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WithdrawnNCT05411627Updated Feb 8, 2024

A Pilot Study of Shockwave Therapy in HSP

An interventional study of Shockwave Therapy in Hereditary Spastic Paraplegia, sponsored by Spaulding Rehabilitation Hospital. Withdrawn. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2024-02-08.

Sponsored by Spaulding Rehabilitation Hospital · Not applicable, Interventional, and Treatment

Why this study was withdrawn
funding issues
Phase
Not applicable
Study type
Interventional
Enrollment
0
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

This is a pilot study of the efficacy, safety, and tolerability of shockwave therapy for the treatment of spasticity in Hereditary Spastic Paraplegia.

Read the detailed description

This is a pilot study investigating the efficacy, safety, and tolerability of Extracorporeal Shockwave Therapy (ESWT) for the treatment of lower-extremity spasticity in the setting of Hereditary Spastic Paraplegia (HSP). 8 participants will be treated with shockwave therapy targeting sites of maximal spasticity in the lower extremities for 3 sessions at a rate of once per week. Participants will fill out baseline questionnaires assessing their overall wellbeing and function prior to treatment session 1, and will complete follow-up questionnaires at visit 2, visit 3, a phone call within 7 days of visit 3, and 8 weeks after initial visit. Total time enrolled in the study will be 8 weeks

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Conditions studied

  • Hereditary Spastic Paraplegia
03

In context

Paraplegia

150 studies on the registry are indexed under Paraplegia; 43 are open to participants now.

Browse Paraplegia studies →

Lead sponsor

Spaulding Rehabilitation Hospital is the lead sponsor of 114 studies on the registry; 26 are open to participants now.

Of its 19 completed or terminated interventional studies of FDA-regulated products, 17 (89%) have results posted.

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
Yes

Inclusion criteria

  1. Over the age of 18
  2. Diagnosis of genetically-confirmed HSP
  3. Score of 2, 3 or 4 on the PLSFRS walking question
  4. 30 days stable dosages of oral spasticity medications prior to screening and throughout study participation
  5. Able to come to site for treatment sessions
  6. Able to understand all study procedures

Exclusion criteria

Exclusion Criteria:

  1. Diagnosis of any other neurological disorder that may impact gait
  2. Lower motor neuron (LMN) disease or combined UMN and LMN
  3. Non-ambulatory or requiring two-person assistance for any functional ambulation on most days
  4. Less than 3 months of symptoms
  5. Have received SWT within the past 3 months
  6. Prior botulinum toxin injection within 3 months or planning to receive botulinum toxin injections during the study participation for spasticity management
  7. Presence of an intra-thecal baclofen pump
  8. Women who are pregnant. This is due to the fact that pregnancy will reduce participants activity after the treatment and the safety concerns related to shockwave treatment.
  9. Patients with neuropathy affecting sensation to pain
  10. Patients with a known underlying cardiac disease that could be affected by shockwave therapy
  11. Concomitant intake of another clinical trial or other off-label experimental treatments that might influence study outcomes
  12. Presence of unstable psychiatric disease, cognitive impairments, or dementia impairing study participation
  13. Presence of other chronic neurological diseases such as Alzheimer's Parkinson's, stroke, or multiple sclerosis
  14. Personal history of narcotic overuse for chronic pain or substance abuse or dependence
  15. Contraindications for ESWT, including local skin breakdown, infection, malignancy or other soft tissue pathology at sites of planned treatment.
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
0 participants (actual)

Study arms

  • Experimental
    Treatment Group

    Pilot group of all 8 anticipated participants

    Device: Shockwave Therapy

Interventions

  • DeviceShockwave Therapy

    Participants will receive shockwave therapy once per week for three weeks.

06

What researchers measure

Primary outcomes

  1. Numerical Rating Scale for Pain

    A rating of pain from 0 (none) to 10 (worst)

    Time frame: 0-8 weeks; assessed at baseline visit, 1, 2, 3, and 8 weeks

  2. Primary Lateral Sclerosis Functional Rating Scale (PLSFRS)

    The score of the rating scale ranges from 0-68, where 68 is a person who is completely asymptomatic.

    Time frame: 0-8 weeks; assessed at baseline visit, 1, 3, and 8 weeks

  3. Neurological Quality of Life (Neuro-QoL) Questionnaire: Fatigue Short Form

    The score of this questionnaire ranges from 8 (least fatigue) to 40 (most fatigue)

    Time frame: 0-8 weeks; assessed at baseline visit, 1, 3, and 8 weeks

  4. Foot and Ankle Ability Measure (FAAM) Questionnaire: Activities of Daily Living Subscale

    The score of this questionnaire ranges from 0 (maximally symptomatic in activities of daily living) to 84 (asymptomatic in activities of daily living).

    Time frame: 0-8 weeks; assessed at baseline visit, 1, 3, and 8 weeks

  5. Global Rate of Change (GROC) Questionnaire

    The score ranges from -7 (maximally negative change) to +7 (maximally positive change)

    Time frame: 0-8 weeks; assessed at baseline visit, 1, 3, and 8 weeks

  6. Neurological Quality of Life (Neuro-QoL) Questionnaire: Lower Extremity Function - Mobility Short Form

    The score of this questionnaire ranges from 8 (minimal lower extremity function) to 40 (maximal lower extremity function)

    Time frame: 0-8 weeks; assessed at baseline visit, 1, 3, and 8 weeks

  7. Neurological Quality of Life (Neuro-QoL) Questionnaire: Positive Affect and Wellbeing Short Form

    The score of this questionnaire ranges from 9 (minimal wellbeing) to 45 (maximal wellbeing)

    Time frame: 0-8 weeks; assessed at baseline visit, 1, 3, and 8 weeks

  8. Neurological Quality of Life (Neuro-QoL) Questionnaire: Satisfaction with Social Roles and Activities Short Form

    The score of this questionnaire ranges from 8 (minimal satisfaction) to 40 (maximal satisfaction)

    Time frame: 0-8 weeks; assessed at baseline visit, 1, 3, and 8 weeks

  9. Foot and Ankle Ability Measure (FAAM) Questionnaire: Sports Subscale

    The score of this questionnaire ranges from 0 (maximally symptomatic in sports activities) to 32 (asymptomatic in sports activities)

    Time frame: 0-8 weeks; assessed at baseline visit, 1, 3, and 8 weeks

  10. Ten-Meter Walk Test

    Participants will be asked to walk ten meters 2x at their self-selected walking speed and 2x at their fast walking speed. Time taken to complete walks will be measured.

    Time frame: 0-3 weeks; assessed at baseline visit, 1, 2, and 3 weeks

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Study locations

No study locations are listed for this record.

08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Feb 8, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05411627
Lead sponsor
Spaulding Rehabilitation Hospital
Collaborators
Massachusetts General Hospital
Responsible party
Adam Tenforde (Physician, Spaulding Rehabilitation Hospital) — Principal investigator
First posted
Jun 9, 2022
Start date
Jan 1, 2023 (estimated)
Primary completion
Oct 15, 2023 (estimated)
Completion
Dec 15, 2023 (estimated)
Last update
Feb 8, 2024

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 withdrawn, as verified in Feb 2024. You cannot join it, but the record below documents what was studied.

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