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临床试验/NL-OMON56797
NL-OMON56797尚未招募2 期

Fatigue Improvement Through Aerobic exercise and Cognitive behavioural Therapy in patients with Myasthenia Gravis (FIT to ACT - MG) - Interventions against fatigue in patients with Myasthenia Gravis.

eids Universitair Medisch Centrum0 个研究点目标入组 60 人开始时间: 待定最近更新:
适应症

试验速览

阶段
2 期
状态
尚未招募
入组人数
60

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional

入排标准

年龄范围
18 至 99(—)

入选标准

  • 1, Age >= 18 years
  • 2. A clinical diagnosis of myasthenia gravis (ocular or generalized) with the
  • typical fluctuating muscle weakness and at least one of the following:
  • - a positive serologic test for AChR or MuSK antibodies;
  • - an abnormal electrodiagnostic test: repetitive nerve stimulation (RNS) or
  • single-fiber electromyography (SFEMG).
  • 3. The diagnosis of MG was made at least a year ago and the MG is stable, as
  • determined by the treating neurologist.
  • 4, Patients who use the following medication: prednisone, intravenous
  • immunoglobulin (IVIg), complement inhibitor (e.g. Eculizumab), neonatal Fc
  • receptor (FcRn) inhibitor (e.g. Efgartigimod) have been on a stable dosing
  • regimen for at least one month.
  • 5. MGFA Clinical Classification of disease severity I-IV
  • 6. Clinically relevant fatigue (a score >= 35 on the CIS-fatigue)
  • 7. Ability to walk and exercise
  • 8. Ability to understand the requirements of the study and provide written
  • informed consent.

排除标准

  • 1. The patient is unable to fill out the study questionnaires or be interviewed
  • in Dutch, or is unable to undergo the tests needed for the study, or is unable
  • to give informed consent for participation in the study.
  • 2. The patient is unable to use the activity tracker and digital infrastructure
  • 3. Co-morbidity interfering with aerobic exercise therapy or affecting exercise
  • response and exercise capacity, including severe cardiopulmonary co-morbidity,
  • as assessed by the investigator.
  • 4. Co-morbidity interfering with cognitive behavioural therapy, including a
  • clinical diagnosis of depression or a score >=12 on the Hospital Anxiety and
  • Depression Scale (HADS), as assessed by the investigator.
  • 5. Use of beta blockers.
  • 6. The patient is already engaged in strenuous exercise more than twice a week.
  • 7. The patient is already undergoing cognitive behavioural therapy.
  • 8. Pregnancy or intention to become pregnant during the study.
  • Exclusion criterion for muscle MRI
  • 1. Inability to undergo MRI.

研究者

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