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Neuromuscular DiseasesActi-AdultNCT07136844

Gait Analysis Parameter and Upper Limb Evaluation in Adult Patients With Neurological or Metabolic Pathology

A study testing Syde, Dynamometric measurements of muscle strength and The 6-minute walk test (6MWT) in people with Neuromuscular Diseases and Obesity (Disorder), run by Centre Hospitalier Universitaire de Liege at 1 site in Belgium.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

The ActiLiège-Adult study is a prospective, longitudinal, observational study designed to collect natural history data on adult patients with neurological or metabolic diseases affecting movement. Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
Syde, Dynamometric measurements of muscle strength and The 6-minute walk test (6MWT)
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
300 participants
Where
1 siteBelgium
Study dates
29 Mar 2024to Dec 2030
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 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Ambulant patients (i.e. able to walk 10 meters without assistance)
  • Confirmed diagnosis by the investigator based on current gold standard in his/her disease (genetic testing, clinical criteria, etc.)
  • Myotonic dystrophy type 1 (DM1) and Charcot-Marie-Tooth (CMT) patients should present sensitive of motor signs on physical examination.
  • Myasthenic patients should be seropositive, and Myasthenia Gravis Foundation of America (MGFA) class II to IV.
  • Patient with morbid obesity (Body Mass Index> or = 35 at inclusion visit).
  • Signed informed consent form by patient him/herself and patient willing and able to comply with all study procedures.

Who cannot join

  • Non-ambulant patients
  • Patients with extreme cognitive disorders that limit their understanding of the exercises to be performed
  • Patients who have undergone a surgical procedure or who have experienced recent trauma (within fewer than 6 months) affecting the upper or lower limbs
  • A concomitant chronic or acute neurological, endocrine, infectious, allergic, or inflammatory pathology within the 3-week period immediately prior to inclusion
  • Patients who are participating in an interventional clinical trial
  • Pregnant or breastfeeding women

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Belgium1 site, 1 recruiting
  • Centre de référence des maladies neuromusculaire, Centre Hospitalier Régional de la Citadelle

    Liège, 4000

    Nicolas Bovy, +3243218095, Nicolas.Bovy@citadelle.be

    Laurent Servais, MD

    Recruiting

Other trials in Belgium

About this study

The ActiLiège-Adult study is a prospective, longitudinal, observational study designed to collect natural history data on adult patients with neurological or metabolic diseases affecting movement. Conducted at the Centre de Référence Liégeois des Maladies Neuromusculaires in Liège, Belgium, the study will enroll 300 ambulant patients, including individuals with neuromuscular disorders and obesity. Using the Syde® wearable device, the study aims to continuously monitor motor function in real-life settings over a period of up to two years. The primary objective is to evaluate the utility of digital mobility outcomes, such as the 95th centile of stride velocity (SV95C), as reliable and objective endpoints for future clinical trials.

Read the detailed description

Following the qualification of the 95th centile of stride velocity (SV95C) as a primary digital endpoint in Duchenne muscular dystrophy (DMD), there is growing interest in extending such digital assessments to other neurological and metabolic diseases that impair movement. Traditional in-clinic functional tests (e.g., 6-minute walk test, 10-meter walk/run) provide only limited snapshots of motor ability and are influenced by external factors such as motivation and fatigue. Similarly, motor function scales and biomarkers, while useful, often lack objectivity or established clinical relevance.

The ActiLiège-Adult study aims to address these limitations by leveraging the Syde® device, a wearable magneto-inertial sensor worn on the wrist and/or ankle, to continuously monitor motor activity in daily life. This device has been previously validated in DMD and other neuromuscular conditions and has been used in both interventional and natural history studies.

This academic study will enroll 300 ambulant adult patients, including 220 with neurological diseases and 20 with obesity, with a minimum of 20 patients per disease type. Ambulation is defined as the ability to walk 10 meters unaided. Patients who lose ambulation during the study will continue to be followed with adapted assessments.

Participants will be monitored for up to two years (six months for diseases affecting the neuromuscular junction). Standardized clinical assessments-including timed tests, motor function evaluations, and strength measurements-will be conducted at baseline and every six months. These will be compared with continuous data collected by the Syde® device. Additionally, patients will complete a Patient Global Impression of Change (PGI-C) questionnaire every six months.

The study's goal is to generate robust, real-world data to support the development of objective, sensitive, and clinically meaningful digital endpoints for use in future therapeutic trials targeting movement disorders.

Being tested
Syde, Dynamometric measurements of muscle strength, The 6-minute walk test (6MWT), The 10-meter test (10MWT), The 4 stair-climbing test (4SC)
Medical subject headings
Neuromuscular Diseases, Obesity, Myotonic Dystrophy, Lambert-Eaton Myasthenic Syndrome, Charcot-Marie-Tooth Disease, Muscular Dystrophy, Facioscapulohumeral, Myasthenia Gravis, Huntington Disease

What participants receive

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

  • SydeDevice

    Syde is an innovative device intended to be used in a home-based environment. It is composed of two watch-like sensors, each containing a magneto-inertial sensors that record the linear acceleration, the angular velocity, the magnetic field of the movement in all directions.The two watches can be worn as wristwatch or placed near the ankle.

  • Dynamometric measurements of muscle strengthDiagnostic test

    Dynamometric measurements of the maximum force of the following functions will be taken with the MyoTools: palmar grip (MyoGrip) and thumb-index pinch (MyoPinch). Test will be realized on the dominant side. Patients will be encouraged during the test. They will be given three trials and the best score will be entered.

  • The 6-minute walk test (6MWT)Diagnostic test

    This test consists of covering the greatest possible distance within 6 minutes, walking back and forth along a 25-meter hallway. The subject may stop if they need to. The evaluator will record the elapsed time after each half-lap, and the final distance that was covered at the end of the test. No help will be allowed during the test.

  • The 10-meter test (10MWT)Diagnostic test

    During this test, the subject must cover a distance of 10 meters as rapidly as possible. This test will be performed 3 times. The participant will be allowed to rest for one minute after the first and second instances of the test. No help will be allowed during the test.

  • The 4 stair-climbing test (4SC)Diagnostic test

    This is a standardized test during which the subject must climb the 4 stair steps as rapidly as possible. This test will be performed 3 times. The participant will be allowed to rest for one minute after the first and second instances of the test, or more if needed.

  • Test of rising from the floor (TRF)Diagnostic test

    This is a standardized test during which the subject must rise from the floor as rapidly as possible. The test starts with the participant lying on their back. This test will be performed 3 times. The participant will be allowed to rest for one minute after the first and second instances of the test.

  • The Timed up and go test (TUG)Diagnostic test

    During this standardized test, the subject is observed and timed while he/she rises from a chair, walks 3 meters, performs a 180° turn, walk back toward the chair and sits down.

  • The Progressive Supranuclear Palsy Rating Scale (PSP-RS)Diagnostic test

    This 28-item clinician-rated scale assesses motor and non-motor symptom severity in patients with PSP, with a score ranging from 0 (normal) to 100.

  • The Montreal Cognitive Assessment (MOCA)Diagnostic test

    The MOCA was designed as a rapid screening instrument for mild cognitive dysfunction. It assesses different cognitive domains: attention and concentration, executive function, memory, language, visuoconstructional skills, conceptual thinking, calculations, and orientation. Scores on the MOCA range from 0 to 30, with higher score being better outcome.

  • The Charcot-Marie-Tooth examination score (CMTES)Diagnostic test

    The CMTES is a 28-point composite score that rates the patient's symptoms and signs. It is part of the Charcot-Marie-Tooth (CMT) neuropathy score and has been validated as a reproducible measure of disability in CMT. Higher scores indicate more severe neuropathy.

  • 9-Hole Peg Test (9-HPT)Diagnostic test

    The 9-HPT is a quantitative test of upper limb function. It is the second component of the Multiple Sclerosis Functional Composite (MSFC). The patient sits at a table with a shallow container containing nine sticks and a wooden or plastic block containing nine empty holes. When a timer is started, the patient places the nine sticks one after the other as quickly as possible into the nine holes and, once they are all in the holes, removes them as quickly as possible. The total time taken to complete the task is recorded. Two consecutive attempts with the dominant hand are immediately followed by two consecutive attempts with the non-dominant hand.

  • The Unified Huntington's Disease Rating Scale (UHDRS)Diagnostic test

    This 74-item clinical rating scale assesses patient performance and capacity in 4 domains: motor function, cognitive function, behavioral abnormalities, and functional capacity.

  • Quantitative Myasthenia Gravis (QMG)Diagnostic test

    The QMG is a clinician-rated 13-item scale used to quantify disease severity in patients with MG. The scale grades each domain (ocular, bulbar, respiratory, and limb function), with a total score ranging from 0 to 39 (lower score indicating a better clinical outcome).

  • The Myasthenia Gravis Activities of Daily Living Scale (MG-ADL)Diagnostic test

    This is an 8-item patient-reported scale assessing MG symptoms and their effects on daily activities. The score ranges from 0 to 24, with higher score indicating a worse clinical outcome.

  • The Scale for the Assessment and Rating of Ataxia (SARA)Diagnostic test

    This 8-item scale was developed to assess ataxia severity and disease progression. It evaluates gait and balance, speech, and upper and lower limb coordination. The score ranges from 0 to 40, with higher score indicating a worse clinical outcome.

  • Patient's Global Impression of Change (PGIC)Other

    PGIC is a patient-reported scale used to assess how a patient feels their condition has changed over time. It typically uses a 7-point scale to capture the patient's overall perception of improvement in symptoms, function, and quality of life.

Study groups in NCT07136844
Study groupRoleWhat they receive
Neuromuscular condition - Muscle diseaseExperimentalNot described
Receives: Device: Syde; Diagnostic Test: The 6-minute walk test (6MWT); Diagnostic Test: The 10-meter test (10MWT); Diagnostic Test: The 4 stair-climbing test (4SC); Diagnostic Test: Test of rising from the floor (TRF); Other: Patient's Global Impression of Change (PGIC)
Neuromuscular condition - NeuropathyExperimentalNot described
Receives: Device: Syde; Diagnostic Test: Dynamometric measurements of muscle strength; Diagnostic Test: The 6-minute walk test (6MWT); Diagnostic Test: The 10-meter test (10MWT); Diagnostic Test: The 4 stair-climbing test (4SC); Diagnostic Test: Test of rising from the floor (TRF); Diagnostic Test: The Charcot-Marie-Tooth examination score (CMTES); Diagnostic Test: 9-Hole Peg Test (9-HPT); Other: Patient's Global Impression of Change (PGIC)
AtaxiaExperimentalNot described
Receives: Device: Syde; Diagnostic Test: The 6-minute walk test (6MWT); Diagnostic Test: The 10-meter test (10MWT); Diagnostic Test: The 4 stair-climbing test (4SC); Diagnostic Test: Test of rising from the floor (TRF); Diagnostic Test: 9-Hole Peg Test (9-HPT); Diagnostic Test: The Scale for the Assessment and Rating of Ataxia (SARA); Other: Patient's Global Impression of Change (PGIC)
Huntington disease (HD) and HD-likeExperimentalNot described
Receives: Device: Syde; Diagnostic Test: The 6-minute walk test (6MWT); Diagnostic Test: The 10-meter test (10MWT); Diagnostic Test: The 4 stair-climbing test (4SC); Diagnostic Test: Test of rising from the floor (TRF); Diagnostic Test: The Unified Huntington's Disease Rating Scale (UHDRS); Other: Patient's Global Impression of Change (PGIC)
Progressive supranuclear palsy (PSP) and PSP-likeExperimentalNot described
Receives: Device: Syde; Diagnostic Test: The 6-minute walk test (6MWT); Diagnostic Test: The 10-meter test (10MWT); Diagnostic Test: The 4 stair-climbing test (4SC); Diagnostic Test: Test of rising from the floor (TRF); Diagnostic Test: The Timed up and go test (TUG); Diagnostic Test: The Progressive Supranuclear Palsy Rating Scale (PSP-RS); Diagnostic Test: The Montreal Cognitive Assessment (MOCA); Other: Patient's Global Impression of Change (PGIC)
Spastic paraplesia and conditions where spasticity predominates, incl. strokeExperimentalNot described
Receives: Device: Syde; Diagnostic Test: The 6-minute walk test (6MWT); Diagnostic Test: The 10-meter test (10MWT); Diagnostic Test: The 4 stair-climbing test (4SC); Diagnostic Test: Test of rising from the floor (TRF); Other: Patient's Global Impression of Change (PGIC)
Obese patientsExperimentalNot described
Receives: Device: Syde; Diagnostic Test: The 6-minute walk test (6MWT); Diagnostic Test: The 10-meter test (10MWT); Diagnostic Test: The 4 stair-climbing test (4SC); Diagnostic Test: Test of rising from the floor (TRF); Other: Patient's Global Impression of Change (PGIC)
Neuromuscular condition - Neuromuscular JunctionExperimentalNot described
Receives: Device: Syde; Diagnostic Test: The 6-minute walk test (6MWT); Diagnostic Test: The 10-meter test (10MWT); Diagnostic Test: The 4 stair-climbing test (4SC); Diagnostic Test: Test of rising from the floor (TRF); Diagnostic Test: Quantitative Myasthenia Gravis (QMG); Diagnostic Test: The Myasthenia Gravis Activities of Daily Living Scale (MG-ADL); Other: Patient's Global Impression of Change (PGIC)

What is being measured

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

  1. 95th Centile of Stride Velocity (SV95C)

    Change in SV95C as measured by the Syde® wearable device, used to assess ambulatory function in real-life settings.

    Measured: Every 6 months for up to 2 years

Secondary outcomes (5)
  1. Device Acceptability and Adherence

    Measures of user engagement with the Syde® device over time, including total recording time, valid days (≥5 hours), and time to reach 50 and 180 hours.

    Measured: Over 2 years

  2. Correlation between Syde® and 6MWT

    Correlation between the Syde digital variable and results from the 6-minute walk test (6MWT)

    Measured: Every 6 months for up to 2 years

  3. Correlation between Syde® and 10MWT

    Correlation between the Syde digital variable and results from the 10-meter test (10MWT)

    Measured: Every 6 months for up to 2 years

  4. Correlation between Syde® and 4SC

    Correlation between the Syde digital variable and results from the 4 stair-climbing test (4SC)

    Measured: Every 6 months for up to 2 years

  5. Correlation between Syde® and TRF

    Correlation between the Syde digital variable and results from the test of rising from the floor (TRF)

    Measured: Every 6 months for up to 2 years

Timeline

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

  1. First posted22 Aug 2025
  2. Study start29 Mar 2024
  3. Primary completionDec 2029 (estimated)
  4. Study completionDec 2030 (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
Diagnosis
Allocation
Non-randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
300 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07136844
Sponsor's protocol ID
ActiLiège Adult
Acronym
Acti-Adult
Status last verified
Aug 2025
First submitted
7 Aug 2025
Last updated
22 Aug 2025
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A study testing Syde, Dynamometric measurements of muscle strength and The 6-minute walk test (6MWT) in people with Neuromuscular Diseases and Obesity (Disorder), run by Centre Hospitalier Universitaire de Liege at 1 site in Belgium.

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 6 inclusion and 6 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: looking for participants now, as of the sponsor's last update on 22 Aug 2025. 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 Belgium. 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?

Contact Nicolas Bovy (+3243218095, Nicolas.Bovy@citadelle.be), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

95th Centile of Stride Velocity (SV95C) (time frame: Every 6 months for up to 2 years). 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 22 Aug 2025.

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