Evaluation of the Effectiveness and Safety of Keeogo™ Dermoskeleton in Subjects With Mobility Impairments Due to Stroke

NCT ID: NCT03986320

Last Updated: 2019-10-29

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

NA

Total Enrollment

60 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-07-22

Study Completion Date

2020-09-30

Brief Summary

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A multi-site, interventional, non-comparative, single-arm trial to evaluate the safety of the Keeogo™ Dermoskeleton in subjects with hemiparesis due to ischemic or hemorrhagic stroke.

Detailed Description

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Stroke affects thousands of individuals annually, leading to considerable physical impairment and functional disability. Gait is one of the most important activities of daily living affected in this patient population. Recent technological developments in passively powered dermoskeleton can create powerful adjunctive tools for rehabilitation and potentially accelerate functional recovery. Here, the investigators present the development and evaluation of a lower limb dermoskeleton, namely Keeogo™ (B-Temia), for use in rehabilitation institutions to assist individuals with hemiparesis due to stroke who are able to stand and initiate a step in performing ambulatory functions.

Keeogo™ Dermoskeleton is a low-profile, assistive exoskeleton (or 'dermoskeleton') that orthotically fits to the lower limbs. Keeogo™ is worn on the user's lower body using a belt and contact areas attached around the thighs and calves.

Conditions

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Stroke, Ischemic Stroke Hemorrhagic Stroke Hemiparesis Cerebral Vascular Accident

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Device: Keeogo™ Dermoskeleton This device is intended for use in rehabilitation institutions to assist individuals with hemiparesis due to stroke who are able to stand and initiate a step in performing ambulatory functions.
Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

NONE

Sites will enroll participants in order of recruitment. No other randomization procedure will be applied.

Study Groups

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Keeogo™ Dermoskeleton

Keeogo™ Dermoskeleton is a low-profile, assistive exoskeleton (or 'dermoskeleton') that orthotically fits to the lower limbs. Keeogo™ is worn on the user's lower body using a belt and contact areas attached around the thighs and calves.

Group Type EXPERIMENTAL

Keeogo™ Dermoskeleton

Intervention Type DEVICE

This device is intended for use in rehabilitation institutions to assist individuals with hemiparesis due to stroke who are able to stand and initiate a step in performing ambulatory functions.

Interventions

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Keeogo™ Dermoskeleton

This device is intended for use in rehabilitation institutions to assist individuals with hemiparesis due to stroke who are able to stand and initiate a step in performing ambulatory functions.

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

To be eligible to participate in this study, an individual must meet all of the following criteria:

* Provide signed and dated informed consent form;
* Willing to comply with all study procedures and be available for the duration of the study \[2-3 days per week, 3-5 consecutive weeks\];
* Adults 18 years of age and older;
* Confirmed Cerebrovascular Accident (CVA) with hemiparesis;
* Stable stroke (≥ 6 months post-incident)
* Sufficient cognition to follow simple instructions and understand the content and purpose of the study (MMSE \> 20);
* Capable of standing and walking independently for an extended period of time (MMT

* 3 hip flexors and extensors, and ≥ 2 knee flexors and extensors with BBS ≥ 45);
* Presence of any gait deficit, as defined by one or more of the following clinical observations:

* Hip hike
* Hip circumduction
* Knee spasticity (MAS 2 to 3) as per Modified Ashworth Scale (MAS)
* Mid-foot striking (aka 'flat foot landing')
* Poor foot clearance (toe/foot drop or foot drag)
* Narrow steps (\< 1 shoe-width or \< 8 cm)
* Manual Muscle Test (MMT) of 4/5 for the unaffected upper extremity;
* Able to sit on a bench for more than 5 minutes;
* Is physically and mentally compatible with device to demonstrate ability to safely activate the Keeogo™ user interface;
* Able to understand and follow instructions with assistance if needed.

Exclusion Criteria

An individual who meets any of the following criteria will be excluded from participation in this study:

* Legally blind
* Pregnant, lactating, or postpartum sacroiliac joint recovery is ongoing (recent childbirth, not yet cleared for vigorous exercise)
* Skin condition that contraindicates use of orthotics or support braces
* Recent (\<6 mo) lower-body hospitalizations or active treatments due to a joint, muscle, bone, nerve or vascular injury or condition
* Scheduled for major surgery within next 4 months
* Lower-extremity amputation above or below the knee
* Have uncontrolled hypertension
* Recent (\<1 year) heart attack
* Have uncontrolled diabetes
* Diagnosed with other health condition(s) that affect mobility and balance; chronic obstructive pulmonary disease; peripheral arterial disease; vestibular disorders; cerebellar disease; cerebral palsy; muscular dystrophy spinal cord injury; other brain injury aside from the reported CVA;
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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B-Temia, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Arun Jayaraman, PT, PhD.

Role: PRINCIPAL_INVESTIGATOR

Shirley Ryan Ability Lab (SRA)

Locations

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Shirley Ryan Ability Lab (SRA)

Chicago, Illinois, United States

Site Status

Human Performance and Engineering Research (HPER)

West Orange, New Jersey, United States

Site Status

James J Peters VA Medical Center - Center for the Medical Consequences of Spinal Cord Injury

The Bronx, New York, United States

Site Status

Assistive Technology Clinic (ATC)

Toronto, Ontario, Canada

Site Status

Countries

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United States Canada

References

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Buesing C, Fisch G, O'Donnell M, Shahidi I, Thomas L, Mummidisetty CK, Williams KJ, Takahashi H, Rymer WZ, Jayaraman A. Effects of a wearable exoskeleton stride management assist system (SMA(R)) on spatiotemporal gait characteristics in individuals after stroke: a randomized controlled trial. J Neuroeng Rehabil. 2015 Aug 20;12:69. doi: 10.1186/s12984-015-0062-0.

Reference Type BACKGROUND
PMID: 26289955 (View on PubMed)

Xu J, Murphy SL, Kochanek KD, Bastian B, Arias E. Deaths: Final Data for 2016. Natl Vital Stat Rep. 2018 Jul;67(5):1-76.

Reference Type BACKGROUND
PMID: 30248015 (View on PubMed)

He Y, Eguren D, Luu TP, Contreras-Vidal JL. Risk management and regulations for lower limb medical exoskeletons: a review. Med Devices (Auckl). 2017 May 9;10:89-107. doi: 10.2147/MDER.S107134. eCollection 2017.

Reference Type BACKGROUND
PMID: 28533700 (View on PubMed)

Lee SH, Lee HJ, Chang WH, Choi BO, Lee J, Kim J, Ryu GH, Kim YH. Gait performance and foot pressure distribution during wearable robot-assisted gait in elderly adults. J Neuroeng Rehabil. 2017 Nov 28;14(1):123. doi: 10.1186/s12984-017-0333-z.

Reference Type BACKGROUND
PMID: 29183379 (View on PubMed)

Morawietz C, Moffat F. Effects of locomotor training after incomplete spinal cord injury: a systematic review. Arch Phys Med Rehabil. 2013 Nov;94(11):2297-308. doi: 10.1016/j.apmr.2013.06.023. Epub 2013 Jul 9.

Reference Type BACKGROUND
PMID: 23850614 (View on PubMed)

Related Links

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https://www.cdc.gov/nchs/fastats/disability.htm

Disability and Functioning (Noninstitutionalized Adults Aged 18 and Over)

http://www.phac-aspc.gc.ca/publicat/cd-mc/mc-ec/assets/pdf/mc-ec-eng.pdf

Mapping Connections. An Understanding of Neurological Conditions in Canada. The National Population Health Study of Neurological Conditions.: Neurological Health Charities Canada. Government of Canada. Canadian Institutes of Health Research.

https://www150.statcan.gc.ca/n1/pub/12-581-x/2018000/pop-eng.htm

Canada S. Canada at a Glance 2018. Population

https://www.federalregister.gov/documents/2015/02/24/2015-03692/medical-devices-physical-medicine-devices-classification-of-the-powered-exoskeleton

Medical Devices; Physical Medicine Devices; Classification of the Powered Exoskeleton A Rule by the Food and Drug Administration on 02/24/2015

https://www.cdc.gov/nchs/fastats/stroke.htm

(CDC) CfDCaP. National Center for Health Statistics - Cerebrovascular Disease or Stroke

Other Identifiers

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KEOG-SE-002

Identifier Type: -

Identifier Source: org_study_id

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