Trial Outcomes & Findings for A Study of Remote Electrical Neuromodulation for Acute Procedural Pain (NCT NCT05730556)

NCT ID: NCT05730556

Last Updated: 2025-10-27

Results Overview

Measured by VAS values reported by participants using the 100-mm Visual Analogue Scale (VAS). The VAS line will be 100 mm long with no intermediate delineations. Each end will be marked with "no pain" on the left, and "worst possible pain" on the right. Participants will identify their pain level by indicating a point on the line between each end. That point will be measured from the "No pain" end, and the number of millimeters will be reported as the pain score. Scores can range from 0 to 100, with higher score indicating worse pain.

Recruitment status

TERMINATED

Study phase

NA

Target enrollment

80 participants

Primary outcome timeframe

Baseline, Week 12, Week 24

Results posted on

2025-10-27

Participant Flow

80 participants were consented to the study and of those 80 participants, 20 were withdrawn prior to randomization.

Participant milestones

Participant milestones
Measure
Electrical Neuromodulation, Then Sham
Subjects first had the Nerivio ® applied 20 minutes prior to clinical care onabotulinumtoxinA (Botox) injection, and continued to wear the device for a total of 40 to 45 minutes at week 12. Subjects then had the sham device applied 20 minutes prior to clinical care onabotulinumtoxinA (Botox) injection, and continued to wear the device for a total of 40 to 45 minutes at week 24. Nerivio ®: Non-invasive wearable, remote electrical neuromodulation (REN) device controlled by a smartphone application worn on an armband on the upper arm. Sham: Electrical stimulation to mimic study treatment intervention
Sham, Then Electrical Neuromodulation
Subjects first had the sham device applied 20 minutes prior to clinical care onabotulinumtoxinA (Botox) injection, and continued to wear the device for a total of 40 to 45 minutes at week 12. Subjects then had the Nerivio ® applied 20 minutes prior to clinical care onabotulinumtoxinA (Botox) injection, and continued to wear the device for a total of 40 to 45 minutes at week 24. Nerivio ®: Non-invasive wearable, remote electrical neuromodulation (REN) device controlled by a smartphone application worn on an armband on the upper arm. Sham: Electrical stimulation to mimic study treatment intervention
First Intervention
STARTED
30
30
First Intervention
COMPLETED
30
30
First Intervention
NOT COMPLETED
0
0
Second Intervention
STARTED
30
30
Second Intervention
COMPLETED
30
30
Second Intervention
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Race and Ethnicity were not collected from any participant.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Electrical Neuromodulation, Then Sham
n=30 Participants
Subjects first had the Nerivio ® applied 20 minutes prior to clinical care onabotulinumtoxinA (Botox) injection, and continued to wear the device for a total of 40 to 45 minutes at week 12. Subjects then had the sham device applied 20 minutes prior to clinical care onabotulinumtoxinA (Botox) injection, and continued to wear the device for a total of 40 to 45 minutes at week 24. Nerivio ®: Non-invasive wearable, remote electrical neuromodulation (REN) device controlled by a smartphone application worn on an armband on the upper arm. Sham: Electrical stimulation to mimic study treatment intervention
Sham, Then Electrical Neuromodulation
n=30 Participants
Subjects first had the sham device applied 20 minutes prior to clinical care onabotulinumtoxinA (Botox) injection, and continued to wear the device for a total of 40 to 45 minutes at week 12. Subjects then had the Nerivio ® applied 20 minutes prior to clinical care onabotulinumtoxinA (Botox) injection, and continued to wear the device for a total of 40 to 45 minutes at week 24. Nerivio ®: Non-invasive wearable, remote electrical neuromodulation (REN) device controlled by a smartphone application worn on an armband on the upper arm. Sham: Electrical stimulation to mimic study treatment intervention
Total
n=60 Participants
Total of all reporting groups
Age, Continuous
51.5 years
STANDARD_DEVIATION 12.2 • n=30 Participants
44.5 years
STANDARD_DEVIATION 15.0 • n=30 Participants
48.0 years
STANDARD_DEVIATION 14.0 • n=60 Participants
Sex: Female, Male
Female
26 Participants
n=30 Participants
23 Participants
n=30 Participants
49 Participants
n=60 Participants
Sex: Female, Male
Male
4 Participants
n=30 Participants
7 Participants
n=30 Participants
11 Participants
n=60 Participants
Race and Ethnicity Not Collected
0 Participants
Race and Ethnicity were not collected from any participant.
Region of Enrollment
United States
30 participants
n=30 Participants
30 participants
n=30 Participants
60 participants
n=60 Participants

PRIMARY outcome

Timeframe: Baseline, Week 12, Week 24

Population: Seven (7) participants in the Electrical Neuromodulation, Then Sham arm and Eight (8) participants in Sham, Then Electrical Neuromodulation arm did not have Week 24 data as the trial was stopped early as the stopping rule for efficiency was reached in the interim analysis.

Measured by VAS values reported by participants using the 100-mm Visual Analogue Scale (VAS). The VAS line will be 100 mm long with no intermediate delineations. Each end will be marked with "no pain" on the left, and "worst possible pain" on the right. Participants will identify their pain level by indicating a point on the line between each end. That point will be measured from the "No pain" end, and the number of millimeters will be reported as the pain score. Scores can range from 0 to 100, with higher score indicating worse pain.

Outcome measures

Outcome measures
Measure
Electrical Neuromodulation, Then Sham
n=30 Participants
Subjects first had the Nerivio ® applied 20 minutes prior to clinical care onabotulinumtoxinA (Botox) injection, and continued to wear the device for a total of 40 to 45 minutes at week 12. Subjects then had the sham device applied 20 minutes prior to clinical care onabotulinumtoxinA (Botox) injection, and continued to wear the device for a total of 40 to 45 minutes at week 24. Nerivio ®: Non-invasive wearable, remote electrical neuromodulation (REN) device controlled by a smartphone application worn on an armband on the upper arm. Sham: Electrical stimulation to mimic study treatment intervention
Sham, Then Electrical Neuromodulation
n=30 Participants
Subjects first had the sham device applied 20 minutes prior to clinical care onabotulinumtoxinA (Botox) injection, and continued to wear the device for a total of 40 to 45 minutes at week 12. Subjects then had the Nerivio ® applied 20 minutes prior to clinical care onabotulinumtoxinA (Botox) injection, and continued to wear the device for a total of 40 to 45 minutes at week 24. Nerivio ®: Non-invasive wearable, remote electrical neuromodulation (REN) device controlled by a smartphone application worn on an armband on the upper arm. Sham: Electrical stimulation to mimic study treatment intervention
Change in Pain Intensity Measured by Visual Analog Scale (VAS)
Baseline Post-Procedure
59.9 score on a scale
Standard Deviation 22.1
62.0 score on a scale
Standard Deviation 25.2
Change in Pain Intensity Measured by Visual Analog Scale (VAS)
Week 12 Pre-Procedure
21.2 score on a scale
Standard Deviation 23.3
27.0 score on a scale
Standard Deviation 23.7
Change in Pain Intensity Measured by Visual Analog Scale (VAS)
Week 12 Post-Procedure
38.7 score on a scale
Standard Deviation 19.7
64.7 score on a scale
Standard Deviation 21.5
Change in Pain Intensity Measured by Visual Analog Scale (VAS)
Week 24 Pre-Procedure
19.2 score on a scale
Standard Deviation 24.7
25.7 score on a scale
Standard Deviation 20.3
Change in Pain Intensity Measured by Visual Analog Scale (VAS)
Week 24 Intra-Procedure
50.4 score on a scale
Standard Deviation 20.5
44.5 score on a scale
Standard Deviation 22.8
Change in Pain Intensity Measured by Visual Analog Scale (VAS)
Week 24 Post-Procedure
54.6 score on a scale
Standard Deviation 23.4
46.6 score on a scale
Standard Deviation 25.3
Change in Pain Intensity Measured by Visual Analog Scale (VAS)
Baseline Pre-Procedure
23.0 score on a scale
Standard Deviation 26.3
32.9 score on a scale
Standard Deviation 24.8
Change in Pain Intensity Measured by Visual Analog Scale (VAS)
Baseline Intra-Procedure
52.5 score on a scale
Standard Deviation 19.6
58.3 score on a scale
Standard Deviation 24.2
Change in Pain Intensity Measured by Visual Analog Scale (VAS)
Week 12 Intra-Procedure
37.2 score on a scale
Standard Deviation 19.3
60.7 score on a scale
Standard Deviation 20.6

SECONDARY outcome

Timeframe: Baseline, Week 12, Week 24

Population: Seven (7) participants in the Electrical Neuromodulation, Then Sham arm and Eight (8) participants in Sham, Then Electrical Neuromodulation arm did not have Week 24 data as the trial was stopped early as the stopping rule for efficiency was reached in the interim analysis.

Number of subjects to report the presence of post-procedural headache, defined as a headache that lasts for 4 hours or more and is at least moderate in severity or during which abortive medications are used to treat the patient's head pain.

Outcome measures

Outcome measures
Measure
Electrical Neuromodulation, Then Sham
n=30 Participants
Subjects first had the Nerivio ® applied 20 minutes prior to clinical care onabotulinumtoxinA (Botox) injection, and continued to wear the device for a total of 40 to 45 minutes at week 12. Subjects then had the sham device applied 20 minutes prior to clinical care onabotulinumtoxinA (Botox) injection, and continued to wear the device for a total of 40 to 45 minutes at week 24. Nerivio ®: Non-invasive wearable, remote electrical neuromodulation (REN) device controlled by a smartphone application worn on an armband on the upper arm. Sham: Electrical stimulation to mimic study treatment intervention
Sham, Then Electrical Neuromodulation
n=30 Participants
Subjects first had the sham device applied 20 minutes prior to clinical care onabotulinumtoxinA (Botox) injection, and continued to wear the device for a total of 40 to 45 minutes at week 12. Subjects then had the Nerivio ® applied 20 minutes prior to clinical care onabotulinumtoxinA (Botox) injection, and continued to wear the device for a total of 40 to 45 minutes at week 24. Nerivio ®: Non-invasive wearable, remote electrical neuromodulation (REN) device controlled by a smartphone application worn on an armband on the upper arm. Sham: Electrical stimulation to mimic study treatment intervention
Presence of Post-procedural Headache
Baseline
12 Participants
11 Participants
Presence of Post-procedural Headache
Week 12
4 Participants
20 Participants
Presence of Post-procedural Headache
Week 24
9 Participants
4 Participants

SECONDARY outcome

Timeframe: 24 weeks

Number of adverse events reported

Outcome measures

Outcome measures
Measure
Electrical Neuromodulation, Then Sham
n=60 Participants
Subjects first had the Nerivio ® applied 20 minutes prior to clinical care onabotulinumtoxinA (Botox) injection, and continued to wear the device for a total of 40 to 45 minutes at week 12. Subjects then had the sham device applied 20 minutes prior to clinical care onabotulinumtoxinA (Botox) injection, and continued to wear the device for a total of 40 to 45 minutes at week 24. Nerivio ®: Non-invasive wearable, remote electrical neuromodulation (REN) device controlled by a smartphone application worn on an armband on the upper arm. Sham: Electrical stimulation to mimic study treatment intervention
Sham, Then Electrical Neuromodulation
n=60 Participants
Subjects first had the sham device applied 20 minutes prior to clinical care onabotulinumtoxinA (Botox) injection, and continued to wear the device for a total of 40 to 45 minutes at week 12. Subjects then had the Nerivio ® applied 20 minutes prior to clinical care onabotulinumtoxinA (Botox) injection, and continued to wear the device for a total of 40 to 45 minutes at week 24. Nerivio ®: Non-invasive wearable, remote electrical neuromodulation (REN) device controlled by a smartphone application worn on an armband on the upper arm. Sham: Electrical stimulation to mimic study treatment intervention
Adverse Events
0 events
0 events

Adverse Events

Electrical Neuromodulation

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

Sham

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

Amaal Starling, M.D.

Mayo Clinic

Phone: 715-537-1345

Results disclosure agreements

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