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Multiple SclerosisMS-DETECTNCT05816122

MS-DETECT: Early Detection of Multiple Sclerosis Progression With MSCopilot® Detect

A study testing MSCopilot® Detect mobile application in people with Multiple Sclerosis, run by Ad scientiam at 34 sites in 7 countries.

Active, not recruiting

Under way, not looking for participants. Everyone needed has enrolled. The study is still running.

Official record
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Trial summary

The study aims to evaluate MSCopilot® Detect, a smartphone application for at-home monitoring of patients with Multiple Sclerosis (MS). The primary objective is to enhance and standardize remote monitoring of MS patients to accurately assess disease progression caused by either Relapse Activity Worsening (RAW) or… Read more about this study

Who is it for?
Ages 30 to 65 years
Conditions the study is for
Multiple Sclerosis
What is being tested?
MSCopilot® Detect mobile application
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
336 participants
Where
34 sitesin 7 countries
Study dates
22 Sep 2023to 31 May 2027
Phase
Interventional
Are there results?
Not yet: the study is under way

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 30 to 65 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Adult patients living with RRMS or SPMS, aged 30 to 65
  • EDSS score between 2.5 to 6.5 points
  • With a disease duration > 5 years
  • Clinically stable during the last 3 months before inclusion (no relapses, no disability progression)
  • No change in the DMT* during the last 3 months before inclusion
  • Receiving optimal symptomatic treatments at baseline (clinician's judgment)
Show all 10Show fewer
  • Owns a personal smartphone which mobile operating system is above 14 for IOS (iPhone) and 8 for Android included with a good internet connexion
  • Able to use a smartphone
  • Able to read language in wich the mobile application is available and able to understand pictograms.
  • Applicable to patients enrolled in France only: affiliated to a social security system.

Who cannot join

  • Medically unstable conditions that may hinder patient's ability to comply with the study procedures
  • Inability to use a smartphone or MSCopilot® Detect application
  • Patient with corrected visual acuity less than 4/10 (Monoyer) or 20/50 (Snellen at 20 feet) or +0,4 (LogMAR)
  • Pregnancy and nursing women
  • Persons under guardianship or curatorship
  • Current drugs or/and alcohol abuse that could influence performance on the tests (clinician's judgment)
  • Patients have participated in another clinical study within the previous 30 days of screening or are currently participating in another study that, in the opinion of the Investigator, might interfere with the patient's full participation in the study or confound the assessment of the patient or outcome of the study.

Trial locations and contacts

34 sites in 7 countries.

34 sites in 7 countries

United States10 sites
  • Joash Lazarus Sr.

    Atlanta, Georgia, 30327

  • Leorah Freeman

    Austin, Texas, 78712

  • Aaron Boster

    Columbus, Ohio, 43235

  • Craig E. Herrman

    Indianapolis, Indiana, 46256

  • Jennifer Feng

    New Orleans, Louisiana, 70121

  • Daniel Wynn

    Northbrook, Illinois, 60062

  • Gabriel Pardo

    Oklahoma City, Oklahoma, 73104

  • Vijayshree Yadav

    Portland, Oregon, 97239-3098

  • Jennifer Graves

    San Diego, California, 92093

  • Robert Naismith

    St Louis, Missouri, 63110

Other trials in United States

Spain6 sites
  • Gary Álvarez Bravo

    Girona

  • Enric Monreal

    Madrid

  • University Hospital San Carlos

    Madrid

  • Ana Alonso

    Málaga

  • Miguel Llaneza

    Oviedo

  • Jesùs Martin

    Zaragoza

Other trials in Spain

France5 sites
  • Hôpital Roger Salengro

    Lille

  • Cécile Donzé

    Lomme

  • Adil Maarouf

    Marseille

  • Mikael Cohen

    Nice

  • Bertrand Bourre

    Rouen

Other trials in France

Canada4 sites
  • Galina Vorobeychik

    Burnaby

  • Mark Freedman

    Ottawa

  • St. Michael's Hospital

    Toronto

  • Robert Carruthers

    Vancouver

Other trials in Canada

Denmark3 sites
  • University Hospital of Southern Denmark

    Esbjerg

  • Finn Sellebjerg

    Glostrup Municipality

  • Sivagini Prakash

    Viborg

Other trials in Denmark

Germany3 sites
  • Boris-Alexander Kallman

    Bayreuth

  • Universitätsklinikum Carl Gustav Carus

    Dresden

  • Rupert Knoblich

    Erbach im Odenwald

Other trials in Germany

Italy3 sites
  • Emilio Portaccio

    Florence

  • Emanuele D'Amico

    Foggia

  • IRCCS Ospedale San Raffaele

    Milan

Other trials in Italy

About this study

The study aims to evaluate MSCopilot® Detect, a smartphone application for at-home monitoring of patients with Multiple Sclerosis (MS).

The primary objective is to enhance and standardize remote monitoring of MS patients to accurately assess disease progression caused by either Relapse Activity Worsening (RAW) or Progression Independent of Relapses (PIRA). The study also aims to assess the safety, usability, and satisfaction of the solution.

Read more

A secondary objective is to determine MSCopilot® Detect's ability to provide early detection of disease changes and predict changes in Expanded Disability Status Scale (EDSS) scores in more patients.

Exploratory objectives include evaluating the relationship between MSCopilot® Detect composite and individual scores and other biomarkers such as MRI, soluble glial fibrillary acidic protein (sGFAP), and soluble neurofilament light chain (sNfL).

Patients will be able to download the free MSCopilot® Detect app. They will participate in 1 inclusion visit and 3 follow-up visits, scheduled at 6 months, 12 months, and 18 months (an additional visit at 24 months may be scheduled if necessary). Every 3 months, patients will complete validated questionnaires regarding MS symptoms and quality of life and participate in digital tests designed to monitor MS symptom progression.

The study will include 336 MS patients and will be conducted in the United States, Canada, Germany, Italy, Spain, Denmark and France

Being tested
MSCopilot® Detect mobile 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.

  • MSCopilot® Detect mobile applicationDevice

    MSCopilot® Detect includes active tests for walking, cognition, dexterity and vision, and e-questionnaires related to fatigue and Multiple Sclerosis quality of life

Study groups in NCT05816122
Study groupRoleWhat they receive
MSCopilot® DetectExperimentalPerformance of digital tests and standard test in clinic at D0, M6, M12, M18 and M24 (if applicable) Use of MSCopilot® Detect at-home in between visits during 18 or 24 months (if applicable)
Receives: Device: MSCopilot® Detect mobile application

What is being measured

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

  1. To evaluate MSCopilot® Detect individual scores and/or composite scores sensitivity to detect disability worsening based on revised-MSFC scores.

    The discriminatory ability of the MSCopilot® Detect application in detecting clinically meaningful worsening (disability worsening) based on the revised-MSFC will be evaluated using the Area Under the ROC Curve (AUC) method. Confidence intervals will also be estimated.

    The minimum significant AUC value will be set at >0.67, and Confidence Intervals will be calculated. Sensitivity and specificity will also be determined. To validate the estimated AUC values and cutoffs generated by the MSCopilot® Detect application, a train/test set will be utilised.

    Measured: Throughout the study at each hospital visit: Day 0, Month 6, Month 12, Month 18 and Month 24 (if applicable)

Secondary outcomes (14)
  1. To evaluate MSCopilot® Detect individual scores and/or composite scores sensitivity to detect disability worsening based on EDSS.

    The study will evaluate the sensitivity, specificity, concordance, and accuracy of the MSCopilot® Detect application in predicting confirmed disability worsening (CDW) at 24 weeks as also captured by the EDSS, using a contingency table.

    We will also generate time series box plots of MSCopilot® Detect individual scores and/or composite scores based on the patient progression status (determined by EDSS), using both intra-patient and inter-patient visualisation.

    Measured: Throughout the study at each hospital visit: Day 0, Month 6, Month 12, Month 18 and Month 24 (if applicable)

  2. To evaluate MSCopilot® Detect individual scores and/or composite scores sensitivity to detect disability worsening earlier than the EDSS.

    The time to progression-free events based on EDSS and MSCopilot® Detect individual scores and/or composite scores will be estimated with a Kaplan-Meier method (Log-rank test for comparison). Univariate and multivariate survival models (e.g. Cox or Anderson-Gill survival model), will be used to estimate Hazards Rates (HRs), if relevant.

    Proportions of disability worsening based on MSCopilot® Detect composite or individual scores and worsening based on the EDSS 24-week CDW will be compared for each timepoint.

    Time series boxplot of MSCopilot® Detect individual scores and/or composite score according to the patient disability worsening (by EDSS) intra-patient and inter-patient.

    Measured: Throughout the study at each hospital visit: Day 0, Month 6, Month 12, Month 18 and Month 24 (if applicable)

  3. To evaluate MSCopilot® Detect individual and/or composite scores ability to detect disease progression in absence of a relapsing activity (PIRA).

    Proportion of patients with PIRA (progression independent of relapses) based either on EDSS 24-week CDP compared to the proportion of patients with PIRA based on MSCopilot® Detect composite or individual scores progression status.

    Measured: Throughout the study at each hospital visit: Day 0, Month 6, Month 12, Month 18 and Month 24 (if applicable)

  4. To evaluate MSCopilot® Detect individual scores and/or composite scores ability to detect MSFC changes over time.

    Slopes parameters will be computed using a mix model to characterize the change from baseline in MSCopilot® Detect individual and/or composite scores and revised-MSFC scores over time.

    The association between these slopes parameters will be assessed using correlation coefficient.

    Measured: Throughout the study at each hospital visit: Day 0, Month 6, Month 12, Month 18 and Month 24 (if applicable)

  5. To measure MSCopilot® Detect individual scores and/or composite scores association with the clinical scores.

    The association between digital and clinical scores will be studied with correlation coefficient calculated between:

    • MSCopilot® Detect individual scores ((MWPT, MDT, MCT, MVT and Mobile Walking Endurance Test (MWET)) and/or composite score at home and EDSS score performed in clinic.
    • MSCopilot® Detect individual scores (MWPT, MDT, MCT, MVT and MWET) and/or composite score at home and revised-MSFC-3 or Revised-MSFC3 + SLCLAT scores performed in clinic.

    Measured: Throughout the study at each hospital visit: Day 0, Month 6, Month 12, Month 18 and Month 24 (if applicable)

  6. To assess reproducibility of MSCopilot® Detect individual scores and/or composite scores between in-clinic and at-home digital tests.

    Intraclass correlation coefficient (ICC) between MSCopilot® Detect individual scores and/or composite score at home and in-clinic.

    Measured: At home (Day 1, Month 6+1 day, Month 12 + 1 day, Month 18-1 day and Month 24-1 day (if applicable)) and in-clinic ((Day 0, Month 6, Month 12, Month 18 and Month 24 (if applicable))

  7. To assess reliability of MSCopilot® Detect individual scores and/or composite scores at-home over time.

    Intraclass correlation coefficient (ICC) of MSCopilot® Detect individual scores and/or composite score at home with a maximum paired time point of 6 months.

    ICC of MSCopilot® Detect individual scores and/or composite score at home will over time.

    Measured: Day 0 versus Month 6, Month 6 versus Month 12, Month 12 versus Month 18, Month18 versus Month 24 (if applicable) AND Day 0 to Month 18 or Day 0 to Month 24 (if applicable) and Day 0 to Month 15 or Day 0 to Month 21 (if applicable) at home.

  8. To evaluate Patient QoL (Multiple Sclerosis Impact Scale: MSIS-29 and Modified Fatigue Impact Scale - 5-item version: MFIS-5) and their association with MSCopilot® Detect individual and composite scores.

    Analysis of MSIS-29 and MFIS-5 questionnaires:

    Descriptive analysis of questionnaire scores over time. Comparison of Patient QoL between patients with and without a confirmed disability worsening Correlation between MSCopilot® Detect individual and/or composite score at home and Questionnaires scores (MSIS29 and MFIS-5).

    Sensitivity, specificity, concordance, and accuracy will be evaluated between clinically meaningful change of MSCopilot® Detect application (individual and composite scores) and questionnaires (MSIS29 and MFIS-5).

    Proportions comparison of patients with a clinically meaningful change will be assessed between MSCopilot® Detect application (individual and composite scores) and questionnaires (MSIS29 and MFIS-5).

    Clinically meaningful change for questionnaires:

    MSIS-29: 8-point change compared to baseline. MFIS-5: 4-point change compared to baseline.

    Measured: Throughout the study between in clinic visit, an average of 24 months

  9. To evaluate the ability of MSCopilot® Detect individual scores and/or composite score to discriminate between a relapse and a momentary disability worsening (+1 point EDSS score for an initial EDSS <5,5; +0.5 point for an initial EDSS ≥5.5).

    Descriptive analysis:

    MSCopilot® Detect individual and/or composite score profiles, between relapse and a momentary disability worsening patient.

    Annualized Relapse Rate (ARR) calculation. Logistic regression to estimate Area under ROC Curve (i.e. discriminatory power).

    Measured: Throughout the study at each hospital visit: Day 0, Month 6, Month 12, Month 18 and Month 24 (if applicable)

  10. To evaluate MSCopilot® Detect Safety

    Descriptive analysis of the number of Adverse Events related to MSCopilot® Detect will be reported.

    Measured: Throughout the study between in clinic visit, an average of 24 months

  11. To evaluate MSCopilot® Detect Adherence

    Descriptive analysis of the mobile application's adherence data (number of completed questionnaires, number of performed tests, number of performed sessions, etc.)

    Measured: Throughout the study between in clinic visit, an average of 24 months

  12. To assess the satisfaction and user experience with the MSCopilot® Detect smartphone application and the MSCopilot® Detect web dashboard.

    Descriptive analysis over the course of the study of the answers to the patient satisfaction and user experience questionnaires related to the use of the MSCopilot® Detect smartphone application.

    Measured: Every 3 months for about 24 months

  13. To assess the satisfaction and user experience with the MSCopilot® Detect web dashboard.

    Descriptive analysis over the course of the study of the answers to physician satisfaction \& user experience questionnaires relative to the use of the MSCopilot® Detect web dashboard.

    Measured: Every 6 months for about 24 months

  14. To describe the evolution of MSCopilot® Detect individual scores and/or composite scores at-home over time.

    The time to progression-free events based on MSCopilot® Detect individual scores and/or composite scores will be estimated with a Kaplan-Meier method (Log-rank test for comparison). Univariate and multivariate survival models (e.g. Cox or Anderson-Gill survival model), will be used to estimate Hazards Rates (HRs), if relevant.

    Cumulative proportions of disability worsening based on MSCopilot® Detect composite or individual scores for each timepoint.

    Time series boxplot of MSCopilot® Detect individual scores and/or composite score according to the patient disability worsening (by MSCopilot® Detect) using both intra-patient and inter-patient visualisation.

    Measured: Throughout the study between in clinic visit, an average of 24 months

Timeline

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

  1. First posted18 Apr 2023
  2. Study start22 Sep 2023
  3. Primary completion31 May 2027 (estimated)
  4. Study completion31 May 2027 (estimated)

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
Other
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
336 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05816122
Sponsor's protocol ID
MS-DETECT
Acronym
MS-DETECT
Status last verified
Jun 2025
First submitted
13 Mar 2023
Last updated
13 Jun 2025
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
Yes
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A study testing MSCopilot® Detect mobile application in people with Multiple Sclerosis, run by Ad scientiam at 34 sites in 7 countries.

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: under way, not looking for participants, as of the sponsor's last update on 13 Jun 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 34 sites in United States, Spain, France, Canada, Denmark and 2 more countries. 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?

This study is still under way. Results are not available in the source record yet.

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?

To evaluate MSCopilot® Detect individual scores and/or composite scores sensitivity to detect disability worsening based on revised-MSFC scores. (time frame: Throughout the study at each hospital visit: Day 0, Month 6, Month 12, Month 18 and Month 24 (if applicable)). 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 13 Jun 2025; AzTrials last refreshed its copy on 3 Nov 2026.

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