ClinicalTrials.gg
Not yet recruitingNCT07631143LOxyMSUpdated Jun 5, 2026

Intermittent Low Oxygen Breathing: A First Study Testing Different Disease Stages in People Living With MS

A Phase 1/2 interventional study of Acute Intermittent Hypoxia in Multiple Sclerosis, sponsored by University of Saskatchewan. Not yet recruiting. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-06-05.

Sponsored by University of Saskatchewan · Phase 1/2, Interventional, and Treatment

Phase
Phase 1/2
Study type
Interventional
Enrollment
9
Allocation
Not applicable
Ages
18 Years and older
Sex
All
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Study summary

This study will look at the safety, tolerability and feasibility of a non-invasive treatment called Acute Intermittent Hypoxia (AIH) in people with Multiple Sclerosis (MS) at different stages of the disease course.

Read the detailed description

AIH is a treatment where people breathe reduced amounts of oxygen (10% oxygen) for a short period of time alternating with normal oxygen levels (21%) through a facemask that is attached to an oxygen tank with 10% 02. Participants will undergo 6 AIH treatment sessions over 3-4 weeks.

AIH will be administered to 3 unique groups of people: 1) People with advanced MS disability who are no longer ambulatory, 2) People who experienced a disabling relapse within the past 4 weeks and 3) People with non-active, progressive MS who retain some ambulatory ability.

There will be one baseline and two post-treatment assessments (1 and 5 weeks following the last AIH session).

02

Conditions studied

  • Multiple Sclerosis

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Keywords

  • Acute Intermittent Hypoxia
03

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 9 is below the median of 50 across 2,201 interventional studies indexed under Multiple Sclerosis.

Browse Multiple Sclerosis studies →

Lead sponsor

University of Saskatchewan is the lead sponsor of 243 studies on the registry; 34 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

-

Group 1:

  • People with a confirmed diagnosis of MS and advanced disability level (Expanded Disability Status Scale (EDSS) >6.5 and \<9)
  • Without relapse for at least 90 days prior
  • Older than age 18

Group 2:

  • People with a confirmed diagnosis of relapsing remitting MS
  • Acute disabling relapse onset within the past 4 weeks. A disabling relapse will be defined as at least 1.0-point increase on the EDSS.
  • Older than age 18

Group 3:

  • People with a confirmed diagnosis of MS that is non-active and progressive (Primary or Secondary Progressive MS). Non-active will be defined as without MS relapse, new/enlarging or enhancing MRI lesions within the past 1 year.
  • EDSS \<=6.5
  • Older than age 18

Exclusion criteria

Exclusion Criteria:

  • Pregnancy
  • Any of the following documented respiratory disorders: obstructive sleep apnea, , uncontrolled asthma, hypoxic pulmonary disease, respiratory infection in the previous 3 months
  • Ischemic cardiac disease
  • Cardiac arrhythmia
  • Severe hypertension (>160/100)
  • Seizure disorders
  • Medically unstable in another capacity
  • Unable to provide
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.

COPD

Chronic obstructive pulmonary disease: long-term lung disease that makes it hard to breathe out, including emphysema and chronic bronchitis.

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
Phase 1 / Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
9 participants (estimated)

Study arms

  • Experimental
    Treatment

    Acute Intermittent Hypoxia

    Other: Acute Intermittent Hypoxia

Interventions

  • OtherAcute Intermittent Hypoxia

    Hypoxia (10% O2) will be administered via a non-rebreather face mask connected to an oxygen tank supplying the 10% O2. Each session will involve 15 cycles of hypoxia, each lasting 90 seconds, interspersed with 60 second cycles of normoxia. The total duration of each session will be approximately 37 minutes. An inline oxygen analyzer will allow recording of the percentage of oxygen being delivered. A fingertip pulse-oximeter will be worn throughout to ensure that oxygen saturation (SpO2) falls to a nadir between 80 - 87% during hypoxic episodes and heart rate monitoring will be performed. Blood pressure will be checked prior to and following each session (within 5 minutes of treatment cessation).

06

What researchers measure

Primary outcomes

  1. SpO2 < 78%, Heart rate < 50 beats per minute (bpm) or > 160 bpm

    Number of episodes of each outcome

    Time frame: During the six AIH treatment session in weeks 1-4

Secondary outcomes

  1. Worsening on a verbal response 9-Item subjective symptom checklist

    Symptom checklist to be administered during AIH treatments. Includes the following: Chest pain, shortness of breath, lightheadedness, neck pain, dizziness, arm pain (left side for cardiac symptoms), sweatiness/feeling warm, sensory changes and increased weakness.

    Time frame: During the six AIH treatment sessions in weeks 1-4

  2. Functional testing 1: Nine-Hole Peg test

    A test of hand function and dexterity

    Time frame: Baseline, 1- and 5- weeks after the final AIH treatment session

  3. Functional testing 2: Symbol Digit Modalities Test

    A cognitive test of processing speed

    Time frame: Baseline, 1- and 5- weeks after the final AIH treatment session

  4. Functional testing 3: Timed 25-Foot walk test

    A test of gait

    Time frame: Baseline, 1- and 5- weeks after the final AIH treatment session

  5. Patient Reported Symptom Outcomes 1: Multiple Sclerosis Impact Scale (MSIS-29)

    An assessment of how MS impacts a person's function

    Time frame: Baseline, 1- and 5- weeks after the final AIH treatment session

  6. Patient Reported Symptom Outcomes 2: Modified Fatigue Impact Scale

    An assessment of how fatigue impacts a person's function

    Time frame: Baseline, 1- and 5- weeks after the final AIH treatment session

  7. Transcranial Magnetic Stimulation (TMS)

    TMS uses a magnetic coil placed over the scalp to stimulate cortical neurons on the surface of the brain to elicit a motor evoked potential (MEP). The amount of stimulator output required to obtain a MEP is an indicator of the level of excitability of the neurons; lower threshold indicating greater excitability AIH may decrease inhibition and increase excitation; mechanisms necessary when recovering from neurological injuries.

    Time frame: Baseline, 1- and 5- weeks after the final AIH treatment session

07

Study locations

No study locations are listed for this record.

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 5, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07631143
Responsible party
Katherine Knox (Principal Investigator, University of Saskatchewan) — Principal investigator
First posted
Jun 5, 2026
Start date
Jul 1, 2026 (estimated)
Primary completion
Aug 1, 2028 (estimated)
Completion
Aug 1, 2028 (estimated)
Last update
Jun 5, 2026

Study contacts

Katherine B Knox, MD, FRPC
Contact
Katherine.knox@saskatoonhealthregion.ca
306-655-7742
Sarah Donkers, PhD
Contact
sarah.donkers@usask.ca
306-966-3230

Oversight

Data monitoring committee
Yes
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 Jun 2026. You cannot join it, but the record below documents what was studied.

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