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Multiple SclerosisDigiTomsNCT04756700

Validation of DigiCog and Konectom Tools to Support Digitalized Clinical Assessment in Multiple Sclerosis

A study testing DigiCog (BCCAMS app) and Konectom Application in people with Multiple Sclerosis, run by Biogen at 1 site in France.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The primary objective of this study is to establish scores of Cognitive impairment (CI) of the 3 DigiCog [Brief Computerized Cognitive Assessment for Multiple Sclerosis (BCCAMS) app] tests [Computerized Speed Cognitive Test (CSCT), Computerized Episodic Visual Memory Test (CEVMT) and the French Learning Test (FLT), a… Read more about this study

Who is it for?
Ages 18 to 64 yearsHealthy volunteers can take part
Conditions the study is for
Multiple Sclerosis
What is being tested?
DigiCog (BCCAMS app) and Konectom Application
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
158 participants
Where
1 siteFrance
Study dates
12 Oct 2020to 26 Jul 2022
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 64 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • For PwMS:
  • Expanded Disability Status Scale (EDSS) score ≤ 6.
  • Multiple Sclerosis (MS) diagnosis according to 2017 revised McDonald criteria.
  • For Healthy Participants:
  • Gender-, age- and education-matched with Multiple Sclerosis participants.

Who cannot join

  • For PwMS:
  • Severe depression according to Diagnostic and Statistical Manual of Mental Disorders-5 (DSM-5) classification or severe on-going psychiatric condition, as per evaluation by the investigator;
  • Change of Disease Modifiying Treatment (DMT) in the last 1 month;
  • Any clinically significant neurological disorders other than MS, as per evaluation by the investigator;
  • Any change of psychotropic treatment in the last 1 month;
  • Clinically significant addiction (alcohol or other drug abuse), as per evaluation by the investigator;
Show all 21Show fewer
  • Recent acute relapse or disability worsening (less than one month);
  • Steroid course in the previous month;
  • Neuropsychological testing with the following tests in the previous year: Full BICAMS or DigiCog (BCCAMS app) battery, Fatigue Scale for Motor and Congnitive functions (FSMC), Computerized speed cognitive test (CSCT), Computerized Episodic Visual Memory Test (CEVMT), French Learning Test (FLT), Cognitive processing speed (CPS), Symbol Digit Modalities Test (SDMT);
  • Developmental learning disabilities, as per evaluation by the investigator;
  • Pregnant or breastfeeding women
  • For Health Participants:
  • Severe depression (according to DSM-5 classification) or severe on-going psychiatric condition, as per evaluation by the investigator;
  • Any clinically significant neurological disorders, as per evaluation by the investigator;
  • Any psychotropic therapy consumption;
  • Clinically significant addiction (alcohol or other drug abuse), as per evaluation by the investigator;
  • Clinically significant cognitive complaint(s), as per evaluation by the investigator;
  • Previous participation in other cognitive study using the same tests (Full BICAMS or DigiCog (BCCAMS app) battery, Fatigue Scale for Motor and Congnitive functions (FSMC), Computerized speed cognitive test (CSCT), Computerized Episodic Visual Memory Test (CEVMT), French Learning Test (FLT), Cognitive processing speed (CPS), Symbol Digit Modalities Test (SDMT));
  • Developmental learning disabilities, as per evaluation by the investigator;
  • Pregnant or breastfeeding women.
  • NOTE: Other protocol defined inclusion/ exclusion criteria may apply.

Trial locations and contacts

1 site in 1 country.

France1 site
  • Research Site

    Bordeaux, 33000

Other trials in France

About this study

Official title: Validation of DigiCog (BCCAMS App) and Konectom™ Tools, for Supporting Digitalized Clinical Assessment of Cognitive and Motor Functions in Patients With Multiple Sclerosis. DigiToms Study

The primary objective of this study is to establish scores of Cognitive impairment (CI) of the 3 DigiCog [Brief Computerized Cognitive Assessment for Multiple Sclerosis (BCCAMS) app] tests [Computerized Speed Cognitive Test (CSCT), Computerized Episodic Visual Memory Test (CEVMT) and the French Learning Test (FLT), a verbal memory test similar to the CVLT], using a tablet application in a sample of healthy participants matched to persons with MS (PwMS).

The secondary objectives of this study are to determine the ability of the DigiCog app to detect cognitive impairment (CI) compared to the classical Brief International Cognitive Assessment for MS (BICAMS) in PwMS; to determine the relationship between depressive symptoms and cognitive performance in Multiple Sclerosis (MS) sample; to determine the relationship between subjective perception of CI and cognitive performance ; to evaluate the reliability of Konectom™ digital outcome assessments (DOAs) in healthy subjects (HS) and PwMS; to evaluate the convergent validity of Konectom™ digital outcome assessments (DOAs) against in-clinic conventional disability outcome assessments in PwMS; to evaluate differences in Konectom™ DOAs [self administered at home and in-clinic] between PwMS and HS; to evaluate the variability of Konectom™ DOAs self-administered at home in free-living environment in HS and PwMS; to compare Konectom™ DOAs between in-clinic supervised administration versus self-assessments in free-living environment in HS and PwMS; to evaluate the clinical meaningfulness of Konectom™ DOAs against Patient-Reported Outcomes (PRO) in PwMS.

Being tested
DigiCog (BCCAMS app), Konectom Application
Medical subject headings
Multiple Sclerosis

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • DigiCog (BCCAMS app)Diagnostic test

    Administered as specified in the treatment arm.

  • Konectom ApplicationDiagnostic test

    Administered as specified in the treatment arm.

Study groups in NCT04756700
Study groupRoleWhat they receive
Healthy ParticipantsExperimentalHealthy participants matched with PwMS will have their cognitive and motor functions assessed using the DigiCog (BCCAMS app) tablet once in clinic and Konectom smartphone-based application for 2 days in clinic and at least 15 days at home.
Receives: Diagnostic Test: DigiCog (BCCAMS app); Diagnostic Test: Konectom Application
PwMS: Participants with MSExperimentalParticipants with MS will have their cognitive and motor functions assessed using the DigiCog (BCCAMS app) tablet once in clinic and Konectom smartphone-based application for 2 days in clinic and at least 15 days at home.
Receives: Diagnostic Test: DigiCog (BCCAMS app); Diagnostic Test: Konectom Application

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Raw Score of the Computerized Speed Cognitive Test (CSCT) using DigiCog (BCCAMS app)

    Number of the correct answers will provide raw score of CSCT from which regression based norms will be calculated.

    Measured: Up to Day 28

  2. Raw Score of the Computerized Episodic Visual Memory Test (CEVMT) using DigiCog (BCCAMS app)

    Total number of correct answers of the 3 trials will provide raw score of CEVMT from which regression based norms will be calculated.

    Measured: Up to Day 28

  3. Raw Score of the French Learning Test (FLT), using DigiCog (BCCAMS app)

    Total number of correct answers for the 5 trials will provide raw score of FLT from which regression based norms will be calculated.

    Measured: Up to Day 28

Secondary outcomes (63)
  1. Sensitivity of the DigiCog (BCCAMS app) to detect CI in PwMS as compared to the Brief International Cognitive Assessment for MS (BICAMS)

    CI will be defined for DigiCog (BCCAMS app) as one or more abnormal test within the MS sample for DigiCog (BCCAMS app) as well as the BICAMS.

    The reference will be CI defined as one or more abnormal BICAMS test.

    Measured: Up to Day 28

  2. Specificity of the DigiCog (BCCAMS app) to detect CI in PwMS as compared to the BICAMS

    CI will be defined for DigiCog (BCCAMS app) as one or more abnormal test within the MS sample for DigiCog (BCCAMS app) as well as the BICAMS.

    The reference will be CI defined as one or more abnormal BICAMS test.

    Measured: Up to Day 28

  3. Accuracy of the DigiCog (BCCAMS app) to detect CI in PwMS as compared to the BICAMS

    CI will be defined for DigiCog (BCCAMS app) as one or more abnormal test within the MS sample for DigiCog (BCCAMS app) as well as the BICAMS.

    The reference will be CI defined as one or more abnormal BICAMS test.

    Measured: Up to Day 28

  4. Relationship between Depressive Symptoms with BDI FAST and Cognitive Performance ((BICAMS/DigiCog)

    Depressive symptoms will be estimated by BDI FAST (depressive scale) score. The BICAMS is used as the reference for the cognitive performances. The BCCAMS app is evaluated by using DigiCog scores.

    Measured: Up to Day 28

  5. Relationship Between Subjective Perception of CI with DailyCog and Cognitive Performance (BICAMS/DigiCog)

    Subjective perception of CI will be estimated by Daily Cog score. The BICAMS is used as the reference for the cognitive performances.

    Measured: Up to Day 28

  6. Reliability of Konectom Digital Outcome Assessment (DOA) in HS and PwMS: Intraclass Correlation Coefficient (ICC) of the score for Cognitive Processing Speed test (CPS)

    Measured: Up to Day 28

  7. Reliability of Konectom DOA in HS and PwMS: ICC of the score for Pinching Test

    Measured: Up to Day 28

  8. Reliability of Konectom DOA HS and PwMS: ICC of the score for Drawing Test

    Measured: Up to Day 28

  9. Reliability of Konectom DOA HS and PwMS: ICC of the score for Grip Force Tests

    Measured: Up to Day 28

  10. Reliability of Konectom DOA in HS and PwMS: ICC of the score for 6-minute Walk Test (6MWT)

    Measured: Up to Day 28

  11. Reliability of Konectom DOA in HS and PwMS: ICC of the score for U-turn Test (UTT)

    Measured: Up to Day 28

  12. Reliability of Konectom DOA in HS and PwMS: ICC of the score for Static Balance test (SBT)

    Measured: Up to Day 28

  13. Convergent Validity of Konectom DOA Against In-clinic Conventional Disability Outcome Assessment: CPS Versus Symbol Digit Modalities Test (SDMT) in PwMS

    Measured: Up to Day 28

  14. Convergent Validity of Konectom DOA Against In-clinic Conventional Disability Outcome Assessment: Pinching Versus 9-Hole Peg Test (9HPT) in PwMS

    Measured: Up to Day 28

  15. Convergent Validity of Konectom DOA Against In-clinic Conventional Disability Outcome Assessment: Drawing Versus 9HPT in PwMS

    Measured: Up to Day 28

  16. Convergent Validity of Konectom DOA Against In-clinic Conventional Disability Outcome Assessment: Grip Force Test Versus 9HPT in PwMS

    Measured: Up to Day 28

  17. Convergent Validity of Konectom DOA Against In-clinic Conventional Disability Outcome Assessment: SBT Versus Timed 25-foot Walk Test (T25FW) in PwMS

    Measured: Up to Day 28

  18. Convergent Validity of Konectom DOA Against In-clinic Conventional Disability Outcome Assessment: UTT Versus T25FW in PwMS

    Measured: Up to Day 28

  19. Convergent Validity of Konectom DOA Against In-clinic Conventional Disability Outcome Assessment: 6MWT Versus T25FW in PwMS

    Measured: Up to Day 28

  20. Convergent Validity of Konectom DOA Against In-clinic Conventional Disability Outcome Assessment: Passive Mobility Versus T25FW in PwMS

    Measured: Up to Day 28

  21. Convergent Validity of Konectom DOA Against In-clinic Conventional Disability Outcome Assessment: Konectom™ overall disability Versus Expanded Disability Status Scale (EDSS) and its Subscores in PwMS

    Measured: Up to Day 28

  22. Difference in Konectom DOA (Self-administered at Home and In-clinic) Between PwMS and HS: CPS Score

    Difference between PwMS and HS in the scores of CPS test during each testing condition will be evaluated.

    Measured: Up to Day 28

  23. Difference in Konectom DOA (Self-administered at Home and In-clinic) Between PwMS and HS: Pinching Test Score

    Difference between PwMS and HS in the score of pinching test during each testing condition will be evaluated

    Measured: Up to Day 28

  24. Difference in Konectom DOA (Self-administered at Home and In-clinic) Between PwMS and HS: Drawing Test Score

    Difference between PwMS and HS in the score of drawing test during each testing condition will be evaluated.

    Measured: Up to Day 28

  25. Difference in Konectom DOA (Self-administered at Home and In-clinic) Between PwMS and HS: Grip Force Test Score

    Difference between PwMS and HS in the score of grip force test during each testing condition will be evaluated.

    Measured: Up to Day 28

  26. Difference in Konectom DOA (Self-administered at Home and In-clinic) Between PwMS and HS: 6MWT Score

    Difference between PwMS and HS in the score of 6MWT test during each testing condition will be evaluated.

    Measured: Up to Day 28

  27. DDifference in Konectom DOA (Self-administered at Home and In-clinic) Between PwMS and HS: UTT Score

    Difference between PwMS and HS in the score of UTT test during each testing condition will be evaluated.

    Measured: Up to Day 28

  28. Difference in Konectom DOA (Self-administered at Home and In-clinic) Between PwMS and HS: SBT Score

    Difference between PwMS and HS in the score of SBT test during each testing condition will be evaluated.

    Measured: Up to Day 28

  29. Difference in Konectom DOA (Self-administered at Home and In-clinic) Between PwMS and HS: Mobility Behavior Score

    Difference between PwMS and HS in the score of mobility behavior test during each testing condition will be evaluated.

    Measured: Up to Day 28

  30. Difference in Konectom DOA (Self-administered at Home and In-clinic) Between PwMS and HS: Mood Scale Question (MSQ)

    Measured: Up to Day 28

  31. Variability of the Participant Performance throughout Konectom™ DOAs Self-administered at Home in Free-living Environment in HS and PwMS: CPS Score

    Measured: Up to Day 28

  32. Variability of the Participant Performance throughout Konectom™ DOAs Self-administered at Home in Free-living Environment in HS and PwMS: Pinching Test Score

    Measured: Up to Day 28

  33. Variability of the Participant Performance throughout Konectom™ DOAs Self-administered at Home in Free-living Environment in HS and PwMS: Drawing Test Score

    Measured: Up to Day 28

  34. Variability of the Participant Performance throughout Konectom™ DOAs Self-administered at Home in Free-living Environment in HS and PwMS: Grip Force Test Score

    Measured: Up to Day 28

  35. Variability of the Participant Performance throughout Konectom™ DOAs Self-administered at Home in Free-living Environment in HS and PwMS: 6MWT Score

    Measured: Up to Day 28

  36. Variability of the Participant Performance throughout Konectom™ DOAs Self-administered at Home in Free-living Environment in HS and PwMS: UTT Score

    Measured: Up to Day 28

  37. Variability of the Participant Performance throughout Konectom™ DOAs Self-administered at Home in Free-living Environment in HS and PwMS: SBT Score

    Measured: Up to Day 28

  38. Difference in Konectom DOA Between In-clinic Supervised Administration Versus Self-assessments in Free-living Environment in HS and PwMS

    Measured: Up to Day 28

  39. Clinical Meaningfulness of Konectom DOA Against PRO: CPS Association with Cognitive Sub-Scores of the Fatigue Scale for Motor and Cognitive Functions (FSMC) in PwMS

    Measured: Up to Day 28

  40. Clinical Meaningfulness of Konectom DOA Against PRO: CPS Association with Cognitive/Psychological Items of the Multiple Sclerosis Impact Scale 29 (MSIS-29) in PwMS

    Measured: Up to Day 28

  41. Clinical Meaningfulness of Konectom DOA Against PRO: CPS Association with Daily Cog in PwMS

    Measured: Up to Day 28

  42. Clinical Meaningfulness of Konectom DOA Against PRO: Pinching Test Association with ABILHAND-56 in PwMS

    Measured: Up to Day 28

  43. Clinical Meaningfulness of Konectom DOA Against PRO: Pinching Test Association with early MS manual ability questionnaires

    Measured: Up to Day 28

  44. Clinical Meaningfulness of Konectom DOA Against PRO: Drawing Test Association with ABILHAND-56 in PwMS

    Measured: Up to Day 28

  45. Clinical Meaningfulness of Konectom DOA Against PRO: Drawing Test Association with early MS manual ability questionnaires

    Measured: Up to Day 28

  46. Clinical Meaningfulness of Konectom DOA Against PRO: Grip Force Test Association with ABILHAND-56 in PwMS

    Measured: Up to Day 28

  47. Clinical Meaningfulness of Konectom DOA Against PRO: Grip Force Test Association with Early MS Manual Ability Questionnaires

    Measured: Up to Day 28

  48. Clinical Meaningfulness of Konectom DOA Against PRO: SBT Association with Multiple Sclerosis Walking Scale 12 items (MSWS-12) in PwMS

    Measured: Up to Day 28

  49. Clinical Meaningfulness of Konectom DOA Against PRO: SBT Association with Early MS Walking Ability-gait Questionnaires in PwMS

    Measured: Up to Day 28

  50. Clinical Meaningfulness of Konectom DOA Against PRO: SBT Association with Ambulation-related Items of the MSIS-29 in PwMS

    Measured: Up to Day 28

  51. Clinical Meaningfulness of Konectom DOA Against PRO: SBT Association with PDDS in PwMS

    Measured: Up to Day 28

  52. Clinical Meaningfulness of Konectom DOA Against PRO: UTT Association with MSWS-12 in PwMS

    Measured: Up to Day 28

  53. Clinical Meaningfulness of Konectom DOA Against PRO: UTT Association with Early MS Walking Ability-gait Questionnaires in PwMS

    Measured: Up to Day 28

  54. Clinical Meaningfulness of Konectom DOA Against PRO: UTT Association with Ambulation-related Items of the MSIS-29 in PwMS

    Measured: Up to Day 28

  55. Clinical Meaningfulness of Konectom DOA Against PRO: UTT Association with PDDS in PwMS

    Measured: Up to Day 28

  56. Clinical Meaningfulness of Konectom DOA Against PRO: 6MWT Association with MSWS-12 in PwMS

    Measured: Up to Day 28

  57. Clinical Meaningfulness of Konectom DOA Against PRO: 6MWT Association with Early MS Walking Ability-gait Questionnaires in PwMS

    Measured: Up to Day 28

  58. Clinical Meaningfulness of Konectom DOA Against PRO: 6MWT Association with Ambulation-related Items of the MSIS-29 in PwMS

    Measured: Up to Day 28

  59. Clinical Meaningfulness of Konectom DOA Against PRO: 6MWT Association with PDDS in PwMS

    Measured: Up to Day 28

  60. Clinical Meaningfulness of Konectom DOA Against PRO: Passive Mobility Association with MSWS-12 in PwMS

    Measured: Up to Day 28

  61. Clinical Meaningfulness of Konectom DOA Against PRO: Passive Mobility Association with Early MS Walking Ability-gait Questionnaires in PwMS

    Measured: Up to Day 28

  62. Clinical Meaningfulness of Konectom DOA Against PRO: Passive Mobility Association with Ambulation-related Items of the MSIS-29 in PwMS

    Measured: Up to Day 28

  63. Clinical Meaningfulness of Konectom DOA Against PRO: Passive Mobility Association with PDDS in PwMS

    Measured: Up to Day 28

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted16 Feb 2021
  2. Study start12 Oct 2020
  3. Primary completion26 Jul 2022
  4. Study completion26 Jul 2022

Resources

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
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
158 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04756700
Sponsor's protocol ID
FR-MSG-11654
Other IDs
2020-A01801-38
Acronym
DigiToms
Status last verified
Apr 2023
First submitted
12 Feb 2021
Last updated
18 Apr 2023
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: In accordance with Biogen's Clinical Trial Transparency and Data Sharing Policy on https://www.biogentrialtransparency.com/

Questions about this trial

What is this clinical trial studying?

A study testing DigiCog (BCCAMS app) and Konectom Application in people with Multiple Sclerosis, run by Biogen 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 5 inclusion and 21 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 18 Apr 2023. 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 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?

Raw Score of the Computerized Speed Cognitive Test (CSCT) using DigiCog (BCCAMS app) (time frame: Up to Day 28). The study lists 3 primary outcomes in all. 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 18 Apr 2023.

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