HEAL-MS
What it found
No result yet.
What was tested
Treatment tested
- Multi-Domain Lifestyle Intervention
What it measured
Main measures
Recruitment Rate (Number of Participants Enrolled per Month)
From study start (Month 0) to completion of recruitment (approximately Month 12)
FeasibilityRetention Rate (Percentage of Participants Completing All Study Assessments)
Baseline to 36 weeks (end of follow-up)
FeasibilityExercise Adherence (Percentage of Completed Scheduled Exercise Sessions)
Weeks 13-24 (12-week intervention period)
Physical functionQuality of life (reported by participants)Mobile Application Engagement (Average Daily Completion Rate of App-Based Logs)
Weeks 13-24 (12-week intervention period)
FatigueMood and sleepQuality of life (reported by participants)Acceptability of HEAL MS Intervention (Participant Satisfaction Score)
Week 24 (post-intervention assessment)
Quality of life (reported by participants)Feasibility
Other measures (6)
Change in Plasma C-Reactive Protein (CRP) Concentration (mg/L)
Baseline (Week 0), Pre-Intervention (Week 12), Post-Intervention (Week 24), and Follow-up (Week 36)
Change in Plasma Interleukin-6 (IL-6) Levels (pg/mL)
Baseline (Week 0), Week 12, Week 24, Week 36
Immune responseChange in Plasma Proteomic Profile (Normalized Protein Expression Units)
Baseline (Week 0), Week 12, Week 24, Week 36
Change in Circulating Metabolomic Biomarkers (Concentration Units, mmol/L or µmol/L)
Baseline, Week 12, Week 24, Week 36
MRI lesionsBlood or spinal fluid markersChange in Perceived Stress Score (Perceived Stress Scale, PSS-10)
Baseline (Week 0), Week 12, Week 24, Week 36
Change in Daily Emotional Wellbeing Score (App-Based Self-Assessment)
Weeks 0, 12, 24, and 36 (7-day averages prior to each assessment)
Mood and sleep
Who could take part
Relapsing MS · 18 to 50
Inclusion Criteria: * Confirmed MS diagnosis (McDonald criteria) * EDSS score ≤ 6.5 (i.e., ambulatory with or without assistance) * Stable disease-modifying therapy for ≥ 3 months * Age 18-50 * Proficiency in English or Arabic * Clearance to participate in a structured exercise program * Ability to walk, sit and stand independently, and perform light-to-moderate movement patterns, even with modifications * Ability and digital literacy to interact with the bilingual HEAL MS mobile app and * Access to a computer for participation in online sessions Exclusion Criteria: * Significant cognitive impairment affecting app use and comprehension of the intervention * MS relapse within the past 3 months * Pregnancy or planned pregnancy * Unmanaged psychiatric disorders * Other immune-related or chronic inflammatory or metabolic diseases * Concurrent enrollment in another lifestyle intervention
As registered. Criteria can change, so ask the trial team or your neurologist.
Contact details on the registryAbout this trial
In the sponsor's words
The goal of this clinical trial is to learn whether a structured lifestyle program can improve health and wellbeing in people living with multiple sclerosis (MS). The program focuses on four areas: nutrition, physical activity, sleep, and stress management. The study will also examine how lifestyle changes affect biological markers related to inflammation, metabolism, and immune function. The main questions the study aims to answer are: Can a 12-week lifestyle program improve fatigue, physical function, sleep, and quality of life in people with MS? Do lifestyle changes influence biological markers related to inflammation, metabolism, and mitochondrial function? Participants will first complete a 12-week observation period to measure their usual lifestyle and health. After this, they will take part in the 12-week HEAL MS lifestyle program. Participants will: Attend four assessment visits at Yas Clinic (baseline, before the intervention, after the intervention, and three months later) Participate in two supervised online exercise sessions per week during the 12-week program Follow a structured nutrition plan, with meals provided during the first two weeks Use a mobile application to log daily habits related to exercise, nutrition, sleep, and stress Complete questionnaires and physical tests and provide blood, saliva, and stool samples during assessment visits Researchers will analyze these data to understand whether lifestyle interventions can support symptom management and overall health in people living with MS.
Papers
Background
Simpson-Yap S, Nag N, Probst Y, Reece JC, Jelinek GA, Neate S. Prospective associations of better quality of the diet with improved quality of life over 7.5 years in people with multiple sclerosis. Mult Scler Relat Disord. 2022 Apr;60:103710. doi: 10.1016/j.msard.2022.103710. Epub 2022 Feb 21.Background
Nauta IM, Loughlin KNM, Gravesteijn AS, van Wegen J, Hofman RP, Wilmsen N, Coles E, van Kempen ZLE, Killestein J, van Oosten BW, Strijbis EMM, Uitdehaag BMJ, de Jong BA. A multi-domain lifestyle intervention in multiple sclerosis: a longitudinal observational study. J Neurol. 2025 Jun 24;272(7):476. doi: 10.1007/s00415-025-13196-9.Background
Sanchez JMS, DePaula-Silva AB, Libbey JE, Fujinami RS. Role of diet in regulating the gut microbiota and multiple sclerosis. Clin Immunol. 2022 Feb;235:108379. doi: 10.1016/j.clim.2020.108379. Epub 2020 Mar 7. No abstract available.Background
Mannino A, Lithander FE, Dunlop E, Hoare S, Shivappa N, Daly A, Phillips M, Pereira G, Sherriff J, Lucas RM, Ponsonby AL, Hebert JR, van der Mei I, Black LJ; Ausimmune Investigator Group. A proinflammatory diet is associated with an increased likelihood of first clinical diagnosis of central nervous system demyelination in women. Mult Scler Relat Disord. 2022 Jan;57:103428. doi: 10.1016/j.msard.20Background
Coe S, Tektonidis TG, Coverdale C, Penny S, Collett J, Chu BTY, Izadi H, Middleton R, Dawes H. A cross sectional assessment of nutrient intake and the association of the inflammatory properties of nutrients and foods with symptom severity in a large cohort from the UK Multiple Sclerosis Registry. Nutr Res. 2021 Jan;85:31-39. doi: 10.1016/j.nutres.2020.11.006. Epub 2020 Nov 20.
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History
Started
Apr 2026
Main results due
Nov 2027
Finished
Nov 2027
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