Pilot Study of the Felix System in Patients With Essential Tremor and Parkinson's Tremor
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: Zhen Zhang, PhD
- Phone Number: 6124703441
- Email: zhen.zhang@fasikl.com
Study Locations
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-
Florida
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Boca Raton, Florida, United States, 33486
- Parkinson's Disease and Movement Disorders Center of Boca Raton
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Kansas
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Kansas City, Kansas, United States, 66160
- University of Kansas Medical Center
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-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- At least 18 years of age.
- Willing to provide written, informed consent to participate in the study.
For subjects with essential tremor (ET):
- A clinical diagnosis of ET.
- For either upper limb, a tremor severity score of 2 or higher as measured by one of the TETRAS items and a total score of 6 or higher across all TETRAS tasks.
For subjects with Parkinson's disease (PD):
- A clinical diagnosis of PD (MDS-PD criteria).
- A tremor score of 2 or higher on MDS-UPDRS question 3.15 (postural tremor) or 3.16 (kinetic tremor), OR
- A rest tremor score of 2 or higher on MDS-UPDRS question 3.17 (rest tremor amplitude) in one upper extremity and a score of 2 or higher on MDS-UPDRS question 3.18 (constancy of tremor).
- Stable dosage of any medication, if applicable, for 30 days prior to study entry.
- Familiar with operating a touch-screen smartphone and connecting to Wi-Fi internet at home.
- If necessary, have a dedicated caregiver to help with study required activities, such as putting on the study device, etc.
Willing to comply with study protocol requirements including:
- Remaining on a stable dosage of current medications, if applicable, during the course of the study.
- Remaining on stable caffeine consumption, if applicable, during the course of t the study.
- No alcohol consumption on the day before a study visit.
Exclusion Criteria:
- Prior limb amputation or any known symptomatic peripheral neuropathy condition of the involved upper extremity.
- Any current drug or alcohol abuse.
- Current unstable epileptic conditions with a seizure within 6 months of study entry.
- Pregnant or nursing subjects and those who plan pregnancy during the course of the study.
- Swollen, infected, inflamed areas, or skin eruptions, open wounds, or cancerous lesions of skin at the stimulation site.
- Known allergy to adhesives.
- History of Alzheimer's disease or dementia (Montreal Cognitive Assessment (MoCA)≤19).
- Botulinum Toxin injection for hand tremor within 4 months prior to study enrollment.
- Subject is currently participating or has participated in another interventional clinical trial in the last 30 days which may confound the results of this study, unless approved by the Sponsor.
- Subject is unable to communicate with the investigator and staff.
- Any health condition that in the investigator's opinion should preclude participation in this study.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Non-Randomized
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Essential Tremor
Patients with essential tremors
|
Felix is a wrist-worn, noninvasive, transcutaneous neurostimulation system intended for daily use to suppress hand tremors.
An artificial intelligence (AI) algorithm will automatically adjust the stimulation based on each patient's tremor throughout the day.
|
|
Experimental: Parkinson's Disease
Patients with Parkinson's disease
|
Felix is a wrist-worn, noninvasive, transcutaneous neurostimulation system intended for daily use to suppress hand tremors.
An artificial intelligence (AI) algorithm will automatically adjust the stimulation based on each patient's tremor throughout the day.
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Tremor Research Group Essential Tremor Rating Assessment (TETRAS) Performance Subscale
Time Frame: Baseline to 7 days
|
A subset of 6 performance tasks will be rated by a physician for each upper limb separately.
Each task will be rated from 0 to 4, indicating the increasing severity of tremor, the higher the score, the worse the tremor.
This endpoint is the total score of all 6 tasks, the minimum score is 0 and the maximum score is 24.
|
Baseline to 7 days
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Clinical Global Impression of Improvement (CGI-I)
Time Frame: Baseline to 7 days
|
Physician rating of tremor improvement on a 7-point scale, from 1 (very much improved) to 7 (very much worse)
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Baseline to 7 days
|
|
Patient Global Impression of Improvement (PGI-I)
Time Frame: Baseline to 7 days
|
Patient rating of tremor improvement on a 7-point scale, from 1 (very much improved) to 7 (very much worse)
|
Baseline to 7 days
|
|
Tremor Research Group Essential Tremor Rating Assessment (TETRAS) Activities of Daily Living (ADL) Subscale
Time Frame: Baseline to 7 days
|
Patient rating the impact of tremor on each activity of daily living on a 5-point scale, from 0 (normal) to 4 (severely abnormal).
This is a composite endpoint that includes the total score of all 12 items of the TETRAS ADL subscale.
The minimum score is 0 and the maximum score is 48.
|
Baseline to 7 days
|
|
Tremor Research Group Essential Tremor Rating Assessment (TETRAS) Modified Activities of Daily Living (mADL) Subscale
Time Frame: Baselinen to 7 days
|
TETRAS mADL score is a composite sum of items 2 to 11 of the TETRAS ADL subscale and items 6 (bilateral) and 7 (dominant hand) of the TETRAS performance subscale (PS).
Each item on the TETRAS ADL subsacle and the TETRAS PS subscale is rated from 0 (no tremor) to 4 (severe tremor).
TETRAS mADL score is calculated as the sum of all 13 items, the minimum score is 0 and the maximum score is 52.
|
Baselinen to 7 days
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Rajesh Pahwa, MD, University of Kansas Medical Center
- Principal Investigator: Richard B Dewey III, MD, Parkinson's Disease and Movement Disorders Center of Boca Raton
Publications and helpful links
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- CIP-1
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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