Non-invasive CTS Device Clinical Trial

June 30, 2020 updated by: Pressure Profile Systems, Inc.

Randomized Controlled Clinical Trial of Non-invasive Device to Alleviate Carpal Tunnel Syndrome

Sham-controlled, multi-center and remote patient-centered randomized controlled clinical trial to investigate the efficacy of a novel non-invasive, unobtrusive study device in reducing symptoms of carpal tunnel syndrome (CTS). Daily wear of the study device is expected to significantly reduce symptom severity (evaluated by the Boston Carpal Tunnel Questionnaire) in mild to severe CTS-diagnosed patients. Subjects are randomized into the active device group or sham group for 8 weeks, then followed for 12 weeks post-treatment.

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Detailed Description

It is hypothesized that daily wear of the study device will result in significant improvements in patient-reported symptom severity. It is also hypothesized that the effects from active study device treatment will be significantly greater than effects from sham treatment. In both cases, it is hypothesized that improvements will be sustained post-treatment.

This study is designed as a randomized, double-blind, sham-controlled, two-arm trial consisting of an eight-week treatment period (active study device or sham), followed by one required follow-up four weeks later (at week 12).

There are two study groups: the active device group receiving the active study device and the sham group receiving a non-active sham device. Subjects will be informed that they have a 50:50 chance of receiving treatment or a sham. They will also be informed that if they receive sham device, they will be offered the active device 4 weeks into the post-treatment period. However, all subjects will not know what treatment they are on until the conclusion of the trial.

Study Type

Interventional

Enrollment (Actual)

88

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

    • California
      • Mission Viejo, California, United States, 92691
        • Mission Pain & Spine
      • Torrance, California, United States, 90710
        • South Bay Medical Center
    • Ohio
      • Cleveland, Ohio, United States, 44195
        • Cleveland Clinic (Lerner Research Institute)

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

21 years to 65 years (Adult, Older Adult)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Description

Inclusion Criteria:

  1. Clinically diagnosed with mild to severe carpal tunnel syndrome (CTS)
  2. CTS diagnosis confirmed by a nerve conduction study (NCS) performed within the past 24 months OR at enrollment/baseline visit

    1. CTS severity determined via AANEM criteria 13
    2. Bilateral CTS accepted (worse wrist via NCS and/or BCTQ is designated as the study wrist)
  3. BCTQ SSS > 2
  4. Reliable access to and ability to use Internet, Wi-Fi, or mobile data through computers, mobile devices, laptops, and/or tablets
  5. Willing to abstain from any other treatment or therapies for CTS throughout the study
  6. Ability to read and write English, or has a reliable person to assist with reading and writing English

Exclusion Criteria:

  1. Other upper extremity neuropathies (e.g., epicondylitis, radial nerve neuropathies, ulnar nerve neuropathies)
  2. Double crush syndrome
  3. Cervical stenosis
  4. Brachial plexopathy
  5. Wrist fractures or cysts
  6. Prior wrist surgeries, especially carpal tunnel release surgery
  7. Injection of corticosteroid/cortisone into the wrist or hand within the past 6 months
  8. Thyroid disease
  9. Rheumatoid arthritis
  10. Diabetes
  11. Systemic diseases
  12. Connective tissue diseases
  13. Fibromyalgia or chronic pain syndrome
  14. Diabetic neuropathy
  15. BMI > 40
  16. Participation in other research studies or clinical trials currently or within the past 2 weeks.

To assess eligibility, visit: carpaltunneltrial.com

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Treatment
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: Triple

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Study Device
Small, non-invasive, stiff patch for the wrist
Real study device applied to affected wrist (or higher CTS severity wrist if patient has bilateral CTS) for 8-10 hours daily for 56 days (8 weeks).
Sham Comparator: Sham Device
Device that looks like the Study Device but modified to prevent or remove the main mechanism of action.
Sham device applied to affected wrist (or higher CTS severity wrist if patient has bilateral CTS) for 8-10 hours daily for 56 days (8 weeks). *Note: participants in the sham group are given the real study device at the end of the Post-Treatment/Follow-up Phase.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
BCTQ SSS at 8 Weeks vs Baseline
Time Frame: baseline and 8 weeks post-Baseline
The Symptom Severity Scale (SSS) of the Boston Carpal Tunnel Questionnaire (BCTQ) is an 11-question patient-administered survey that rates the severity of the patient's carpal tunnel syndrome-specific symptoms on a scale of 1 (no symptoms) to 5 (worst symptoms).
baseline and 8 weeks post-Baseline

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
BCTQ SSS
Time Frame: 8-weeks post-Baseline and 12 weeks post-Baseline
The Symptom Severity Scale (SSS) of the Boston Carpal Tunnel Questionnaire (BCTQ) is an 11-question patient-administered survey that rates the severity of the patient's carpal tunnel syndrome-specific symptoms on a scale of 1 (no symptoms) to 5 (worst symptoms).
8-weeks post-Baseline and 12 weeks post-Baseline

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Collaborators

Investigators

  • Study Director: Jae Son, PhD, Pressure Profile Systems

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

October 10, 2018

Primary Completion (Actual)

February 28, 2020

Study Completion (Actual)

April 21, 2020

Study Registration Dates

First Submitted

April 8, 2018

First Submitted That Met QC Criteria

April 8, 2018

First Posted (Actual)

April 13, 2018

Study Record Updates

Last Update Posted (Actual)

July 14, 2020

Last Update Submitted That Met QC Criteria

June 30, 2020

Last Verified

June 1, 2020

More Information

Terms related to this study

Other Study ID Numbers

  • PPS-CTS-SBIR2

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

NO

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

Yes

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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