Epidural Stimulation in Multiple Sclerosis

NCT ID: NCT06019611

Last Updated: 2025-04-27

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

2 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-09-11

Study Completion Date

2024-02-27

Brief Summary

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A study to quantify changes in motor performance of epidural stimulation in progressive multiple sclerosis (MS) patients over the course of 12 rehabilitation sessions.

Detailed Description

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The purpose of this trial is to study spinal motor nerve response to electrical stimulation delivered directly to the epidural space, and to measure any changes in motor performance during 12 sessions over the course of one month.

Conditions

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Multiple Sclerosis Demyelinating Disorder Autoimmune Diseases

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

BASIC_SCIENCE

Blinding Strategy

NONE

Study Groups

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Percutaneous Epidural Stimulation

Epidural spinal stimulation will be delivered via percutaneously implanted electrodes during rehabilitation. All implanted electrodes will be removed at the end of trial participation. The effects of epidural stimulation will be recorded via electrophysiological and biomechanical metrics described within the outcomes measures.

Group Type EXPERIMENTAL

Percutaneous epidural stimulation

Intervention Type DEVICE

Abbott percutaneous trial lead for epidural neurostimulation (Model 3086)

Abbott clinician programmer for epidural and dorsal root ganglion neurostimulation (Model 3874)

Ripple Neuromed Nomad Neurostimulation System

Interventions

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Percutaneous epidural stimulation

Abbott percutaneous trial lead for epidural neurostimulation (Model 3086)

Abbott clinician programmer for epidural and dorsal root ganglion neurostimulation (Model 3874)

Ripple Neuromed Nomad Neurostimulation System

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Myelopathy secondary to Progressive MS
* No clinical or radiologic MS relapses for \> 5 years
* EDSS score of 6.5 (constant bilateral assistance required to walk about 20 meters without resting) as assessed by a Neurologist with a specialty in MS
* Able to ambulate 10 feet independently with or without gait aid use
* At least 22 years of age
* No changes to spasticity medications or dalfampridine over the last 3 months

Exclusion Criteria

* Currently a prison inmate, or awaiting trial, related to criminal activity
* Pregnancy at the time of enrollment
* History of chronic and/or treatment resistant urinary tract infection
* Spasticity (grade of 4) measured bilaterally in two muscle groups using Modified Ashworth Scale (MAS). Muscle groups tested will include bilateral knee flexors, extensors; ankle plantarflexors, dorsiflexors
* Unhealed decubitus ulcer
* Unhealed skeletal fracture
* Receiving diathermy treatment
* Active participation in an interventional clinical trial
* Any illness or condition which, based on the research team's assessment, will compromise the patient's ability to comply with the protocol, patient safety, or the validity of the data collected during this study.
* History of coagulopathy or other significant cardiac or medical risk factors for surgery
* Ventilator-dependent respiration
* Diagnosed with cardiopulmonary dysfunction (e.g., chronic obstructive pulmonary disease, cardiac failure, or heart arrhythmia)
* Untreated clinical diagnosis of depression
* History of frequent hypotension characterized by light headedness, or loss of consciousness
* History of frequent hypertension characterized by headache, or bradycardia
* Any active, implanted medical device
* Treatment of chemodenervation and/or neurolysis during the trial, or within 6 months of initiating the trial
Minimum Eligible Age

22 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Mayo Clinic

OTHER

Sponsor Role collaborator

Kristin Zhao, PhD

OTHER

Sponsor Role lead

Responsible Party

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Kristin Zhao, PhD

Principal Investigator

Responsibility Role SPONSOR_INVESTIGATOR

Locations

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Mayo Clinic

Rochester, Minnesota, United States

Site Status

Countries

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United States

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Other Identifiers

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23-003967

Identifier Type: -

Identifier Source: org_study_id

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