Promoting Healing of Injured Nerves With Electrical Stimulation Therapy

NCT ID: NCT05884125

Last Updated: 2024-08-21

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

RECRUITING

Clinical Phase

NA

Total Enrollment

60 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-06-12

Study Completion Date

2027-06-30

Brief Summary

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This study is evaluating a new therapeutic use of electrical stimulation to promote nerve healing and improve functional recovery following surgical intervention for peripheral nerve injury in arm. Participants will be randomized into one of two groups, treatment or control, with all participants receiving standard of care treatment for the nerve injury. The treatment group will also receive a single dose of the therapeutic stimulation during the surgical intervention for their nerve injury.

Detailed Description

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Preliminary research has shown that delivering a brief period of electrical stimulation following nerve repair promotes nerve healing and functional recovery. This pilot study is investigating the use of a single dose of therapeutic electrical stimulation to promote nerve healing. The therapy is delivered as part of the surgical intervention to address peripheral nerve injury in the arm.

Conditions

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Nerve Injury Peripheral Nerve Injuries Peripheral Nerve Injury Upper Limb Nerve Palsy

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Outcome Assessors

Study Groups

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Brief Electrical Stimulation Therapy

Single, 10 minute dose of electrical stimulation delivered to the injured nerve during surgical intervention.

Group Type EXPERIMENTAL

Checkpoint BEST System

Intervention Type DEVICE

Single use medical device, consisting of electric stimulator and intraoperative lead. Therapy consists of single, 10 minute dose delivered proximal to site of decompression/repair

Standard of Care

Surgical intervention for repair of peripheral nerve injury.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Checkpoint BEST System

Single use medical device, consisting of electric stimulator and intraoperative lead. Therapy consists of single, 10 minute dose delivered proximal to site of decompression/repair

Intervention Type DEVICE

Other Intervention Names

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Brief Electrical Stimulation (BES) Therapy

Eligibility Criteria

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Inclusion Criteria

* Upper extremity mixed or motor nerve injury from the brachial plexus to the wrist crease.
* Candidate for surgical intervention.
* Indicated for surgical repair by nerve transfer, primary repair, or nerve grafting.
* Are age 18-80 years.
* Signed and dated informed consent form.

Exclusion Criteria

* Severe comorbid condition, such as arrhythmia or congestive heart failure, preventing surgery.
* Primary repair requiring graft \>6cm.
* Nerve reconstruction occurring \>12 months post injury.
* Age less than 18 or greater than 80 years.
* All contraindications to included/required surgical procedure, including but not limited to language barriers, mental status barriers, inability to consent, and pregnancy/lactation.
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Congressionally Directed Medical Research Programs

FED

Sponsor Role collaborator

Checkpoint Surgical Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Amy M Moore, MD

Role: PRINCIPAL_INVESTIGATOR

Ohio State University

Locations

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The Ohio State Univeristy - Department of Plastic and Reconstructive Surgery

Columbus, Ohio, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Eric Walker, PhD

Role: CONTACT

216-370-9107 ext. 101

Facility Contacts

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Research Coordinator

Role: primary

614-293-8566

References

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Jo S, Pan D, Halevi AE, Roh J, Schellhardt L, Hunter Ra DA, Snyder-Warwick AK, Moore AM, Mackinnon SE, Wood MD. Comparing electrical stimulation and tacrolimus (FK506) to enhance treating nerve injuries. Muscle Nerve. 2019 Nov;60(5):629-636. doi: 10.1002/mus.26659. Epub 2019 Aug 21.

Reference Type BACKGROUND
PMID: 31397919 (View on PubMed)

Sayanagi J, Acevedo-Cintron JA, Pan D, Schellhardt L, Hunter DA, Snyder-Warwick AK, Mackinnon SE, Wood MD. Brief Electrical Stimulation Accelerates Axon Regeneration and Promotes Recovery Following Nerve Transection and Repair in Mice. J Bone Joint Surg Am. 2021 Oct 20;103(20):e80. doi: 10.2106/JBJS.20.01965.

Reference Type BACKGROUND
PMID: 34668879 (View on PubMed)

Roh J, Schellhardt L, Keane GC, Hunter DA, Moore AM, Snyder-Warwick AK, Mackinnon SE, Wood MD. Short-Duration, Pulsatile, Electrical Stimulation Therapy Accelerates Axon Regeneration and Recovery following Tibial Nerve Injury and Repair in Rats. Plast Reconstr Surg. 2022 Apr 1;149(4):681e-690e. doi: 10.1097/PRS.0000000000008924.

Reference Type BACKGROUND
PMID: 35139047 (View on PubMed)

Wong JN, Olson JL, Morhart MJ, Chan KM. Electrical stimulation enhances sensory recovery: a randomized controlled trial. Ann Neurol. 2015 Jun;77(6):996-1006. doi: 10.1002/ana.24397. Epub 2015 May 4.

Reference Type BACKGROUND
PMID: 25727139 (View on PubMed)

Juckett L, Saffari TM, Ormseth B, Senger JL, Moore AM. The Effect of Electrical Stimulation on Nerve Regeneration Following Peripheral Nerve Injury. Biomolecules. 2022 Dec 12;12(12):1856. doi: 10.3390/biom12121856.

Reference Type BACKGROUND
PMID: 36551285 (View on PubMed)

Keane GC, Pan D, Roh J, Larson EL, Schellhardt L, Hunter DA, Snyder-Warwick AK, Moore AM, Mackinnon SE, Wood MD. The Effects of Intraoperative Electrical Stimulation on Regeneration and Recovery After Nerve Isograft Repair in a Rat Model. Hand (N Y). 2022 May;17(3):540-548. doi: 10.1177/1558944720939200. Epub 2020 Jul 15.

Reference Type BACKGROUND
PMID: 32666827 (View on PubMed)

Other Identifiers

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W81XWH1920065

Identifier Type: OTHER_GRANT

Identifier Source: secondary_id

0153-CSP-002

Identifier Type: -

Identifier Source: org_study_id

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