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NCT Number: NCT06627465

Validating Digital Biomarkers to Detect Disease Activity and Disease Progression in Multiple Sclerosis

The Connect-MS is multicentre real-world observational cohort study wherin the outcomes of standard care digital monitoring of 700 patients with multiple sclerosis (including all subtypes) are recorded over a follow-up period of two years. Patients use the MS sherpa and NeuroKeys applications. Outcomes are related to the utilisation of digital biomarkers including the adherence to digital monitoring and the impact digital outcomes have on clinical decision making, the effect of digital monitoring on healthcare consumption, and the ability of these technological biomarkers to detect clinical outcomes on the short and long term. Most recorded variables are part of the standard care, however participants of this study are also subject to additional questionnaires regarding the consumption of healthcare and the influence of digital monitoring on decision making during clinical consultation.

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Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Observational

Primary location

Rijnstate Arnhem, Arnhem, Gelderland, Netherlands

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Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

In order to be eligible to participate in this study, a subject must meet all of the following criteria:

  • Have signed non-WMO informed consent
  • Be able to comply with the study protocol, as judged by the investigator.
  • Have a minimum age of 18 years.
  • Have a definite diagnosis multiple sclerosis (either RRMS, SPMS or PPMS) according to the revised 2017 McDonald criteria. (Thompson et al., 2018)
  • Willing and able to install and use MS Sherpa and NeuroKeys on a privately-owned cell phone.

Since this is an observational cohort study, concomitant participation in any intervention trial is allowed.

Treatment and study plan

MS Sherpa

Device

The MS Sherpa application is a CE-certified smartphone application (installed on the mobile phone of the patient) that collects digital biomarkers using tests (~six minutes/test: self-monitoring questionnaires, smartphone 2-MWT, and a smartphone SDMT) once per week in the home environment of the patient.

Neurokeys

Device

The NeuroKeys application is a CE-certified application (installed on the mobile phone of the patient) that passively and continuously monitors keystroke dynamics of everyday typing as a digital biomarker.

Primary outcomes

  1. Impact of digital monitoring questionnaire: healthcare provider

    Time frame: At each clinical consultation throughout the two year study follow-up

    This questionnaire is a self-developed questionniare that focusses on the impact of digital monitoring on clinical consultation and choices during the consult from the perspective of a healthcare provider.

  2. Adherence to the MS Sherpa application.

    Time frame: Throughout the two year follow-up period. Assessments scheduled weekly.

    Adherence to the MS sherpa application defined as number of completed from scheduled assessments.

  3. Application outcomes of MS Sherpa

    Time frame: Throughout the two year follow-up period. Assessments scheduled weekly.

    Outcomes of the MS sherpa application (smartphone SDMT, smartphone 2MWT, patient-reported questionnaire)

  4. Impact of digital monitoring questionnaire: patient

    Time frame: At each clinical consultation throughout the two year study follow-up. Standard care is yearly clinical consultation.

    This questionnaire is a self-developed questionniare that focusses on the impact of digital monitoring on clinical consultation and choices during the consult from the perspective of a patient.

  5. Adherence to the Neurokeys application

    Time frame: Daily passive monotring throughout the two year follow-up period.

    Adherence to the NeuroKeys application.

  6. Medical consumption questionnaire (iMCQ)

    Time frame: At each clinical consultation throughout the two year study follow-up. Standard care is yearly clinical consultation.

    The iMTA Medical Consumption Questionnaire measures the direct healthcare costs in the last three months based on the healthcare consumption (such as hospitalisations, consultations with doctors, use of care at home, use of specialised transportation etc).

  7. Productivity costs questionnaire (iPCQ)

    Time frame: At each clinical consultation throughout the two year study follow-up. Standard care is yearly clinical consultation.

    The iMTA Productivity Cost Questionnaire measures the indirect nonmedical costs based on productivity loss by assessing the employment situation and short- and long term sick absence due to MS or MS-related treatment in the last four weeks.

  8. Application outcomes of Neurokeys

    Time frame: Continously and daily throughout the two year follow-up period.

    Outcomes of the NeuroKeys application (i.e. clusters of keystroke dynamics).

Study contacts

Contact information is provided by the study sponsor or research team.

Daan de Jong, MD MSc

CONTACT

[email protected]

+31625716307

Eva Strijbis, MD PhD

CONTACT

[email protected]

+31625716307

Sponsors and collaborators

Lead sponsor

Amsterdam UMC, location VUmc

Other

Registry information

Acronym: Connect-MS

Important dates

Study start
2024
Primary completion
2026
Study completion
2028
First posted
Oct 4, 2024
Registry last updated
Oct 4, 2024

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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