ClinicalTrials.gg
RecruitingNCT04694534E-SEPUpdated Sep 4, 2025

Remediation Program Via a "Serious Game" for the Cognitive Functions of Multiple Sclerosis Patients

An interventional study of Serious game and Usual HAS care in Multiple Sclerosis, Memory and Learning, sponsored by Lille Catholic University. Recruiting at 6 sites in France. Open to participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2025-09-04.

Sponsored by Lille Catholic University · Not applicable, Interventional, and Diagnostic

From the registry’s dates

  • Primary completion was expected by Apr 2026, 7 months ago, but the record still lists the study as recruiting.
  • Started Oct 2021; still recruiting 5 years 1 month later.
Phase
Not applicable
Study type
Interventional
Enrollment
150
Allocation
Randomized
Ages
18 Years to 65 Years
Sex
All
01

Where this study stands

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

Among 18 studies in Multiple Sclerosis by Lille Catholic University — 5 open to participants now, 5 under way, none of them phase 3. Multiple Sclerosis · Lille Catholic University.

Planned enrollment
2nd of 11
150 · median 46
Started
2021
with 2 others
No phase
11 of 18
4 open now
Registered
11th of 18
by date

Among the 18 studies in Multiple Sclerosis by Lille Catholic University, this one is the 2nd largest by planned enrollment of the 11 interventional ones that give a count, is one of 3 that started in 2021, is one of 11 with no phase, and was the 11th 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

5 of the 18 studies in Multiple Sclerosis by Lille Catholic University are open now, in 1 country. Recruiting first, the newest first:

By country, each count listing its studies:

All 5 open studies →

Where they have run

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 to 65 Years · all sexes · no healthy volunteers.

The full table on the hub →

This tab as a report to print or save as PDF → With an account.

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 18 studies in Multiple Sclerosis by Lille Catholic University, or all of them as a file.
02

Study summary

The main goal of this study is to assess the effectiveness of a cognitive remediation program based on a "serious game" on the information processing speed evolution and the process of learning via episodic memory in multiple sclerosis patients.

Read the detailed description

Cognitive impairment affects 40 to 70% multiple sclerosis patients. This condition is characterized by slower information processing, associated with deficits in episodic memory, attention and executive functions. These disorders appear early, regardless of functional impairment, in "benign" forms and in clinically isolated syndromes of multiple sclerosis. These disruptions can have a significant impact in the socio-professional and personal life of patients and also in the quality of life (job loss risks, daily activities limitations).

Even if these disorders are now well documented, remediation strategies remain less studied. Some studies show that the "training" methods, often used, do not seem suitable for clinical monitoring, with benefits that do not persist over time. Despite their impact on daily life, no specific care for planning abilities, mental inhibition and flexibility, or even social cognition, have been well studied until today. The same is true concerning metacognitive abilities. Finally, remedial techniques are time consuming and difficult to adapt to patients still in professional activity.

03

Conditions studied

  • Multiple Sclerosis
  • Memory
  • Learning

Browse trials for

Keywords

  • Multiple sclerosis
  • Serious game
  • Episodic memory learning capacities
  • Information processing speed capacities
04

Who can participate

Ages eligible
18 Years to 65 Years
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

  • Relapsing-remitting or progressive multiple sclerosis people defined according to Mc Donald's criteria revised in 2005
  • Age between ≥ 18 and ≤ 65 years old
  • Cognitive complaint, with at least one deficient score at the initial neuropsychological examination (\<5th percentile of the reference group), one of the scores of which concerns at least one BICAMS test
  • Have not had a definite relapse for at least 6 weeks
  • Be at least 4 weeks away from a bolus
  • Lack of neuroleptic treatment
  • Patient with an Internet connection
  • Signed

Exclusion criteria

Exclusion Criteria:

  • Severe cognitive deficit defined by obtaining a deficit score in more than six cognitive processes at the initial neuropsychological assessment.
  • Neuropsychological care
  • Inability to receive oral and written information
  • Inability to use the software (due in particular to motor and / or sensory difficulties),
  • Neurological or psychiatric comorbidity, other than MS and anxiodepressive syndrome
  • Patient with severe anxiodepressive syndrome (BDI> 27)
  • Participation in an interventional study on cognitive functions
  • Patient under legal protection, guardianship or curatorship
  • Pregnant or breastfeeding women
Terms in these criteria, in plain language(2)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Phase
Not applicable
Primary purpose
Diagnostic
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
150 participants (estimated)

Study arms

  • Experimental
    Remediation program via a "serious game"

    Classic care (recommended by the French Haute Autorité de Santé) accompanied by cognitive remediation by "serious game"

    Diagnostic Test: Serious game

  • Placebo comparator
    Classic care (French Haute Autorité de Santé)

    Classic care (recommended by French Haute Autorité de Santé)

    Diagnostic Test: Usual HAS care

Interventions

  • Diagnostic testSerious game

    The serious game is accessible via an online platform, on a tablet: 4 20-minutes activities sessions per week must be carried out. The program format in the serious game form makes possible to simultaneously understand a large number of cognitive functions.

  • Diagnostic testUsual HAS care

    The control group patients will follow the care they need, according to the HAS recommendations. Non-specific cognitive activities notebooks will be provided to them. They will be instructed to perform the 4 20-minutes sessions per week for 4 months.

06

What researchers measure

Primary outcomes

  1. Change in the California Verbal Learning Test (CVLT)

    The California Verbal Learning Test (CVLT) begins with the examiner reading a list of 16 words. Patients listen to the list and report as many of the items as possible.

    Time frame: Change from baseline at 4 and 10 months

  2. Change in the Brief Visuo-spatial Memory Test (BVMT)

    In the Brief Visuospatial/lMemory Test six abstract designs are presented for 10 sec. The display is removed from view and patients render the stimuli via pencil on paper manual responses. Each design receives from 0 to 2 points representing accuracy and location. Thus, scores range from 0 to 12.

    Time frame: Change from baseline at 4 and 10 months

  3. Change in the Symbol Digit Modalities Test (SDMT)

    The Symbol Digit Modalities Test (SDMT) presents a series of nine symbols, each paired with a single digit in a key at the top of a standard sheet of paper. Patients are asked to voice the digit associated with each symbol as rapidly as possible for 90 sec. There is a single outcome measure: the number correct.

    Time frame: Change from baseline at 4 and 10 months

Secondary outcomes

  1. Change in the Auditory-verbal spans in direct or reverse order

    This assessment is required to evaluate short time memory and working memory.

    Time frame: Change from baseline at 4 and 10 months

  2. Change in the Stroop Color-Word Test

    This assessment is required to evaluate inhibition capacities and sensitivity to interference.

    Time frame: Change from baseline at 4 and 10 months

  3. Change in the Trail Making Test

    This assessment is required to evaluate cognitive flexibility abilities.

    Time frame: Change from baseline at 4 and 10 months

  4. Change in the Categorical and phonemic verbal fluency test

    This test is required to evaluate the spontaneous flexibility abilities.

    Time frame: Change from baseline at 4 and 10 months

  5. Change in the Tower of London test

    This test is required to assess planning capacities.

    Time frame: Change from baseline at 4 and 10 months

  6. Change in the Commission test

    This test assesses planning skills in a greener context than the Tower of London test.

    Time frame: Change from baseline at 4 and 10 months

  7. Change in the Concentrated Attention Test

    This assessment is required to evaluate selective attention.

    Time frame: Change from baseline at 4 and 10 months

  8. Change in the Paced Auditory Serial Addition Task (PASAT)

    This assessment is required to evaluate information processing speed and sustained attention.

    Time frame: Change from baseline at 4 and 10 months

  9. Change in the Mac Nair Scale

    This self-evaluation is required to assess cognitive complaint. It is a 39-items questionnaire corresponding to symptoms. Every symptom is noted on an ordinal scale in 5 steps.It is a scale with 5 degrees of severity measuring the frequency of disorders as follows: 4 = very often, 3 = often, 2 = sometimes, 1 = rarely, 0 = never.

    Time frame: Change from baseline at 4 and 10 months

  10. Change in the IPA (Participation and Autonomy Impact) Form

    This test is focused on the subject social participation and autonomy. is a 21-question multiple-choice self-report inventory, one of the most widely used psychometric tests for measuring the severity of depression. The standard cut-off scores are as follows: 0-9: indicates minimal depression 10-18: indicates mild depression 19-29: indicates moderate depression 30-63: indicates severe depression.

    Time frame: Change from baseline at 4 and 10 months

  11. Change in the BDI-II Scale (Beck Depression Inventory II)

    This scale is required to assess participants depressive orders. This is a 21-items self-questionnaire. Every item is rated from 0 (no problem) to 3 (maximum symptom severity). The depressive syndrome severity total score presents 4 intensity levels : 0-11 (no depression), 12-19 (mild depression), 20-27 (medium depression), 27 (severe depression).

    Time frame: Change from baseline at 4 and 10 months

  12. Change in the State-Trait Anxiety Inventory (STAI Y)

    This scale is used to evaluate the participants level anxiety. It is a 20-items questionnaire. The patients identifie the frequency with which they usually feel the symptoms listed on a four-point Likert-type scale variant from 1: "never" on the 1 point side to 4: "always" on the 4 point side. The overall score varies between 20 and 80.

    Time frame: Change from baseline at 4 and 10 months

  13. Change in the Visual Analogue Scale for Fatigue

    This scale allows patients to assess their fatigue. The patients locate their fatigue intensity on a 100-millimeters horizontal line.Using a ruler, the score is determined by measuring the distance (mm) on the 10-cm line between the "no pain" anchor and the patient's mark, providing a range of scores from 0-100. A higher score indicates greater pain intensity.

    Time frame: Change from baseline at 4 and 10 months

  14. Change in the Apparent validity

    Face validity is based on a subjective assessment of the instrument's validity to assess the patient's attitude towards the tool, its degree of involvement and its acceptability.

    Time frame: Change from baseline at 4 and 10 months

  15. Change in the EDSS score (Expanded disability status scale)

    This score is required to assess the patients functional and neurological level disability. This scale stretchs from 0 (no complaint and normal examen) to 10 (death caused by MS). The EDSS scale ranges from 0 to 10 in 0.5 unit increments that represent higher levels of disability. Scoring is based on an examination by a neurologist.

    Time frame: Change from baseline at 4 and 10 months

  16. Frequency of game play per Week (in days)

    This outcome is required to evaluate the instructions observance and play practices.

    Time frame: Observance at 4 months

  17. Game session lenght

    This outcome is required to evaluate the instructions observance and play practices.

    Time frame: Observance at 4 months

  18. Time spent gaming

    This outcome is required to evaluate the instructions observance and play practices.

    Time frame: Observance at 4 months

  19. Game performance : tests number per exercise

    This outcome is required to evaluate the instructions observance and play practices. The performance will be evaluated by the tests number per exercise.

    Time frame: Observance at 4 months

  20. Game performance : difficulty levels

    This outcome is required to evaluate the instructions observance and play practices. The performance will be evaluated by the difficulty levels.

    Time frame: Observance at 4 months

07

Study locations

6 of 6 sites recruiting
08

References and documents

Publications

  • Lenne B, Degraeve B, Davroux J, Norberciak L, Kwiatkowski A, Donze C. Improving cognition in people with multiple sclerosis: study protocol for a multiarm, randomised, blinded trial of multidomain cognitive rehabilitation using a video-serious game (E-SEP cognition). BMJ Neurol Open. 2023 Nov 27;5(2):e000488. doi: 10.1136/bmjno-2023-000488. eCollection 2023. PubMed 38033375 ↗

Individual participant data

Plan to share: No

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 Oct 2021 (actual). Primary completion is estimated for Apr 2026, 53 months after the start.

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 planned 53 months is above 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
Dec 16, 2020
First posted
Jan 5, 2021
StartActual
Oct 8, 2021
Primary completionEst.
Apr 4, 2026
CompletionEst.
Mar 1, 2027
Last update
Sep 4, 2025
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 Sep 4, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04694534
Responsible party
Sponsor
First posted
Jan 5, 2021
Start date
Oct 8, 2021
Primary completion
Apr 4, 2026 (estimated)
Completion
Mar 1, 2027 (estimated)
Last update
Sep 4, 2025

Study contacts

Amélie Lausiaux, MD, PhD
Contact
lansiaux.amelie@ghicl.net
03.20.22.52.69
Elodie Moutailler
Contact
moutailler.elodie@ghicl.net
03.20.22.52.69
Bruno Lenne
principal investigator · Hôpital Saint-Vincent de Paul

Oversight

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

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