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Not yet recruitingNCT07472556BCI_MI_SM_2026Updated Mar 16, 2026

Using Motor Imagery-based Brain-computer Interface With Multiple Sclerosis Patients.

An interventional study of Brain Computer Interface in Multiple Sclerosis, sponsored by Pasquale Arpaia. Not yet recruiting at 1 site in Italy. Open to participants aged 18 Years to 60 Years. Per ClinicalTrials.gov, last updated 2026-03-16.

Sponsored by Pasquale Arpaia · Not applicable, Interventional, and Treatment

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

Study summary

The goal of this clinical trial is to evaluate the effectiveness of a wearable brain-computer interface (BCI)-based neurofeedback system using motor imagery (MI) to support upper limb motor rehabilitation in patients with Multiple Sclerosis (MS). The main questions it aims to answer are:

Does BCI-mediated neurofeedback enhance the voluntary modulation of sensorimotor rhythms (ERD/ERS) during motor imagery tasks in MS patients?

Is the proposed BCI system usable, acceptable, and potentially suitable for telerehabilitation contexts?

Researchers will compare a group undergoing BCI-based neurofeedback plus conventional motor therapy with a control group receiving only standard rehabilitation, to determine whether the intervention leads to superior EEG modulation and clinical outcomes.

Participants will:

Undergo 24 neurofeedback sessions over 12 weeks (2 per week), (experimental group), or do not receive any therapy (control group);

Complete baseline and follow-up evaluations (6 weeks, 12 weeks, and 1-month post-treatment) including motor imagery ability (MIQ-3), manual dexterity (9-Hole Peg Test, AMSQ), perceived fatigue (FSS), and usability (SUS);

Perform EEG-based motor imagery tasks with visual and haptic feedback in immersive extended reality (experimental group only).

02

Conditions studied

  • Multiple Sclerosis

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Keywords

  • Brain-Computer interface
  • Motor imagery
  • Multiple sclerosis
  • Neurofeedback
  • Motor rehabilitation
03

In context

Multiple Sclerosis

3,460 studies on the registry are indexed under Multiple Sclerosis; 661 are open to participants now.

This study's planned enrollment of 40 is below the median of 50 across 2,342 interventional studies indexed under Multiple Sclerosis.

Browse Multiple Sclerosis studies →

Lead sponsor

This is the only study on the registry with Pasquale Arpaia as lead sponsor.

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

04

Who can participate

Ages eligible
18 Years to 60 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Clinical diagnosis of multiple sclerosis according to McDonald criteria 2017 (Thompson, 2018)
  • Age between 18 and 60 years
  • No clinical or radiological relapses in the 3 months prior to enrollment
  • Mild spasticity, defined as a score ≤1 on the Modified Ashworth Scale
  • Preserved cognitive function, defined as MMSE ≥ 24
  • Ability to understand and independently sign informed consent

Exclusion criteria

Exclusion Criteria:

  • MMSE \< 24
  • Presence of neurological or psychiatric comorbidities that may interfere with the intervention or understanding of procedures
  • Severe visual deficits or upper limb orthopedic conditions preventing task execution or EEG cap use
  • Dermatological, cranial, or other conditions contraindicating EEG cap use (e.g., active scalp lesions, known allergy to electrode materials, recent neurosurgical procedures)
  • Any clinical condition deemed by the physician to be incompatible with participation or patient safety
05

Study design

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

Study arms

  • Experimental
    Neurofeedback

    Participants in this group will receive 24 sessions (2 per week for 12 weeks) of Motor Imagery (MI)-based Brain-Computer Interface (BCI) training with real-time multimodal neurofeedback in extended reality.

    Device: Brain Computer Interface

  • No intervention
    Controllo

    Participants in this group will not receive any experimental therapy. They will continue their standard upper limb motor rehabilitation therapy, if included in their clinical care plan.

Interventions

  • DeviceBrain Computer Interface

    The device used to deliver the Motor Imagery (MI)-based Brain-Computer Interface (BCI) training consists of a wearable EEG headset connected to a laptop that provides real-time multimodal neurofeedback in an extended reality environment.

06

What researchers measure

Primary outcomes

  1. Modulation of ERD/ERS patterns during Motor Imagery (MI) tasks

    Evaluate the efficacy of a Brain-Computer Interface (BCI)-based neurofeedback protocol in enhancing voluntary modulation of sensorimotor rhythms (Event-Related Desynchronization/Synchronization - ERD/ERS) during upper limb MI tasks in patients with Multiple Sclerosis (MS).

    Time frame: From baseline to week 12

Secondary outcomes

  1. System Usability and User Acceptance

    Assess usability, satisfaction, and acceptability of the BCI-based neurofeedback system through the System Usability Scale (SUS) and participant feedback. Analyze correlations with functional clinical outcomes and evaluate potential for home-based telerehabilitation use.

    Time frame: Week 12 (end of treatment)

07

Study locations

1 site
  • Centro di Sclerosi Multipla dell'Azienda Ospedaliera Universitaria Federico II
    Naples, Italia 80125, Italy
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 Mar 16, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07472556
Lead sponsor
Pasquale Arpaia
Responsible party
Pasquale Arpaia (Full Professor of Electrical and Electronic Measurements at the Department of Electrical Engineering and Information Technologies (DIETI) and Director of the Interdepartmental Research Center in Healthcare Management and Healthcare Innovation (CIRMIS), Federico II University) — Sponsor-investigator
First posted
Mar 16, 2026
Start date
Jul 1, 2026 (estimated)
Primary completion
Sep 30, 2026 (estimated)
Completion
Nov 30, 2026 (estimated)
Last update
Mar 16, 2026

Study contacts

Roberta Lanzillo Lanzillo, Medical Doctor in Neurology
Contact
roberta.lanzillo@unina.it
+39 081 746 3741
Antonio Esposito, PhD Researcher in Engineering
Contact
antonio.esposito9@unina.it

Oversight

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

Not currently enrolling

This study is not yet recruiting, as verified in Mar 2026. You cannot join it, but the record below documents what was studied.

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