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NCT03679468

Improving Cognition in People With Progressive Multiple Sclerosis Using Aerobic Exercise and Cognitive Rehabilitation

Completed NA Last updated 8 November 2023
What this trial tests

NA trial testing Cognitive Rehabilitation in Multiple Sclerosis, Primary Progressive in 309 participants. Completed in 3 February 2023.

Timeline
18 March 2019
Primary endpoint
30 October 2022
3 February 2023

Quick facts

Lead sponsorSunnybrook Health Sciences Centre
PhaseNA
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designsequential
Maskingdouble
Primary purposeother
Enrollment309
Start date18 March 2019
Primary completion30 October 2022
Estimated completion3 February 2023
Sites1 location across Canada

Drugs / interventions tested

Conditions studied

Sponsor

Sunnybrook Health Sciences Centre — full company profile →

Who can join

Adults 25 to 65, any sex, with Multiple Sclerosis, Primary Progressive or Cognitive Impairment. Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

Given that up to 70% of people with secondary progressive MS are cognitively impaired, the search for effective treatments is considered a priority by people living with the disease. This proposal will address the effectiveness of cognitive rehabilitation (CR) and exercise, either alone, or in combination in this regard. A team of MS researchers has been assembled from the USA, Canada, the United Kingdom, Italy, Denmark, Germany and Belgium for this. A total of 360 people with progressive MS will make up the sample. Brain MRIs will be undertaken in a third of the sample before and after the 12 weeks of treatment to document the functional changes that are expected to occur with symptom improvement.

Publications & conference data

8 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Cognitive rehabilitation and aerobic exercise for cognitive impairment in people with progressive multiple sclerosis (CogEx): a randomised, blinded, sham-controlled trial.
    Feinstein A, Amato MP, Brichetto G, Chataway J, et al · · 2023 · cited 47× · PMID 37739574 · DOI 10.1016/s1474-4422(23)00280-6
  2. Study protocol: improving cognition in people with progressive multiple sclerosis: a multi-arm, randomized, blinded, sham-controlled trial of cognitive rehabilitation and aerobic exercise (COGEx).
    Feinstein A, Amato MP, Brichetto G, Chataway J, et al · · 2020 · cited 28× · PMID 32443981 · DOI 10.1186/s12883-020-01772-7
  3. Cognitive rehabilitation effects on grey matter volume and Go-NoGo activity in progressive multiple sclerosis: results from the CogEx trial.
    Rocca MA, Valsasina P, Romanò F, Tedone N, et al · · 2024 · cited 6× · PMID 38754979 · DOI 10.1136/jnnp-2024-333460
  4. Immunosenescence in aging and neurodegenerative diseases: evidence, key hallmarks, and therapeutic implications.
    Chen Z, Mao Z, Tang W, Shi Y, et al · · 2025 · cited 4× · PMID 41299782 · DOI 10.1186/s40035-025-00517-1
  5. The impact of the COVID-19 pandemic on an international rehabilitation study in MS: the CogEx experience.
    Feinstein A, Amato MP, Brichetto G, Chataway J, et al · · 2022 · cited 4× · PMID 34741240 · DOI 10.1007/s00415-021-10881-3
  6. Prevalence and Associated Clinical Characteristics of Walking-Related Motor, Cognitive, and Fatigability in Progressive Multiple Sclerosis: Baseline Results From the CogEx Study.
    Ramari C, D'hooge M, Dalgas U, Feinstein A, et al · · 2024 · cited 3× · PMID 38426484 · DOI 10.1177/15459683241236161
  7. Effects of cognitive rehabilitation and exercise on brain structure in progressive multiple sclerosis: results from the CogEx trial.
    Romanò F, Rocca MA, Pagani E, Amato MP, et al · · 2025 · cited 1× · PMID 40986118 · DOI 10.1007/s00415-025-13382-9
  8. The late onset of emotional distress in people with progressive multiple sclerosis during the Covid-19 pandemic: longitudinal findings from the CogEx study.
    Feinstein A, Amato MP, Brichetto G, Chataway J, et al · · 2022 · cited 1× · PMID 35939096 · DOI 10.1007/s00415-022-11295-5

Verify or expand the search:

Other trials of Cognitive Rehabilitation

Trials testing the same drug.

Other recruiting trials for Multiple Sclerosis, Primary Progressive

Currently open trials in the same condition.

Other Sunnybrook Health Sciences Centre trials

Trials by the same sponsor.

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Data sources for this page

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