Multiple SclerosisAIRSEPNCT02726672
Fatigue and Inspiratory Muscles Training in Patients With Multiple Sclerosis
A study testing respiratory rehabilitation using Powerbreathe in people with Multiple Sclerosis, run by Lille Catholic University at 1 site in France.
Trial summary
The purpose of this study is to assess the effect of a training of the inspiratory muscles against resistance at home during 10 weeks in multiple sclerosis patients with a severe disability. Read more about this study
- Who is it for?
- Ages 18 to 65 years
- Conditions the study is for
- Multiple Sclerosis
- What is being tested?
- respiratory rehabilitation using Powerbreathe
- Type of treatment
- Medical device
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 46 participants
- Where
- 1 siteFrance
- Study dates
- Feb 2016to Nov 2018
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 65 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Patient with remitting or progressive multiple sclerosis defined by McDonald criteria revised in 2005, with an EDSS between 6 and 7,5
- Aged between 18 and 65 years
- Patients able to maintain the Powerbreathe
- Not to have had a flare-up since at least 6 weeks
- Patients at least 4 weeks since a corticoid bolus
- Patients at least 6 weeks since a botulinum toxin injection
Show all 10Show fewer
- Patients at least 4 weeks since a pulmonary infection
- Questionnaire EMIF-SEP >= 55
- Patients given their informed consent
- Patients who benefit or are affiliated to a social security regimen
Who cannot join
- Patients with neurologic antecedents other that multiple sclerosis
- Patients with respiratory disorders other than those induced by multiple sclerosis
- Patients with orthopedic, cardiac, and rheumatologic invalidating antecedents
- Patients with comprehension or cognitive disorders impeding the realization of rehabilitation
- Pregnant women
- Patients under legal guardianship, or safeguard of justice
- Patients participating or planning participate within the 3 months of the study to another clinical research project
Trial locations and contacts
1 site in 1 country.
About this study
Official title: Fatigue and Inspiratory Muscles Training Against Resistance in Patients With Multiple Sclerosis With Severe Disabilities
The purpose of this study is to assess the effect of a training of the inspiratory muscles against resistance at home during 10 weeks in multiple sclerosis patients with a severe disability.
Read the detailed description
Patients will be informed about the study procedures during a follow-up consultation or an hospitalization in a Physical and Rehabilitation Medicine Unit. If they give their informed consent to participate in the study, an investigator will randomize them into one of the 2 arms of the study. This study consists of 3 visits. The first visit (inclusion) is planned at day 0, the second visit 10 weeks later and the third 3 months after day 0. A patient who is randomized in the experimental arm will have to follow 10 weeks of rehabilitation of the inspiratory muscles at home between first and second visit. During this period, investigators will call these patients once a week to assess the compliance with the rehabilitation. The patients who have been randomized in the control group will not follow this rehabilitation program.
- Conditions
- Multiple Sclerosis
- Being tested
- respiratory rehabilitation using Powerbreathe
- Keywords
- inspiratory muscles, multiple sclerosis, rehabilitation
- Medical subject headings
- Multiple Sclerosis
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
respiratory rehabilitation using PowerbreatheDevice
10 minutes 2 times a day : 30 inspirations per session during 10 weeks
| Study group | Role | What they receive |
|---|---|---|
| Respiratory rehabilitation | Experimental | Respiratory rehabilitation: Powerbreathe training of the inspiratory muscles at home twice a day (2 sessions of 30 inspirations / day) during 10 weeks Receives: Device: respiratory rehabilitation using Powerbreathe |
| control group | No intervention | No respiratory rehabilitation |
What is being measured
The primary outcome is the main question the study is designed to answer.
Fatigue graded according to EMIF-SEP questionnaire
EMIF-SEP questionnaire (French valid version of the Fatigue Impact Scale, self-administered questionnaire to measure fatigue in multiple sclerosis patients)
Measured: 3 months
Secondary outcomes (13)
Sleep disorders graded according to the Epworth Sleepiness Scale
Measured: 3 months
Quality of life graded according to the SEP-59 questionnaire
SEP-59 questionnaire (french validated self-administered questionnaire to assess quality of life in multiple sclerosis patients)
Measured: 3 months
Maximal inspiratory pressure graded according to the Black and Hyatt method
respiratory manometer according to Black and Hyatt method
Measured: 3 months
Maximal expiratory pressure graded according to Black and Hyatt method
respiratory manometer according to Black and Hyatt method
Measured: 3 months
Forced vital capacity (FVC) graded with a portable spirometer
Measured: 3 months
Tidal volume graded with a portable spirometer
Measured: 3 months
Forced expiratory volume in one second (FEV1) graded with a portable spirometer
Measured: 3 months
FEV1/ FVC ratio graded with a portable spirometer
Measured: 3 months
Energy consumption during repeated effort
Metamax 3B
Measured: 3 months
Depression graded according to the French version of the Beck Depression Inventory Fast-Screen
French version of the Beck Depression Inventory Fast-Screen, validated scale in multiple sclerosis
Measured: 3 months
Swallowing problems graded according to the DYMUS score
Measured: 3 months
Level of disability graded by the EDSS (Expanded Disability Status Scale)
These functional parameters will enable the assessment of the level of disability by a clinical examination
Measured: 3 months
Collection of the drug treatments received evaluated by a questionnaire
Measured: 3 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted4 Apr 2016 (estimated)
- Study startFeb 2016
- Primary completionMay 2018
- Study completionNov 2018
Why it stopped: lack of recruitment
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Multiple SclerosisStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Supportive care
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 46 participants (actual)
Sponsor and investigators
- Lead sponsor
- Lille Catholic University
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
- Investigators
- Cécile Donzé, MD, Principal investigator, Hospital Group of the Catholic Institute of Lille
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02726672
- Sponsor's protocol ID
- RC-P0043
- Other IDs
- 2015-A01451-48
- Acronym
- AIRSEP
- Status last verified
- Nov 2018
- First submitted
- 22 Mar 2016
- Last updated
- 23 Nov 2018
- Results posted
- No
- Data monitoring committee
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 23 Nov 2018. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Fatigue and Inspiratory Muscles Training Against Resistance in Patients With Multiple Sclerosis With Severe Disabilities
- ClinicalTrials.gov ID
- NCT02726672
- Acronym / sponsor ID
- AIRSEP / RC-P0043
- Conditions
- Multiple Sclerosis
- Keywords
- inspiratory muscles, multiple sclerosis, rehabilitation
- Study type
- Interventional
- Recruitment status
- TerminatedReason stopped: lack of recruitment
- Enrolment
- 46 participants (actual)
- Lead sponsor
- Lille Catholic UniversityUniversity, hospital or other
- Study start
- Feb 2016 (actual)
- Primary completion
- May 2018 (actual)
- Study completion
- Nov 2018 (actual)
- First posted
- 4 Apr 2016 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this study is to assess the effect of a training of the inspiratory muscles against resistance at home during 10 weeks in multiple sclerosis patients with a severe disability.
Detailed description
Patients will be informed about the study procedures during a follow-up consultation or an hospitalization in a Physical and Rehabilitation Medicine Unit. If they give their informed consent to participate in the study, an investigator will randomize them into one of the 2 arms of the study. This study consists of 3 visits. The first visit (inclusion) is planned at day 0, the second visit 10 weeks later and the third 3 months after day 0. A patient who is randomized in the experimental arm will have to follow 10 weeks of rehabilitation of the inspiratory muscles at home between first and second visit. During this period, investigators will call these patients once a week to assess the compliance with the rehabilitation. The patients who have been randomized in the control group will not follow this rehabilitation program.
Study design
- Primary purpose
- Supportive care
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Respiratory rehabilitation | Experimental | Device: respiratory rehabilitation using PowerbreatheRespiratory rehabilitation: Powerbreathe training of the inspiratory muscles at home twice a day (2 sessions of 30 inspirations / day) during 10 weeks |
| control group | No intervention | –No respiratory rehabilitation |
Who may qualify
- Ages
- 18 to 65 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (10 listed)
- Patient with remitting or progressive multiple sclerosis defined by McDonald criteria revised in 2005, with an EDSS between 6 and 7,5
- Aged between 18 and 65 years
- Patients able to maintain the Powerbreathe
- Not to have had a flare-up since at least 6 weeks
- Patients at least 4 weeks since a corticoid bolus
Key exclusion criteria (7 listed)
- Patients with neurologic antecedents other that multiple sclerosis
- Patients with respiratory disorders other than those induced by multiple sclerosis
- Patients with orthopedic, cardiac, and rheumatologic invalidating antecedents
- Patients with comprehension or cognitive disorders impeding the realization of rehabilitation
- Pregnant women
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| respiratory rehabilitation using Powerbreathe10 minutes 2 times a day : 30 inspirations per session during 10 weeks | Device | Respiratory rehabilitation |
Primary outcome
Fatigue graded according to EMIF-SEP questionnaire
Time frame: 3 months
EMIF-SEP questionnaire (French valid version of the Fatigue Impact Scale, self-administered questionnaire to measure fatigue in multiple sclerosis patients)
13 secondary outcomes
Sleep disorders graded according to the Epworth Sleepiness Scale
Time frame: 3 months
Quality of life graded according to the SEP-59 questionnaire
Time frame: 3 months
Maximal inspiratory pressure graded according to the Black and Hyatt method
Time frame: 3 months
Maximal expiratory pressure graded according to Black and Hyatt method
Time frame: 3 months
Forced vital capacity (FVC) graded with a portable spirometer
Time frame: 3 months
Tidal volume graded with a portable spirometer
Time frame: 3 months
Forced expiratory volume in one second (FEV1) graded with a portable spirometer
Time frame: 3 months
FEV1/ FVC ratio graded with a portable spirometer
Time frame: 3 months
Energy consumption during repeated effort
Time frame: 3 months
Depression graded according to the French version of the Beck Depression Inventory Fast-Screen
Time frame: 3 months
Swallowing problems graded according to the DYMUS score
Time frame: 3 months
Level of disability graded by the EDSS (Expanded Disability Status Scale)
Time frame: 3 months
Collection of the drug treatments received evaluated by a questionnaire
Time frame: 3 months
Results and safety
The study was stopped early (reason given: lack of recruitment). Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 23 Nov 2018.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Cécile Donzé, MD principal investigator
Hospital Group of the Catholic Institute of Lille
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing respiratory rehabilitation using Powerbreathe in people with Multiple Sclerosis, run by Lille Catholic University at 1 site in France.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 10 inclusion and 7 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: stopped early, as of the sponsor's last update on 23 Nov 2018. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in France. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study was stopped early (reason given: lack of recruitment). Results are not available in the source record.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Fatigue graded according to EMIF-SEP questionnaire (time frame: 3 months). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 23 Nov 2018.