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Intermittent Hypoxia in Persons With Multiple Sclerosis
NCT06276634 · Shirley Ryan AbilityLab
In plain English
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Official title
Intermittent Hypoxia Initiated Motor Plasticity in Individuals With Multiple Sclerosis
About this study
Recent research has shown that AIH, characterized by brief episodes of reduced oxygen levels in the inspired air, has the potential to induce neural adaptations. These adaptations are suspected to influence several aspects of neuroplasticity, including the modulation of neurotransmitters and neurotrophic factors. Persons with MS typically exhibit greater cortical activation to achieve a given motor task compared to healthy controls, suggesting compensatory activations in motor cortices and the recruitment of additional non-motor regions for successful motor control. Therefore, interventions that promote adaptive neuroplasticity in motor control systems may induce a reduction in fMRI activation during motor tasks as well as an increase in functional connectivity between somatomotor cortices. This study will explore potential mechanisms of this intervention in MS using motor task performance and advanced neuroimaging techniques.
Eligibility criteria
Inclusion Criteria:
* Diagnoses of relapsing form of MS (including relapsing-remitting MS and secondary-progressive MS)
* Expanded Disability Status Scale (EDSS) score of at least 3 and no more than 6.5
* Motor Functional System Scale (FSS) between 2-4
* Relapse free for at least 1 year
* Age ≥ 18 years and ≤ 75 years
* Safe to be scanned based on MRI questionnaire
* Participants using dalfampridine will be eligible if taking the same daily dose for at least 2 months prior to screening
Exclusion Criteria:
* Active contrast-enhancing MS lesions, or diffusion positive lesions suggestive of acute cerebrovascular disease on baseline MRI scan
* Uncontrolled hypertension (Systolic between 85 and 140, diastolic between 90 and 55)
* History of epilepsy
* Chronic obstructive pulmonary disease
* Uncontrolled Sleep apnea
* Pregnancy
Study design
Enrollment target: 21 participants
Allocation: randomized
Masking: double
Age groups: adult, older_adult
Timeline
Starts: 2024-04-30
Estimated completion: 2027-01
Last updated: 2026-03-20
Interventions
Other: Acute Intermittent HypoxiaOther: Sham-Acute Intermittent Hypoxia
Primary outcomes
- • Ankle Plantarflexion Strength (Before and following each 5-day intervention block)
Sponsor
Shirley Ryan AbilityLab · other
With: Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD), Northwestern University
Contacts & investigators
ContactAlexander Barry, MS, CCRC · contact · abarry@sralab.org · 3122381435
InvestigatorMilap Sandhu, Pt, PhD · principal_investigator, Shirley Ryan AbilityLab
All locations (1)
Shirley Ryan AbilityLabRecruiting
Chicago, Illinois, United States