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Study of PEMF to Evaluate VPT and Thermal Sensory in Subjects With Diabetic Peripheral Neuropathy

11 de julio de 2019 actualizado por: Regenesis Biomedical, Inc.

A Multi-Center, Sham-Controlled, Double-Blind Randomized Withdrawal Study of PEMF Therapy to Evaluate Vibration Perception Threshold and Thermal Sensory in Subjects With Diabetic Peripheral Neuropathy in the Lower Extremity

A study to demonstrate the effectiveness of PEMF treatment compared to sham treatment in changing Vibration Perception Threshold (VPT) and Thermal Sensory (QST) in patients with diabetic peripheral neuropathy (DPN) when treatment is administered twice daily through 120-day period.

Descripción general del estudio

Descripción detallada

Multi-center, sham-controlled, double-blind, enriched enrollment, randomized withdrawal clinical trial conducted on subjects with bilateral symmetrical diabetic peripheral neuropathy. Eligible subjects will include those between 22 and 80 years of age with Type 1 or Type 2 diabetes having persistent pain, numbness, tingling, or burning in both feet despite treatment. Eligible subjects will receive two active treatment devices (one for each foot, to allow simultaneous treatment) and treat at home, twice daily for 60 days after which they will return to the clinic at Day 61 for a response assessment. Subjects that are determined to be responders at Day 61 (subjects that achieve a 1-point decrease in the average pain score over the last 24 hours using the Numeric Pain Rating Scale (NPRS)) will be randomized 1:1 to either active treatment or inactive sham devices and will continue treating through Day 120. Subjects that are determined to be non-responders at Day 61 will continue treating with the active devices given at enrollment and will return to the clinic at Day 75 and Day 91 for a response assessment. If a subject is determined to be a responder at Day 75, they will be randomized 1:1 to receive either active treatment or inactive sham and will continue treating through Day 120. If a subject is determined to be a responder at Day 91, they will be randomized 1:1 to receive either active treatment or sham and will continue to treat through Day 120. If a subject continues to be a non-responder at Day 91 they will be terminated from the study.

Tipo de estudio

Intervencionista

Inscripción (Actual)

44

Fase

  • No aplica

Contactos y Ubicaciones

Esta sección proporciona los datos de contacto de quienes realizan el estudio e información sobre dónde se lleva a cabo este estudio.

Ubicaciones de estudio

    • Arizona
      • Phoenix, Arizona, Estados Unidos, 85015
        • Associated Foot & Ankle Specialists, LLC

Criterios de participación

Los investigadores buscan personas que se ajusten a una determinada descripción, denominada criterio de elegibilidad. Algunos ejemplos de estos criterios son el estado de salud general de una persona o tratamientos previos.

Criterio de elegibilidad

Edades elegibles para estudiar

22 años a 80 años (Adulto, Adulto Mayor)

Acepta Voluntarios Saludables

No

Géneros elegibles para el estudio

Todos

Descripción

Inclusion Criteria:

  1. Subject age is greater than or equal to 22 years and less than 80 years of age.
  2. Subject has documented Type 1 or Type 2 diabetes mellitus (receiving insulin, diet controlled, or taking parenteral hypoglycemic agents)
  3. Subject is on a stable antidiabetic regimen (medication and/or diet) to control their diabetes for at least 30 days prior to Screening.
  4. Subject has an HbA1c <10% at Screening or within 2 months of Screening.
  5. Subject has daily pain attributed to bilateral symmetrical Diabetic Peripheral Neuropathy with numbness, tingling, and/or burning based on clinical judgement for at least 6 months prior to screening.
  6. Subject's pain or discomfort from DPN is identifiable.
  7. Subject is in pain Phase 2, 3, or 4 as per the Phasing of Neuropathy Scale.
  8. Subjects average pain over the last 24 hours is ≥3 based on the 11-point Numeric Pain Rating Scale (NPRS) at the Screening Visit.
  9. Subject has adequate lower extremity pulse in both feet and no intermittent claudication.
  10. Subject is able to ambulate independently without assistive devices.
  11. Subject is willing and able to give written informed consent and to comply with all parts of the study protocol.
  12. Female subjects must be post-menopausal, surgically sterile, abstinent, or practicing (or agrees to practice) an effective method of birth control if they are sexually active for the duration of the study (Effective methods of birth control include prescription hormonal contraceptives, intrauterine devices, double-barrier methods, and/or male partner sterilization).

Exclusion Criteria:

  1. Subject is in pain Phase 1 or 5 as per the Phasing of Neuropathy Scale.
  2. Subject has an active, open ulcer on the lower extremities.
  3. Subject has peripheral vascular disease defined as absence of more than one foot pulse per foot and/or ABI <0.8 and >1.4 and/or history of angioplasty or peripheral bypass surgery within 6 months of the Screening Visit.
  4. Subject has venous insufficiency as classified by the Venous Insufficiency Classification System of grade C6.
  5. Subject has undergone nerve decompression surgery on the lower extremities.
  6. Subject has a history of previous kidney, pancreas, cardiac transplantation, or severe renal disease.
  7. Subject has been diagnosed with non-diabetic chronic inflammatory neuropathic disease (e.g. end stage renal disease, hepatitis C, chemotherapy induced neuropathy, known connective tissue disease, systemic lupus).
  8. Subject has peripheral vascular disease requiring revascularization of lower limb or amputation or evidence of ulcer amputation.
  9. Subject has clinically significant cardiovascular disease within 6 months prior to screening (unstable or poorly controlled hypertension, transient ischemic attack, MI, unstable angina, arrhythmia, any heart surgery, stent placement, heart disease).
  10. Subject has a history of any uncontrolled medical illness that in the Investigators judgment places the subject at unacceptable risk for receipt of PEMF therapy.
  11. Subject requires or anticipates the need for surgery of any type or travel during the treatment period.
  12. Subject has a total foot depth (most inferior aspect of the medial malleolus to the plantar aspect of the foot when residing on a treatment pad) of >8 cm.
  13. Subject has received any investigational drug or device within 30 days prior to the Screening Visit or within 6 weeks prior to the Screening Visit for long acting lidocaine injection products.
  14. Subject has used systemic corticosteroids within 3 months of the Screening Visit.
  15. Subject has a history of malignancy within the past 5 years other than successfully treated non-metastatic basal cell or squamous cell carcinomas of the skin in the treatment area and/or localized in situ carcinoma of the cervix.
  16. Subject has a serious psychosocial co-morbidity.
  17. Subject has a history of drug or alcohol abuse, as confirmed by urine drug screen, within one year prior to the Screening Visit.
  18. Subject has an implanted pacemaker, defibrillator, neurostimulator, spinal cord stimulator, bone stimulator, cochlear implant, or other implanted device with an implanted metal lead(s).
  19. Subject is currently pregnant or planning on becoming pregnant prior to Day 121.
  20. Subject has previously treated with PROVANT® Therapy System within 60 days on the lower extremity.
  21. Subject is unwilling or unable to follow study instructions or comply with the treatment regimen, diary documentation, and study visits.
  22. Subject has pain from any other source that can confuse the assessment of the pain associated with DPN.
  23. Subject has a clinically significant foot deformity (Charcot's syndrome or club foot).
  24. Subject has received nerve blocks for neuropathic pain within 4 weeks of the Screening Visit.
  25. Subject has been diagnosed with mononeuropathy.
  26. Subject has a skin condition that could alter their sensation.
  27. Subject has had a previous surgery to the spine or lower extremity with residual symptoms of pain or difficulty with movement.
  28. Subject has moderate or severe arthropathy (RA, OA, Gout) that causes discomfort during casual walking or stair climbing.

Plan de estudios

Esta sección proporciona detalles del plan de estudio, incluido cómo está diseñado el estudio y qué mide el estudio.

¿Cómo está diseñado el estudio?

Detalles de diseño

  • Propósito principal: Tratamiento
  • Asignación: Aleatorizado
  • Modelo Intervencionista: Asignación paralela
  • Enmascaramiento: Cuadruplicar

Armas e Intervenciones

Grupo de participantes/brazo
Intervención / Tratamiento
Experimental: Grupo activo
Tratamiento con Provant Therapy System activo
Tratamiento con Provant Therapy System activo
Comparador falso: Sham Group
Treatment with Inactive (sham) Provant Therapy System
Treatment with Inactive (sham) Provant Therapy System

¿Qué mide el estudio?

Medidas de resultado primarias

Medida de resultado
Medida Descripción
Periodo de tiempo
Vibration Perception Threshold (VPT)
Periodo de tiempo: Baseline to End of Treatment (Day 121)
A non-invasive test used in quantifying sensation/sensitivity to vibration in evaluating sensory dysfunction associated with diabetic neuropathy
Baseline to End of Treatment (Day 121)
Quantitative Sensory Testing (QST)
Periodo de tiempo: Baseline to End of Treatment (Day 121)
QST is a noninvasive test used in peripheral nervous system disorders for thermal sensory testing.
Baseline to End of Treatment (Day 121)

Medidas de resultado secundarias

Medida de resultado
Medida Descripción
Periodo de tiempo
Nerve Conduction Velocity (NCV) - Velocity
Periodo de tiempo: The sural nerve conduction velocity will be recorded at the Enrollment Visit and end of study visit (Day 121).
NC-stat® DPNCheck® will be used to record NCV at Baseline and Day 121. Outcome Measure Data table displays change in NCV from Baseline to Day 121.
The sural nerve conduction velocity will be recorded at the Enrollment Visit and end of study visit (Day 121).
Skin Perfusion Pressures (SPP)
Periodo de tiempo: SPP will be conducted at the Enrollment Visit, Day 61, and end of study visit (Day 121).
The Vasamed Sensilase PAD-IQ will be used to record SPP. This machine measures pressure (in mm Hg) of microcirculation using a laser Doppler sensor. Outcome Measure Data Table below displays change from Baseline to Day 121.
SPP will be conducted at the Enrollment Visit, Day 61, and end of study visit (Day 121).
Pain Intensity (PI)
Periodo de tiempo: Collected as patient-reported outcomes on a paper diary and at the Enrollment visit to obtain a baseline value and on Days 61, 75, and 91
Mean change from Baseline to Day 121, using a validated 11-point Numeric Pain Rating Scale (NPRS) with scores 0-10, where 0 = no pain and 10 = worst possible pain.
Collected as patient-reported outcomes on a paper diary and at the Enrollment visit to obtain a baseline value and on Days 61, 75, and 91
Brief Pain Inventory (BPI); Question on Pain Right Now.
Periodo de tiempo: Change in BPI, pain right now question, from Baseline to Day 121.
The BPI long form will be administered at the Enrollment Visit, Day 30, 61, 91, and end of study visit (Day 121). Results for question #15 on Pain Right Now displayed below. Subject were asked to rate pain right now on a scale from 0 (no pain) to 10 (pain as bad as you can imagine).
Change in BPI, pain right now question, from Baseline to Day 121.
Brief Fatigue Inventory (BFI)
Periodo de tiempo: Change from Baseline to Day 121 in BFI.
A 4-question assessment that assesses the level of fatigue and the impact of the fatigue on daily function over the last 24 hours. BFI is patient reported and collected at the Enrollment Visit, Days 30, 61, 91, and end of study visit (Day 121). A global fatigue score was calculated by averaging all of the values on the questionnaire and results for the change from Baseline to Day 121 are displayed below. The scale ranged from 0 (no fatigue/does not interfere) to 10 (as bad as you can imagine/completely interferes).
Change from Baseline to Day 121 in BFI.
Patient Global Impression of Change (PGIC)
Periodo de tiempo: PGIC results at Day 121 displayed below.
A 7-choice validated categorical scale of overall change in status since initiation of treatment with the study device.PGIC was collected every 7 days in the paper diary, immediately following the morning treatment. Subjects were asked: Since the start of the study, my overall status is? Choices on the scale included: Very much worse, much worse, minimally worse, no change, minimally improved, much improved and very much improved.
PGIC results at Day 121 displayed below.
Hospital Anxiety and Depression Scale (HADS)
Periodo de tiempo: Change in Depression and Anxiety from Baseline to Day 121.
A patient reported 14 question assessment that detects the status of depression and anxiety. Subjects completed the assessment at the Enrollment Visit, Days 30, 61, 91, and end of study visit (Day 121). The total score for anxiety and the total score for depression was calculated at Day 121. Low scores represent normal (0-7) while high scores represent abnormal (11-21).
Change in Depression and Anxiety from Baseline to Day 121.
Neuro-QoL
Periodo de tiempo: Change in each domain from Baseline to Day 121 is displayed below.

A validated set of health-related quality of life measures that are domain specific.Subjects will completed 6 domains: (1) Pain, (2) Lost/Reduced Feeling, (3) Diffuse Sensory Motor Symptoms, (4) Restrictions in Activities of Daily Living, (5) Disruptions in Social Relationships, and (6) Emotional Distress.The short forms were completed by the subject at the Enrollment Visit and end of study visit (Day 121). Each question in the domain was rated on a symptom scale from 1 (never) to 5 (all the time) and a bothersome scale from 1 (none) to 3 (very much).

The total score for the domain was calculated by multiplying the symptom score by the bothersome score. The scale range is from 1 to 15 where the minimum (best/least symptomatic) score is 1 and the maximum (worst/most symptomatic) score is 15.

Change in each domain from Baseline to Day 121 is displayed below.
Nerve Conduction Velocity (NCV) - Amplitude
Periodo de tiempo: The sural nerve conduction amplitude will be recorded at the Enrollment Visit and end of study visit (Day 121).
NC-stat® DPNCheck® will be used to record NCV at Baseline and Day 121. Outcome Measure Data table displays change in NCV from Baseline to Day 121.
The sural nerve conduction amplitude will be recorded at the Enrollment Visit and end of study visit (Day 121).

Colaboradores e Investigadores

Aquí es donde encontrará personas y organizaciones involucradas en este estudio.

Investigadores

  • Investigador principal: Arthur Tallas, DPM, Associated Foot & Ankle Specialists, LLC

Fechas de registro del estudio

Estas fechas rastrean el progreso del registro del estudio y los envíos de resultados resumidos a ClinicalTrials.gov. Los registros del estudio y los resultados informados son revisados ​​por la Biblioteca Nacional de Medicina (NLM) para asegurarse de que cumplan con los estándares de control de calidad específicos antes de publicarlos en el sitio web público.

Fechas importantes del estudio

Inicio del estudio (Actual)

9 de marzo de 2017

Finalización primaria (Actual)

26 de diciembre de 2017

Finalización del estudio (Actual)

26 de diciembre de 2017

Fechas de registro del estudio

Enviado por primera vez

28 de febrero de 2017

Primero enviado que cumplió con los criterios de control de calidad

7 de marzo de 2017

Publicado por primera vez (Actual)

13 de marzo de 2017

Actualizaciones de registros de estudio

Última actualización publicada (Actual)

30 de julio de 2019

Última actualización enviada que cumplió con los criterios de control de calidad

11 de julio de 2019

Última verificación

1 de mayo de 2019

Más información

Términos relacionados con este estudio

Plan de datos de participantes individuales (IPD)

¿Planea compartir datos de participantes individuales (IPD)?

No

Información sobre medicamentos y dispositivos, documentos del estudio

Estudia un producto farmacéutico regulado por la FDA de EE. UU.

No

Estudia un producto de dispositivo regulado por la FDA de EE. UU.

Sí

producto fabricado y exportado desde los EE. UU.

No

Esta información se obtuvo directamente del sitio web clinicaltrials.gov sin cambios. Si tiene alguna solicitud para cambiar, eliminar o actualizar los detalles de su estudio, comuníquese con register@clinicaltrials.gov. Tan pronto como se implemente un cambio en clinicaltrials.gov, también se actualizará automáticamente en nuestro sitio web. .

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