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CompletedNCT05196828Updated Sep 19, 2024Results posted

Extension Study Evaluating NTX100 Neuromodulation System for Medication-Refractory Primary RLS

An interventional study of NTX100 Neuromodulation System in Restless Legs Syndrome, sponsored by Noctrix Health, Inc.. Completed at 7 sites in United States. Open to participants aged 22 Years to 80 Years. Per ClinicalTrials.gov, last updated 2024-09-19.

Sponsored by Noctrix Health, Inc. · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
103
Allocation
Non-randomized
Ages
22 Years to 80 Years
Sex
All
01

Study summary

Multi-center, prospective open-label extension study of noninvasive peripheral nerve stimulation (NPNS) with the NTX100 Neuromodulation System for patients with medication-refractory moderate- severe primary RLS

Read the detailed description

This is an extension study only inviting subjects who have previously completed the RESTFUL Study (NCT04874155).

Each study subject is enrolled into one of the following Arms:

Arm 1 (Direct Roll-Over Extension): 24-week open-label NPNS followed by 8-weeks of no treatment, no delay after completion of the RESTFUL Study

Arm 2 (Control Group): 24-weeks of no treatment

02

Conditions studied

03

In context

Psychomotor Agitation

500 studies on the registry are indexed under Psychomotor Agitation; 55 are open to participants now.

This study's enrollment of 103 is above the median of 90 across 413 interventional studies indexed under Psychomotor Agitation.

Browse Psychomotor Agitation studies →

Lead sponsor

Noctrix Health, Inc. is the lead sponsor of 9 studies on the registry; 2 are open to participants now.

Of its 5 completed or terminated interventional studies of FDA-regulated products, 3 (60%) have results posted.

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

04

Who can participate

Ages eligible
22 Years to 80 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  1. Subject previously completed the RESTFUL Study (NCT04874155).
  2. Subject has signed a valid, Institutional Review Board-approved informed consent form, can understand the requirements of the study and instructions for device usage, and can converse in English.
  3. [applicable to Arm 1 only] Subject agrees to not change dosage or schedule of any medications that are known to impact RLS symptoms during the study, including RLS medications, antidepressants, sleep medications, or sedative antihistamines.

Exclusion criteria

Exclusion Criteria:

  1. [applicable to Arm 1 only] Subject has active medical device implant anywhere in the body (including but not limited to pacemakers, spinal cord stimulators, deep brain stimulators) or metal implant at the site of study device electrode application.
  2. [applicable to Arm 1 only] Subject has been diagnosed with one of the following conditions:

    • Epilepsy or other seizure disorder Current, active or acute or chronic infection other than common cold [and except for acute infections with mild symptoms]
    • A malignancy within the past 5 years (not including basal or squamous cell skin cancer)
    • Stage 4-5 chronic kidney disease or renal failure
    • Severe movement disorder symptoms (Parkinson's disease, Huntington's disease, dyskinesia, dystonia)
    • Deep vein thrombosis
    • Multiple sclerosis
  3. Subject has moderate or severe cognitive disorder or mental illness.
  4. [applicable to Arm 1 only] Subject has known allergy to device materials, electrode gel, polyurethane foam, or lycra (or severe previous reaction to medical adhesives or bandages).
  5. [applicable to Arm 1 only] Subject has severe edema affecting lower legs.
  6. [applicable to Arm 1 only] Subject has any of the following at or near the location of device application.

    • Acute injury
    • Cellulitis
    • Open sores
    • Other skin condition
  7. [applicable to Arm 1 only] Subject is on dialysis or anticipated to start dialysis while participating in the study.
  8. [applicable to Arm 1 only] Subject has received another investigational device or drug within 30 days before study entry, is planning to receive another investigational device or drug during the study, or is planning to change RLS medications during the study.
  9. Subject is unable or unwilling to comply with study requirements.
  10. [applicable to Arm 1 only] Subject is pregnant or trying to become pregnant.
  11. Subject has a medical condition not listed above that may affect validity of the study as determined by the investigator.
  12. [applicable to Arm 1 only] Subject has a medical condition not listed above that may put the subject at risk as determined by the investigator.
  13. Subject was unwilling or unable to follow instructions in the RESTFUL Study, including missing 2 or more follow-up evaluations.
  14. [applicable to Arm 1 only] Subject failed to properly operate the investigational devices during Weeks 5-8 of the RESTFUL Study.
  15. [applicable to Arm 1 only] Subject experienced a significantly higher than expected rate of device malfunctions in the RESTFUL Study, such that the malfunctions appeared to be directly related to the subject's pattern of use.
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
103 participants (actual)

Study arms

  • Active comparator
    Arm 1 - Direct Roll-Over Extension

    24-wks of Active neurostimulation - Noninvasive peripheral nerve stimulation device programmed to deliver active stimulation; followed by 8-wks of No Intervention

    Device: NTX100 Neuromodulation System

  • No intervention
    Arm 2 - Control Group

    24-wks of No Intervention

Interventions

  • DeviceNTX100 Neuromodulation System

    Active Noninvasive peripheral nerve stimulation device programmed to active mode

06

What researchers measure

Primary outcomes

  1. Number of Subjects for Which the Clinician Reported "Much Improved" or "Very Much Improved" on the Clinical Global Impressions-Improvement (CGI-I) Scale in Treatment Group (Arm 1) Relative to Baseline.

    Responder rate is defined as the proportion of responses of "Much Improved" or "Very Much Improved" relative to baseline on the investigator-rated 7-point CGI-I scale. The outcomes were also evaluated as Treatment Group (Arm 1) at 24 weeks related to Control Group (Arm 2) at 24 weeks. The primary outcome, however, is the measure relative to baseline.

    Time frame: Week 24

Secondary outcomes

  1. Number of Subjects That Report "Much Improved" or "Very Much Improved" on the Patient Global Impressions-Improvement (PGI-I) Scale in the Treatment Group (Arm 1) Relative to Baseline.

    Responder rate is defined as the proportion of responses "Much Improved" or "Very Much Improved" on the Patient Global Impressions-Improvement (PGI-I) Scale in the Treatment Group (Arm 1) Relative to Baseline. Note that the Responder Rate was be calculated relative to baseline for the endpoint but was also be calculated relative to the value for the control group at Week 24.

    Time frame: Week 24

  2. Mean Change From Baseline in International Restless Legs Syndrome Study Group Rating Scale (IRLS) Score in Arm 1

    IRLS is a participant-rated questionnaire that rates RLS severity from 0-40, where 40 is the most severe. Note that the IRLS score was calculated relative to baseline for the endpoint but was also be calculated relative to the value for the control group at Week 24.

    Time frame: Week 24

  3. Mean Change From Baseline in Medical Outcomes Study Sleep Problems Index II (MOS-II) Score in Arm 1

    MOS-II is a subscale of the participant-rated MOS questionnaire that measures subjective sleep quality. The MOS-I (6-items) and MOS-II (9-items) are the two validated subscales of the 12-item MOS Sleep Scale. Both are scored from 0 to 100, where 100 corresponds to the worst possible sleep problems and 0 corresponds to no sleep problems. See https://labs.dgsom.ucla.edu/hays/files/view/docs/surveys/sleep/sleepman-112603.pdf for more information. Note that the mean MOS-II score was calculated relative to baseline for the endpoint but was also be calculated relative to the value for the control group at Week 24.

    Time frame: Week 24

  4. Mean Change From Baseline in Medical Outcomes Study Sleep Problems Index I (MOS-I) Score in Arm 1

    MOS-I is a subscale of the participant-rated MOS questionnaire that measures subjective sleep quality. The MOS-I (6-items) and MOS-II (9-items) are the two validated subscales of the 12-item MOS Sleep Scale. Both are scored from 0 to 100, where 100 corresponds to the worst possible sleep problems and 0 corresponds to no sleep problems. See https://labs.dgsom.ucla.edu/hays/files/view/docs/surveys/sleep/sleepman-112603.pdf for more information. Note that the outcome is measured relative to baseline but also relative to the Arm 2 (control group) at 24 weeks.

    Time frame: Week 24

  5. Days Per Week of RLS Symptoms Based on Question #7 in the International Restless Legs Syndrome Study Group Rating Scale (IRLS) Score in Arm 1

    The International Restless Legs Syndrome (IRLS) Question #7 is a participant-rated question that measures the frequency of RLS symptoms in terms of days per week.

    Time frame: Week 24

07

Results

Posted Sep 19, 2024

Participant flow

Subjects were recruited from the parent study (CT-04, RESTFUL Study). The CT-04 study enrolled 133 subjects, 126 of which completed the study. These 126 subjects were invited to participate in the CT-05 Extension study but 23 were not enrolled (7 not reachable, 12 did not consent, 1 was ineligible and 3 were unable to enroll due to a site not yet active.). This left 103 subjects that were consented and enrolled in CT-05, the Extension study.

Participant flow — Overall Study
MilestoneArm 1 - Direct Roll-Over ExtensionArm 2 - Control Group
Started4459
Completed4155
Not completed34
Withdrew: Withdrawal by subject20
Withdrew: Lost to follow-up04
Withdrew: Adverse event10

Outcome measures

PrimaryNumber of Subjects for Which the Clinician Reported "Much Improved" or "Very Much Improved" on the Clinical Global Impressions-Improvement (CGI-I) Scale in Treatment Group (Arm 1) Relative to Baseline.

Responder rate is defined as the proportion of responses of "Much Improved" or "Very Much Improved" relative to baseline on the investigator-rated 7-point CGI-I scale. The outcomes were also evaluated as Treatment Group (Arm 1) at 24 weeks related to Control Group (Arm 2) at 24 weeks. The primary outcome, however, is the measure relative to baseline.

Time frame:
Week 24
Reported as:
Count of participants · Participants
Number of Subjects for Which the Clinician Reported "Much Improved" or "Very Much Improved" on the Clinical Global Impressions-Improvement (CGI-I) Scale in Treatment Group (Arm 1) Relative to Baseline.
ParticipantsArm 1 - Direct Roll-Over ExtensionArm 2 - Control Group
Number of Subjects for Which the Clinician Reported "Much Improved" or "Very Much Improved" on the Clinical Global Impressions-Improvement (CGI-I) Scale in Treatment Group (Arm 1) Relative to Baseline.328
SecondaryNumber of Subjects That Report "Much Improved" or "Very Much Improved" on the Patient Global Impressions-Improvement (PGI-I) Scale in the Treatment Group (Arm 1) Relative to Baseline.

Responder rate is defined as the proportion of responses "Much Improved" or "Very Much Improved" on the Patient Global Impressions-Improvement (PGI-I) Scale in the Treatment Group (Arm 1) Relative to Baseline. Note that the Responder Rate was be calculated relative to baseline for the endpoint but was also be calculated relative to the value for the control group at Week 24.

Time frame:
Week 24
Reported as:
Count of participants · Participants
Number of Subjects That Report "Much Improved" or "Very Much Improved" on the Patient Global Impressions-Improvement (PGI-I) Scale in the Treatment Group (Arm 1) Relative to Baseline.
ParticipantsArm 1 - Direct Roll-Over ExtensionArm 2 - Control Group
Number of Subjects That Report "Much Improved" or "Very Much Improved" on the Patient Global Impressions-Improvement (PGI-I) Scale in the Treatment Group (Arm 1) Relative to Baseline.3312
SecondaryMean Change From Baseline in International Restless Legs Syndrome Study Group Rating Scale (IRLS) Score in Arm 1

IRLS is a participant-rated questionnaire that rates RLS severity from 0-40, where 40 is the most severe. Note that the IRLS score was calculated relative to baseline for the endpoint but was also be calculated relative to the value for the control group at Week 24.

Time frame:
Week 24
Reported as:
Mean · score on a scale
Mean Change From Baseline in International Restless Legs Syndrome Study Group Rating Scale (IRLS) Score in Arm 1
score on a scaleArm 1 - Direct Roll-Over ExtensionArm 2 - Control Group
Mean Change From Baseline in International Restless Legs Syndrome Study Group Rating Scale (IRLS) Score in Arm 1-11.3 ± 8.43-5.4 ± 6.70
SecondaryMean Change From Baseline in Medical Outcomes Study Sleep Problems Index II (MOS-II) Score in Arm 1

MOS-II is a subscale of the participant-rated MOS questionnaire that measures subjective sleep quality. The MOS-I (6-items) and MOS-II (9-items) are the two validated subscales of the 12-item MOS Sleep Scale. Both are scored from 0 to 100, where 100 corresponds to the worst possible sleep problems and 0 corresponds to no sleep problems. See https://labs.dgsom.ucla.edu/hays/files/view/docs/surveys/sleep/sleepman-112603.pdf for more information. Note that the mean MOS-II score was calculated relative to baseline for the endpoint but was also be calculated relative to the value for the control group at Week 24.

Time frame:
Week 24
Reported as:
Mean · score on a scale
Mean Change From Baseline in Medical Outcomes Study Sleep Problems Index II (MOS-II) Score in Arm 1
score on a scaleArm 1 - Direct Roll-Over ExtensionArm 2 - Control Group
Mean Change From Baseline in Medical Outcomes Study Sleep Problems Index II (MOS-II) Score in Arm 1-17.2 ± 18.81-6.4 ± 15.18
SecondaryMean Change From Baseline in Medical Outcomes Study Sleep Problems Index I (MOS-I) Score in Arm 1

MOS-I is a subscale of the participant-rated MOS questionnaire that measures subjective sleep quality. The MOS-I (6-items) and MOS-II (9-items) are the two validated subscales of the 12-item MOS Sleep Scale. Both are scored from 0 to 100, where 100 corresponds to the worst possible sleep problems and 0 corresponds to no sleep problems. See https://labs.dgsom.ucla.edu/hays/files/view/docs/surveys/sleep/sleepman-112603.pdf for more information. Note that the outcome is measured relative to baseline but also relative to the Arm 2 (control group) at 24 weeks.

Time frame:
Week 24
Reported as:
Mean · score on a scale
Mean Change From Baseline in Medical Outcomes Study Sleep Problems Index I (MOS-I) Score in Arm 1
score on a scaleArm 1 - Direct Roll-Over ExtensionArm 2 - Control Group
Mean Change From Baseline in Medical Outcomes Study Sleep Problems Index I (MOS-I) Score in Arm 1-15.8 ± 19.21-5.7 ± 15.48
SecondaryDays Per Week of RLS Symptoms Based on Question #7 in the International Restless Legs Syndrome Study Group Rating Scale (IRLS) Score in Arm 1

The International Restless Legs Syndrome (IRLS) Question #7 is a participant-rated question that measures the frequency of RLS symptoms in terms of days per week.

Time frame:
Week 24
Reported as:
Mean · Days/Week
Days Per Week of RLS Symptoms Based on Question #7 in the International Restless Legs Syndrome Study Group Rating Scale (IRLS) Score in Arm 1
Days/WeekArm 1 - Direct Roll-Over ExtensionArm 2 - Control Group
Days Per Week of RLS Symptoms Based on Question #7 in the International Restless Legs Syndrome Study Group Rating Scale (IRLS) Score in Arm 1-1.50 ± 1.34-0.41 ± 0.91

Adverse events

Collected over Up to 32 weeks.. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Arm 10/44 (0%)0/44 (0%)10/44 (22.7%)
Arm 20/44 (0%)0/44 (0%)3/44 (6.8%)
Most frequent other events
Most frequent other events
EventArm 1Arm 2
DiscomfortSkin and subcutaneous tissue disorders10/443/44

Baseline characteristics

Age, Continuous
Age, Continuous(years)Arm 1 - Direct Roll-Over ExtensionArm 2 - Control GroupTotal
Mean57.7 ± 11.6557.5 ± 11.8557.6 ± 11.75
Sex: Female, Male
Sex: Female, Male(Participants)Arm 1 - Direct Roll-Over ExtensionArm 2 - Control GroupTotal
Female263258
Male182745
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Arm 1 - Direct Roll-Over ExtensionArm 2 - Control GroupTotal
Hispanic or Latino437
Not Hispanic or Latino405292
Unknown or Not Reported044
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Arm 1 - Direct Roll-Over ExtensionArm 2 - Control GroupTotal
American Indian or Alaska Native000
Asian022
Native Hawaiian or Other Pacific Islander000
Black or African American022
White405292
More than one race437
Unknown or Not Reported000
08

Study locations

7 sites
  • California Center for Sleep Disorders
    San Leandro, California 94578, United States
  • Delta Waves, Inc.
    Colorado Springs, Colorado 95125, United States
  • Neurotrials Research
    Atlanta, Georgia 30328, United States
  • Clayton Sleep Institute
    Saint Louis, Missouri 63123, United States
  • Ohio Sleep Medicine Institute
    Dublin, Ohio 43017, United States
  • Bogan Sleep Consultants, LLC
    Columbia, South Carolina 29201, United States
  • FutureSearch Trials of Neurology
    Austin, Texas 78731, United States
09

References and documents

Study documents

  • Study protocol · Nov 24, 2021
  • Statistical analysis plan · Mar 10, 2023

Documents are hosted by the registry — open the source record to download them.

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 19, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT05196828
Lead sponsor
Noctrix Health, Inc.
Responsible party
Sponsor
First posted
Jan 19, 2022
Start date
Dec 20, 2021
Primary completion
Sep 27, 2022
Completion
Nov 18, 2022
Results posted
Sep 19, 2024
Last update
Sep 19, 2024

Study contacts

Jonathan D Charlesworth, PhD
study director · Noctrix Health, Inc.

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
Yes
View the source record on ClinicalTrials.gov ↗

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