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Status unknownNCT03915028SPA-SEPUpdated Jul 10, 2019

Thermal Cures in the Treatment of Multiple Sclerosis

An interventional study of Spa therapy in Multiple Sclerosis, sponsored by Association Francaise pour la Recherche Thermale. Status unknown at 1 site in France. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2019-07-10.

Sponsored by Association Francaise pour la Recherche Thermale · Not applicable, Interventional, and Treatment

The sponsor has not verified this record recently (last verified Mar 2019), so the status shown — last known as Recruiting — may be out of date.
Phase
Not applicable
Study type
Interventional
Enrollment
200
Allocation
Randomized
Ages
18 Years and older
Sex
All
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Study summary

Multiple Sclerosis (MS) is a chronic, progressive disease with a high prevalence in France, with significant public health consequences. The benefit of spa treatments on the quality of life in this population has not been evaluated. The methods of study in clinical pharmacology can be a scientific methodological model for the evaluation of thermal practices and it is in this perspective that investigators want to lead this project.

Read the detailed description

Multiple sclerosis (MS) is a chronic, progressive disease with a high prevalence in France, and its consequences in terms of public health are important. In this disease, the alteration of the quality of life (QoL) is constant and multifactorial : pain, fatigue, decrease in functional capacities, sleep disorders, cognitive disorders, vesico-sphincterian disorders, anomolytic disorders. -rectal and genito-sexual. The benefit of thermal cures on the quality of life in this population has not been evaluated, even if there is some literature in the literature suggesting a benefit of hydrotherapy on equilibrium or on pain.

02

Conditions studied

  • Multiple Sclerosis

Keywords

  • Multiple sclerosis
  • Spa treatment
  • Crenotherapy
  • Balneotherapy
  • Physical exercise
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In context

Multiple Sclerosis

3,524 studies on the registry are indexed under Multiple Sclerosis; 668 are open to participants now.

This study's planned enrollment of 200 is above the median of 50 across 2,386 interventional studies indexed under Multiple Sclerosis.

Browse Multiple Sclerosis studies →

Lead sponsor

Association Francaise pour la Recherche Thermale is the lead sponsor of 20 studies on the registry; 3 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 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

  • Patient with primary or progressive secondary-phase MS
  • Showing EDSS \<7 severity criteria
  • Patient with MS for whom an indication of spa treatment has been made,
  • Patient agreeing to participate in this study and therefore accepting the constraints related to the design "immediate cure-deferred cure",
  • Patient receiving the general social security scheme,
  • Patient having given written consent to participate in the study

Exclusion criteria

Exclusion Criteria:

  • Patient does not meet the inclusion criteria,
  • Patient with relapsing remitting MS
  • Patient unfit according to the investigator to complete the rating scales
  • Patient with heat intolerance called "Uhthoff effect"
  • Patient with a contraindication to the spa treatment: urinary or faecal leakage, wound, thrombophlebitis less than three months old, unstabilized cardio respiratory disease.
  • Patient with serious life-threatening condition (ie, cancer)
  • Patient under tutorship or curatorship
  • Patient participating in another interventional clinical research project
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
200 participants (estimated)

Study arms

  • Experimental
    Treated group by thermal cure

    Treated group will benefit, within 6 weeks of the inclusion, from the thermal cure in one of the thermal establishments.

    Other: Spa therapy

  • No intervention
    Control group

    Control group will receive a thermal cure after the end of the study

Interventions

  • OtherSpa therapy

    The standardized treatment will consist of 4 spa treatments per day for 3 consecutive weeks. Each day, the patient receives at least four treatments, among which: * Cure of Drink (in addition to 4 daily cares) * Bath in running water: Bath * Bath in running water: Pool at 32 ° C * Bath with aerobain * Immersion shower bath * Shower of high pressure under immersion in swimming pool * General penetrating shower * General jet shower * Local jet shower * Local mud bath at the feet * Single poultice * Multiple poultice * Compress * Mobilization pool * Massages under water

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What researchers measure

Primary outcomes

  1. Benefit of spa treatment on quality of life assessed by the scale SEP-59

    Difference of the score of quality of live assessed by the scale SEP-59 between the patient will receive the immediat spa therapy and the second group which won't receive the spa therapy immediately. SEP-59 is built on the basis of a generic scale, the SF-36. The analysis of SEP-59 is done by computer processing in order to calculate the score of the various axes (pain, physical activity, general wellbeing ...) which are independent (there is no overall score).

    Time frame: within 15 weeks after inclusion

Secondary outcomes

  1. Benefit of a spa treatment based on average number of steps per day for one week assessed by actimeter

    Difference of the average number of steps per day for one week between the patient will receive the immediat spa therapy and the second group which won't receive the spa therapy immediately.

    Time frame: 9 weeks after inclusion

  2. Benefit of a thermal cure based on treatment consumption of hospital and ambulatory care

    Difference of the number of treatment consumption of hospital and ambulatory care between the patient will receive the immediat spa therapy and the second group which won't receive the spa therapy immediately

    Time frame: 15 to 17 weeks after inclusion

  3. Benefit of a thermal cure based on depression and anxiety assessed by the scale Hospital Anxiety and depression scale

    Difference of the level of pain assessed by the scale Hospital Anxiety and depression between the patient will receive the immediat spa therapy and the second group which won't receive the spa therapy immediately.HADS is a self-administered scale of 14 items, divided into 2 subscales of 7 items (Anxiety or HADS-A, Depression or HADS-D). It contains no somatic item that can be confused with symptomatic manifestations of a disease. Each item is scored on a scale of 0 to 3. A score is generated for each of the two sub-scales and for the entire HADS (HADS-T). Limit scores distinguish between: non-cases or asymptomatic cases (score ≤ 7); probable or borderline cases (score 8-10); clearly or clinically symptomatic cases (score ≥ 11).

    Time frame: 15 to 17 weeks after inclusion

  4. Benefit of a thermal cure based on tiredness assesed by the fatigue impact scale

    Difference of the level of pain assessed by the fatigue impact scale between the patient will receive the immediat spa therapy and the second group which won't receive the spa therapy immediately. It is a self-assessment tool in which the patient is asked to note the extent to which fatigue has caused them problems in certain situations. (0 = no problem, 4 = extreme problems). A maximum score of 160 is obtained for the 40 items.

    Time frame: 15 to 17 weeks after inclusion

  5. Benefit of a thermal cure regarding pain assessed by the scale DN 4

    Difference of the level of pain assessed by the DN4 scale between the patient will receive the immediat spa therapy and the second group which won't receive the spa therapy immediately

    Time frame: 15 to 17 weeks after inclusion

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Study locations

1 of 1 sites recruiting
  • Département de Médecine Physique et de Réadaptation, Hopital LAPEYRONIE
    Montpellier, 34295, France
    Recruiting
08

References and documents

Individual participant data

Plan to share: Undecided

No publications or documents are linked to this record.

09

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

Started May 2019 (actual). Primary completion is estimated for May 2021, 24 months after the start.

Of 868 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 9 and three quarters within 43. This study's planned 24 months is close to that.

Counting every sponsor, half of 889 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
Mar 12, 2019
First posted
Apr 16, 2019
StartActual
May 23, 2019
Primary completionEst.
May 2021
CompletionEst.
Aug 2021
Last update
Jul 10, 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 Jul 10, 2019, 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
NCT03915028
Lead sponsor
Association Francaise pour la Recherche Thermale
Responsible party
Sponsor
First posted
Apr 16, 2019
Start date
May 23, 2019
Primary completion
May 2021 (estimated)
Completion
Aug 2021 (estimated)
Last update
Jul 10, 2019

Study contacts

Isabelle LAFFONT
Contact
i-laffont@chu-montpellier.fr
04 67 33 23 46

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 status unknown, as verified in Mar 2019. You cannot join it, but the record below documents what was studied.

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