Trial Outcomes & Findings for Impact of Bridge™ Device to Treat Opioid Withdrawal Symptoms (NCT NCT05924945)

NCT ID: NCT05924945

Last Updated: 2025-10-28

Results Overview

The Clinical Opiate Withdrawal Scale (COWS) is an 11-item scale designed to be administered by a clinician. This tool can be used in both inpatient and outpatient settings to reproducibly rate common signs and symptoms of opiate withdrawal and monitor these symptoms over time. The summed score for the complete scale can be used to help clinicians determine the stage or severity of opiate withdrawal and assess the level of physical dependence on opioids. Score Range: The COWS score can range from 0 to 48. Interpretation: 0-4: No withdrawal 5-12: Mild withdrawal 13-24: Moderate withdrawal 25-36: Moderately severe withdrawal 37-48: Severe withdrawal High scores mean more severe withdrawal.

Recruitment status

TERMINATED

Study phase

NA

Target enrollment

13 participants

Primary outcome timeframe

prior to device placement (0 min), 30 min, 60 min, 120 min, 2nd day, 3rd day, 4th day and 5th day of continuous device use

Results posted on

2025-10-28

Participant Flow

Participant milestones

Participant milestones
Measure
Bridge™ Active Device
The active Bridge device delivers electrical stimulation to the cranial and occipital nerves. Bridge™ active device: Bridge is a percutaneous nerve field stimulation device
Bridge™ Sham Device
The sham device has the same appearance and will require the same placement technique as the Bridge (active) device but will not deliver electrical impulses Bridge™ sham device: The sham device has the same appearance and will require the same placement technique as the Bridge (active) device but will not deliver electrical impulses.
Overall Study
STARTED
6
7
Overall Study
COMPLETED
3
3
Overall Study
NOT COMPLETED
3
4

Reasons for withdrawal

Reasons for withdrawal
Measure
Bridge™ Active Device
The active Bridge device delivers electrical stimulation to the cranial and occipital nerves. Bridge™ active device: Bridge is a percutaneous nerve field stimulation device
Bridge™ Sham Device
The sham device has the same appearance and will require the same placement technique as the Bridge (active) device but will not deliver electrical impulses Bridge™ sham device: The sham device has the same appearance and will require the same placement technique as the Bridge (active) device but will not deliver electrical impulses.
Overall Study
Withdrawal by Subject
3
4

Baseline Characteristics

Impact of Bridge™ Device to Treat Opioid Withdrawal Symptoms

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Bridge™ Active Device
n=6 Participants
The active Bridge device delivers electrical stimulation to the cranial and occipital nerves. Bridge™ active device: Bridge is a percutaneous nerve field stimulation device
Bridge™ Sham Device
n=7 Participants
The sham device has the same appearance and will require the same placement technique as the Bridge (active) device but will not deliver electrical impulses Bridge™ sham device: The sham device has the same appearance and will require the same placement technique as the Bridge (active) device but will not deliver electrical impulses.
Total
n=13 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
6 Participants
n=5 Participants
7 Participants
n=7 Participants
13 Participants
n=5 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Sex: Female, Male
Female
1 Participants
n=5 Participants
1 Participants
n=7 Participants
2 Participants
n=5 Participants
Sex: Female, Male
Male
5 Participants
n=5 Participants
6 Participants
n=7 Participants
11 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
1 Participants
n=5 Participants
1 Participants
n=7 Participants
2 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
5 Participants
n=5 Participants
6 Participants
n=7 Participants
11 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 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
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Race (NIH/OMB)
White
5 Participants
n=5 Participants
5 Participants
n=7 Participants
10 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Region of Enrollment
United States
6 Participants
n=5 Participants
7 Participants
n=7 Participants
13 Participants
n=5 Participants

PRIMARY outcome

Timeframe: prior to device placement (0 min), 30 min, 60 min, 120 min, 2nd day, 3rd day, 4th day and 5th day of continuous device use

Population: The study was terminated prematurely due to sponsor decision with no clinical rationale for the termination. This was a prospective study investigating the test device. Of 13 subjects using the device, only 6 completed the study. The sample size is well below the threshold needed to perform reliable statistical comparisons. We reported all demographic data and outcome measure data from the limited sample. Further data reporting would be statistically inappropriate due to the sample size.

The Clinical Opiate Withdrawal Scale (COWS) is an 11-item scale designed to be administered by a clinician. This tool can be used in both inpatient and outpatient settings to reproducibly rate common signs and symptoms of opiate withdrawal and monitor these symptoms over time. The summed score for the complete scale can be used to help clinicians determine the stage or severity of opiate withdrawal and assess the level of physical dependence on opioids. Score Range: The COWS score can range from 0 to 48. Interpretation: 0-4: No withdrawal 5-12: Mild withdrawal 13-24: Moderate withdrawal 25-36: Moderately severe withdrawal 37-48: Severe withdrawal High scores mean more severe withdrawal.

Outcome measures

Outcome measures
Measure
Bridge™ Active Device
n=3 Participants
The active Bridge device delivers electrical stimulation to the cranial and occipital nerves. Bridge™ active device: Bridge is a percutaneous nerve field stimulation device
Bridge™ Sham Device
n=3 Participants
The sham device has the same appearance and will require the same placement technique as the Bridge (active) device but will not deliver electrical impulses Bridge™ sham device: The sham device has the same appearance and will require the same placement technique as the Bridge (active) device but will not deliver electrical impulses.
Assess Change in Clinical Opiate Withdrawal Scale (COWS) Score
Subject 1 COWS score pre-device placement, 0 min device use (raw data)
18 score on a scale
Assess Change in Clinical Opiate Withdrawal Scale (COWS) Score
Subject 1 COWS score device use 30 min (raw data)
5 score on a scale
Assess Change in Clinical Opiate Withdrawal Scale (COWS) Score
Subject 1 COWS score device use 60 min (raw data)
3 score on a scale
Assess Change in Clinical Opiate Withdrawal Scale (COWS) Score
Subject 1 COWS score device use 120 min (raw data)
6 score on a scale
Assess Change in Clinical Opiate Withdrawal Scale (COWS) Score
Subject 1 COWS score device use 2 days (raw data)
10 score on a scale
Assess Change in Clinical Opiate Withdrawal Scale (COWS) Score
Subject 1 COWS score device use 3 days (raw data)
8 score on a scale
Assess Change in Clinical Opiate Withdrawal Scale (COWS) Score
Subject 1 COWS score device use 4 days (raw data)
0 score on a scale
Assess Change in Clinical Opiate Withdrawal Scale (COWS) Score
Subject 1 COWS score device use 5 days (raw data)
7 score on a scale
Assess Change in Clinical Opiate Withdrawal Scale (COWS) Score
Subject 2 COWS score pre-device placement, 0 min device use (raw data)
15 score on a scale
Assess Change in Clinical Opiate Withdrawal Scale (COWS) Score
Subject 2 COWS score device use 30 min (raw data)
7 score on a scale
Assess Change in Clinical Opiate Withdrawal Scale (COWS) Score
Subject 2 COWS score device use 60 min (raw data)
3 score on a scale
Assess Change in Clinical Opiate Withdrawal Scale (COWS) Score
Subject 2 COWS score device use 120 min (raw data)
5 score on a scale
Assess Change in Clinical Opiate Withdrawal Scale (COWS) Score
Subject 2 COWS score device use 2 days (raw data)
9 score on a scale
Assess Change in Clinical Opiate Withdrawal Scale (COWS) Score
Subject 2 COWS score device use 3 days (raw data)
13 score on a scale
Assess Change in Clinical Opiate Withdrawal Scale (COWS) Score
Subject 2 COWS score device use 4 days (raw data)
15 score on a scale
Assess Change in Clinical Opiate Withdrawal Scale (COWS) Score
Subject 2 COWS score device use 5 days (raw data)
13 score on a scale
Assess Change in Clinical Opiate Withdrawal Scale (COWS) Score
Subject 3 COWS score pre-device placement, 0 min device use (raw data)
17 score on a scale
Assess Change in Clinical Opiate Withdrawal Scale (COWS) Score
Subject 3 COWS score device use 30 min (raw data)
14 score on a scale
Assess Change in Clinical Opiate Withdrawal Scale (COWS) Score
Subject 3 COWS score device use 60 min (raw data)
10 score on a scale
Assess Change in Clinical Opiate Withdrawal Scale (COWS) Score
Subject 3 COWS score device use 120 min (raw data)
9 score on a scale
Assess Change in Clinical Opiate Withdrawal Scale (COWS) Score
Subject 3 COWS score device use 2 days (raw data)
16 score on a scale
Assess Change in Clinical Opiate Withdrawal Scale (COWS) Score
Subject 3 COWS score device use 3 days (raw data)
3 score on a scale
Assess Change in Clinical Opiate Withdrawal Scale (COWS) Score
Subject 3 COWS score device use 4 days (raw data)
3 score on a scale
Assess Change in Clinical Opiate Withdrawal Scale (COWS) Score
Subject 3 COWS score device use 5 days (raw data)
5 score on a scale
Assess Change in Clinical Opiate Withdrawal Scale (COWS) Score
Subject 4 COWS score pre-device placement, 0 min device use (raw data)
16 score on a scale
Assess Change in Clinical Opiate Withdrawal Scale (COWS) Score
Subject 4 COWS score device use 30 min (raw data)
8 score on a scale
Assess Change in Clinical Opiate Withdrawal Scale (COWS) Score
Subject 4 COWS score device use 60 min (raw data)
6 score on a scale
Assess Change in Clinical Opiate Withdrawal Scale (COWS) Score
Subject 4 COWS score device use 120 min (raw data)
5 score on a scale
Assess Change in Clinical Opiate Withdrawal Scale (COWS) Score
Subject 4 COWS score device use 2 days (raw data)
4 score on a scale
Assess Change in Clinical Opiate Withdrawal Scale (COWS) Score
Subject 4 COWS score device use 3 days (raw data)
6 score on a scale
Assess Change in Clinical Opiate Withdrawal Scale (COWS) Score
Subject 4 COWS score device use 4 days (raw data)
5 score on a scale
Assess Change in Clinical Opiate Withdrawal Scale (COWS) Score
Subject 4 COWS score device use 5 days (raw data)
3 score on a scale
Assess Change in Clinical Opiate Withdrawal Scale (COWS) Score
Subject 5 COWS score pre-device placement, 0 min device use (raw data)
20 score on a scale
Assess Change in Clinical Opiate Withdrawal Scale (COWS) Score
Subject 5 COWS score device use 30 min (raw data)
7 score on a scale
Assess Change in Clinical Opiate Withdrawal Scale (COWS) Score
Subject 5 COWS score device use 60 min (raw data)
7 score on a scale
Assess Change in Clinical Opiate Withdrawal Scale (COWS) Score
Subject 5 COWS score device use 120 min (raw data)
2 score on a scale
Assess Change in Clinical Opiate Withdrawal Scale (COWS) Score
Subject 5 COWS score device use 2 days (raw data)
4 score on a scale
Assess Change in Clinical Opiate Withdrawal Scale (COWS) Score
Subject 5 COWS score device use 3 days (raw data)
2 score on a scale
Assess Change in Clinical Opiate Withdrawal Scale (COWS) Score
Subject 5 COWS score device use 4 days (raw data)
1 score on a scale
Assess Change in Clinical Opiate Withdrawal Scale (COWS) Score
Subject 6 COWS score pre-device placement, 0 min device use (raw data)
16 score on a scale
Assess Change in Clinical Opiate Withdrawal Scale (COWS) Score
Subject 6 COWS score device use 30 min (raw data)
11 score on a scale
Assess Change in Clinical Opiate Withdrawal Scale (COWS) Score
Subject 6 COWS score device use 60 min (raw data)
10 score on a scale
Assess Change in Clinical Opiate Withdrawal Scale (COWS) Score
Subject 6 COWS score device use 120 min (raw data)
8 score on a scale
Assess Change in Clinical Opiate Withdrawal Scale (COWS) Score
Subject 6 COWS score device use 3 days (raw data)
8 score on a scale
Assess Change in Clinical Opiate Withdrawal Scale (COWS) Score
Subject 6 COWS score device use 4 days (raw data)
9 score on a scale
Assess Change in Clinical Opiate Withdrawal Scale (COWS) Score
Subject 6 COWS score device use 5 days (raw data)
4 score on a scale
Assess Change in Clinical Opiate Withdrawal Scale (COWS) Score
Subject 5 COWS score device use 5 days (raw data)
0 score on a scale
Assess Change in Clinical Opiate Withdrawal Scale (COWS) Score
Subject 6 COWS score device use 2 days (raw data)
8 score on a scale

SECONDARY outcome

Timeframe: prior to device placement (0 min), 30 min, 60 min, 120 min, 2nd day, 3rd day, 4th day and 5th day of continuous device use

Population: The study was terminated prematurely due to sponsor decision with no clinical rationale for the termination. This was a prospective study investigating the test device. Of 13 subjects using the device, only 6 completed the study. The sample size is well below the threshold needed to perform reliable statistical comparisons. We reported all demographic data and outcome measure data from the limited sample. Further data reporting would be statistically inappropriate due to the sample size.

The Subjective Opiate Withdrawal Scale (SOWS) consist of 16 symptoms rated in intensity by patients on a 5-point scale of intensity as follows: 0=not at all, 1=a little, 2=moderately, 3=quite a bit, 4=extremely. The total score is a sum of item ratings, and ranges from 0 to 64. High scores mean worse symptom intensity.

Outcome measures

Outcome measures
Measure
Bridge™ Active Device
n=3 Participants
The active Bridge device delivers electrical stimulation to the cranial and occipital nerves. Bridge™ active device: Bridge is a percutaneous nerve field stimulation device
Bridge™ Sham Device
n=3 Participants
The sham device has the same appearance and will require the same placement technique as the Bridge (active) device but will not deliver electrical impulses Bridge™ sham device: The sham device has the same appearance and will require the same placement technique as the Bridge (active) device but will not deliver electrical impulses.
Assess Change in Subjective Opiate Withdrawal Scale (SOWS) Score
Subject 1 SOWS score pre-device placement, 0 min device use (raw data)
40 score on a scale
Assess Change in Subjective Opiate Withdrawal Scale (SOWS) Score
Subject 1 SOWS score device use 30 min (raw data)
42 score on a scale
Assess Change in Subjective Opiate Withdrawal Scale (SOWS) Score
Subject 1 SOWS score device use 60 min (raw data)
NA score on a scale
score at this time point not obtained
Assess Change in Subjective Opiate Withdrawal Scale (SOWS) Score
Subject 1 SOWS score device use 120 min (raw data)
24 score on a scale
Assess Change in Subjective Opiate Withdrawal Scale (SOWS) Score
Subject 1 SOWS score device use 2 days (raw data)
38 score on a scale
Assess Change in Subjective Opiate Withdrawal Scale (SOWS) Score
Subject 1 SOWS score device use 3 days (raw data)
28 score on a scale
Assess Change in Subjective Opiate Withdrawal Scale (SOWS) Score
Subject 1 SOWS score device use 4 days (raw data)
19 score on a scale
Assess Change in Subjective Opiate Withdrawal Scale (SOWS) Score
Subject 1 SOWS score device use 5 days (raw data)
28 score on a scale
Assess Change in Subjective Opiate Withdrawal Scale (SOWS) Score
Subject 2 SOWS score pre-device placement, 0 min device use (raw data)
23 score on a scale
Assess Change in Subjective Opiate Withdrawal Scale (SOWS) Score
Subject 2 SOWS score device use 30 min (raw data)
10 score on a scale
Assess Change in Subjective Opiate Withdrawal Scale (SOWS) Score
Subject 2 SOWS score device use 60 min (raw data)
10 score on a scale
Assess Change in Subjective Opiate Withdrawal Scale (SOWS) Score
Subject 2 SOWS score device use 120 min (raw data)
10 score on a scale
Assess Change in Subjective Opiate Withdrawal Scale (SOWS) Score
Subject 2 SOWS score device use 2 days (raw data)
16 score on a scale
Assess Change in Subjective Opiate Withdrawal Scale (SOWS) Score
Subject 2 SOWS score device use 3 days (raw data)
19 score on a scale
Assess Change in Subjective Opiate Withdrawal Scale (SOWS) Score
Subject 2 SOWS score device use 4 days (raw data)
32 score on a scale
Assess Change in Subjective Opiate Withdrawal Scale (SOWS) Score
Subject 2 SOWS score device use 5 days (raw data)
34 score on a scale
Assess Change in Subjective Opiate Withdrawal Scale (SOWS) Score
Subject 3 SOWS score pre-device placement, 0 min device use (raw data)
46 score on a scale
Assess Change in Subjective Opiate Withdrawal Scale (SOWS) Score
Subject 3 SOWS score device use 30 min (raw data)
49 score on a scale
Assess Change in Subjective Opiate Withdrawal Scale (SOWS) Score
Subject 3 SOWS score device use 60 min (raw data)
35 score on a scale
Assess Change in Subjective Opiate Withdrawal Scale (SOWS) Score
Subject 3 SOWS score device use 120 min (raw data)
37 score on a scale
Assess Change in Subjective Opiate Withdrawal Scale (SOWS) Score
Subject 3 SOWS score device use 2 days (raw data)
43 score on a scale
Assess Change in Subjective Opiate Withdrawal Scale (SOWS) Score
Subject 3 SOWS score device use 3 days (raw data)
18 score on a scale
Assess Change in Subjective Opiate Withdrawal Scale (SOWS) Score
Subject 3 SOWS score device use 4 days (raw data)
9 score on a scale
Assess Change in Subjective Opiate Withdrawal Scale (SOWS) Score
Subject 3 SOWS score device use 5 days (raw data)
9 score on a scale
Assess Change in Subjective Opiate Withdrawal Scale (SOWS) Score
Subject 4 SOWS score pre-device placement, 0 min device use (raw data)
32 score on a scale
Assess Change in Subjective Opiate Withdrawal Scale (SOWS) Score
Subject 4 SOWS score device use 30 min (raw data)
12 score on a scale
Assess Change in Subjective Opiate Withdrawal Scale (SOWS) Score
Subject 4 SOWS score device use 60 min (raw data)
10 score on a scale
Assess Change in Subjective Opiate Withdrawal Scale (SOWS) Score
Subject 4 SOWS score device use 120 min (raw data)
9 score on a scale
Assess Change in Subjective Opiate Withdrawal Scale (SOWS) Score
Subject 4 SOWS score device use 2 days (raw data)
11 score on a scale
Assess Change in Subjective Opiate Withdrawal Scale (SOWS) Score
Subject 4 SOWS score device use 3 days (raw data)
11 score on a scale
Assess Change in Subjective Opiate Withdrawal Scale (SOWS) Score
Subject 4 SOWS score device use 4 days (raw data)
6 score on a scale
Assess Change in Subjective Opiate Withdrawal Scale (SOWS) Score
Subject 4 SOWS score device use 5 days (raw data)
5 score on a scale
Assess Change in Subjective Opiate Withdrawal Scale (SOWS) Score
Subject 5 SOWS score pre-device placement, 0 min device use (raw data)
47 score on a scale
Assess Change in Subjective Opiate Withdrawal Scale (SOWS) Score
Subject 5 SOWS score device use 30 min (raw data)
26 score on a scale
Assess Change in Subjective Opiate Withdrawal Scale (SOWS) Score
Subject 5 SOWS score device use 120 min (raw data)
14 score on a scale
Assess Change in Subjective Opiate Withdrawal Scale (SOWS) Score
Subject 5 SOWS score device use 2 days (raw data)
12 score on a scale
Assess Change in Subjective Opiate Withdrawal Scale (SOWS) Score
Subject 5 SOWS score device use 3 days (raw data)
10 score on a scale
Assess Change in Subjective Opiate Withdrawal Scale (SOWS) Score
Subject 5 SOWS score device use 4 days (raw data)
4 score on a scale
Assess Change in Subjective Opiate Withdrawal Scale (SOWS) Score
Subject 6 SOWS score pre-device placement, 0 min device use (raw data)
36 score on a scale
Assess Change in Subjective Opiate Withdrawal Scale (SOWS) Score
Subject 6 SOWS score device use 30 min (raw data)
25 score on a scale
Assess Change in Subjective Opiate Withdrawal Scale (SOWS) Score
Subject 6 SOWS score device use 60 min (raw data)
24 score on a scale
Assess Change in Subjective Opiate Withdrawal Scale (SOWS) Score
Subject 6 SOWS score device use 120 min (raw data)
19 score on a scale
Assess Change in Subjective Opiate Withdrawal Scale (SOWS) Score
Subject 6 SOWS score device use 2 days (raw data)
17 score on a scale
Assess Change in Subjective Opiate Withdrawal Scale (SOWS) Score
Subject 6 SOWS score device use 3 days (raw data)
11 score on a scale
Assess Change in Subjective Opiate Withdrawal Scale (SOWS) Score
Subject 6 SOWS score device use 4 days (raw data)
8 score on a scale
Assess Change in Subjective Opiate Withdrawal Scale (SOWS) Score
Subject 6 SOWS score device use 5 days (raw data)
6 score on a scale
Assess Change in Subjective Opiate Withdrawal Scale (SOWS) Score
Subject 5 SOWS score device use 60 min (raw data)
22 score on a scale
Assess Change in Subjective Opiate Withdrawal Scale (SOWS) Score
Subject 5 SOWS score device use 5 days (raw data)
4 score on a scale

Adverse Events

Bridge™ Active Device

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

Bridge™ Sham Device

Serious events: 0 serious events
Other events: 1 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Bridge™ Active Device
n=3 participants at risk
The active Bridge device delivers electrical stimulation to the cranial and occipital nerves. Bridge™ active device: Bridge is a percutaneous nerve field stimulation device
Bridge™ Sham Device
n=3 participants at risk
The sham device has the same appearance and will require the same placement technique as the Bridge (active) device but will not deliver electrical impulses Bridge™ sham device: The sham device has the same appearance and will require the same placement technique as the Bridge (active) device but will not deliver electrical impulses.
Nervous system disorders
Pain
0.00%
0/3 • Through end of study participation (approximately 3 weeks)
33.3%
1/3 • Number of events 1 • Through end of study participation (approximately 3 weeks)

Additional Information

Chelsea Frank

Masimo Corporation

Phone: 9492977000

Results disclosure agreements

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

Restriction type: GT60