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CompletedNCT05244187Updated Feb 28, 2025Results posted

Study to Evaluate the OrthoCor Active System for Pain Relief

An interventional study of OrthoCor Active System in Pain, sponsored by Caerus Corporation. Completed at 5 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-02-28.

Sponsored by Caerus Corporation · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
120
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

This is a prospective, multi-center, randomized, pivotal study to evaluate the OrthoCor Active System in individuals prescribed its use in comparison with the standard of care intervention for pain relief.

Read the detailed description

According to the Centers for Disease Control and Prevention, 50 million adults in the United States have chronic daily pain, with 19.6 million adults experiencing high impact chronic pain that interferes with daily life or work activities. Clinical best practices may recommend a collaborative, multimodal, multidisciplinary, patient-centered approach to treatment for various acute and chronic pain conditions to achieve optimal patient outcomes. For improved functionality, activities of daily living, and quality of life, clinicians are encouraged to consider and prioritize, when clinically indicated, nonpharmacologic approaches to pain management.

An alternative treatment option can be the use of restorative therapies. Restorative therapies play a significant role in acute and chronic pain management, and positive clinical outcomes are more likely if restorative therapy is part of a multidisciplinary treatment plan following a comprehensive assessment.

The OrthoCor Active System uses specialized Pulsed Electromagnetic Field (PEMF) technology to relieve pain and reduce edema through safe, clinically proven therapy. PEMF is a low-level, time-varying electromagnetic field that penetrates superficial soft tissue, helping to accelerate the body's natural anti-inflammatory and recovery responses. Inside every OrthoCor Active System is proprietary electronic circuitry that delivers PEMF to the source of injuries. PEMF has been shown to stimulate reaction pathways that result in pain and inflammation reduction. OrthoCor's patented PEMF accelerates the binding of calcium (Ca2+) to calmodulin (CaM), the process responsible for the body's natural, antiinflammatory nitric oxide (NO) cascade. NO is a key element in the body's natural healing process. It is also a vasodilator, increasing blood and lymphatic flow. Additionally, NO down-regulates interleukin-1 beta (IL1β) and inducible nitric oxide synthase (iNOS), which leads to reduced cyclooxygenase-2 (COX-2) and prostaglandins - molecules responsible for causing inflammation and pain. Unlike other systemic COX-2 inhibitors such as nonsteroidal anti-inflammatory drugs (NSAIDs), OrthoCor's targeted PEMF signals stimulate localized reaction pathways, thereby reducing pain and inflammation without the risks and side effects associated with NSAIDs.

In previous clinical studies, OrthoCor Active System was clinically proven to reduce pain, swelling and provide lasting relief without the use of pain medications or invasive procedures. OrthoCor Medical Inc. conducted a prospective, double blind, placebo controlled, randomized pilot study (2014-2016), enrolling 80 patients with Kellgren-Lawrence knee arthritis who used the OrthoCor knee system, which showed a significant 60% reduction in the mean pain score within the first 3 days of use compared with the sham group 2. A preliminary study conducted by OrthoCor Medical Inc. in 33 patients suffering from knee osteoarthritis utilizing the OrthCor knee system, showed reduced pain and stiffness after 15 days of treatment with a 43% reduction in pain score and a 79% improvement in activity limitations, symptoms, emotions, and overall quality of life.

The OrthoCor Active System is a portable (battery operated) non-invasive shortwave diathermy medical device which applies electromagnetic energy at a radio frequency (RF) of 27.12 MHz for the treatment of pain in superficial soft tissue, such as in the ankle, back, knee, wrist, elbow, shoulder, foot, or neck. The OrthoCor Active System delivers the pulsed RF signal of 6.5+0.5 Ws/cm3 to the tissue target via the inductive coupling with an applicator coil. The system also uses disposable, single-use, air activated OrthoPods that provide heat for the temporary relief of minor muscular \& joint aches \& pains associated with overexertion, strains, sprains, and arthritis.

The objective of this study is to evaluate the OrthoCor Active System in individuals presenting with post-operative pain and edema in superficial soft tissue. The OrthoCor Active System will be compared to the SOC intervention.

02

Conditions studied

  • Pain
03

In context

Lead sponsor

Caerus Corporation is the lead sponsor of 2 studies on the registry; none are open to participants now.

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

04

Who can participate

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

Inclusion criteria

  1. Individuals presenting with pain in superficial soft tissue, such as ankle, back, knee, wrist, elbow, shoulder, foot, or neck pain, or minor muscular and joint aches and pains associated with over exertion, strains, sprains, or arthritis
  2. Prescribed use of the OrthoCor Active System or Standard of Care (SOC) intervention
  3. Willing and able to provide informed consent or obtain consent from legal authorized representative (LAR)

Exclusion criteria

Exclusion Criteria:

  1. Have a cardiac pacemaker, cardioverter defibrillator, neurostimulator, infusion pump or any active medical implant
  2. Have an implanted metallic lead or any type of wire coil implant, or any implanted system that may contain lead
  3. Who are or may be pregnant
  4. Have an open wound at the area of application
  5. Are not capable or fully aware to the sensation of heat
  6. Have poor circulation or heart disease
  7. Have diabetes
  8. Under the age of 18 or individuals with open bone growth plates
  9. Unable to provide consent or obtain consent from a LAR
  10. Unwilling or unable to use the OrthoCor Active System or Standard of Care (SOC) intervention
  11. Unwilling or unable to complete the daily pain assessment
  12. Enrolled in a study to evaluate an investigational drug
  13. Prisoner or under incarceration
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
120 participants (actual)

Study arms

  • Experimental
    OrthoCor Active System

    OrthoCor Active System used for pain relief

    Device: OrthoCor Active System

  • No intervention
    Standard of care

    standard of care: over-the-counter pain medication

Interventions

  • DeviceOrthoCor Active System

    The OrthoCor Active System is a portable (battery operated) non-invasive device that delivers Pulsed Electromagnetic Field (PEMF) therapy for General Use of temporary pain relief, utilizing wraps that position the therapy, such as on the ankle, back, knee, wrist, elbow, shoulder, foot, or neck.

06

What researchers measure

Primary outcomes

  1. Primary Safety EndPoint

    Number of participants with adverse events

    Time frame: after 2 weeks of use

  2. Primary Efficacy EndPoint

    Change from baseline of Mankoski pain scale between OrthoCor and standard of care. The Mankoski pain scale ranges from 0 representing no pain to 10 representing pain causing unconsciousness.

    Time frame: at baseline compared to during 2 weeks of use

07

Results

Posted Jul 17, 2024

Participant flow

Participant flow — Overall Study
MilestoneOrthoCor Active SystemStandard of Care
Started5961
Completed4843
Not completed1118

Outcome measures

PrimaryPrimary Safety EndPoint

Number of participants with adverse events

Time frame:
after 2 weeks of use
Reported as:
Count of participants · Participants
Primary Safety EndPoint
ParticipantsOrthoCor Active SystemStandard of Care
Primary Safety EndPoint22
PrimaryPrimary Efficacy EndPoint

Change from baseline of Mankoski pain scale between OrthoCor and standard of care. The Mankoski pain scale ranges from 0 representing no pain to 10 representing pain causing unconsciousness.

Time frame:
at baseline compared to during 2 weeks of use
Reported as:
Least squares mean · score on a scale
Primary Efficacy EndPoint
score on a scaleOrthoCor Active SystemStandard of Care
Primary Efficacy EndPoint-1.8 (-2.1 to -1.5)-0.5 (-0.8 to -0.1)

Adverse events

Collected over 2 weeks. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
OrthoCor Active System0/59 (0%)0/59 (0%)2/59 (3.4%)
Standard of Care0/61 (0%)0/61 (0%)2/61 (3.3%)
Most frequent other events
Most frequent other events
EventOrthoCor Active SystemStandard of Care
tinglingSurgical and medical procedures1/590/61
difficulty bending kneeSurgical and medical procedures1/590/61
shoulder painSurgical and medical procedures0/591/61
sleepinessSocial circumstances0/591/61

Baseline characteristics

The numbers represent the ITT because the analyses for PP and ITT are very similar.

Age, Continuous
Age, Continuous(years)OrthoCor Active SystemStandard of CareTotal
Mean54.0 ± 16.356.5 ± 16.255.3 ± 16.2
Sex: Female, Male
Sex: Female, Male(Participants)OrthoCor Active SystemStandard of CareTotal
Female393978
Male202242
Race (NIH/OMB)
Race (NIH/OMB)(Participants)OrthoCor Active SystemStandard of CareTotal
American Indian or Alaska Native011
Asian516
Native Hawaiian or Other Pacific Islander011
Black or African American181937
White313970
More than one race505
Unknown or Not Reported000
Region of Enrollment
Region of Enrollment(Participants)OrthoCor Active SystemStandard of CareTotal
United States5961120
08

Study locations

5 sites
  • Andrews Research & Education Foundation
    Gulf Breeze, Florida 32561, United States
  • GFC of Southeastern Michigan PC
    Detroit, Michigan 48202, United States
  • Rothman Orthopedic Institute
    Washington Township, New Jersey 08080, United States
  • Orlin & Cohen Orthopedic Group
    Smithtown, New York 11787, United States
  • Spinal Pain and Rehabilitation Medicine
    Yonkers, New York 10701, United States
09

References and documents

Publications

  • Hackel JG, Paci JM, Gupta S, Maravelas DA, North TJ, Paunescu A. Evaluating Noninvasive Pulsed Electromagnetic Field Therapy for Joint and Soft Tissue Pain Management: A Prospective, Multi-center, Randomized Clinical Trial. Pain Ther. 2025 Apr;14(2):723-735. doi: 10.1007/s40122-025-00711-z. Epub 2025 Feb 10. PubMed 39928254 ↗

Study documents

  • Study protocol · Sep 7, 2022
  • Statistical analysis plan · Nov 27, 2023

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

Individual participant data

Plan to share: No

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Feb 28, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT05244187
Lead sponsor
Caerus Corporation
Responsible party
Sponsor
First posted
Feb 17, 2022
Start date
Nov 7, 2022
Primary completion
Oct 30, 2023
Completion
Nov 23, 2023
Results posted
Jul 17, 2024
Last update
Feb 28, 2025

Study contacts

Joshua G Hackel, MD
principal investigator · Andrews Research and Education Foundation

Oversight

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

Not currently enrolling

This study is completed, as verified in Jul 2024. You cannot join it, but the record below documents what was studied.

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