ClinicalTrials.gg
RecruitingNCT05566769OPTISUpdated Apr 10, 2025

Performance and Safety of a Digital Tool for Unsupervised Self-assessment of NMOSD

An interventional study of NMOSDCopilot smartphone application in Neuromyelitis Optica, sponsored by Ad scientiam. Recruiting at 22 sites in 3 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-04-10.

Sponsored by Ad scientiam · Not applicable, Interventional, and Other

From the registry’s dates

  • Primary completion was expected by Sep 2025, 1 year 2 months ago, but the record still lists the study as recruiting.
  • Started Nov 2023; still recruiting 3 years later.
Phase
Not applicable
Study type
Interventional
Enrollment
103
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

NMOSDCopilot is a digital tool developed for the self-assessment of Neuromyelitis Optica Spectrum Disorder symptoms that impact patients' functioning and quality of life. It has been co-designed with the help of patient advocacy groups, NMOSD patients and medical experts. It includes a smartphone-based application for patients, connected to a web portal developed for healthcare professionals (HCSPs). The patient application is composed of vision, walking, cognition, and dexterity e-active tests inspired by clinical standards, as well as e-questionnaires. The HCP web portal is a desktop-based software that allows HCPs to access the results generated via the patient application and facilitates remote monitoring of patients' symptoms.

The objectives of this study are to validate the accuracy, reliability and reproducibility of the unsupervised at-home self-assessment of symptoms on the patient's smartphone versus the standard in-clinic testing, as well as to evaluate the safety of use of the tool, its usability, and satisfaction towards the patient application among NMOSD patients, and the HCP web dashboard among HCPs.

02

Conditions studied

  • Neuromyelitis Optica

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Keywords

  • NMO
  • NMOSD
  • Neuromyelitis optica
  • Neuromyelitis optica spectrum disorder
03

In context

Neuromyelitis Optica

178 studies on the registry are indexed under Neuromyelitis Optica; 78 are open to participants now.

This study's planned enrollment of 103 is above the median of 29 across 108 interventional studies indexed under Neuromyelitis Optica.

Browse Neuromyelitis Optica studies →

Lead sponsor

Ad scientiam is the lead sponsor of 14 studies on the registry; 5 are open to participants now.

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

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

  • Aged over 18 years old
  • NMOSD as defined by the 2015 international consensus diagnostic criteria (AQP4+ only)
  • With NMOSD treatment (treatment must be unchanged since 6 months before enrollment, and 1 month for analgesics, antidepressants, neuroleptics)
  • EDSS =\< 7
  • With no evidence of relapse in the past 3 months before enrollment
  • Who have read the information sheet and signed the form
  • Able to use a smartphone
  • Owns a personal smartphone which version is above 13 for IOS and 8 for Android included
  • Able to read language in which the mobile application is available and able to understand pictograms

Exclusion criteria

Exclusion Criteria:

  • Evidence of neurologic, rheumatologic or psychiatric disorder other than NMOSD, including but not limited to major head trauma, seizures or systemic medical diseases that are likely to affect cognitive, upper limb or lower limb functioning
  • Pregnant and nursing women
  • Person under guardianship or curatorship
  • Bedridden patients or patients with a daily activity of less than 2 hours per day
  • Current drugs or/and alcohol abuse that could influence performance on the tests (clinician's judgment)
  • Subject has participated in another clinical study within the previous 30 days of screening or is currently participating in another study that, in the opinion of the Investigator, might interfere with the participant's full participation in the study or confound the assessment of the participant or outcome of the study.
Terms in these criteria, in plain language(1)

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.

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
Other
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
103 participants (estimated)

Study arms

  • Experimental
    NMOSDCopilot

    Performance of digital tests and standard test in clinic at D0 and M6 Use of NMOSDCopilot at-home in between visits during 12 months

    Device: NMOSDCopilot smartphone application

Interventions

  • DeviceNMOSDCopilot smartphone application

    NMOSDCopilot includes active tests for walking, cognition, dexterity and vision, and e-questionnaires related to pain, fatigue, quality of life, bladder and bowel dysfunction, depression

06

What researchers measure

Primary outcomes

  1. To compare results obtained with unsupervised at-home e-active tests and the corresponding supervised in-clinic standard tests, test to test

    Pearson correlation coefficient (or Spearman's rank-order correlation depending on the data distribution) between e-active tests at day 7 versus standard tests at baseline

    Time frame: Standard tests results at Baseline versus e-active tests results at D0 + 7 days

Secondary outcomes

  1. To assess reproducibility between in-clinic and at-home e-active tests

    Pearson correlation coefficient (or Spearman's rank-order correlation depending on the data distribution) between e-active tests at day 7 versus standard tests at baseline and between and month 6 and month 6- 7days

    Time frame: Baseline, day 7, month 6 - 7 days, month 6

  2. To assess test-retest reliability of at-home e-active tests

    Intraclass correlation coefficient of e-active tests

    Time frame: Month 1, month 2, month 3, month 4, month 5

  3. To compare results obtained with in-clinic e-active tests and in-clinic standard tests, test to test

    Pearson's correlation coefficient of inc-clinic e-active tests and in-clinic standard tests

    Time frame: Baseline, month 6, month 12

  4. To assess the adverse events related to of the mobile application use.

    descriptive analysis of adverse events (AEs) related to the use of the application.

    Time frame: through study completion, 21 months

  5. To assess pain

    Pain Visual Analogue Scale (0-100) higher score meaning a worse outcome

    Time frame: Month 3, month 6, month 12

  6. To assess fatigue

    Modified Fatigue Impact Scale 5 (0-20) higher score meaning a worse outcome

    Time frame: Month 3, month 6, month 12

  7. To assess bladder control

    Bladder Control Scale (0-22) higher score meaning a worse outcome

    Time frame: Month 3, month 6, month 12

  8. To assess bowel control

    Bowel Control Scale (0-22) higher score meaning a worse outcome

    Time frame: Month 3, month 6, month 12

  9. To assess depression

    Patient Health Questionnaire-8 (0-12) higher score meaning a worse outcome

    Time frame: Month 3, month 6, month 12

  10. To assess quality of life

    p-value of multivariate analysis for non-parametric data

    Time frame: Baseline, month 6, month 12

  11. To assess disability

    Expanded Disability Status Scale (0-10), higher score meaning a worse outcome

    Time frame: Baseline, month 6, month 12

  12. To assess satisfaction and user experience with the smartphone application and the web dashboard

    Descriptive analysis of satisfaction and user experience questionnaires (System Usability Scale (1-100) higher score meaning a better outcome)

    Time frame: Through study completion, 21 months

  13. To assess at-home compliance and adherence to the patient application

    Descriptive analysis of the mobile application's adherence data (number of completed questionnaires, number of sessions performed etc.).

    Time frame: Through study completion, 21 months

  14. To compare results obtained with at home MVT and in-clinic OCT-scan

    The Pearson's correlation coefficient will be used to assess the relation between MVT e-active test at D0 +7 (home) versus standard OCT-scan test at D0 (in clinic). The minimum coefficient to reach is 0.65 to show that low contrast visual acuity measurement is associated with. RNF \& GCIP layer thickness

    Time frame: Through study completion, 21 months

07

Study locations

19 of 22 sites recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Started Nov 2023 (actual). Primary completion is estimated for Sep 2025, 22 months after the start.

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

Registered
Sep 7, 2022
First posted
Oct 4, 2022
StartActual
Nov 3, 2023
Primary completionEst.
Sep 2025
CompletionEst.
Sep 2026
Last update
Apr 10, 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 Apr 10, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05566769
Lead sponsor
Ad scientiam
Responsible party
Sponsor
First posted
Oct 4, 2022
Start date
Nov 3, 2023
Primary completion
Sep 2025 (estimated)
Completion
Sep 2026 (estimated)
Last update
Apr 10, 2025

Study contacts

Dr Levy
Contact
mlevy11@mgh.harvard.edu
617-726-7565

Oversight

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

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