Multifocal Brain Magnetic Stimulation in Chronic Ischemic Stroke

NCT ID: NCT02817087

Last Updated: 2020-10-05

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

38 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-05-27

Study Completion Date

2019-03-13

Brief Summary

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Transcranial magnetic stimulation for post-stroke upper-body motor deficits.

Detailed Description

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This study uses transcranial magnetic stimulation (magnetic pulses delivered through a specially designed cap worn on the head aimed at specific motor areas of the brain (brain areas responsible for the body's physical movements) to test whether upper-body motor function can be improved.

This is a double-blind study where half of participants will receive active transcranial stimulation and the other half of the participants will receive no transcranial magnetic stimulation; all participants will wear the cap. Participants and some members of the research team will not know who received active magnetic brain stimulation.

Conditions

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Stroke

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Active repetitive transcranial magnetic stimulation administered through cap worn by patient under healthcare provider.
Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Investigators Outcome Assessors
Double-blind, only the care provider is aware of active treatment assignment.

Study Groups

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repetitive Transcranial Magnetic Stimulation -On

Participants wear the repetitive transcranial magnetic stimulation (rTMS) cap delivering magnetic stimulation to part of the brain.

Group Type ACTIVE_COMPARATOR

repetitive Transcranial Magnetic Stimulation -On

Intervention Type DEVICE

Cap worn on the scalp will deliver active Repetitive Transcranial Magnetic Stimulation to specific parts of the brain

repetitive Transcranial Magnetic Stimulation -Off

Participants wear the repetitive transcranial magnetic stimulation (rTMS) cap that does NOT delivery any magnetic stimulation to the brain.

Group Type SHAM_COMPARATOR

repetitive Transcranial Magnetic Stimulation -Off

Intervention Type DEVICE

Cap worn on the scalp will no delivery of the Repetitive Transcranial Magnetic Stimulation to any part of the, referred to as a sham or inactive study treatment.

Interventions

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repetitive Transcranial Magnetic Stimulation -On

Cap worn on the scalp will deliver active Repetitive Transcranial Magnetic Stimulation to specific parts of the brain

Intervention Type DEVICE

repetitive Transcranial Magnetic Stimulation -Off

Cap worn on the scalp will no delivery of the Repetitive Transcranial Magnetic Stimulation to any part of the, referred to as a sham or inactive study treatment.

Intervention Type DEVICE

Other Intervention Names

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transcranial magnetic stimulation (TMS) Transcranial Rotating Permanent Magnet Stimulation (TRPMS) repetitive Transcranial Magnetic Stimulation (rTMS) sham treatment Control Group

Eligibility Criteria

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Inclusion Criteria

* Patients aged 18-80 years;
* Clinical diagnosis of chronic ischemic stroke recovering for more than 3 months with unilateral motor deficits of arm and leg, or arm alone; --

Exclusion Criteria

* History of seizure;
* Epileptogenic activity (indicative of increased risk of seizures) on EEG;
* Any active unstable medical condition;
* Pregnancy;
* Schizophrenia, bipolar disorder, alcoholism, or substance abuse;
* Medications which in the investigator's clinical judgment significantly lower the seizure threshold;
* Presence of metal or electronic implants in the head (or any in the body that preclude MRI) , including pacemakers, defibrillators, aneurysm clips, neuro-stimulators, cochlear implants, metal in the eyes, etc.;
* Any changes in medications prescribed for the treatment of stroke impairment within six weeks prior to inclusion in the study or at any time during the study.
* Botulinum toxin use within two months prior to the screening visit or any planned use of botulinum toxin during the study
* Changes in NIHSS and motor assessment scores between Visit 1 and Visit 2 indicating that the patient's impairment is not stable. The following cutoffs, based on research establishing Clinically Important Differences, will be used for this determination:
* National Institutes of Health Stroke Scale: A change in total score of more than 2 points in either direction, or a change in the motor extremity score of more than 1 point in either direction.
* Fugl-Meyer Assessment of Sensorimotor Impairment: A change of more than 5 points in either direction on the upper-extremity motor score for the affected arm.
* Action Research Arm Test: A change of more than 5 points in either direction on the ARAT score for the affected arm.
* Any condition that precludes a high quality brain MRI scan.
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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The Methodist Hospital Research Institute

OTHER

Sponsor Role collaborator

Seraya Medical

INDUSTRY

Sponsor Role collaborator

David Chiu, MD

OTHER

Sponsor Role lead

Responsible Party

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David Chiu, MD

Principal Investigator/Sponsor-Investigator

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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David Chiu, MD

Role: PRINCIPAL_INVESTIGATOR

The Methodist Hospital Research Institute

Locations

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Houston Methodist Hospital

Houston, Texas, United States

Site Status

Countries

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United States

References

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Varsou O, Macleod MJ, Schwarzbauer C. Functional connectivity magnetic resonance imaging in stroke: an evidence-based clinical review. Int J Stroke. 2014 Feb;9(2):191-8. doi: 10.1111/ijs.12033. Epub 2013 Mar 19.

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Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Document Type: Informed Consent Form

View Document

Other Identifiers

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Pro00014213

Identifier Type: -

Identifier Source: org_study_id

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