The Use of Technology to Improve MS Clinical Trials and Patient Care

Study Overview
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Brief Summary
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Many patients with multiple sclerosis (MS) experience relapses of disease activity during which they have increased numbness, weakness, visual problems, or other symptoms. If a person with MS has new symptoms that are concerning to them, their doctor may want to see them in the office in order to confirm that these symptoms are due to a true relapse of activity before starting relapse treatment. This requirement can be frustrating for patients, who may have to take time off from work or travel long distances for such unexpected doctors' visits. In this study, the investigators will use input from patients with MS and MS physicians to create a relapse questionnaire that can be used to confirm a relapse has occurred. The investigators will also evaluate if having a more direct line of communication with the provider's office improves overall patient care and satisfaction.

Detailed Description
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This research is being done to study if a relapse questionnaire for people with multiple sclerosis (MS) may help more easily determine if a relapse has occurred. A further goal of this study is to determine if receiving periodic messages from the doctor's office, as well as having the direct contact information of a person in the office, improves the care of the patients and their experience thereof.

Official Title
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The Use of Technology to Improve MS Clinical Trials and Patient Care

Conditions
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Multiple Sclerosis

Intervention / Treatment
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* Other: Communication with the clinic


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: English speakers Relapsing-remitting MS (2010 criteria) Expanded Disability Status Scale (EDSS) ≤6.0 Possession of a smartphone OR of a mobile telephone with text messaging AND an e-mail account AND web access OR willingness to be provided with, and utilize, a smartphone for the duration of the study In the two years before screening: at least two relapses, OR one relapse and two new lesions (unrelated to relapse symptoms) on magnetic resonance imaging (MRI), OR RRMS (MAGNIMS 2010 criteria) onset within the past year with no exposure to disease modifying therapies (DMT) Patient is starting one of the following MS therapies: injectable (subcutaneous interferon beta or glatiramer acetate) or oral (fingolimod, teriflunomide, or dimethyl fumarate) therapies Relapse and MRI activity occurred while untreated or despite one single treatment, and no change in therapy since that activity Lives within 100 miles of Johns Hopkins Medical Center (Baltimore, MD) Exclusion Criteria: History of DMT exposure if MAGNIMS 2010 criteria used to enroll patients with disease onset in the past year, or change in MS therapy since qualifying relapse/MRI criteria occurred

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Diagnostic
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Triple


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: Control<br>One kind of communication with the clinic will be used. | Other: Communication with the clinic<br>* Over the course of the study, subjects will receive brief periodic communications on their cellular phone from the doctor's office.<br>|
| Experimental: Experimental<br>A different kind of communication with the clinic will be used. | Other: Communication with the clinic<br>* Over the course of the study, subjects will receive brief periodic communications on their cellular phone from the doctor's office.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Blinded | The primary and secondary outcomes for this study are blinded. | 96 weeks |