Relapsing Remitting Multiple SclerosisPAMSNCT04115930
Correlation Between Daily Physical Activity and Disability, Fatigue, Cognition and Quality of Life in MS Patients
An observational study of Relapsing Remitting Multiple Sclerosis and Fatigue, run by University of Eastern Finland at 4 sites in Finland.
Trial summary
The main purpose of the study is to assess the fatigue, cognition, quality of life and disability correlation to MS-patients daily physical activity. Read more about this study
- Who is it for?
- Ages 18 to 55 yearsHealthy volunteers can take part
- Conditions the study is for
- Relapsing Remitting Multiple Sclerosis, Fatigue, Quality of Life
- What is being tested?
- Physical Activity measurement:
- Type of treatment
- Medical device
- How many people
- 61 participants
- Where
- 4 sitesFinland
- Study dates
- 16 May 2018to 13 Jun 2019
- Phase
- Observational
- 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 55 years
- All sexes
- Healthy volunteers accepted
- Adult
Study population: Patient group: RRMS patients (18-55 years old) Control group: Healthy volunteers (18-55 years old)
Who may be able to join
- RR-MS (relapsing-remitting MS-disease)
- Age 18-55y
- Expanded Disability Status Scale (EDSS) score less than equals to (<=) 5.5
- Not relapse in previous month
- Other protocol defined inclusion criteria could apply
Who cannot join
- PP-MS (primary progressive disease)
- SPMS (secondary progressive disease)
- Other protocol defined exclusion criteria could apply.
Trial locations and contacts
4 sites in 1 country.
Finland4 sites
Joensuu
Joensuu
Jyväskylä
Jyväskylä
University of Eastern Finland
Kuopio
Oulu
Oulu
About this study
The main purpose of the study is to assess the fatigue, cognition, quality of life and disability correlation to MS-patients daily physical activity.
- Being tested
- Physical Activity measurement:
- Medical subject headings
- Multiple Sclerosis, Relapsing-Remitting, Fatigue, Motor Activity
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Physical Activity measurement:Device
7 days measurement with Active style Pro HJA-350IT device
| Study group | Role | What they receive |
|---|---|---|
| Patient | Fatigue, cognition and quality of life measurements with different kind of tests and forms. EDSS and SFMC. Daily physical activity measurement 7days. Berg´s scale. Sit-Up 30 s and 6-minutes walking test. Length, weight and waist measurements. Receives: Device: Physical Activity measurement: | |
| Control | Healthy volunteers. Fatigue, cognition and quality of life measurements with different kind of tests and forms. SFMC. Daily physical activity measurement 7days. Berg´s scale. Sit-Up 30 s and 6-minutes walking test. Length, weight and waist measurements. Receives: Device: Physical Activity measurement: |
What is being measured
The primary outcome is the main question the study is designed to answer.
Correlation between daily physical activity and quality of life to disability.
Daily physical activity will be measured 7 days assessed by ActiGraphTM wGT3X-BT. Person keep this on his/her wake-up time whole 7 days excluding time when she/he is in water like in shower or swimming. Quality of life will be assessed by questionnaires 15-D and RAND-36 and disability will be assessed by EDSS (Expanded Disability Status Scale) and also with MSFC (Multiple Sclerosis Functional Composite) measurement.
Measured: Baseline (one measurement)
Correlation between fatigue and cognition to daily physical activity and disability.
Fatigue will be assessed with two different questionnaires FSS (fatigue severity scale) and MFIS (Modified Fatigue Impact Scale). Cognition will be assessed SDMT (Symbol Digital Modality Test) and PASAT-test. Daily physical activity will be measured 7 days with measure ActiGraphTM wGT3X-BT. Person keep this on his/her wake-up time whole 7 days excluding time when she/he is in water like in shower or swimming. Disability will be assessed EDSS (Expanded Disability Status Scale) and also with MSFC (Multiple Sclerosis Functional Composite) measurement.
Measured: Baseline (one measurement)
Correlation between fatigue, cognition, quality of life and daily physical activity.
Fatigue will be assessed with two different questionnaires FSS (fatigue severity scale) and MFIS (Modified Fatigue Impact Scale). Cognition will be assessed SDMT (Symbol Digital Modality Test) and PASAT-test. Quality of life will be assessed questionnaires 15-D and RAND-36. Daily physical activity will be measured 7 days with measure ActiGraphTM wGT3X-BT. Person keep this on his/her wake-up time whole 7 days excluding time when she/he is in water like in shower or swimming.
Measured: Baseline (one measurement)
Disability level EDSS
Disability will be assessed EDSS (Expanded Disability Status Scale). Scale range is between 0 to 10. (0 level is normal and 10 means death)
Measured: Baseline (one measurement)
Disability level MSFC
Disability will be assessed MSFC (Multiple Sclerosis Functional Composite) measurement. Test include three different kind of test The Timed 25-Foot Walk Test, The 9-HPT (9-hole peg test) and The Paced Auditory Serial Addition Test "PASAT"). The MSFC is based on the concept that scores for these three dimensions-arm, leg, and cognitive function are combined to create a single score (the MSFC) that can be used to detect change over time in a group of multiple sclerosis patients. This is done by creating Z-scores for each component of the MSFC and averaging them to create an overall composite score known as the MSFC score. ex. MSFC Score = {Zarm, average + Zleg, average + Zcognitive} / 3.0 Where Zxxx =Z-score
Measured: Baseline (one measurement)
9-Hole Peg Test
The 9-HPT (9-hole peg test). The 9-HPT is a quantitative measure of upper extremity (arm and hand) function. Both the dominant and non-dominant hands are tested twice (two consecutive trials of the dominant hand, followed immediately by two consecutive trials of the non-dominant hand). Record only the times for the two successfully completed trials for each hand. (time/within 0.1 seconds,lower time is better.)
Measured: Baseline (one measurement)
The Timed 25-Foot Walk test
The Timed 25-Foot Walk test is a quantitative measure of lower extremity function. The patient is directed to one end of a clearly marked 25-foot course and is instructed to walk 25 feet as quickly as possible. Record the subject's walk time to within 0.1 second, lower time is better)
Measured: Baseline (one measurement)
Daily physical activity
Daily physical activity will be measured 7 days with measure ActiGraphTM wGT3X-BT. Person keep this on his/her wake-up time whole 7 days excluding time when she/he is in water like in shower or swimming.
Measured: 7 days
Quality of life 15-D
Quality of life level will be assessed questionnaire 15-D. 15 question (evaluation 5 class in every question= 1 to 5 points) Count together and higher number is worse.
Measured: Baseline (one measurement)
Quality of life RAND-36
Quality of life level will be assessed questionnaire RAND-36.(include 36 question in 8 different kind of section). Higher number is worse.
Measured: Baseline (one measurement)
Cognition level SDMT
Cognition will be assessed with SDMT (Symbol Digital Modality Test). Higher number is better.
Measured: Baseline (one measurement)
Cognition level PASAT
Cognition will be assessed with PASAT-test.(Paced Auditory Serial Addition Test). The test score is the number of correct sums given (out of 60 possible) in each trial. Higher number is better.
Measured: Baseline (one measurement)
Fatigue level FSS
Fatigue will be assessed with questionnaire FSS (fatigue severity scale). FSS questionaire containing nine statements that attempt to explore severity of fatigue symptoms. The subject is asked to read each statement and circle a number from 1 to 7. The scoring is done by calculating the average response to the questions (adding up all the answers and dividing by nine). Higher number is worse.
Measured: Baseline (one measurement)
Fatigue level MFIS
Fatigue will be assessed with questionnaire MFIS (Modified Fatigue Impact Scale). 21 questions. (scale 0 to 4 in every questions/ range 0 to 84 in whole questionnaire). Higher number is worse.
Measured: Baseline (one measurement)
General condition (endurance)
General condition (endurance) assessed by 6-minutes walking test distance in meters.
Measured: Baseline (one measurement)
Secondary outcomes (6)
Body Composition Weight
Body composition evaluation assesment by weight (kg)
Measured: Baseline (one measurement)
Body Composition Height
Body composition evaluation assesment by height (cm)
Measured: Baseline (one measurement)
Body Composition Weist
Body composition evaluation assesment by weist (cm)
Measured: Baseline (one measurement)
Body Composition BMI
BMI (Body Mass index). Weight and height will be combined to report BMI in kg/m^2
Measured: Baseline (one measurement)
Equilibrioception (balance)
Equilibrioception evaluation by Berg´s balance scale. 14 different part and scale in every part 0 to 4. Count together and whole test range 0 to 56. (Higher is better)
Measured: Baseline (one measurement)
Abs strength
Abs strength assessed by 30 seconds sit-ups (amount)
Measured: Baseline (one measurement)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted4 Oct 2019
- Study start16 May 2018
- Primary completion13 Jun 2019
- Study completion13 Jun 2019
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Relapsing Remitting 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
- Observational
- Observational model
- Case-control
- Time perspective
- Prospective
- Enrolment
- 61 participants (actual)
Sponsor and investigators
- Lead sponsor
- University of Eastern Finland
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
- Investigators
- Marko Luostarinen, Principal investigator, University of Eastern Finland
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04115930
- Sponsor's protocol ID
- PAMS
- Acronym
- PAMS
- Status last verified
- Oct 2019
- First submitted
- 4 Apr 2019
- Last updated
- 4 Oct 2019
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
Publications
Luostarinen M, Portaankorva AM, Urpilainen P, Takala S, Venojarvi M. Correlation of Cognition With Disability and Physical Performance in Patients With Relapsing-Remitting MS. J Cent Nerv Syst Dis. 2025 Jun 17;17:11795735251349716. doi: 10.1177/11795735251349716. eCollection 2025.
PubMed 40535778
Study at a glance
From the registry record, last updated by the sponsor on 4 Oct 2019. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Correlation Between Daily Physical Activity and Disability, Fatigue, Cognition and Quality of Life in MS Patients
- ClinicalTrials.gov ID
- NCT04115930
- Acronym / sponsor ID
- PAMS / PAMS
- Study type
- Observational
- Recruitment status
- Completed
- Enrolment
- 61 participants (actual)
- Lead sponsor
- University of Eastern FinlandUniversity, hospital or other
- Study start
- 16 May 2018 (actual)
- Primary completion
- 13 Jun 2019 (actual)
- Study completion
- 13 Jun 2019 (actual)
- First posted
- 4 Oct 2019 (actual)
- 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 main purpose of the study is to assess the fatigue, cognition, quality of life and disability correlation to MS-patients daily physical activity.
Study design
- Observational model
- Case-control
- Time perspective
- Prospective
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Patient | – | Device: Physical Activity measurement:Fatigue, cognition and quality of life measurements with different kind of tests and forms. EDSS and SFMC. Daily physical activity measurement 7days. Berg´s scale. Sit-Up 30 s and 6-minutes walking test. Length, weight and waist measurements. |
| Control | – | Device: Physical Activity measurement:Healthy volunteers. Fatigue, cognition and quality of life measurements with different kind of tests and forms. SFMC. Daily physical activity measurement 7days. Berg´s scale. Sit-Up 30 s and 6-minutes walking test. Length, weight and waist measurements. |
Who may qualify
- Ages
- 18 to 55 years
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult
- Study population
- Patient group: RRMS patients (18-55 years old) Control group: Healthy volunteers (18-55 years old)
Key inclusion criteria (5 listed)
- RR-MS (relapsing-remitting MS-disease)
- Age 18-55y
- Expanded Disability Status Scale (EDSS) score less than equals to (<=) 5.5
- Not relapse in previous month
- Other protocol defined inclusion criteria could apply
Key exclusion criteria (3 listed)
- PP-MS (primary progressive disease)
- SPMS (secondary progressive disease)
- Other protocol defined exclusion criteria could apply.
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 |
|---|---|---|
| Physical Activity measurement:7 days measurement with Active style Pro HJA-350IT device | Device | Control, Patient |
Primary outcome
Correlation between daily physical activity and quality of life to disability.
Time frame: Baseline (one measurement)
Daily physical activity will be measured 7 days assessed by ActiGraphTM wGT3X-BT. Person keep this on his/her wake-up time whole 7 days excluding time when she/he is in water like in shower or swimming. Quality of life will be assessed by questionnaires 15-D and RAND-36 and disability will be assessed by EDSS (Expanded Disability Status Scale) and also with MSFC (Multiple Sclerosis Functional Composite) measurement.
Correlation between fatigue and cognition to daily physical activity and disability.
Time frame: Baseline (one measurement)
Fatigue will be assessed with two different questionnaires FSS (fatigue severity scale) and MFIS (Modified Fatigue Impact Scale). Cognition will be assessed SDMT (Symbol Digital Modality Test) and PASAT-test. Daily physical activity will be measured 7 days with measure ActiGraphTM wGT3X-BT. Person keep this on his/her wake-up time whole 7 days excluding time when she/he is in water like in shower or swimming. Disability will be assessed EDSS (Expanded Disability Status Scale) and also with MSFC (Multiple Sclerosis Functional Composite) measurement.
Correlation between fatigue, cognition, quality of life and daily physical activity.
Time frame: Baseline (one measurement)
Fatigue will be assessed with two different questionnaires FSS (fatigue severity scale) and MFIS (Modified Fatigue Impact Scale). Cognition will be assessed SDMT (Symbol Digital Modality Test) and PASAT-test. Quality of life will be assessed questionnaires 15-D and RAND-36. Daily physical activity will be measured 7 days with measure ActiGraphTM wGT3X-BT. Person keep this on his/her wake-up time whole 7 days excluding time when she/he is in water like in shower or swimming.
Disability level EDSS
Time frame: Baseline (one measurement)
Disability will be assessed EDSS (Expanded Disability Status Scale). Scale range is between 0 to 10. (0 level is normal and 10 means death)
Disability level MSFC
Time frame: Baseline (one measurement)
Disability will be assessed MSFC (Multiple Sclerosis Functional Composite) measurement. Test include three different kind of test The Timed 25-Foot Walk Test, The 9-HPT (9-hole peg test) and The Paced Auditory Serial Addition Test "PASAT"). The MSFC is based on the concept that scores for these three dimensions-arm, leg, and cognitive function are combined to create a single score (the MSFC) that can be used to detect change over time in a group of multiple sclerosis patients. This is done by creating Z-scores for each component of the MSFC and averaging them to create an overall composite score known as the MSFC score. ex. MSFC Score = {Zarm, average + Zleg, average + Zcognitive} / 3.0 Where Zxxx =Z-score
9-Hole Peg Test
Time frame: Baseline (one measurement)
The 9-HPT (9-hole peg test). The 9-HPT is a quantitative measure of upper extremity (arm and hand) function. Both the dominant and non-dominant hands are tested twice (two consecutive trials of the dominant hand, followed immediately by two consecutive trials of the non-dominant hand). Record only the times for the two successfully completed trials for each hand. (time/within 0.1 seconds,lower time is better.)
The Timed 25-Foot Walk test
Time frame: Baseline (one measurement)
The Timed 25-Foot Walk test is a quantitative measure of lower extremity function. The patient is directed to one end of a clearly marked 25-foot course and is instructed to walk 25 feet as quickly as possible. Record the subject's walk time to within 0.1 second, lower time is better)
Daily physical activity
Time frame: 7 days
Daily physical activity will be measured 7 days with measure ActiGraphTM wGT3X-BT. Person keep this on his/her wake-up time whole 7 days excluding time when she/he is in water like in shower or swimming.
Quality of life 15-D
Time frame: Baseline (one measurement)
Quality of life level will be assessed questionnaire 15-D. 15 question (evaluation 5 class in every question= 1 to 5 points) Count together and higher number is worse.
Quality of life RAND-36
Time frame: Baseline (one measurement)
Quality of life level will be assessed questionnaire RAND-36.(include 36 question in 8 different kind of section). Higher number is worse.
Cognition level SDMT
Time frame: Baseline (one measurement)
Cognition will be assessed with SDMT (Symbol Digital Modality Test). Higher number is better.
Cognition level PASAT
Time frame: Baseline (one measurement)
Cognition will be assessed with PASAT-test.(Paced Auditory Serial Addition Test). The test score is the number of correct sums given (out of 60 possible) in each trial. Higher number is better.
Fatigue level FSS
Time frame: Baseline (one measurement)
Fatigue will be assessed with questionnaire FSS (fatigue severity scale). FSS questionaire containing nine statements that attempt to explore severity of fatigue symptoms. The subject is asked to read each statement and circle a number from 1 to 7. The scoring is done by calculating the average response to the questions (adding up all the answers and dividing by nine). Higher number is worse.
Fatigue level MFIS
Time frame: Baseline (one measurement)
Fatigue will be assessed with questionnaire MFIS (Modified Fatigue Impact Scale). 21 questions. (scale 0 to 4 in every questions/ range 0 to 84 in whole questionnaire). Higher number is worse.
General condition (endurance)
Time frame: Baseline (one measurement)
General condition (endurance) assessed by 6-minutes walking test distance in meters.
6 secondary outcomes
Body Composition Weight
Time frame: Baseline (one measurement)
Body Composition Height
Time frame: Baseline (one measurement)
Body Composition Weist
Time frame: Baseline (one measurement)
Body Composition BMI
Time frame: Baseline (one measurement)
Equilibrioception (balance)
Time frame: Baseline (one measurement)
Abs strength
Time frame: Baseline (one measurement)
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 4 Oct 2019.
- Derived from this study: PubMed 40535778Luostarinen M, Portaankorva AM, Urpilainen P, Takala S, Venojarvi M. Correlation of Cognition With Disability and Physical Performance in Patients With Relapsing-Remitting MS. J Cent Nerv Syst Dis. 2025 Jun 17;17:11795735251349716. doi: 10.1177/11795735251349716. eCollection 2025.
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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.
Marko Luostarinen principal investigator
University of Eastern Finland
4 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Relapsing Remitting Multiple Sclerosis and Fatigue, run by University of Eastern Finland at 4 sites in Finland.
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 5 inclusion and 3 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: finished, as of the sponsor's last update on 4 Oct 2019. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 4 sites in Finland. 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 is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
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?
Correlation between daily physical activity and quality of life to disability. (time frame: Baseline (one measurement)). The study lists 15 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT04115930, which also lists 1 linked publication.
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 4 Oct 2019.