CClinicalTrials.gg
CompletedNCT06051539OrcHESTRASUpdated Apr 30, 2026

Outcomes and Health Economics of Stroke Using Rhythmic Auditory Stimulation

An interventional study of MR-001 in Chronic Stroke, sponsored by MedRhythms, Inc.. Completed at 1 site in United States. Open to participants aged 18 Years to 85 Years. Per ClinicalTrials.gov, last updated 2026-04-30.

Sponsored by MedRhythms, Inc. · Not applicable, Interventional, and Other

From the registry’s dates

  • Primary completion was Nov 2024, 1 year 10 months ago, and no results have been posted to the registry.
Phase
Not applicable
Study type
Interventional
Enrollment
234
Allocation
Randomized
Ages
18 Years to 85 Years
Sex
All
01

Study summary

The purpose of this trial is to assess engagement, efficacy, durability, and impact on health care resource utilization of MR-001 in persons with chronic stroke who have a gait deficit after in-home/community use.

Read the detailed description

This is a decentralized clinical trial designed to assess clinical outcomes and resulting healthcare resource utilization (HCRU) of MedRhythms' MR-001 device used by patients with chronic stroke in the home setting.

MR-001 is an autonomous neurorehabilitation system based on the principles of Rhythmic Auditory Stimulation intended to improve walking in adult chronic stroke patients. MR-001 is a prescription medical device intended for use at home. The user operates the device autonomously and the therapy progresses automatically once a user engages in a session.

The MR-001 system consists of two foot sensors that measure walking, a locked touchscreen device preloaded with a proprietary software application, a headset, and charging equipment. The electronic components are powered by lithium-ion rechargeable batteries.

The primary objective of this study is to assess engagement with MR-001 walking therapy in chronic stroke patients with a gait deficit in a real world setting. The primary endpoint will be measured by session completion over the 12 week intervention period. Secondary endpoints include assessing effect on walking endurance, durability of response, and reintroduction of the intervention, as well as effect on healthcare resource utilization.

02

Conditions studied

  • Chronic Stroke
03

In context

Lead sponsor

MedRhythms, Inc. is the lead sponsor of 5 studies on the registry; 1 is open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 85 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  1. Equal to or greater than 6 months post-stroke with gait impairment
  2. Age >/= 18 - 85 years of age, inclusive
  3. Understand and speak English
  4. Must be able to ambulate without assistance from another person. Note: assistive devices are allowed. If a participant uses an assistive device at the time of enrollment, the device must be used for all walking sessions.
  5. Willing to travel to a Velocity location to complete in-person gait assessments
  6. Able to walk at a speed greater than or equal to 0.4 m/s as derived as an average of speed per minute from the 6MWT. Note: if a participant intends to use an assistive device throughout the intervention period, the assistive device must be used during the gait assessment.
  7. Must have claims data available and consent to sharing.

Exclusion criteria

Exclusion Criteria:

  1. Hearing impairment with or without the use of hearing aids such that the participant cannot hear the rhythmic stimulation of the music
  2. Pain that impairs walking ability
  3. Unable to safely participate in walking sessions as determined by investigator
  4. Requires more than one rest (seated or not) during the 6MWT
  5. Significant comorbid medical or neurological conditions that could impact gait or prevent safe participation as determined by the Investigator. For example: condition that prevents participation in exercise, e.g., Parkinson's disease, cerebral palsy, multiple sclerosis, myasthenia gravis, muscular dystrophy, or spinal cord injury. Note: major surgery within the last 3 months is exclusionary.
  6. People who are pregnant or become pregnant (due to expected gait pattern changes).
  7. Lower limb prosthetic
  8. More than 2 falls in the previous month
  9. Non-reciprocal gait pattern. Note: Note: a non-reciprocal gait pattern is defined as a 3-point step pattern. Participants must have a 2-point step pattern to qualify. Asymmetry seen in gait is acceptable.
  10. Treatment with a gait-based investigational intervention within the last 3 months.
  11. Unable or unwilling to provide informed consent to participate
05

Study design

Phase
Not applicable
Primary purpose
Other
Allocation
Randomized
Intervention model
Single group
Masking
None (open label)
Enrollment
234 participants (actual)

Study arms

  • Experimental
    Cohort A: Restart Intervention

    Participants in Cohort A will perform active walking for 30 minutes at a time with MR-001, at least 3 times a week, for 12 weeks in their home/community environment.

    Device: MR-001

  • No intervention
    Cohort B: Continued Washout

    Participants in Cohort B will continue their washout period for another 24 weeks.

Interventions

  • DeviceMR-001

    MR-001 is an autonomous neurorehabilitation system based on the principles of Rhythmic Auditory Stimulation intended to improve walking and ambulation in adult chronic stroke patients. MR-001 is intended to be a prescription use only device for use at home/community. The user operates the MR-001 System autonomously and the therapy progresses automatically once a user engages in a session. The MR-001 system consists of two foot sensors that measure walking, a touchscreen device preloaded solely with a proprietary software application, a headset, and charging equipment. The electronic components are powered by lithium-ion rechargeable batteries. Participants are asked to walk with the device for 3 times per week for 12 weeks. Each walking session is 30 minutes in length.

06

What researchers measure

Primary outcomes

  1. Number of walking sessions during 12-week intervention period

    The purpose of this study is to assess engagement with MR-001 walking therapy in chronic stroke patients with a gait deficit in a real world setting. Engagement will be measured as number of walking sessions observed across the 12 week intervention period.

    Time frame: 12 weeks

Secondary outcomes

  1. 6 Minute Walk Test (6MWT)

    To assess whether MR-001 improves walking endurance after 12 weeks of treatment

    Time frame: From baseline to end of treatment at 12 weeks

  2. 6 Minute Walk Test (6MWT)

    To assess durability of walking endurance response to MR-001 after 12 weeks of intervention

    Time frame: At 16 and 24 weeks

  3. Patient Health Questionnaire-8 (PHQ-8)

    To assess whether MR-001 improves health-related quality of life in chronic stroke patients with gait deficit

    Time frame: 12 weeks

  4. The Barthel Index

    To assess whether MR-001 improves activities of daily living in chronic stroke patients with gait deficit

    Time frame: 12 weeks

  5. PROMIS Social Isolation Scale

    To assess whether MR-001 improves social isolation in patients with chronic stroke with gait deficit

    Time frame: 12 weeks

  6. Trail Making Tests A & B

    To assess whether MR-001 improves cognition and executive in patients with chronic stroke with gait deficit

    Time frame: 12 weeks

Other outcomes

  1. 6 Minute Walk Test (6MWT)

    To assess change in walking endurance of persons who are re-introduced to a second round of treatment with the intervention

    Time frame: At 36 weeks

  2. Timed Up and Go (TUG)

    To assess change in mobility after 12 weeks of intervention

    Time frame: 12 weeks

  3. Timed Up and Go (TUG)

    To assess change in mobility of persons who are re-introduced to a second round of treatment with the intervention

    Time frame: At 36 weeks

  4. All-cause HCRU

    To assess change in all-cause healthcare resource utilization

    Time frame: Baseline to 52 weeks

  5. All-cause hospitalizations and emergency department visits

    To assess change in all-cause hospitalizations and emergency department visits

    Time frame: Baseline to 52 weeks

07

Study locations

1 site
  • Curavit Clinical Research - DECENTRALIZED CLINICAL TRIAL
    Portland, Maine 04101, United States
08

References and documents

Publications

  • Taylor SR, Awad LN, Carlowicz CA, Maricich YA, Finklestein SP, Riley EH, Harris BA, Pohlig RT, Bethoux FA. Outcomes and Health Economics of Stroke using Rhythmic Auditory Stimulation (OrcHESTRAS): a protocol for a pragmatic, decentralized, longitudinal, multi-phase, withdrawal with randomized re-treatment trial of MR-001 in chronic stroke. Trials. 2026 Jan 8;27(1):108. doi: 10.1186/s13063-025-09415-3. PubMed 41501870 ↗

Individual participant data

Plan to share: No

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 30, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06051539
Lead sponsor
MedRhythms, Inc.
Responsible party
Sponsor
First posted
Sep 25, 2023
Start date
Oct 10, 2023
Primary completion
Nov 22, 2024
Completion
Oct 1, 2025
Last update
Apr 30, 2026

Study contacts

Francois Bethoux, MD
principal investigator · The Cleveland Clinic

Oversight

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

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This study is completed, as verified in Apr 2026. You cannot join it, but the record below documents what was studied.

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