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Active, not recruitingNCT06076499THRIVEUpdated May 27, 2026

A Post-Market Study for Long-Term Effectiveness and Safety of the TOMAC System for RLS

An observational study in Restless Legs Syndrome, sponsored by Noctrix Health, Inc.. Active, not recruiting at 7 sites in United States. Open to participants aged 21 Years and older. Per ClinicalTrials.gov, last updated 2026-05-27.

Sponsored by Noctrix Health, Inc. · Observational

From the registry’s dates

  • Primary completion was expected by Jul 2026, 3 months ago, but the record still lists the study as active, not recruiting.
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
325
Ages
21 Years and older
Sex
All
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Study summary

Multi-center post-market, observational study to assess the long-term effectiveness and safety of the NTX100 TOMAC System for patients with Restless Legs Syndrome.

Read the detailed description

This study will assess the NTX100 TOMAC System's long-term effectiveness and safety in real-world settings. Using a prospective, observational approach, we'll monitor individuals receiving the system as part of standard care through five study visits, collecting data on clinical outcomes, device performance, and adverse events.

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Conditions studied

  • Restless Legs Syndrome

Keywords

  • RLS
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In context

Restless Legs Syndrome

248 studies on the registry are indexed under Restless Legs Syndrome; 39 are open to participants now.

This study's planned enrollment of 325 is close to the median of 310 across 44 observational studies indexed under Restless Legs Syndrome.

Browse Restless Legs Syndrome 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.

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Who can participate

Ages eligible
21 Years and older
Sexes eligible
All
Sampling method
Probability sample

Study population

The study population will consist of adults who meet the inclusion and exclusion criteria.

Inclusion criteria

  1. The subject possesses the necessary equipment, internet/phone accessibility, and communication ability to complete electronic questionnaires and respond to electronic communications and phone calls from the research staff throughout the in-home portion of the study.
  2. The subject has signed a valid, IRB-approved informed consent form, can understand the requirements of the study and instructions for device usage, and can converse in English.
  3. Diagnosis of restless legs syndrome.

Exclusion criteria

Exclusion Criteria:

1. The subject is unable or unwilling to comply with study requirements.

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Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
325 participants (estimated)
Patient registry
No

Interventions

  • DeviceNTX100

    NTX100 Tonic Motor Activation (TOMAC) System - a non-invasive peripheral nerve stimulation device programmed to deliver active stimulation.

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What researchers measure

Primary outcomes

  1. Primary Effectiveness Endpoint

    Change from baseline (study entry) in IRLS total score at 1-year.

    Time frame: 1 year

Secondary outcomes

  1. CGI-I score at 1-year relative to baseline

    The 1-year Clinical Global Impression-Improvement (CGI-I) score assesses a patient's overall condition relative to their baseline, indicating treatment effectiveness and change in condition over a year. Scores range from 1 (very much improved) to 7 (very much worse).

    Time frame: 1 year

  2. PGI-I Score at 1-Year Relative to Baseline

    The 1-year Patient Global Impression-Improvement (PGI-I) score assesses the patient's perception of their condition's improvement from baseline, with scores ranging from 1 (very much improved) to 7 (very much worse).

    Time frame: 1 year

  3. Change from baseline in MOS-II total score at 1-year.

    The Medical Outcomes Study 36-Item Short Form Health Survey (MOS-II) measures various aspects of a patient's health-related quality of life. This endpoint assesses the change in the total MOS-II score at the 1-year mark compared to the baseline, and how the treatment impacts overall well-being over the course of a year.

    Time frame: 1-year

  4. Change from Baseline in Frequency of RLS Symptoms (Number of Days per Week) at 1-Year

    This endpoint focuses on Restless Legs Syndrome (RLS) and assesses the change in symptom frequency over a year. It quantifies the reduction in the number of days per week that a patient experiences RLS symptoms, indicating the treatment's effectiveness in managing this condition over time.

    Time frame: 1-year

Other outcomes

  1. CGI-I responder rate, defined as a CGI-I response of "Very Much Improved" or "Much Improved", at 1-year.

    This metric gauges the proportion of patients showing significant improvement after one year of treatment, defined as a "Very Much Improved" or "Much Improved" CGI-I response.

    Time frame: 1-year

  2. CGI-I improvement rate, defined as the percentage of patients with a CGI-I response of "Very Much Improved", "Much Improved" or "Minimally Improved".

    This measure indicates the percentage of patients experiencing positive change due to treatment, encompassing "Very Much Improved," "Much Improved," and "Minimally Improved" CGI-I responses.

    Time frame: 1-year

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Study locations

7 sites
  • Mark J Buchfuhrer, MD Office
    Downey, California 90241, United States
  • Sleep Medicine Specialists of California
    San Ramon, California 94583, United States
  • Neurocare, Inc.
    Newton, Massachusetts 02459, United States
  • Clayton Sleep Institute
    St Louis, Missouri 63123, United States
  • Ohio Sleep Medicine and Institute
    Dublin, Ohio 43017, United States
  • University of Pittsburgh
    Pittsburgh, Pennsylvania 15232, United States
  • Bogan Sleep Consultants, LLC
    Columbia, South Carolina 29201, United States
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References and documents

Publications

  • Buchfuhrer MJ, Baker FC, Singh H, Kolotovska V, Adlou B, Anand H, de Zambotti M, Ismail M, Raghunathan S, Charlesworth JD. Noninvasive neuromodulation reduces symptoms of restless legs syndrome. J Clin Sleep Med. 2021 Aug 1;17(8):1685-1694. doi: 10.5664/jcsm.9404. PubMed 33949942 ↗
  • Charlesworth JD, Adlou B, Singh H, Buchfuhrer MJ. Bilateral high-frequency noninvasive peroneal nerve stimulation evokes tonic leg muscle activation for sleep-compatible reduction of restless legs syndrome symptoms. J Clin Sleep Med. 2023 Jul 1;19(7):1199-1209. doi: 10.5664/jcsm.10536. PubMed 36856064 ↗
  • Bogan RK, Roy A, Kram J, Ojile J, Rosenberg R, Hudson JD, Scheuller HS, Winkelman JW, Charlesworth JD. Efficacy and safety of tonic motor activation (TOMAC) for medication-refractory restless legs syndrome: a randomized clinical trial. Sleep. 2023 Oct 11;46(10):zsad190. doi: 10.1093/sleep/zsad190. PubMed 37458698 ↗
  • Roy A, Ojile J, Kram J, Olin J, Rosenberg R, Hudson JD, Bogan RK, Charlesworth JD. Long-term efficacy and safety of tonic motor activation for treatment of medication-refractory restless legs syndrome: A 24-Week Open-Label Extension Study. Sleep. 2023 Oct 11;46(10):zsad188. doi: 10.1093/sleep/zsad188. PubMed 37439365 ↗
  • Singh H, Buchfuhrer MJ, Ojile J, Roy A, Thomas RJ, Bogan RK, Aggarwal A, Preciado J, Swartz KJ, Charlesworth JD. Real-world effectiveness and safety of tonic motor activation therapy for refractory restless legs syndrome: 90-day outcomes from the THRIVE prospective observational study. Sleep. 2026 Jun 3:zsag140. doi: 10.1093/sleep/zsag140. Online ahead of print. PubMed 42231562 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 27, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT06076499
Lead sponsor
Noctrix Health, Inc.
Responsible party
Sponsor
First posted
Oct 10, 2023
Start date
Nov 15, 2023
Primary completion
Jul 2026 (estimated)
Completion
Jul 2027 (estimated)
Last update
May 27, 2026

Study contacts

Jessica Preciado, 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 ↗

Not currently enrolling

This study is active, not recruiting, as verified in May 2026. You cannot join it, but the record below documents what was studied.

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