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CompletedNCT05798325DT4RDUpdated Jun 29, 2026

Feasibility, Validation and Application of Digital Tools for the Follow-up of Neuromuscular Patient Mobility in Daily Living

An interventional study of 2MWT and MFM32 in Neuromuscular Diseases, sponsored by Institut de Myologie, France. Completed at 2 sites in 2 countries. Open to participants aged 12 Years to 60 Years. Per ClinicalTrials.gov, last updated 2026-06-29.

Sponsored by Institut de Myologie, France · Not applicable, Interventional, and Other

Phase
Not applicable
Study type
Interventional
Enrollment
40
Allocation
Not applicable
Ages
12 Years to 60 Years
Sex
All
01

Study summary

The low prevalence of rare diseases hinders the design of clinical studies with sufficient statistical power to demonstrate the efficacy of new drugs. This can only be achieved by setting up international multicentre studies, which is challenging due to a lack of objective, universal outcome measures that generate high-quality, reproducible data. One of the hurdles in attaining universal outcome measures for clinical trials is the difficulty to capture and distinguish ambulatory from non-ambulatory, autonomous and assistive or involuntary movements. This makes a trial assessing the ambulatory phase very challenging at this moment. Excluding many participants from trials and many patients from access to medication.

Integration and validation of the technology in trials, research and patients' lives is essential in overcoming this hurdle. For example, in dystrophinopathies separate outcome measures exist for ambulant and non-ambulant participants, but the relation between these outcome measures or a transitional outcome measure/end point is largely missing.

Following an exhaustive literature review, several tools have been selected to remotely follow various symptoms of neuromuscular patients including weakness, pain, fatigue, cognitive defects, motor impairments (including loss of dexterity, ataxia...), metabolic, respiratory and cardiac troubles, contractures, tremor, falls, hypo or hypersomnia... The toolbox includes common measures for all patients but may include additional measures specific to the patient's symptoms (hence in turn to the patients' disease).

The measurements are designed to not be invasive, intrusive or burdensome for the patient.

DT4RD is going to leverage state-of-the art technology, clinical rating scales and psychometric/data analysis to deliver fit for purpose remote clinical assessments of mobility to ensure maximum patient benefit, specifically:

  • Compare face to face clinical data collected in hospital with Patient Generated Data recorded remotely
  • Examine how sensors can enhance measurement potentially at home and during clinical visits
  • Promote a clear focus on user centered design and the integration of technology
  • Use reliability and validity analyses to equate any common measures (those with the same or a similar construct)
  • Demonstrate a proof-of-concept model into which different measures can be interchangeable
02

Conditions studied

  • Neuromuscular Diseases

Keywords

  • Neuromuscular Diseases
  • Dystrophy
  • Monitoring
  • Accelerometer
  • Evaluation
03

In context

Neuromuscular Diseases

361 studies on the registry are indexed under Neuromuscular Diseases; 97 are open to participants now.

This study's enrollment of 40 is above the median of 30 across 204 interventional studies indexed under Neuromuscular Diseases.

Browse Neuromuscular Diseases studies →

Lead sponsor

Institut de Myologie, France is the lead sponsor of 30 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
12 Years to 60 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

  • Aged between 12 and 60 years
  • Patients with a genetically confirmed/molecular-proven neuromuscular or neurometabolic disease*
  • Patients experiencing walking difficulties in the home and at high risk of limiting participation and walking outside of the home.
  • Written
  • Able to comply with all protocol requirements, including video recording
  • Affiliated to or beneficiary of a social security scheme (for France)

Exclusion criteria

Exclusion Criteria:

  • Patients with undefined diagnosis or any diagnosis other than neuromuscular or neurometabolic disease
  • Patient walking 10m in less than 10s
  • Guardianship/trusteeship
  • Pregnant or nursing women
  • Patients having relevant concomitant pathologies that, in the appreciation of the investigator could interfere with protocol compliance
  • Patients not being affiliated with local social security (for France)
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
40 participants (actual)

Study arms

  • Other
    Principal

    Other: 2MWT · Other: MFM32 · Other: MyoGrip · Other: QOL-gNMD · Diagnostic Test: Spirometry · Device: Acceleromerty · Other: 10mWT · Other: PUL · Other: NSAA · Other: NSAD · Other: TANS · Other: MyoPinch · Other: MyoQuad · Other: ACTIVLIM · Other: PREM · Other: SF-MPQ · Other: FSS · Other: IPAQ · Other: Rang of motion · Device: Goniometry · Other: Video captured monitoring · Device: Activity monitoring

Interventions

  • Other2MWT

    Two minutes walk tests.

    Also known as: Two minutes walk tests

  • OtherMFM32

    Motor Function Measurement (MFM) is a quantitative scale created to measure global motor functional abilities in a person with neuromuscular disease.

    Also known as: Muscle Motor Function 32

  • OtherMyoGrip

    The MyoGrip is a dynamometer for measuring grip strength.

  • OtherQOL-gNMD

    The "Quality of Life in genetic Neuromuscular Disease" questionnaire (QoL-gNMD) is a patient reported outcome measure (PROM) tool specifically designed for patients with a lowly progressive neuromuscular disease with genetically predominant muscular damage

  • Diagnostic testSpirometry

    Forced vital capacity (FVC), peak expiratory flow (PEF) and forced expiratory volume in 1 second (FEV1) will be measured in the hospital with the local hospital device (e.g. Vitalograph) under the supervision of the clinical evaluator, and at home with a portable device.

    Also known as: Spirobank Smart

  • DeviceAcceleromerty

    The Links sensor system is a measuring device and consists of the Links Pods and the Links Hub. The Links pods contain an accelerometer, gyroscope and magnetometer to measure position relative to a global reference frame.

    Also known as: Links sensor system

  • Other10mWT

    10 meters walking Test.

  • OtherPUL

    The Performance of the Upper Limb (PUL) is a functional scale specifically designed for assessing upper limb function in Duchenne muscular dystrophy.

    Also known as: Performance of Upper Limb

  • OtherNSAA

    The North Star Ambulatory Assessment (NSAA) is a 17-item rating scale that is used to measure functional motor abilities in ambulant children with Duchenne Muscular Dystrophy.

    Also known as: North Star Ambulatory Assessment

  • OtherNSAD

    The NSAD was developed to measure motor performance in ambulant and non-ambulant subjects as part of the clinical outcome study of dysferlinopathy.

    Also known as: North Star Assessment for limb-girdle type muscular dystrophies

  • OtherTANS

    This scale is derived from the North Star Ambulatory Assessment and several items from the Egan Klassifikation Scale (EK2).

    Also known as: Transition Assessment North Star

  • OtherMyoPinch

    The MyoPinch is a high-precision dynamometer that allows the evaluation of key pinch strength.

  • OtherMyoQuad

    The MyoQuad is a high-precision dynamometer that allows the evaluation of knee extension strength.

  • OtherACTIVLIM

    Activity limitations, as measured by ACTIVLIM, is defined as the difficulties a patient may have in executing daily activities, whatever the strategies involved.

  • OtherPREM

    This questionnaire is made up of simple questions relating to the assessments and assessment tools that were used during the study.

    Also known as: Patient Reported Experience Measures

  • OtherSF-MPQ

    The main component of the SF-MPQ consists of 15 descriptors (11 sensories; 4 affective) which are rated on an intensity scale as 0 = none, 1 = mild, 2 = moderate or 3 = severe.

    Also known as: Modified Short-form McGill Pain Questionnaire

  • OtherFSS

    The Fatigue Severity Scale is used to assess the severity of fatigue and its impact on daily living. The patient responds on a Likert-type scale ranging from 1 to 7.

    Also known as: Fatigue Severity Scale

  • OtherIPAQ

    This questionnaire assesses overall physical activity and the level of sedentary lifestyle during the last seven days.

    Also known as: International Physical Activity Questionnaire

  • OtherRang of motion

    The EasyAngle® is a digital goniometer improving long established goniometric functionality with rotation, inclination, and scoliosis measurement capabilities.

    Also known as: EasyAngle

  • DeviceGoniometry

    The Links sensor system is a measuring device and consists of the Links Pods and the Links Hub. The Links pods contain an accelerometer, gyroscope and magnetometer to measure position relative to a global reference frame.

    Also known as: Links Sensor System goniometers

  • OtherVideo captured monitoring

    Once every four weeks, while wearing the Yumen electronic goniometers (Links Sensor System), the patients will be asked to record on video three tasks related to: 1. Upper limbs: hands to head 2. Lower limbs: Sit to stand with or without the help of a person 3. Self-defined important task: A task of the patient's choice, from a list of tasks, representative of his/her motor difficulties or hindrance to autonomy.

  • DeviceActivity monitoring

    Wearable devices (connected watch) will collect health-related data on a 24/7 basis remotely as patients go through their daily routines at home and work.

    Also known as: Activity assessment and physiological parameters

06

What researchers measure

Primary outcomes

  1. Global home evaluations' attendance

    Proportion of home assessments carried out compared to the number of home assessments planned

    Time frame: Through study completion, an average of 1 year

Secondary outcomes

  1. Compliance with filling out questionnaires at home

    Analysis of the proportion of replies to the questionnaires at home

    Time frame: Through study completion, an average of 1 year

  2. Compliance regarding using of the spirometer at home

    Analysis of the proportion of valid spirometry data collected at home

    Time frame: Through study completion, an average of 1 year

  3. Compliance regarding using of the LINKS sensors device at home

    Analysis of the proportion of usable accelerometry data collected at home

    Time frame: Through study completion, an average of 1 year

  4. Compliance regarding using of the activity sensor at home

    Analysis of the proportion of usable data collected at home using the smartwatch

    Time frame: Through study completion, an average of 1 year

  5. Compliance regarding achievement of video tasks at home

    Analysis of the usability of the video tasks performed at home

    Time frame: Through study completion, an average of 1 year

  6. Correlation of home and hospital spirometer Forced vital capacity measurements

    Comparison of Forced vital capacity data collected during home and hospital spirometer measurements

    Time frame: Through study completion, an average of 1 year

  7. Correlation of home and hospital spirometer peak expiratory flow measurements

    Comparison of Peak expiratory flow data collected during home and hospital spirometer measurements

    Time frame: Through study completion, an average of 1 year

  8. Correlation of home and hospital spirometer forced expiratory volume in 1 second measurements

    Comparison of forced expiratory volume in 1 second data collected during home and hospital spirometer measurements

    Time frame: Through study completion, an average of 1 year

07

Study locations

2 sites
  • Association Institut de Myologie
    Paris, 75013, France
  • John Walton Muscular Dystrophy Research Centre
    Newcastle upon Tyne, NE1 3BZ, United Kingdom
08

References and documents

Individual participant data

Plan to share: Undecided

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 29, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05798325
Lead sponsor
Institut de Myologie, France
Collaborators
Aparito Ltd.
Responsible party
Sponsor
First posted
Apr 4, 2023
Start date
Jun 29, 2023
Primary completion
Jun 6, 2025
Completion
Jun 6, 2025
Last update
Jun 29, 2026

Oversight

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

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