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Gait Analysis Parameter and Upper Limb Evaluation in Adult Patients With Neurological or Metabolic Pathology (Acti-Adult)

U

University Hospital Center (CHU) of Liege

Status

Enrolling

Conditions

Facio-Scapulo-Humeral Dystrophy
Neuromuscular Diseases
Progressive Supranuclear Palsy (PSP)
Obesity (Disorder)
Charcot Marie Tooth Disease (CMT)
Myasthenia Gravis
Glycogen Storage Disease Type II Pompe Disease
Myasthenic Syndrome
Hereditary Spastic Paraplegia
Myotonic Dystrophy 1
Huntington Disease
Ataxia, Spinocerebellar

Treatments

Diagnostic Test: The Progressive Supranuclear Palsy Rating Scale (PSP-RS)
Diagnostic Test: The 4 stair-climbing test (4SC)
Diagnostic Test: Quantitative Myasthenia Gravis (QMG)
Diagnostic Test: The Montreal Cognitive Assessment (MOCA)
Other: Patient's Global Impression of Change (PGIC)
Diagnostic Test: The Myasthenia Gravis Activities of Daily Living Scale (MG-ADL)
Diagnostic Test: 9-Hole Peg Test (9-HPT)
Diagnostic Test: The 10-meter test (10MWT)
Diagnostic Test: Dynamometric measurements of muscle strength
Diagnostic Test: The Scale for the Assessment and Rating of Ataxia (SARA)
Diagnostic Test: The Charcot-Marie-Tooth examination score (CMTES)
Diagnostic Test: Test of rising from the floor (TRF)
Diagnostic Test: The Timed up and go test (TUG)
Diagnostic Test: The 6-minute walk test (6MWT)
Diagnostic Test: The Unified Huntington's Disease Rating Scale (UHDRS)
Device: Syde

Study type

Interventional

Funder types

Other
Industry

Identifiers

NCT07136844
ActiLiège Adult

Details and patient eligibility

About

The ActiLiège-Adult study is a prospective, longitudinal, observational study designed to collect natural history data on adult patients with neurological or metabolic diseases affecting movement. Conducted at the Centre de Référence Liégeois des Maladies Neuromusculaires in Liège, Belgium, the study will enroll 300 ambulant patients, including individuals with neuromuscular disorders and obesity. Using the Syde® wearable device, the study aims to continuously monitor motor function in real-life settings over a period of up to two years. The primary objective is to evaluate the utility of digital mobility outcomes, such as the 95th centile of stride velocity (SV95C), as reliable and objective endpoints for future clinical trials.

Full description

Following the qualification of the 95th centile of stride velocity (SV95C) as a primary digital endpoint in Duchenne muscular dystrophy (DMD), there is growing interest in extending such digital assessments to other neurological and metabolic diseases that impair movement. Traditional in-clinic functional tests (e.g., 6-minute walk test, 10-meter walk/run) provide only limited snapshots of motor ability and are influenced by external factors such as motivation and fatigue. Similarly, motor function scales and biomarkers, while useful, often lack objectivity or established clinical relevance.

The ActiLiège-Adult study aims to address these limitations by leveraging the Syde® device, a wearable magneto-inertial sensor worn on the wrist and/or ankle, to continuously monitor motor activity in daily life. This device has been previously validated in DMD and other neuromuscular conditions and has been used in both interventional and natural history studies.

This academic study will enroll 300 ambulant adult patients, including 220 with neurological diseases and 20 with obesity, with a minimum of 20 patients per disease type. Ambulation is defined as the ability to walk 10 meters unaided. Patients who lose ambulation during the study will continue to be followed with adapted assessments.

Participants will be monitored for up to two years (six months for diseases affecting the neuromuscular junction). Standardized clinical assessments-including timed tests, motor function evaluations, and strength measurements-will be conducted at baseline and every six months. These will be compared with continuous data collected by the Syde® device. Additionally, patients will complete a Patient Global Impression of Change (PGI-C) questionnaire every six months.

The study's goal is to generate robust, real-world data to support the development of objective, sensitive, and clinically meaningful digital endpoints for use in future therapeutic trials targeting movement disorders.

Enrollment

300 estimated patients

Sex

All

Ages

18+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  • Ambulant patients (i.e. able to walk 10 meters without assistance)

  • Confirmed diagnosis by the investigator based on current gold standard in his/her disease (genetic testing, clinical criteria, etc.)

    • Myotonic dystrophy type 1 (DM1) and Charcot-Marie-Tooth (CMT) patients should present sensitive of motor signs on physical examination.
    • Myasthenic patients should be seropositive, and Myasthenia Gravis Foundation of America (MGFA) class II to IV.
    • Patient with morbid obesity (Body Mass Index> or = 35 at inclusion visit).
  • Signed informed consent form by patient him/herself and patient willing and able to comply with all study procedures.

Exclusion criteria

  • Non-ambulant patients
  • Patients with extreme cognitive disorders that limit their understanding of the exercises to be performed
  • Patients who have undergone a surgical procedure or who have experienced recent trauma (within fewer than 6 months) affecting the upper or lower limbs
  • A concomitant chronic or acute neurological, endocrine, infectious, allergic, or inflammatory pathology within the 3-week period immediately prior to inclusion
  • Patients who are participating in an interventional clinical trial
  • Pregnant or breastfeeding women

Trial design

Primary purpose

Diagnostic

Allocation

Non-Randomized

Interventional model

Parallel Assignment

Masking

None (Open label)

300 participants in 8 patient groups

Neuromuscular condition - Muscle disease
Experimental group
Treatment:
Device: Syde
Diagnostic Test: The 6-minute walk test (6MWT)
Diagnostic Test: Test of rising from the floor (TRF)
Diagnostic Test: The 10-meter test (10MWT)
Other: Patient's Global Impression of Change (PGIC)
Diagnostic Test: The 4 stair-climbing test (4SC)
Neuromuscular condition - Neuropathy
Experimental group
Treatment:
Device: Syde
Diagnostic Test: The 6-minute walk test (6MWT)
Diagnostic Test: Test of rising from the floor (TRF)
Diagnostic Test: The Charcot-Marie-Tooth examination score (CMTES)
Diagnostic Test: The 10-meter test (10MWT)
Diagnostic Test: Dynamometric measurements of muscle strength
Diagnostic Test: 9-Hole Peg Test (9-HPT)
Other: Patient's Global Impression of Change (PGIC)
Diagnostic Test: The 4 stair-climbing test (4SC)
Ataxia
Experimental group
Treatment:
Device: Syde
Diagnostic Test: The 6-minute walk test (6MWT)
Diagnostic Test: Test of rising from the floor (TRF)
Diagnostic Test: The Scale for the Assessment and Rating of Ataxia (SARA)
Diagnostic Test: The 10-meter test (10MWT)
Diagnostic Test: 9-Hole Peg Test (9-HPT)
Other: Patient's Global Impression of Change (PGIC)
Diagnostic Test: The 4 stair-climbing test (4SC)
Huntington disease (HD) and HD-like
Experimental group
Treatment:
Diagnostic Test: The Unified Huntington's Disease Rating Scale (UHDRS)
Device: Syde
Diagnostic Test: The 6-minute walk test (6MWT)
Diagnostic Test: Test of rising from the floor (TRF)
Diagnostic Test: The 10-meter test (10MWT)
Other: Patient's Global Impression of Change (PGIC)
Diagnostic Test: The 4 stair-climbing test (4SC)
Progressive supranuclear palsy (PSP) and PSP-like
Experimental group
Treatment:
Device: Syde
Diagnostic Test: The 6-minute walk test (6MWT)
Diagnostic Test: The Timed up and go test (TUG)
Diagnostic Test: Test of rising from the floor (TRF)
Diagnostic Test: The 10-meter test (10MWT)
Other: Patient's Global Impression of Change (PGIC)
Diagnostic Test: The Montreal Cognitive Assessment (MOCA)
Diagnostic Test: The Progressive Supranuclear Palsy Rating Scale (PSP-RS)
Diagnostic Test: The 4 stair-climbing test (4SC)
Spastic paraplesia and conditions where spasticity predominates, incl. stroke
Experimental group
Treatment:
Device: Syde
Diagnostic Test: The 6-minute walk test (6MWT)
Diagnostic Test: Test of rising from the floor (TRF)
Diagnostic Test: The 10-meter test (10MWT)
Other: Patient's Global Impression of Change (PGIC)
Diagnostic Test: The 4 stair-climbing test (4SC)
Obese patients
Experimental group
Treatment:
Device: Syde
Diagnostic Test: The 6-minute walk test (6MWT)
Diagnostic Test: Test of rising from the floor (TRF)
Diagnostic Test: The 10-meter test (10MWT)
Other: Patient's Global Impression of Change (PGIC)
Diagnostic Test: The 4 stair-climbing test (4SC)
Neuromuscular condition - Neuromuscular Junction
Experimental group
Treatment:
Device: Syde
Diagnostic Test: The 6-minute walk test (6MWT)
Diagnostic Test: Test of rising from the floor (TRF)
Diagnostic Test: The 10-meter test (10MWT)
Other: Patient's Global Impression of Change (PGIC)
Diagnostic Test: The Myasthenia Gravis Activities of Daily Living Scale (MG-ADL)
Diagnostic Test: Quantitative Myasthenia Gravis (QMG)
Diagnostic Test: The 4 stair-climbing test (4SC)

Trial contacts and locations

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Central trial contact

Nicolas Bovy

Data sourced from clinicaltrials.gov

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