An interventional study of CMM + Axon Therapy in Neuropathic Pain and Peripheral Neuropathy, sponsored by NeuraLace Medical, Inc.. Active, not recruiting at 3 sites in United States. Open to participants aged 18 Years to 75 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2024-07-12.
Sponsored by NeuraLace Medical, Inc. · Not applicable, Interventional, and Treatment
Compare Axon Therapy using transcutaneous magnetic stimulation (tMS) against conventional medical management in treating post-traumatic peripheral neuropathic pain (PTPNP).
Subjects will be consented, screened, and undergo a 7-day baseline assessment to measure pain scores and assess diary compliance. Subjects who meet inclusion criteria will undergo an in-clinic baseline evaluation, receive randomization assignment, and start their respective treatments.
Those randomized to the CMM plus Axon Therapy group will receive their first Axon Therapy treatment and then have a follow-up phone call after 24 hours to assess if the patient is a candidate for Axon Therapy, that is if the subject is neuropathic or nociceptive. Those that are not candidates for Axon Therapy will be monitored for 30 days for AEs and then they will exit the study as screen failures. Screen failures will not count against enrollment numbers.
All subjects will return to the clinic for follow-up assessment at Day 30 (± 14 days), Day 90 (± 14 days), Day 180 (± 14 days) and Day 365 (± 30 days) and if in the CMM plus Axon Therapy group will return to the clinic for Axon Therapy treatments as follows:
Month 1: 6 treatments
At day 90 (± 15 days), subjects will be allowed to crossover to the alternative treatment group. Subjects who crossover from CMM to CMM plus Axon Therapy will follow the CMM plus Axon Therapy regimen, remaining in the study for 15 months. These subjects will have follow-up visits at Day 120 (± 14 days), Day 180 (± 14 days) ,Day 270 (± 14 days), and Day 450 (± 30 days).
Subjects who crossover from CMM plus Axon Therapy to CMM will be monitored for 30 days for AEs and then they will exit the study. The reason for ending therapy will be recorded.
In addition to in-clinic assessments and treatments, all subjects will complete an electronic daily diary up to twice daily throughout the first 90 days and for crossover subjects they will complete 90 days of Axon treatment therapy and up to Day 180. They will receive weekly phone follow-up to assess pain intensity and occurrence of adverse events after treatment starts. Weekly phone follow-ups will only occur during weeks when the subject is not seen in the clinic.
1,287 studies on the registry are indexed under Neuralgia; 256 are open to participants now.
This study's enrollment of 61 is above the median of 52 across 973 interventional studies indexed under Neuralgia.
Browse Neuralgia studies →NeuraLace Medical, Inc. is the lead sponsor of 3 studies on the registry; none are open to participants now.
Counted across the registry records on this site, refreshed daily.
Exclusion Criteria
Participants will return to the clinic for assessment at Day 30 (± 14 days), Day 90 (± 14 days), Day 180 (± 30 days) and Day 365 (± 30 days). Participants randomized to the CMM plus Axon Therapy group will return to the clinic for Axon Therapy treatments as follows: * Month 1: 6 treatments * WEEK 1: 3 treatments (consecutive treatments are best) * WEEK 2-4: Weekly treatments * Month 2: Bi-monthly treatment * Months 3-12: Treatments every 2-4 weeks In addition to in-clinic assessments and treatments, all participants will a receive weekly phone follow-up to assess pain intensity and occurrence of adverse events after treatment starts. Weekly phone follow-ups will only occur during weeks when the participant is not in clinic for treatment.
Device: CMM + Axon Therapy
Participants will return to the clinic for assessment at Day 30 (± 14 days), Day 90 (± 14 days), Day 180 (± 30 days) and Day 365 (± 30 days)
transcutaneous magnetic stimulation (tMS)
Comparison of the Proportion of Responders
The primary effectiveness endpoint is a between groups comparison of the proportion of responders, defined as a subject who experiences 50% or greater reduction from baseline in neuropathic pain intensity as measured by in-clinic visual analog score (VAS) for primary area of pain at Day 90 with no increase in baseline pain medications within 4 weeks of the Day 90 visit.
Time frame: 90 days
Visual Analog Scale (VAS) for Pain
Scores from daily diaries at 30 and 90 days (analysis will include a comparison of compliance across treatment groups)
Time frame: 30 and 90 days
Brief Pain (BPI Inventory
The secondary endpoints of this trial are between group comparisons
Time frame: 90 days
Daily Sleep Interference Scale (DSIS)
The secondary endpoints of this trial are between group comparisons
Time frame: 30 and 90 days
5D-5D-3L
The secondary endpoints of this trial are between group comparisons
Time frame: 90 days
Patient Global Impression of Change (PGIC)
The secondary endpoints of this trial are between group comparisons
Time frame: 90 days
Depression Anxiety Stress Scales (DASS)
The secondary endpoints of this trial are between group comparisons b
Time frame: 90 days
Pain Disability Index (PDI)
The secondary endpoints of this trial are between group comparisons
Time frame: 90 days
Reduction or elimination non-opioid pain medications
Subjects on Axon Therapy and based on prescribed dosages
Time frame: 365 Days
Improvement in PDI score
Proportion of subjects with clinically meaningful change as 10 point improvement, in PDI score 365 days post start of treatment as compared to baseline, subjects on a Axon Therapy
Time frame: 365 Days
Mean/percent reduction in morphine equivalent daily dose (MEDD)
Based on prescribed dosages with Axon Treatment Therapy or Gabapentin equivalence for any CMM subjects
Time frame: Day 180 and 365
Proportion of subjects who discontinue treatment and/or change treatment arms
Proportion of subjects who discontinue treatment and/or change treatment arms
Time frame: Day 90
Proportion of subjects in each satisfaction category at Day 180 and 365 (Subjects on Axon Therapy).
Proportion of subjects in each satisfaction category at Day 180 and 365 (Subjects on Axon Therapy).
Time frame: Day 180 and Day 365
Plan to share: No
No publications or documents are linked to this record.
This study is active, not recruiting, as verified in Jul 2024. You cannot join it, but the record below documents what was studied.
Get an email when the registry record changes — status, dates, results — or when someone posts here.
Sign in to followQuestions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.
Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.
Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.
NeuraLace Medical, Inc.