ALS, Amyotrofic Lateral Sclerosis ALS
Conditions
Interventions
Digital at home monitoring of body 
weight, spirometry, accelerometery, audio-visual speech measures, and clinical 
progression.
Sponsors
Universitair Medisch Centrum Utrecht
Eligibility
Age
18 Years to 99 Years
Inclusion criteria
Inclusion criteria: 1. Diagnosis with ALS according to the Gold Coast criteria 2. ENCALS risk profile ranging between -6 and -2 3. 18 years or older 4. Able to provide informed consent
Exclusion criteria
Exclusion criteria: Fulfilling the criteria for respiratory insufficiency (non-invasive ventilation use >22 hours per day for 10 consecutive days or having a tracheostomy)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Patient adherence defined as the number of completed measurements divided by the total number of assessments. Adherence will be assessed per parameter. | — |
Secondary
| Measure | Time frame |
|---|---|
| Overall survival, defined as time to death from any cause or respiratory insufficiency (RI; defined as tracheostomy or the use of non-invasive ventilation for >22 h per day for >=10 consecutive days). Daily functioning, defined as mean change from baseline in ALSFRS-R total score and PRO-ALS score. Respiratory function, defined as mean change from baseline in VC (% predicted of normal according to the GLI-2012 reference standard) as measured by spirometry, and MND-DS. Physical function, defined as mean change from baseline in vertical variation as assessed by accelerometry. Bulbar function, defined as mean change from baseline in acoustic measures (e.g., rate, duration, voicing) and visual measures (e.g., higher order statistics of the jaw and lip) as assessed by audio-visual speech measures. Gastrostomy placement, defined as time-to-gastrostomy since enrollment. Non-invasive ventilation use, defined as time-to-non-invasive ventilation initiation since enrollment. Body weight, defined as mean change from baseline in kilograms. Clinical disease stage, defined as mean time spent in each stage of the King*s and ALS Milano-Torino staging systems. Patient burden and user-experience as assessed by custom-made questionnaire. Patient reported outcomes measures as assessed by global assessment ratings in a custom-made questionnaire. | — |
Countries
Netherlands
Contacts
Public ContactLianne C.M. Botman
Universitair Medisch Centrum Utrecht
Outcome results
None listed