ClinicalTrials.gg
Enrolling by invitationNCT06441617CAFE-MSUpdated Sep 4, 2026

Confirmatory Trial for Alleviating Fatigue in Multiple Sclerosis

An interventional study of Online Program for Fatigue in Multiple Sclerosis and Fatigue, sponsored by Accelerated Cure Project for Multiple Sclerosis. Enrolling by invitation at 6 sites in United States. Open to participants aged 22 Years and older. Per ClinicalTrials.gov, last updated 2026-09-04.

Sponsored by Accelerated Cure Project for Multiple Sclerosis · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
2,000
Allocation
Randomized
Ages
22 Years and older
Sex
All
01

Study summary

CAFE-MS will assess the effectiveness of two online programs for fatigue in multiple sclerosis (MS). Although they differ, both of these online programs contain information about MS and fatigue intended to help people with MS understand and manage their fatigue.

This large-scale, decentralized clinical trial is projected to enroll 2,000 people with MS. The collaboration between iConquerMS and 5 Veterans Affairs (VA) sites in the MS Centers of Excellence is designed to ensure sufficient representation of people with MS from populations traditionally under-represented in MS clinical trials.

The study is a 3-arm, randomized controlled clinical trial with study participation lasting 1 year. Two of the trial arms will include one of two online programs for managing fatigue in MS added to the trial participants' usual MS treatment, and the third arm will include usual MS treatment alone. The online program phase of the trial lasts for 6 months after randomization followed by a final study visit at 12 months. Participants in the usual MS treatment alone arm for the first 6 months will have an opportunity to choose one of the online programs for the final 6 months of the trial.

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Conditions studied

  • Multiple Sclerosis
  • Fatigue
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In context

Multiple Sclerosis

3,264 studies on the registry are indexed under Multiple Sclerosis; 659 are open to participants now.

This study's planned enrollment of 2,000 is above the median of 50 across 2,201 interventional studies indexed under Multiple Sclerosis.

Browse Multiple Sclerosis studies →

Lead sponsor

Accelerated Cure Project for Multiple Sclerosis is the lead sponsor of 3 studies on the registry; 2 are open to participants now.

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

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Who can participate

Ages eligible
22 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

  • by person with MS
  • Living in the US
  • Age ≥ 22
  • Confirmed diagnosis of MS by a physician, who is a neurologist or has access to a neurologist's statement of diagnosis
  • Fatigue Severity Scale score at or above eligibility threshold
  • Fluent in English
  • Willingness to engage in self-administration of an online intervention for 24 weeks and complete follow-up assessments
  • Access to the internet and e-mail with a compatible device (smartphone, computer, or tablet)
  • No MS relapse / no treatment in the 4 weeks prior to answering the screening questionnaire (self-reported)
  • No disease-modifying therapeutic (DMT) started in the 4 weeks prior to answering the screening questionnaire (self-reported)

Exclusion criteria

Exclusion Criteria:

  • Unwilling or unable to consent
  • Refusal to saving, processing and forwarding of pseudonymized data
  • Concurrent participation in another interventional trial
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.

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.

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.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Outcomes assessor)
Enrollment
2,000 participants (estimated)

Study arms

  • Experimental
    Fatigue Program A added to Treatment as Usual

    An MS-specific fatigue management program, delivered as a stand-alone, fully automated intervention via an internet-browser.

    Device: Online Program for Fatigue

  • Active comparator
    Fatigue Program B added to Treatment as Usual

    Fatigue Program B will use a web-based interface with similar design and functionality as Fatigue Program A.

    Device: Online Program for Fatigue

  • No intervention
    Treatment as Usual

Interventions

  • DeviceOnline Program for Fatigue

    An MS-specific fatigue management program, delivered as a stand-alone, fully automated intervention via an internet-browser.

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What researchers measure

Primary outcomes

  1. Chalder Fatigue Scale

    The scale contains 11 items covering physical fatigue (items 1-7) and mental fatigue (items 8-11).

    Time frame: Day 180

Secondary outcomes

  1. PROMIS FatigueMS-8a

    The PROMIS FatigueMS-8a questionnaire has eight 5-point Likert scale items on different aspects of fatigue.

    Time frame: Day 180

  2. PROMIS MS Health

    PROMIS MS Health has 14 domains, each comprising four 5-point Likert scale items, covering mobility limitations, spasticity, reduced hand and arm function, fatigue, pain, numbness, cognition issues, sleep disturbances, bowel and bladder dysfunction, vision problems, dizziness and vertigo, sexual dysfunction, mood and emotional changes plus a single 5-point Likert scale item for overall health.

    Time frame: Day 180

  3. SymptoMScreen

    SymptoMScreen has twelve 7-point Likert scale items covering how each of the following MS symptoms affects everyday life activities: walking, hand function, spasticity, pain, sensory function, bladder control, fatigue, vision, dizziness, cognitive function, depression and anxiety.

    Time frame: Day 180

  4. Frenchay Activities Index

    The Frenchay Activities Index (FAI) is a measure of instrumental activities of daily living (IADL) for use with patients with neurological disorders. The FAI assesses a broad range of activities associated with everyday life that the patient has participated in within the recent past, broken into 3 domains: domestic chores, leisure/work, and outdoor activities.

    Time frame: Day 180

Other outcomes

  1. Treatment Acceptability

    The Treatment Acceptability questionnaire consists of seven 5-point Likert items covering affective attitude, burden, ethicality, intervention coherence, opportunity costs, perceived effectiveness, and self-efficacy.

    Time frame: Day 180

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Study locations

6 sites
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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 Sep 4, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06441617
Lead sponsor
Accelerated Cure Project for Multiple Sclerosis
Collaborators
Congressionally Directed Medical Research Programs, United States Department of Defense, Charite University, Berlin, Germany, University Medical Center Goettingen, US Department of Veterans Affairs
Responsible party
Sponsor
First posted
Jun 4, 2024
Start date
Dec 5, 2024
Primary completion
Feb 15, 2027 (estimated)
Completion
Sep 14, 2027 (estimated)
Last update
Sep 4, 2026

Oversight

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

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