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NCT03679468
Improving Cognition in People With Progressive Multiple Sclerosis Using Aerobic Exercise and Cognitive Rehabilitation
NA trial testing Cognitive Rehabilitation in Multiple Sclerosis, Primary Progressive in 309 participants. Completed in 3 February 2023.
30 October 2022
Quick facts
| Lead sponsor | Sunnybrook Health Sciences Centre |
|---|---|
| Phase | NA |
| Status | Completed |
| Study type | INTERVENTIONAL |
| Allocation | randomized |
| Design | sequential |
| Masking | double |
| Primary purpose | other |
| Enrollment | 309 |
| Start date | 18 March 2019 |
| Primary completion | 30 October 2022 |
| Estimated completion | 3 February 2023 |
| Sites | 1 location across Canada |
Drugs / interventions tested
- Cognitive Rehabilitation
- Sham Exercise
- Sham Cognitive Rehabilitation
- Aerobic Exercise — full drug profile →
Conditions studied
- Multiple Sclerosis, Primary Progressive — all drugs for Multiple Sclerosis, Primary Progressive →
- Cognitive Impairment — all drugs for Cognitive Impairment →
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):
-
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 -
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 -
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 -
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 -
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 -
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 -
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 -
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:
- PubMed search for NCT03679468
- Europe PMC full search
- ASCO Meeting Library
- ESMO Meeting Library
- bioRxiv preprints
- medRxiv preprints
- Google Scholar
Related trials
Other trials of Cognitive Rehabilitation
Trials testing the same drug.
- NCT06949696 — Effect of Dual-Task Training and Cognitive Rehabilitation in Individuals With Multiple Sclerosis. · NA · recruiting
- NCT06555302 — Cognitive Priming for Stroke Tele-rehabilitation · NA · completed
- NCT06511154 — The Effect of Cognitive Exercise on Upper Extremity Functions, Balance and Cognitive Functions in Multiple Sclerosis · NA · recruiting
- NCT07160218 — Effects of tDCS and Cognitive Rehabilitation on Cognition and Neural Plasticity in MS Patients · NA · completed
- NCT06069882 — Cognitive Rehabilitation for People With Mild-to-moderate Dementia · NA · unknown
Other recruiting trials for Multiple Sclerosis, Primary Progressive
Currently open trials in the same condition.
- NCT05359653 — Assessing Changes in Multi-parametric MRI in MS Patients Taking Clemastine Fumarate as a Myelin Repair Therapy · Phase 1, PHASE2 · recruiting
- NCT05204459 — MS-ResearchBiomarkerS · recruiting
- NCT04544449 — A Study to Evaluate the Efficacy and Safety of Fenebrutinib Compared With Ocrelizumab in Adult Participants With Primary · Phase 3 · active not recruiting
- NCT04035005 — A Study to Evaluate the Efficacy and Safety of Ocrelizumab in Adults With Primary Progressive Multiple Sclerosis · Phase 3 · active not recruiting
Other Sunnybrook Health Sciences Centre trials
Trials by the same sponsor.
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Verify against primary sources
- ClinicalTrials.gov — authoritative US registry record
- WHO ICTRP — international registry index
- EU Clinical Trials Register
- Sponsor press releases (Google)
- Trial protocol + status: ClinicalTrials.gov NCT03679468 (US National Library of Medicine, public domain)
- Publications: Europe PMC API search by NCT ID, retrieved 10 June 2026
- Drug + disease cross-links: matched in real time against Drug Landscape's normalised drug + company + condition tables
- Sponsor: as reported to ClinicalTrials.gov by Sunnybrook Health Sciences Centre
- Last refreshed: 8 November 2023
Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT03679468.
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