Extension Study Evaluating NTX100 Neuromodulation System for Medication-Refractory Primary RLS

NCT ID: NCT05196828

Last Updated: 2024-09-19

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

103 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-12-20

Study Completion Date

2022-11-18

Brief Summary

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Multi-center, prospective open-label extension study of noninvasive peripheral nerve stimulation (NPNS) with the NTX100 Neuromodulation System for patients with medication-refractory moderate- severe primary RLS

Detailed Description

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This is an extension study only inviting subjects who have previously completed the RESTFUL Study (NCT04874155).

Each study subject is enrolled into one of the following Arms:

Arm 1 (Direct Roll-Over Extension): 24-week open-label NPNS followed by 8-weeks of no treatment, no delay after completion of the RESTFUL Study

Arm 2 (Control Group): 24-weeks of no treatment

Conditions

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Restless Legs Syndrome

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Arm 1 - Direct Roll-Over Extension

24-wks of Active neurostimulation - Noninvasive peripheral nerve stimulation device programmed to deliver active stimulation; followed by 8-wks of No Intervention

Group Type ACTIVE_COMPARATOR

NTX100 Neuromodulation System

Intervention Type DEVICE

Active Noninvasive peripheral nerve stimulation device programmed to active mode

Arm 2 - Control Group

24-wks of No Intervention

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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NTX100 Neuromodulation System

Active Noninvasive peripheral nerve stimulation device programmed to active mode

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

1. Subject previously completed the RESTFUL Study (NCT04874155).
2. Subject has signed a valid, Institutional Review Board-approved informed consent form, can understand the requirements of the study and instructions for device usage, and can converse in English.
3. \[applicable to Arm 1 only\] Subject agrees to not change dosage or schedule of any medications that are known to impact RLS symptoms during the study, including RLS medications, antidepressants, sleep medications, or sedative antihistamines.

Exclusion Criteria

1. \[applicable to Arm 1 only\] Subject has active medical device implant anywhere in the body (including but not limited to pacemakers, spinal cord stimulators, deep brain stimulators) or metal implant at the site of study device electrode application.
2. \[applicable to Arm 1 only\] Subject has been diagnosed with one of the following conditions:

* Epilepsy or other seizure disorder Current, active or acute or chronic infection other than common cold \[and except for acute infections with mild symptoms\]
* A malignancy within the past 5 years (not including basal or squamous cell skin cancer)
* Stage 4-5 chronic kidney disease or renal failure
* Severe movement disorder symptoms (Parkinson's disease, Huntington's disease, dyskinesia, dystonia)
* Deep vein thrombosis
* Multiple sclerosis
3. Subject has moderate or severe cognitive disorder or mental illness.
4. \[applicable to Arm 1 only\] Subject has known allergy to device materials, electrode gel, polyurethane foam, or lycra (or severe previous reaction to medical adhesives or bandages).
5. \[applicable to Arm 1 only\] Subject has severe edema affecting lower legs.
6. \[applicable to Arm 1 only\] Subject has any of the following at or near the location of device application.

* Acute injury
* Cellulitis
* Open sores
* Other skin condition
7. \[applicable to Arm 1 only\] Subject is on dialysis or anticipated to start dialysis while participating in the study.
8. \[applicable to Arm 1 only\] Subject has received another investigational device or drug within 30 days before study entry, is planning to receive another investigational device or drug during the study, or is planning to change RLS medications during the study.
9. Subject is unable or unwilling to comply with study requirements.
10. \[applicable to Arm 1 only\] Subject is pregnant or trying to become pregnant.
11. Subject has a medical condition not listed above that may affect validity of the study as determined by the investigator.
12. \[applicable to Arm 1 only\] Subject has a medical condition not listed above that may put the subject at risk as determined by the investigator.
13. Subject was unwilling or unable to follow instructions in the RESTFUL Study, including missing 2 or more follow-up evaluations.
14. \[applicable to Arm 1 only\] Subject failed to properly operate the investigational devices during Weeks 5-8 of the RESTFUL Study.
15. \[applicable to Arm 1 only\] Subject experienced a significantly higher than expected rate of device malfunctions in the RESTFUL Study, such that the malfunctions appeared to be directly related to the subject's pattern of use.
Minimum Eligible Age

22 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Noctrix Health, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Jonathan D Charlesworth, PhD

Role: STUDY_DIRECTOR

Noctrix Health, Inc.

Locations

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California Center for Sleep Disorders

San Leandro, California, United States

Site Status

Delta Waves, Inc.

Colorado Springs, Colorado, United States

Site Status

Neurotrials Research

Atlanta, Georgia, United States

Site Status

Clayton Sleep Institute

St Louis, Missouri, United States

Site Status

Ohio Sleep Medicine Institute

Dublin, Ohio, United States

Site Status

Bogan Sleep Consultants, LLC

Columbia, South Carolina, United States

Site Status

FutureSearch Trials of Neurology

Austin, Texas, United States

Site Status

Countries

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United States

References

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Roy A, Ojile J, Kram J, Olin J, Rosenberg R, Hudson JD, Bogan RK, Charlesworth JD. Long-term efficacy and safety of tonic motor activation for treatment of medication-refractory restless legs syndrome: A 24-Week Open-Label Extension Study. Sleep. 2023 Oct 11;46(10):zsad188. doi: 10.1093/sleep/zsad188.

Reference Type DERIVED
PMID: 37439365 (View on PubMed)

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Other Identifiers

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CT-05

Identifier Type: -

Identifier Source: org_study_id

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