From baseline to 3 months, 6 months, 12 months, and 24 months

  9. Neuromuscular activation

    Change in neural drive during maximal isometric knee extension

    Time frame: From baseline to 3 months, 6 months, 12 months, and 24 months

  10. Body composition - limb lean mass

    Change in total lower limb lean mass (kg) (assessed by Dual-energy X-ray Absorptiometry - DXA scan).

    Time frame: From baseline to 3 months, 6 months, 12 months, and 24 months

  11. Body composition - limb fat mass

    Change in total lower limb fat mass (kg) (assessed by Dual-energy X-ray Absorptiometry - DXA scan).

    Time frame: From baseline to 3 months, 6 months, 12 months, and 24 months

  12. Body composition - whole body lean mass

    Change in total body lean mass (kg) (assessed by Dual-energy X-ray Absorptiometry - DXA scan).

    Time frame: From baseline to 3 months, 6 months, 12 months, and 24 months

  13. Body composition - whole body fat mass

    Change in total body fat mass (kg) (assessed by Dual-energy X-ray Absorptiometry - DXA scan).

    Time frame: From baseline to 3 months, 6 months, 12 months, and 24 months

  14. Selective Reminding Test (SRT)

    Change in cognitive test assessing memory

    Time frame: From baseline to 3 months, 6 months, 12 months, and 24 months

  15. Symbol Digit Modalities Test (SDMT)

    Change in cognitive test assessing processing speed

    Time frame: From baseline to 3 months, 6 months, 12 months, and 24 months

  16. Physical activity

    Change in accelerometer-based assessment of 24-hour physical activity

    Time frame: From baseline to 3 months, 6 months, 12 months, and 24 months

  17. Clinical Severity of Disease

    Estimation of disease severity by the Expanded Disability Severity Scale (EDSS scores: best 0 = normal neurological exam, worst 10 = death due to multiple sclerosis)

    Time frame: From baseline to 3 months, 6 months, 12 months, and 24 months

  18. Relapse frequency

    Number of relapses

    Time frame: From baseline to 3 months, 6 months, 12 months, and 24 months

  19. 12-item Multiple Sclerosis Walking Scale (MSWS-12)

    Self-reported questionnaire assessing impact of MS on walking ability (MSWS-12 scores: best 0, worst 100)

    Time frame: From baseline to 3 months, 6 months, 12 months, and 24 months

  20. Modified Fatigue Impact Scale (MFIS)

    Self-reported questionnaire assessing impact of MS-induced fatigue on a persons life (MFIS total scores: best 0, worst 84; physical subscale scores: best 0, worst 36; cognitive subscale scores: best 0, worst 40; psychosocial subscale scores: best 0, worst 8)

    Time frame: From baseline to 3 months, 6 months, 12 months, and 24 months

  21. Multiple Sclerosis Impact Scale (MSIS-29)

    Self-reported questionnaire assessing impact of MS on day-to-day life, from a physical perspective (MSIS-29 physical scale: best 0, worst 100 (greater impact of disease on daily function = worse health) and from a psychological perspective (MSIS-29 psychological scale: best 0, worst 100 (greater impact of disease on daily function = worse health)

    Time frame: From baseline to 3 months, 6 months, 12 months, and 24 months

  22. Hospital Anxiety and Depression Scale (HADS)

    Self-reported questionnaire assessing impact of MS on anxiety (scores: best 0, worst 21) and depression (scores: best 0, worst 21)

    Time frame: From baseline to 3 months, 6 months, 12 months, and 24 months

07

Study locations

1 site
  • Aarhus University, Health, Section for Sport Science
    Aarhus, Jutland 8000, Denmark
08

References and documents

Publications

  • Hvid LG, Stenager E, Dalgas U. Objectively assessed physiological, physical, and cognitive function along with patient-reported outcomes during the first 2 years of Alemtuzumab treatment in multiple sclerosis: a prospective observational study. J Neurol. 2022 Sep;269(9):4895-4908. doi: 10.1007/s00415-022-11134-7. Epub 2022 Apr 28. PubMed 35482080 ↗
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 6, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT03806387
Lead sponsor
University of Aarhus
Collaborators
Genzyme, a Sanofi Company
Responsible party
Sponsor
First posted
Jan 16, 2019
Start date
Mar 1, 2017
Primary completion
Jul 30, 2020
Completion
Jun 30, 2021
Last update
Sep 6, 2023

Study contacts

Ulrik Dalgas, MSc,PhD
principal investigator · Aarhus University, Health, Section for Sport Science

Oversight

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

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This study is completed, as verified in Mar 2021. You cannot join it, but the record below documents what was studied.

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