Zapping the brain to fight MS fatigue: magnets vs. electricity
NCT ID NCT07842302
First seen Sep 25, 2026 · Last updated Sep 25, 2026
Summary
Fatigue is the most disabling symptom for many people with multiple sclerosis, and existing drugs help only a little. This trial compares two non-invasive brain stimulation techniques, magnetic pulses (TMS) and a weak electrical current (tDCS), against sham versions to see whether either reduces fatigue. Eighty adults with relapsing-remitting MS and significant fatigue receive 20 daily sessions over four weeks, with fatigue, mood, quality of life, and thinking speed measured at the start, at the end, and six months later.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Non-invasive brain stimulation using magnetic pulses (TMS) or a weak electrical current (tDCS) applied to the forehead area
- What this could lead to
- If either technique eases fatigue, it could give people with MS a drug-free option that does not rely on daily medication. The results could also guide treatment for fatigue in other neurological conditions.
- What could go wrong
- This is an early-stage comparison with 80 participants, so any benefit may be modest or fade. Brain stimulation can cause scalp discomfort, headache, or tingling, and sham-controlled trials often show that expectation alone drives some improvement.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 80 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Sep 2026
An estimate. Start dates often move.
- Expected to finish
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Sep 2029
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * MS diagnosis (relapsing-remitting form) according to 2024 McDonald criteria. * ≥ 18 years old * Expanded Disability Status Scale (EDSS) 1.5-4.5 * Fatigue Severity Scale (FSS) \>4 (mean score of all items) * No history of disease relapses in the previous 3 months * Be able to give informed consent. Exclusion Criteria: * Any other neurological condition beyond MS * Another medical situation potentially associated with fatigue (e.g. sleep apnea, chronic fatigue syndrome, arterial hypertension) * Secondary epilepsy * Matching the exclusion criteria for TMS or tES application (history of epilepsy, metallic inserts in the head with the exception of titanium, pacemaker, electronic prosthesis or biostimulators, electrodes in the brain or spinal cord, dermatological problems) according to international safety guidelines (Antal et al., 2017; Lefaucheur et al., 2014; 2020; Rossi et al., 2021) * Pregnancy or possibility of pregnancy * Alcohol or other toxic abuse in the last year * Major psychiatric disorders (eg, schizophrenia, bipolar disorder, etc.) * Inability to communicate or cognitive impairment * Change in medication in the previous 4 months
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
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