Trial Outcomes & Findings for NSS-2-BRIDGE Study for Total Knee and Hip Arthroplasties, Bariatric, and Kidney Transplant Surgeries (NCT NCT03834142)

NCT ID: NCT03834142

Last Updated: 2022-08-03

Results Overview

Investigate the efficacy of the NSS-2 BRIDGE device in changing perioperative opioid consumption in opioid-naïve patients undergoing either a total hip or total knee arthroplasty procedure, bariatric or kidney donor surgeries. Since we are comparing to historical controls, we can only analyze data from when the controls were in the hospital. This could be within a 24hrs, 48hrs, 72 hours, 96 hours, or 120 hours timeframe.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

20 participants

Primary outcome timeframe

This could be within a 24hrs, 48hrs, 72 hours, 96 hours, or 120 hours timeframe.

Results posted on

2022-08-03

Participant Flow

Participant milestones

Participant milestones
Measure
Intervention-Kidney
NSS-2-Bridge auricular therapy will be given in addition to standard of care. NSS-2 Bridge: The NSS-2 BRIDGE is a battery operated and disposable percutaneous auricular nerve field stimulator (Innovative Health Solutions, Versailles, IN, USA), that was recently cleared by the FDA and assigned a Class II Risk Designation; a class which includes surgical drapes, pumps and power wheelchairs. The indication for the NSS-2 BRIDGE is for the treatment of clinical symptoms related to opioid consumption and opioid withdrawal.
Control-Kidney
Subject receives standard of care
Overall Study
STARTED
10
10
Overall Study
COMPLETED
10
10
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

NSS-2-BRIDGE Study for Total Knee and Hip Arthroplasties, Bariatric, and Kidney Transplant Surgeries

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Intervention
n=10 Participants
NSS-2-Bridge auricular therapy will be given in addition to standard of care. NSS-2 Bridge: The NSS-2 BRIDGE is a battery operated and disposable percutaneous auricular nerve field stimulator (Innovative Health Solutions, Versailles, IN, USA), that was recently cleared by the FDA and assigned a Class II Risk Designation; a class which includes surgical drapes, pumps and power wheelchairs. The indication for the NSS-2 BRIDGE is for the treatment of clinical symptoms related to opioid consumption and opioid withdrawal.
Control
n=10 Participants
No intervention, subject receives standard of care
Total
n=20 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
10 Participants
n=5 Participants
10 Participants
n=7 Participants
20 Participants
n=5 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Continuous
43.5 years
STANDARD_DEVIATION 12.7 • n=5 Participants
42 years
STANDARD_DEVIATION 11.7 • n=7 Participants
42.4 years
STANDARD_DEVIATION 11.6 • n=5 Participants
Sex: Female, Male
Female
7 Participants
n=5 Participants
4 Participants
n=7 Participants
11 Participants
n=5 Participants
Sex: Female, Male
Male
3 Participants
n=5 Participants
6 Participants
n=7 Participants
9 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
White
10 Participants
n=5 Participants
10 Participants
n=7 Participants
20 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Region of Enrollment
United States
10 participants
n=5 Participants
10 participants
n=7 Participants
20 participants
n=5 Participants

PRIMARY outcome

Timeframe: This could be within a 24hrs, 48hrs, 72 hours, 96 hours, or 120 hours timeframe.

Population: Kidney Transplant Donor

Investigate the efficacy of the NSS-2 BRIDGE device in changing perioperative opioid consumption in opioid-naïve patients undergoing either a total hip or total knee arthroplasty procedure, bariatric or kidney donor surgeries. Since we are comparing to historical controls, we can only analyze data from when the controls were in the hospital. This could be within a 24hrs, 48hrs, 72 hours, 96 hours, or 120 hours timeframe.

Outcome measures

Outcome measures
Measure
Intervention
n=10 Participants
NSS-2-Bridge auricular therapy will be given in addition to standard of care. NSS-2 Bridge: The NSS-2 BRIDGE is a battery operated and disposable percutaneous auricular nerve field stimulator (Innovative Health Solutions, Versailles, IN, USA), that was recently cleared by the FDA and assigned a Class II Risk Designation; a class which includes surgical drapes, pumps and power wheelchairs. The indication for the NSS-2 BRIDGE is for the treatment of clinical symptoms related to opioid consumption and opioid withdrawal.
Control
n=10 Participants
No intervention, subject receives standard of care
Efficacy of NSS-2 Bridge Device in Changing Perioperative Opioid Consumption
8.3 mg morphine equivalent (MME)
Standard Deviation 9.6
33.5 mg morphine equivalent (MME)
Standard Deviation 37.3

SECONDARY outcome

Timeframe: Day of Surgery, 24 hours post-operative, 48 hours post-operative

Investigate the efficacy of the NSS-2 BRIDGE device in changing perioperative NRS Pain scores in opioid-naïve patients undergoing either a total hip or total knee arthroplasty, bariatric or kidney donor surgeries. Since we are comparing to historical controls, we can only analyze data from when the controls were in the hospital. Numerical Rating Scale (NRS) Pain scores on a scale from 0-10, with 0 being no pain, 5 being moderate pain and 10 being the worst imaginable pain. The lowest possible score is 0 and the highest possible score is 10. higher scores represent a worse outcome.

Outcome measures

Outcome measures
Measure
Intervention
n=10 Participants
NSS-2-Bridge auricular therapy will be given in addition to standard of care. NSS-2 Bridge: The NSS-2 BRIDGE is a battery operated and disposable percutaneous auricular nerve field stimulator (Innovative Health Solutions, Versailles, IN, USA), that was recently cleared by the FDA and assigned a Class II Risk Designation; a class which includes surgical drapes, pumps and power wheelchairs. The indication for the NSS-2 BRIDGE is for the treatment of clinical symptoms related to opioid consumption and opioid withdrawal.
Control
n=10 Participants
No intervention, subject receives standard of care
Pain Scores
Post-op 24 hour Pain Scores
2.5 units on a scale
Standard Deviation 2.0
6 units on a scale
Standard Deviation 1.4
Pain Scores
Post-op 48 hour Pain Scores
1.6 units on a scale
Standard Deviation 1.6
6.0 units on a scale
Standard Deviation 2.8

SECONDARY outcome

Timeframe: Day of Surgery through post-operative day 5

Investigate the number of participants that experienced post-operative complications .

Outcome measures

Outcome measures
Measure
Intervention
n=10 Participants
NSS-2-Bridge auricular therapy will be given in addition to standard of care. NSS-2 Bridge: The NSS-2 BRIDGE is a battery operated and disposable percutaneous auricular nerve field stimulator (Innovative Health Solutions, Versailles, IN, USA), that was recently cleared by the FDA and assigned a Class II Risk Designation; a class which includes surgical drapes, pumps and power wheelchairs. The indication for the NSS-2 BRIDGE is for the treatment of clinical symptoms related to opioid consumption and opioid withdrawal.
Control
n=10 Participants
No intervention, subject receives standard of care
Number of Participants With Post-operative Complications
0 Participants
0 Participants

SECONDARY outcome

Timeframe: Post-operative day 5

Population: We were not able to reach 1 patient for the day 5 follow-up.

This was determined by asking the subject "How satisfied were you with the NSS-Bridge Device during the time in which it was worn, with 0 being the worst and 10 being the most satisfied?"

Outcome measures

Outcome measures
Measure
Intervention
n=9 Participants
NSS-2-Bridge auricular therapy will be given in addition to standard of care. NSS-2 Bridge: The NSS-2 BRIDGE is a battery operated and disposable percutaneous auricular nerve field stimulator (Innovative Health Solutions, Versailles, IN, USA), that was recently cleared by the FDA and assigned a Class II Risk Designation; a class which includes surgical drapes, pumps and power wheelchairs. The indication for the NSS-2 BRIDGE is for the treatment of clinical symptoms related to opioid consumption and opioid withdrawal.
Control
No intervention, subject receives standard of care
Level of Comfort Wearing NSS-2 Bridge Device
9 units on a scale
Standard Deviation 3

SECONDARY outcome

Timeframe: Day of Surgery to post-op day 5

Length of time from end of surgery to discharge from hospital

Outcome measures

Outcome measures
Measure
Intervention
n=10 Participants
NSS-2-Bridge auricular therapy will be given in addition to standard of care. NSS-2 Bridge: The NSS-2 BRIDGE is a battery operated and disposable percutaneous auricular nerve field stimulator (Innovative Health Solutions, Versailles, IN, USA), that was recently cleared by the FDA and assigned a Class II Risk Designation; a class which includes surgical drapes, pumps and power wheelchairs. The indication for the NSS-2 BRIDGE is for the treatment of clinical symptoms related to opioid consumption and opioid withdrawal.
Control
n=10 Participants
No intervention, subject receives standard of care
Time to Hospital Discharge
2.1 days
Standard Deviation 2.9
2.2 days
Standard Deviation 0.33

SECONDARY outcome

Timeframe: Day of Surgery through post-operative day 5

Length of time from end of surgery to discharge from the recovery room

Outcome measures

Outcome measures
Measure
Intervention
n=10 Participants
NSS-2-Bridge auricular therapy will be given in addition to standard of care. NSS-2 Bridge: The NSS-2 BRIDGE is a battery operated and disposable percutaneous auricular nerve field stimulator (Innovative Health Solutions, Versailles, IN, USA), that was recently cleared by the FDA and assigned a Class II Risk Designation; a class which includes surgical drapes, pumps and power wheelchairs. The indication for the NSS-2 BRIDGE is for the treatment of clinical symptoms related to opioid consumption and opioid withdrawal.
Control
n=10 Participants
No intervention, subject receives standard of care
Time to Discharge From Recovery Room
134.9 minutes
Standard Deviation 37.7
197.3 minutes
Standard Deviation 152.5

SECONDARY outcome

Timeframe: Day of surgery to post-op day 5

Length of time from end of surgery to first oral intake

Outcome measures

Outcome measures
Measure
Intervention
n=10 Participants
NSS-2-Bridge auricular therapy will be given in addition to standard of care. NSS-2 Bridge: The NSS-2 BRIDGE is a battery operated and disposable percutaneous auricular nerve field stimulator (Innovative Health Solutions, Versailles, IN, USA), that was recently cleared by the FDA and assigned a Class II Risk Designation; a class which includes surgical drapes, pumps and power wheelchairs. The indication for the NSS-2 BRIDGE is for the treatment of clinical symptoms related to opioid consumption and opioid withdrawal.
Control
n=10 Participants
No intervention, subject receives standard of care
Time to Oral Intake
5.3 hours
Standard Deviation 2.6
4.2 hours
Standard Deviation 2.7

SECONDARY outcome

Timeframe: Day of surgery to post-op day 5

Length of time from end of surgery to first ambulation

Outcome measures

Outcome measures
Measure
Intervention
n=10 Participants
NSS-2-Bridge auricular therapy will be given in addition to standard of care. NSS-2 Bridge: The NSS-2 BRIDGE is a battery operated and disposable percutaneous auricular nerve field stimulator (Innovative Health Solutions, Versailles, IN, USA), that was recently cleared by the FDA and assigned a Class II Risk Designation; a class which includes surgical drapes, pumps and power wheelchairs. The indication for the NSS-2 BRIDGE is for the treatment of clinical symptoms related to opioid consumption and opioid withdrawal.
Control
n=10 Participants
No intervention, subject receives standard of care
Time to Ambulation
11.6 hours
Standard Deviation 7.4
18.9 hours
Standard Deviation 6.9

Adverse Events

Intervention-Kidney

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Control-Kidney

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Amy Monroe

University of Pittsburgh

Phone: 412-623-6382

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place