About this trial
Study the impact of rTMS on walking ability in people with Multiple Sclerosis (MS) induced spastic paraparesis and moderate walking disability.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Signed informed consent.
Age ≥ 18 years and less than 71 years.
Diagnosis of MS according to the revised 2017 McDonald Criteria (Thompson et al. 2018).
EDSS of 3.0 to 6.5 with a pyramidal functional system score of 3.0 or more.
Disqualifiers
Know presence of other neurologic disorders, which in the opinion of the investigator could add to the patient's neurological disability within the timespan of the study.
Evidence of clinically significant cardiovascular (including arrhythmias), psychiatric, pulmonary, renal, hepatic, endocrine, metabolic, or gastrointestinal disease that, in the investigator's opinion, would preclude patient participation.
Pregnant or breastfeeding or intending to become pregnant during the study.
Any previous rTMS therapy for any indication.
Trial design
Parallel
Treatments tested in this trial
Repetitive Transcranial Magnetic Stimulation
DeviceTreatment with the rTMS or sham rTMS will be scheduled daily 5x per week for a total of 6 consecutive weeks followed, after a 6 week pause, by another treatment session of 6 weeks where all patients will receive active rTMS treatment
Treatment groups
Trial outcomes
Primary outcomes
Improvement of T25FWT (Timed 25-Foot Walk Test)
The difference in the number of patients who achieved an improvement of 20% or more from their baseline T25FWT between those that received 6 weeks of sham rTMS and those that received 6 weeks of rTMS
Secondary outcomes
6MWT (Six minute Walk Test)
Patients who achieve an improvement of 30 meters or more in their baseline six Minute Walk Test (6MWT)
MSQoL (Multiple Sclerosis Quality of Life)
The change from baseline in MSQoL group mean scores between those that received 6 weeks of sham rTMS and those that received 6 weeks of rTMS
Sponsors and contacts
Click on the lead sponsor to view all of their trials.
Clinique Neuro-Outaouais
Lead sponsor
University of Ottawa
Collaborator