Functional Outcomes and Control Using Synchron BCI - Canada (FOCUS-CAN)
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Functional Outcomes and Control Using Synchron BCI - Canada (FOCUS-CAN):
The Synchron BCI motor neuroprosthesis is an implanted brain-computer interface indicated for adults with bilateral upper-limb motor impairment, including Motor Neuron Disease. The Synchron BCI is intended to replace the function of motor neurons by detecting, translating and transmitting motor-related brain signals to restore clinically meaningful control of digital devices.
The Synchron BCI is an implanted BCI device that interfaces with the brain to enable control of digital devices in individuals with bilateral upper-limb motor impairment. The Synchron BCI is designed to record volitional motor-related neural signals from the sensorimotor cortices and translate these signals into digital motor outputs to enable control of digital devices to improve functional independence. The system includes both implantable and non-implantable components. Implantable components are the Stentrode and the Transceiver.
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: Jami Smith
- Phone Number: 323-796-2476
- Email: jsmith@synchron.com
Study Contact Backup
- Name: Omid Forouzan
- Phone Number: 323-796-2476
Study Locations
-
-
-
Toronto, Canada, M5C 1R6
- Recruiting
- St. Michael's Hospital
-
Contact:
- Eileen Liu
-
Principal Investigator:
- Vitor Pereira, MD
-
-
Ontario
-
Toronto, Ontario, Canada, M5C 1N2
- Recruiting
- Sunnybrook Health Sciences Centre
-
Contact:
- Jahan Mookshah
- Phone Number: Ext. 687561 +1 416-480-6100
- Email: jahan.mookshah@sunnybrook.ca
-
Principal Investigator:
- Lorne Zinman, MD
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
INCLUSION CRITERIA:
- Able to provide informed consent to participate in the study, in the opinion of the Investigator(s).
- Diagnosis of amyotrophic lateral sclerosis or motor neuron disease, with bilateral upper-limb paresis.
- Aged 18 years or older.
- Life expectancy greater than 12 months post-implantation, in the opinion of the Investigator(s).
- Preserved precentral gyrus assessed using CT.
- Suitable vascular anatomy, in the opinion of the Investigator(s), assessed using CT venography.
- Suitable anatomy for subcutaneous pocket creation.
- Able to undergo anesthesia.
- Willing and able to comply with investigational requirements, including clinical testing visits and training visits in the home.
- Caregiver(s) willing and able to facilitate study visits, including visits at the study site and in the home, and BCI use outside of study visits (e.g., device charging).
- Patient and Caregiver fluent in English.
- Suitable home environment for BCI training, including an internet connection.
EXCLUSION CRITERIA:
- Unrealistic expectations regarding the potential benefits of the device, in the opinion of the Investigator(s).
- Active infection or unexplained fever in the 48 hours prior to informed consent.
- Major psychiatric disorder that may adversely impact the participant's safety or study compliance (e.g., severe depression, psychotic features, personality disorder, severe emotional lability, substance abuse), in the opinion of the Investigator(s).
- Dementia or cognitive dysfunction that would impact the participant's ability to participate in study activities, in the opinion of the Investigator(s).
- Active implanted device (e.g., deep brain stimulator, cardiac defibrillator, pacemaker, vagal nerve stimulator, spinal cord stimulator, diaphragmatic pacer, etc.).
- Known allergy to patient-contacting materials included in the implanted device (listed in Physician Implant Manual).
- Contraindication to angiographic imaging or iodine contrast media.
- History of central venous sinus thrombosis.
- Recent history of new venous thromboembolic event (in the 6 months prior to implant) or recurrent history of venous thromboembolic disease.
- Contraindication to antithrombotic therapy, in the opinion of the Investigator(s).
- Participant is at substantially increased risk of infection, including immunocompromised status, recurrent or chronic infection, or poorly controlled diabetes mellitus.
- Significant risk of non-healing of the subcutaneous pocket incision, including history of chronic non-healing surgical wounds or poorly controlled diabetes mellitus.
- Currently receiving or expected to require medical treatment that may be precluded by device implant, including magnetic resonance imaging, transcranial magnetic stimulation, electroconvulsive therapy, transcranial ultrasound, shortwave, microwave, and/or therapeutic ultrasound diathermy, or balloon angioplasty or stenting in the target vessel.
- Pregnant or breast feeding.
- Patients who are currently enrolled in any other clinical trial that would confound interpretation of safety or effectiveness data or may interfere with the ability to meet study requirements.
- Patients with ALS due to SOD1 mutations on gene therapy.
- Any other disease or disorder that could significantly affect participation in the study, in the opinion of the Investigator(s). Examples may include corrected vision insufficient for viewing computer screens or hearing insufficient for following verbal instructions, which might impact the participant's ability to participate in BCI training and testing.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Other
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Other: Single
Single Arm
|
The Stentrode is an endovascular electrode array that senses electrical signals from the sensorimotor cortices.
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Device-related serious adverse events resulting in death or permanently increased disability up to 90 days after implant.
Time Frame: 3 Months
|
3 Months
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Device-related serious adverse events resulting in death or permanently increased disability up to 1 year after implant.
Time Frame: 12 Months
|
12 Months
|
|
Target vessel patency assessed using CT venography at 90 and 365 days after implant.
Time Frame: 3 Months and 12 Months
|
3 Months and 12 Months
|
|
Device migration assessed using CT venography at 90 and 365 days after implant.
Time Frame: 3 Months and 12 Months
|
3 Months and 12 Months
|
Other Outcome Measures
Other Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Time in days from implant to device activation.
Time Frame: Number of days from device implant to device activation, up to 12 months after implant.
|
Number of days from device implant to device activation, up to 12 months after implant.
|
|
Stability of recorded BCI signal, using monthly measurements up to 1 year after device implant.
Time Frame: 12 Months
|
12 Months
|
Collaborators and Investigators
Sponsor
Sponsor
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
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
- S-03-01
- G250224 (Other Identifier: FDA)
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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