Smartphone apps to monitor MS: the ACTIVE MS study

Dr Yi Chao Foong

Monash University

February 2022

specialisation: Neurobiology

focus area: Better treatments

funding type: Scholarship

project type: Investigator Led Research

Summary

Current MS care relies on short, scheduled appointments that do not consider individuals in their own environments and fluctuations in symptoms. Individuals inadvertently become passive partners in their own care.

We now have the potential to revolutionise MS monitoring by gathering day-to-day patient data and detecting disease progression via smartphone applications. This allows individuals to play an active role in their disease journey and provides an opportunity for early intervention to minimise disability. Currently, these mobile applications lack validation and real-world data. Once validated, these digital biomarkers (biological signs) would pave the way for more efficient drug trials in progressive MS.

This study aims to address these needs by 1) evaluating the feasibility, reliability and validity of app-based self-monitoring tools, 2) identifying mobile apps that can detect MS changes over time and predict the progression of disease, 3) integrating mobile app data with clinical and imaging data to develop predictive models of treatment failure.

This work will be based on data from ACTIVE MS. This is a multi-centre cohort study that uses three purpose-designed apps to assess multiple neurological domains including cognition, cerebellar function, mood, mobility and fine motor skills. The study will leverage the current MSBase registry infrastructure, providing a ready-made data integration system.

Progress

Dr Foong has developed digital biomarkers that are iPad-based and have been deemed reliable and acceptable to people with MS. These are biomarkers reported by individuals that indicate disability and for predicting future deterioration in cognition and upper limb function, as MS progresses. The digital biomarkers for disability reported by individuals are different to those that healthcare professionals use to assess people with MS and are not applicable in people with MS with mild disability. 

publications

  • Foong YC et al, Comparing ocrelizumab to interferon/glatiramer acetate in people with multiple sclerosis over age 60. Journal of Neurology, Neurosurgery and Psychiatry (accepted for publication)
  • Foong YC, Merlo D, Gresle M, Zhu C, Buzzard K, Lechner-Scott J, Barnett M, Taylor B, Kalincik T, Kilpatrick T, Darby D, Dobay P, van Beek J, Hyde R, Butzkueven H, van der Walt A. Patient-determined disease steps is not interchangeable with the Expanded Disease Status Scale in mild to moderate multiple sclerosis. European Journal of Neurology 2024
  • Foong YC, Bridge F, Merlo D, Gresle M, Zhu C, Buzzard K, Butzkueven H, van der Walt A. Smartphone monitoring of cognition in people with multiple sclerosis: A systematic review. Multiple Sclerosis and related Disorders 2023, 73:104674.

Updated: 31 March 2024

lead investigator

total funding

$30,000

start year

2022

duration

3 years

STATUS

Current project

Stages of the research process

Fundamental laboratory Research

Laboratory research that investigates scientific theories behind the possible causes, disease progression, ways to diagnose and better treat MS.

Lab to clinic timeline

10+ years

Translational Research

Research that builds on fundamental scientific research to develop new therapies, medical procedures or diagnostics and advances it closer to the clinic.

Lab to clinic timeline

5+ years

Clinical Studies and Clinical Trials

Clinical research is the culmination of fundamental and translational research turning those research discoveries into treatments and interventions for people with MS.

Lab to clinic timeline

3+ years

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Professor Kilpatrick and Professor Kalincik

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Smartphone apps to monitor MS: the ACTIVE MS study