ClinicalTrials.gg
CompletedNCT01847885Updated Oct 16, 2017Results posted

Electrical Stimulation for the Treatment of Chronic Post-Stroke Shoulder Pain Using the Smartpatch System

An interventional study of Smartpatch Peripheral Nerve Stimulation (PNS) System in Post-stroke Shoulder Pain and Hemiplegic Shoulder Pain, sponsored by SPR Therapeutics, Inc.. Completed at 5 sites in United States. Open to participants aged 21 Years and older. Per ClinicalTrials.gov, last updated 2017-10-16.

Sponsored by SPR Therapeutics, Inc. (part of Medtronic) · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
88
Allocation
Randomized
Ages
21 Years and older
Sex
All
01

Study summary

The purpose of this study is to determine if electrical stimulation (small levels of electricity) reduces post-stroke shoulder pain. This study involves a device called the Smartpatch System. The Smartpatch System delivers mild electrical stimulation to the muscles in the shoulder. The Smartpatch System includes a small wire (called a "Lead") that is placed through the skin into the muscle of the shoulder. It also includes a device worn on the body that delivers stimulation (called the Smartpatch Stimulator).

02

Conditions studied

  • Post-stroke Shoulder Pain
  • Hemiplegic Shoulder Pain

Keywords

  • electrical stimulation
  • neurostimulation
  • neuromodulation
  • post-stroke shoulder pain
  • hemiplegic shoulder pain
03

In context

Lead sponsor

SPR Therapeutics, Inc. is the lead sponsor of 10 studies on the registry; none are open to participants now.

Of its 5 completed or terminated interventional studies of FDA-regulated products, 4 (80%) have results posted.

First submitted before SPR Therapeutics, Inc. became part of Medtronic.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
21 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

Key Inclusion Criteria:

  • At least 21 years of age
  • Post-stroke shoulder pain
  • At least 6 months after stroke that caused shoulder pain

Key Exclusion Criteria:

  • Use of habit-forming (narcotic) medications
  • Bleeding disorder
  • History of recurrent skin infections
  • Parkinson's Disease, Spinal Cord Injury, traumatic brain injury, Multiple Sclerosis, or Complex Regional Pain Syndrome
  • Heart arrhythmia or artificial heart valves
  • Uncontrolled seizures
  • Implanted Electronic Device
  • Pregnant
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Outcomes assessor)
Enrollment
88 participants (actual)

Study arms

  • Experimental
    Smartpatch Treatment Group

    Subjects in the Treatment Group will have a Smartpatch Lead placed in the shoulder, will use the Smartpatch Peripheral Nerve Stimulation (PNS) System, and will receive electrical stimulation.

    Device: Smartpatch Peripheral Nerve Stimulation (PNS) System

  • Sham comparator
    Smartpatch Control Group

    Subjects in the Control Group will have a Smartpatch Lead placed in the shoulder, will use the Smartpatch Peripheral Nerve Stimulation (PNS) System, but will not receive any electrical stimulation.

    Device: Smartpatch Peripheral Nerve Stimulation (PNS) System

Interventions

  • DeviceSmartpatch Peripheral Nerve Stimulation (PNS) System

    The Smartpatch System is an Investigation Device which delivers mild electrical stimulation to the muscles in the shoulder. The Smartpatch System includes a small wire (called a "Lead") that is placed through the skin into the muscle of the shoulder. It also includes a device worn on the body that delivers stimulation (called the Smartpatch Stimulator).

    Also known as: Smartpatch System, Smartpatch

06

What researchers measure

Primary outcomes

  1. Change From Baseline Shoulder Pain Intensity at End of Treatment (EOT)

    A diary was used in the study to capture daily worst shoulder pain intensity over a 7-day period. The diary included a pain intensity question asked each day to the subject. The pain intensity question is excerpted from the Brief Pain Inventory - Short Form Question 3 (BPI-3) and is stated as "please rate your pain by circling the one number that best describes your pain at its worst in the last 24 hours". BPI-3 is a scale of 0 to 10 where 0 represents no pain and 10 represents worst pain. The median scores were calculated for each diary period. The median diary score at End of Treatment (EOT) was compared to the median baseline diary score to calculate the change in pain intensity. The group mean of the median scores for treatment was compared to the group mean of the medians scores for the control group at baseline and at EOT.

    Time frame: Baseline, End of Treatment (4-weeks of Treatment/Control)

  2. Number of Participants With Device Related Adverse Event Rates in Treatment and Control Groups

    At each study visit following the baseline assessment, subjects were questioned if any changes in their medical status or condition had occurred. If the change was an adverse event, an adverse event form was completed by the site.

    Time frame: 16 weeks total - 4 weeks from baseline visit to EOT visit, followed by 12 weeks post-treatment

Secondary outcomes

  1. Change From Baseline Shoulder Pain Interference at End of Treatment

    The degree to which shoulder pain interferes with daily activities was assessed using Question 9 of the Brief Pain Inventory (BPI-9) collected from the BPI Short Form administered during clinic visits. This question asks the subject to rate the degree to which their pain has interfered with general activity, mood, walking ability, normal work, relations with other people, sleep, and enjoyment of life on a scale of 0 to 10, where 0 is "does not interfere" and 10 is "completely interferes" within the last week. The mean of these seven scores will be calculated to obtain the pain interference score.

    Time frame: Baseline, End of Treatment (4-weeks of Treatment/Control)

  2. Durability of Change From Baseline Shoulder Pain Intensity at 12-weeks Beyond Treatment

    A diary was used in the study to capture daily worst shoulder pain intensity over a 7-day period. The diary included a pain intensity question asked each day to the subject. The pain intensity question is excerpted from the Brief Pain Inventory - Short Form Question 3 (BPI-3) and is stated as "please rate your pain by circling the one number that best describes your pain at its worst in the last 24 hours". BPI-3 is a scale of 0 to 10 where 0 represents no pain and 10 represents worst pain. The median scores were calculated for each diary period. The median diary score at 12 weeks post-treatment was compared to the median baseline diary score to calculate the change in pain intensity. The group mean of the median scores for 12 weeks post-treatment was compared to the group mean of the median scores for the control group at baseline.

    Time frame: Baseline, 12-wks post-treatment

  3. Change From Baseline Quality of Life at End of Treatment

    The Medical Outcomes Study Short Form (SF-36v2) was administered at clinic visits to assess the impact of peripheral nerve stimulation on the subject's health-related quality of life. The SF-36v2 is a generic health survey designed to assess basic physical functioning and emotional well-being regardless of the disease or treatment. The 36 questions were grouped into two components: physical and mental. The survey was scored using norm-based scoring algorithm where a score of 0 indicates maximum disability and a score of 100 indicates no disability. Change in each component score was derived from End of Treatment score minus baseline score.

    Time frame: Baseline, End of Treatment (4-weeks of Treatment/Control)

  4. Change From Baseline Average Pain Intensity at End of Treatment

    A diary was used in the study to capture daily average shoulder pain intensity over a 7-day period. The diary included a pain intensity question asked each day to the subject. The pain intensity question is excerpted from the Brief Pain Inventory - Short Form Question 5 (BPI-5) and is stated as "please rate your pain by circling the one number that best describes your pain on the average". BPI-5 is a scale of 0 to 10 where 0 represents no pain and 10 represents worst pain. The mean scores were calculated for each diary period. The mean diary score at End of Treatment (EOT) was compared to the mean baseline diary score to calculate the change in pain intensity.

    Time frame: Baseline, End of Treatment (4-weeks of Treatment/Control)

  5. Patient Global Impression of Change at End of Treatment

    The Patient Global Impression of Change (PGIC) scale was administered at EOT to assess subject perception of overall improvement and patient preferences. The PGIC scale asks subjects to rate their improvement with treatment on a 7-point scale (centered at 4) that ranges from "very much worse" to "very much improved" relative to baseline.

    Time frame: End of Treatment (4-weeks of Treatment/Control)

  6. Change in Pain Medication Usage at End of Treatment

    Subjects completed 7-day diaries, in which they listed all pain medications they took during the 7 days. A blinded third party medication committee reviewed medications collected for each 7-day diary period and scored medication changes, in comparison to the baseline diary medications as "no change" (no change in dosage or change is not clinically meaningful to impact pain outcomes), "increase" (clinically meaningful increase in medication that would impact pain outcomes), or "decrease" (clinically meaningful decrease in medication that would impact pain outcomes).

    Time frame: End of Treatment (4-weeks of Treatment/Control)

  7. Clinical Global Impression of Improvement at End of Treatment

    The Blinded Evaluator rated each subject enrolled at their site using a question adapted from the Clinical Global Impression (CGI) scale, known as the Clinical Global Impression-Improvement scale (CGI-I). For the CGI-I, a Blinded Evaluator was asked to rate the subject's total improvement compared to their condition at baseline. The CGI-I uses a 7-point scale (centered at 4) that ranges from "very much worse" to "very much improved".

    Time frame: End of Treatment (4-weeks of Treatment/Control)

Other outcomes

  1. User Satisfaction With The Smartpatch System at End of Treatment

    Subjects completed the sponsor-developed Subject Satisfaction Survey at the End of Treatment (EOT) visit. The results of these surveys demonstrate the usability of the Smartpatch System and subject satisfaction with treatment.

    Time frame: End of Treatment (4-weeks of Treatment/Control)

  2. User Satisfaction With The Smartpatch System at 12-weeks Beyond Treatment

    Subjects completed the sponsor-developed Subject Satisfaction Survey at the end of the 12-week post-treatment period. The results of these surveys demonstrate the usability of the Smartpatch System and subject satisfaction with treatment.

    Time frame: 12-week post-treatment

  3. Performance of the Smartpatch System

    A sponsor-developed Clinician Satisfaction Survey was administered to the Investigator(s) at each site performing lead placement and included questions pertaining to use of the Smartpatch device as well as the overall impression of the therapy.

    Time frame: At completion of study, approximately 2.5 years

07

Results

Posted Oct 16, 2017
Limitations and caveats
This study included a pre-planned interim analysis for sample size re-estimation. The study was suspended because the treatment effect (both groups experienced clinically significant reductions in pain) required a sample size more than 90 subjects.

Participant flow

Recruitment began in March 2013 and was concluded in May 2015. Subjects were screened for the study from the available pool of candidates who presented to the Investigators with shoulder pain following stroke.

Initial Enrollment (Consented)
Participant flow — Initial Enrollment (Consented)
MilestoneEnrolled SubjectsSmartpatch Treatment Group (Full Analysis Set)Smartpatch Control Group (Full Analysis Set)
Started8800
Randomized4600
Full analysis set4300
Safety set4100
Per protocol set4000
Completed4000
Not completed4800
Withdrew: Protocol violation100
Withdrew: Withdrawal by subject200
Withdrew: Screen failure3900
Withdrew: Pending prior to enrollment stop600
Randomization
Participant flow — Randomization
MilestoneEnrolled SubjectsSmartpatch Treatment Group (Full Analysis Set)Smartpatch Control Group (Full Analysis Set)
Started03115
Full analysis set02815
Safety set02813
Per protocol set02713
Completed02713
Not completed042
Withdrew: Protocol violation010
Withdrew: Withdrawal by subject002
Withdrew: Screen failure030

Outcome measures

PrimaryChange From Baseline Shoulder Pain Intensity at End of Treatment (EOT)

A diary was used in the study to capture daily worst shoulder pain intensity over a 7-day period. The diary included a pain intensity question asked each day to the subject. The pain intensity question is excerpted from the Brief Pain Inventory - Short Form Question 3 (BPI-3) and is stated as "please rate your pain by circling the one number that best describes your pain at its worst in the last 24 hours". BPI-3 is a scale of 0 to 10 where 0 represents no pain and 10 represents worst pain. The median scores were calculated for each diary period. The median diary score at End of Treatment (EOT) was compared to the median baseline diary score to calculate the change in pain intensity. The group mean of the median scores for treatment was compared to the group mean of the medians scores for the control group at baseline and at EOT.

Time frame:
Baseline, End of Treatment (4-weeks of Treatment/Control)
Reported as:
Mean · scores on a scale
Change From Baseline Shoulder Pain Intensity at End of Treatment (EOT)
scores on a scaleSmartpatch Treatment Group (Full Analysis Set)Smartpatch Control Group (Full Analysis Set)
Baseline diary score7.1 ± 1.56.6 ± 1.5
EOT diary score4.1 ± 2.34.1 ± 3.1
Change in pain intensity from baseline3.1 ± 2.32.5 ± 3.1
PrimaryNumber of Participants With Device Related Adverse Event Rates in Treatment and Control Groups

At each study visit following the baseline assessment, subjects were questioned if any changes in their medical status or condition had occurred. If the change was an adverse event, an adverse event form was completed by the site.

Time frame:
16 weeks total - 4 weeks from baseline visit to EOT visit, followed by 12 weeks post-treatment
Reported as:
Number · device related adverse events
Number of Participants With Device Related Adverse Event Rates in Treatment and Control Groups
device related adverse eventsSmartpatch Treatment Group (Safety Set)Smartpatch Control Group (Safety Set)
Number of Participants With Device Related Adverse Event Rates in Treatment and Control Groups163
SecondaryChange From Baseline Shoulder Pain Interference at End of Treatment

The degree to which shoulder pain interferes with daily activities was assessed using Question 9 of the Brief Pain Inventory (BPI-9) collected from the BPI Short Form administered during clinic visits. This question asks the subject to rate the degree to which their pain has interfered with general activity, mood, walking ability, normal work, relations with other people, sleep, and enjoyment of life on a scale of 0 to 10, where 0 is "does not interfere" and 10 is "completely interferes" within the last week. The mean of these seven scores will be calculated to obtain the pain interference score.

Time frame:
Baseline, End of Treatment (4-weeks of Treatment/Control)
Reported as:
Mean · scores on a scale
Change From Baseline Shoulder Pain Interference at End of Treatment
scores on a scaleSmartpatch Treatment Group (Per Protocol Set)Smartpatch Control Group (Per Protocol Set)
Baseline score4.8 ± 2.45.0 ± 2.0
EOT score1.8 ± 1.82.6 ± 3.3
Change in pain interference from baseline3.1 ± 2.22.4 ± 2.7
SecondaryDurability of Change From Baseline Shoulder Pain Intensity at 12-weeks Beyond Treatment

A diary was used in the study to capture daily worst shoulder pain intensity over a 7-day period. The diary included a pain intensity question asked each day to the subject. The pain intensity question is excerpted from the Brief Pain Inventory - Short Form Question 3 (BPI-3) and is stated as "please rate your pain by circling the one number that best describes your pain at its worst in the last 24 hours". BPI-3 is a scale of 0 to 10 where 0 represents no pain and 10 represents worst pain. The median scores were calculated for each diary period. The median diary score at 12 weeks post-treatment was compared to the median baseline diary score to calculate the change in pain intensity. The group mean of the median scores for 12 weeks post-treatment was compared to the group mean of the median scores for the control group at baseline.

Time frame:
Baseline, 12-wks post-treatment
Reported as:
Mean · scores on a scale
Durability of Change From Baseline Shoulder Pain Intensity at 12-weeks Beyond Treatment
scores on a scaleSmartpatch Treatment Group (Full Analysis Set)Smartpatch Control Group (Full Analysis Set)
Baseline diary score7.1 ± 1.56.6 ± 1.5
12- weeks post-treatment diary score4.3 ± 2.94.3 ± 2.5
SecondaryChange From Baseline Quality of Life at End of Treatment

The Medical Outcomes Study Short Form (SF-36v2) was administered at clinic visits to assess the impact of peripheral nerve stimulation on the subject's health-related quality of life. The SF-36v2 is a generic health survey designed to assess basic physical functioning and emotional well-being regardless of the disease or treatment. The 36 questions were grouped into two components: physical and mental. The survey was scored using norm-based scoring algorithm where a score of 0 indicates maximum disability and a score of 100 indicates no disability. Change in each component score was derived from End of Treatment score minus baseline score.

Time frame:
Baseline, End of Treatment (4-weeks of Treatment/Control)
Reported as:
Mean · scores on a scale
Change From Baseline Quality of Life at End of Treatment
scores on a scaleSmartpatch Treatment Group (Per Protocol Set)Smartpatch Control Group (Per Protocol Set)
Physical Component Baseline score38.0 ± 8.935.4 ± 10.4
Change in Physical Component score from baseline4.8 ± 7.03.5 ± 9.3
Mental Component Baseline score54.3 ± 10.747.9 ± 9.5
Change in Mental Component score from baseline4.1 ± 10.19.1 ± 13.2
SecondaryChange From Baseline Average Pain Intensity at End of Treatment

A diary was used in the study to capture daily average shoulder pain intensity over a 7-day period. The diary included a pain intensity question asked each day to the subject. The pain intensity question is excerpted from the Brief Pain Inventory - Short Form Question 5 (BPI-5) and is stated as "please rate your pain by circling the one number that best describes your pain on the average". BPI-5 is a scale of 0 to 10 where 0 represents no pain and 10 represents worst pain. The mean scores were calculated for each diary period. The mean diary score at End of Treatment (EOT) was compared to the mean baseline diary score to calculate the change in pain intensity.

Time frame:
Baseline, End of Treatment (4-weeks of Treatment/Control)
Reported as:
Mean · scores on a scale
Change From Baseline Average Pain Intensity at End of Treatment
scores on a scaleSmartpatch Treatment Group (Per Protocol Set)Smartpatch Control Group (Per Protocol Set)
Baseline diary score5.2 ± 2.04.8 ± 1.7
EOT diary score2.6 ± 1.82.4 ± 2.2
Change in pain intensity from baseline2.7 ± 2.32.5 ± 2.3
SecondaryPatient Global Impression of Change at End of Treatment

The Patient Global Impression of Change (PGIC) scale was administered at EOT to assess subject perception of overall improvement and patient preferences. The PGIC scale asks subjects to rate their improvement with treatment on a 7-point scale (centered at 4) that ranges from "very much worse" to "very much improved" relative to baseline.

Time frame:
End of Treatment (4-weeks of Treatment/Control)
Reported as:
Count of participants · Participants
Patient Global Impression of Change at End of Treatment
ParticipantsSmartpatch Treatment Group (Per Protocol Set)Smartpatch Control Group (Per Protocol Set)
Very much worse00
Much worse00
Minimally worse02
No change12
Minimally improved115
Much improved133
Very much improved21
SecondaryChange in Pain Medication Usage at End of Treatment

Subjects completed 7-day diaries, in which they listed all pain medications they took during the 7 days. A blinded third party medication committee reviewed medications collected for each 7-day diary period and scored medication changes, in comparison to the baseline diary medications as "no change" (no change in dosage or change is not clinically meaningful to impact pain outcomes), "increase" (clinically meaningful increase in medication that would impact pain outcomes), or "decrease" (clinically meaningful decrease in medication that would impact pain outcomes).

Time frame:
End of Treatment (4-weeks of Treatment/Control)
Reported as:
Count of participants · Participants
Change in Pain Medication Usage at End of Treatment
ParticipantsSmartpatch Treatment Group (Per Protocol Set)Smartpatch Control Group (Per Protocol Set)
Decrease in pain med usage compared to baseline64
No change in pain med usage compared to baseline168
Increase in pain med usage compared to baseline31
SecondaryClinical Global Impression of Improvement at End of Treatment

The Blinded Evaluator rated each subject enrolled at their site using a question adapted from the Clinical Global Impression (CGI) scale, known as the Clinical Global Impression-Improvement scale (CGI-I). For the CGI-I, a Blinded Evaluator was asked to rate the subject's total improvement compared to their condition at baseline. The CGI-I uses a 7-point scale (centered at 4) that ranges from "very much worse" to "very much improved".

Time frame:
End of Treatment (4-weeks of Treatment/Control)
Reported as:
Count of participants · Participants
Clinical Global Impression of Improvement at End of Treatment
ParticipantsSmartpatch Treatment Group (Per Protocol Set)Smartpatch Control Group (Per Protocol Set)
Very much worse00
Much worse00
Minimally worse01
No change13
Minimally improved114
Much improved105
Very much improved40
Other pre-specifiedUser Satisfaction With The Smartpatch System at End of Treatment

Subjects completed the sponsor-developed Subject Satisfaction Survey at the End of Treatment (EOT) visit. The results of these surveys demonstrate the usability of the Smartpatch System and subject satisfaction with treatment.

Time frame:
End of Treatment (4-weeks of Treatment/Control)
Reported as:
Count of participants · Participants
User Satisfaction With The Smartpatch System at End of Treatment
ParticipantsSmartpatch Treatment Group (Safety Set)Smartpatch Control Group (Safety Set)
Reported study had positive impact on their life279
Reported being satisfied with experience in study2710
Would recommend participation in study to a friend2811
Tolerated lead placement with no discomfort168
Tolerated lead placement with some discomfort115
Tolerated lead placement with a lot of discomfort10
Other pre-specifiedUser Satisfaction With The Smartpatch System at 12-weeks Beyond Treatment

Subjects completed the sponsor-developed Subject Satisfaction Survey at the end of the 12-week post-treatment period. The results of these surveys demonstrate the usability of the Smartpatch System and subject satisfaction with treatment.

Time frame:
12-week post-treatment
Reported as:
Count of participants · Participants
User Satisfaction With The Smartpatch System at 12-weeks Beyond Treatment
ParticipantsSmartpatch Treatment Group (Safety Set)Smartpatch Control Group (Safety Set)
Reported study had positive impact on their life2711
Reported being satisfied with experience in study2611
Would recommend participation in study to a friend2813
Tolerated lead placement with no discomfort209
Tolerated lead placement with some discomfort74
Tolerated lead placement with a lot of discomfort10
Other pre-specifiedPerformance of the Smartpatch System

A sponsor-developed Clinician Satisfaction Survey was administered to the Investigator(s) at each site performing lead placement and included questions pertaining to use of the Smartpatch device as well as the overall impression of the therapy.

Time frame:
At completion of study, approximately 2.5 years
Reported as:
Count of participants · Participants
Performance of the Smartpatch System
ParticipantsInvestigators
Agreed time to perform procedure was acceptable7
Agreed that device components performed well6
Agreed that patients tolerated the procedure well6
Agreed that the Smartpatch System was easy to use7
Liked the size, weight, & shape of the Stimulator7
Agreed study beneficial for most of their patients5
Post-hocComposite 30% Reduction in Pain Intensity or Pain Interference From Baseline to End of Treatment (EOT)

Subjects who reported an reduction of at least 30% in either pain intensity or pain interference from baseline to End of Treatment (EOT) using the Brief Pain Inventory (BPI) Short Form. The pain intensity score is excerpted from BPI question 3, worst pain, taken from 7-day diaries. This scale ranges from 0 representing no pain to 10 representing worst pain. The median diary score at EOT was compared to the median baseline diary score to calculate the percentage of subjects who had at least a 30% reduction in pain intensity. Pain interference was assessed using BPI question 9. Subjects rated the degree to which their pain interfered with seven facets of daily life on a scale of 0 to 10, where 0 is "does not interfere" and 10 is "completely interferes". The mean of these 7 scores was calculated to obtain the pain interference score. The score at EOT was compared to the baseline score to determine the percentage of subjects who had at least a 30% reduction in pain interference.

Time frame:
4 weeks (from baseline visit to EOT visit)
Reported as:
Count of participants · Participants
Composite 30% Reduction in Pain Intensity or Pain Interference From Baseline to End of Treatment (EOT)
ParticipantsSmartpatch Treatment Group (Per Protocol Set)Smartpatch Control Group (Per Protocol Set)
Composite 30% Reduction in Pain Intensity or Pain Interference From Baseline to End of Treatment (EOT)258
Post-hoc30% Reduction in Pain Interference From Baseline to End of Treatment (EOT)

The degree to which shoulder pain interferes with daily activities was assessed using Question 9 of the Brief Pain Inventory (BPI-9) collected from the BPI Short Form administered during clinic visits. This question asks the subject to rate the degree to which their pain has interfered with general activity, mood, walking ability, normal work, relations with other people, sleep, and enjoyment of life on a scale of 0 to 10, where 0 is "does not interfere" and 10 is "completely interferes" within the last week. The mean of these seven scores was calculated to obtain the pain interference score. The score at End of Treatment (EOT) was compared to the baseline score to determine the percentage of subjects who had a clinically significant (30% or greater) reduction in pain interference.

Time frame:
4 weeks (from baseline visit to EOT visit)
Reported as:
Count of participants · Participants
30% Reduction in Pain Interference From Baseline to End of Treatment (EOT)
ParticipantsSmartpatch Treatment Group (Per Protocol Set)Smartpatch Control Group (Per Protocol Set)
30% Reduction in Pain Interference From Baseline to End of Treatment (EOT)247

Adverse events

Collected over Adverse events were collected over a period of 29 months (time from when the first subject was enrolled in April 2013 to when the last subject was completed in August 2015).. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Enrolled Subjects Who Did Not Receive the Study Device0/88 (0%)1/88 (1.1%)0/88 (0%)
Smartpatch Treatment Group (Safety Set)0/28 (0%)0/28 (0%)22/28 (78.6%)
Smartpatch Control Group (Safety Set)0/13 (0%)0/13 (0%)9/13 (69.2%)
Most frequent serious events
Most frequent serious events
EventEnrolled Subjects Who Did Not Receive the Study DeviceSmartpatch Treatment Group (Safety Set)Smartpatch Control Group (Safety Set)
Focal seizure (occurred prior to receiving any intervention)Nervous system disorders1/880/280/13
Most frequent other events
Showing 10 of 15
Most frequent other events
EventEnrolled Subjects Who Did Not Receive the Study DeviceSmartpatch Treatment Group (Safety Set)Smartpatch Control Group (Safety Set)
Skin irritation/dermatitis from bandagesSkin and subcutaneous tissue disorders0/889/284/13
Mild erythema or irritation at lead exit siteSkin and subcutaneous tissue disorders0/882/281/13
PainNervous system disorders0/880/281/13
Urinary Tract InfectionRenal and urinary disorders0/880/281/13
New numbness to left lower extremityVascular disorders0/880/281/13
Dizziness and headacheNervous system disorders0/880/281/13
Lead barb retainedSkin and subcutaneous tissue disorders0/882/280/13
Skin irritation/redness/or mild skin tears from Smartpatch PadSkin and subcutaneous tissue disorders0/882/280/13
General malaise after procedureGeneral disorders0/881/280/13
Mild bruising under lead connectorSkin and subcutaneous tissue disorders0/881/280/13

Baseline characteristics

The full analysis set includes all randomized patients who continued to meet all eligibility criteria prior to the time of lead placement.

Age, Continuous
Age, Continuous(years)Smartpatch Treatment Group (Full Analysis Set)Smartpatch Control Group (Full Analysis Set)Total
Mean57.2 ± 11.858.9 ± 9.857.8 ± 11.1
Sex: Female, Male
Sex: Female, Male(Participants)Smartpatch Treatment Group (Full Analysis Set)Smartpatch Control Group (Full Analysis Set)Total
Female10616
Male18927
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Smartpatch Treatment Group (Full Analysis Set)Smartpatch Control Group (Full Analysis Set)Total
Hispanic or Latino303
Not Hispanic or Latino251540
Unknown or Not Reported000
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Smartpatch Treatment Group (Full Analysis Set)Smartpatch Control Group (Full Analysis Set)Total
American Indian or Alaska Native000
Asian235
Native Hawaiian or Other Pacific Islander000
Black or African American10111
White151126
More than one race000
Unknown or Not Reported101
Type of stroke
Type of stroke(Participants)Smartpatch Treatment Group (Full Analysis Set)Smartpatch Control Group (Full Analysis Set)Total
Hemorrhagic11516
Ischemic161026
Unknown/not collected101
Time elapsed from stroke, years
Time elapsed from stroke, years(years)Smartpatch Treatment Group (Full Analysis Set)Smartpatch Control Group (Full Analysis Set)Total
Mean5.1 ± 4.73.5 ± 2.84.5 ± 4.2
Presence of shoulder subluxation
Presence of shoulder subluxation(Participants)Smartpatch Treatment Group (Full Analysis Set)Smartpatch Control Group (Full Analysis Set)Total
Subluxation present231134
Subluxation absent527
Beck Depression Inventory score
Beck Depression Inventory score(Beck Depression Score)Smartpatch Treatment Group (Full Analysis Set)Smartpatch Control Group (Full Analysis Set)Total
Mean13.2 ± 9.017.6 ± 11.914.7 ± 10.1
08

Study locations

5 sites
  • Rehabilitation Institute of Chicago
    Chicago, Illinois 60611, United States
  • Kessler Foundation Research Center
    West Orange, New Jersey 07052, United States
  • Weill Cornell Medical Center
    New York, New York 10065, United States
  • Carolinas Rehabilitation/Carolinas Healthcare
    Charlotte, North Carolina 28203, United States
  • The Ohio State University Wexner Medical Center
    Columbus, Ohio 43210, United States
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Oct 16, 2017, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT01847885
Responsible party
Sponsor
First posted
May 7, 2013
Start date
Apr 2013
Primary completion
Aug 21, 2015
Completion
Nov 14, 2016
Results posted
Oct 16, 2017
Last update
Oct 16, 2017

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

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