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CompletedNCT06343285ULTREUpdated Oct 1, 2025

Upper Limb Tremor Reduction in Essential Tremor Patients

An interventional study of Encora Therapeutics Tremor Reduction Device in Essential Tremor, sponsored by Encora, Inc.. Completed at 1 site in United States. Open to participants aged 22 Years to 80 Years. Per ClinicalTrials.gov, last updated 2025-10-01.

Sponsored by Encora, Inc. · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Primary completion was Jul 2024, 2 years 4 months ago, and no results have been posted to the registry; the sponsor requested a delay in submitting them in May 2025.
Phase
Not applicable
Study type
Interventional
Enrollment
71
Allocation
Randomized
Ages
22 Years to 80 Years
Sex
All
01

Study summary

This study is designed to demonstrate the safety, tolerability, and efficacy of the Encora Therapeutics Tremor Mitigation Device in subjects with upper limb tremor caused by Essential Tremor.

Read the detailed description

A prospective, randomized, blinded clinical trial. Subjects meeting all inclusion criteria will have five days of treatment with each of the three arms, received in a randomized order. Subjects will complete two rounds of assessments each day.

Arm 1: Inactive stim Arm 2: Stim therapy utilizing a specific dermatome Arm 3: Stim therapy utilizing a tailored frequency

02

Conditions studied

  • Essential Tremor

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03

In context

Essential Tremor

272 studies on the registry are indexed under Essential Tremor; 75 are open to participants now.

This study's enrollment of 71 is above the median of 25 across 189 interventional studies indexed under Essential Tremor.

Browse Essential Tremor studies →

Lead sponsor

Encora, Inc. is the lead sponsor of 3 studies on the registry; 2 are open to participants now.

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

Eligibility criteria

Inclusion/Exclusion:

Inclusion Criteria:

  1. Between the ages of 22 and 80 years of age
  2. A diagnosis of essential tremor (definite or probable based on TRIG criteria)
  3. At least one hand exhibiting tremor > 2 as assessed by the Essential Tremor Rating
  4. Assessment Scale (TETRAS) finger to nose task, duck wing task, OR Archimedes Spiral completed during the Screening visit
  5. Stable tremor medications for at least 30 days prior to enrollment and the ability to maintain stable medications through the duration of the study

Randomization Inclusion Criteria

  1. During the Baseline evaluation period, a median tremor score of > 2 on at least one hand as assessed by the TETRAS finger to nose task, the duck wing task, OR the Archimedes Spiral AND
  2. During the Baseline evaluation period, a median score of > 3 on any one of the subject-assessed items of the Bain \& Findley Activities of Daily Living Scale (BF-ADL)

Exclusion Criteria:

  1. Previous surgical interventions for tremor reduction on the upper limb being used for inclusion in this study (eg, thalamotomy procedure, including Stereotactic Thalamotomy, Gamma Knife Radiosurgical Thalamotomy, or focused ultrasound)
  2. Use of botulinum toxin for treatment to hand tremor within six months of enrollment
  3. Suspected or diagnosed epilepsy or other seizure disorder
  4. Other possible causes of tremor, including Parkinson's disease, drug-induced tremor, or dystonia
  5. Pregnant
  6. Swollen, infected, inflamed areas, or skin eruptions, open wounds, or cancerous lesions of skin at stimulation site
  7. Numbness, tingling or pain affecting the tested upper extremity (eg, suspected or confirmed peripheral neuropathy, carpal tunnel syndrome)
  8. Known allergy to silicone
  9. Subjects are unable or unwilling to comply with the protocol requirements
  10. Subject is part of a vulnerable population who is unable to give for reasons of incapacity, dementia, immaturity, adverse personal circumstances or lack of autonomy. This may include individuals with mental disability, persons in nursing homes, children, impoverished persons, persons in emergency situations, homeless persons, nomads, refugees, and those incapable of giving informed consent.
  11. Vulnerable populations also may include members of a group with a hierarchical structure such as university students, subordinate hospital and laboratory personnel, employees of the Sponsor, members of the armed forces, and persons kept in detention.
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Sequential assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
71 participants (actual)

Study arms

  • Sham comparator
    Arm 1

    Inactive stimulation - device is powered on, but motors are inactive and amplitude is set to 0%

    Device: Encora Therapeutics Tremor Reduction Device

  • Active comparator
    Arm 2

    Treatment with the wearable device set to a specific dermatome, duty cycle and amplitude

    Device: Encora Therapeutics Tremor Reduction Device

  • Active comparator
    Arm 3

    treatment with the wearable device set to frequency-match the subject's tremor, duty cycle of and amplitude are set

    Device: Encora Therapeutics Tremor Reduction Device

Interventions

  • DeviceEncora Therapeutics Tremor Reduction Device

    The proposed therapeutic device uses vibration motors positioned around the wrist that provide on-demand-therapy to suppress resting, postural, or action tremors of the hand.

06

What researchers measure

Primary outcomes

  1. Tolerability (Rate of Subject-Assessed Comfort with Stimulation)

    The rate of subject-assessed comfort with stimulation, on a Subject Stimulation Tolerance Questionnaire as measured by % of patient who tolerated the treatment either none of the time, some of the time or all of the time.

    Time frame: At the end of the 5-day treatment period in all randomization arms

  2. Safety (Rate of Adverse Events)

    The rate of occurrence of adverse events (AEs) as both total numbers of AEs experienced throughout the study and percentage of subjects who experienced an AE.

    Time frame: At the end of the 5-day treatment period in all randomization arms

Secondary outcomes

  1. Bain & Findley Activity of Daily Living (BF-ADL) #2

    Use a spoon to drink soup: assess ability to perform task, score ranges from 1 (without difficulty) to 4 (cannot do by yourself).

    Time frame: At the end of the 5-day treatment period in all randomization arms

  2. BF-ADL #4

    Pour milk from a carton: assess ability to perform task, score ranges from 1 (without difficulty) to 4 (cannot do by yourself).

    Time frame: At the end of the 5-day treatment period in all randomization arms

  3. BF-ADL #17

    Dial a telephone: assess ability to perform task, score ranges from 1 (without difficulty) to 4 (cannot do by yourself).

    Time frame: At the end of the 5-day treatment period in all randomization arms

  4. BF-ADL #21

    Insert an electric plug into a socket: assess ability to perform task, score ranges from 1 (without difficulty) to 4 (cannot do by yourself).

    Time frame: At the end of the 5-day treatment period in all randomization arms

  5. Patient Global Impression of Change (PGI-C)

    Measures change in condition as compared to baseline, score ranges from 1 = Very much improved to 7 = Very much worse.

    Time frame: At the end of the 5-day treatment period in all randomization arms

  6. Clinician Global Impression of Change (CGI-C)

    Measures change in condition as compared to baseline, score ranges from 1 = Very much improved to 7 = Very much worse.

    Time frame: At the end of the 5-day treatment period in all randomization arms

  7. Tremor power as measured by gyroscope

    Objective, sensor-based metric for tremor measurement.

    Time frame: At the end of the 5-day treatment period in all randomization arms

Other outcomes

  1. The Essential Tremor Rating Scale (TETRAS) #2.4

    The performance section of TETRAS has 9 items rated 0-4 and a maximum total score of 64. Item 4 is comprised of 3 tasks (Extended Arm, Duck Wing, Finger-to-Nose) related to upper limb tremor, with a score ranging from 0-12.

    Time frame: At the end of the 5-day treatment period in all randomization arms

  2. TETRAS #2.6

    The performance section of TETRAS has 9 items rated 0-4 and a maximum total score of 64. Item 6 is the Archimedes Spiral task, with a score ranging from 0-4.

    Time frame: At the end of the 5-day treatment period in all randomization arms

  3. TETRAS #2.8

    The performance section of TETRAS has 9 items rated 0-4 and a maximum total score of 64. Item 6 is the Dot Approximation task, with a score ranging from 0-4.

    Time frame: At the end of the 5-day treatment period in all randomization arms

  4. Patient Global Impression of Severity (PGI-S)

    Rating of condition severity in the past week, with score ranges from 1 = Minimal to 5 = Very Severe.

    Time frame: At the end of the 5-day treatment period in all randomization arms

  5. Clinician Global Impression of Severity (CGI-S)

    Rating of condition severity in the past week, with score ranges from 1 = Minimal to 5 = Very Severe.

    Time frame: At the end of the 5-day treatment period in all randomization arms

  6. Tremor power as measured by accelerometer

    Objective, sensor-based metric for tremor measurement.

    Time frame: At the end of the 5-day treatment period in all randomization arms

07

Study locations

1 site
  • Encora Therapeutics
    Cambridge, Massachusetts 02139, United States
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 Oct 1, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06343285
Lead sponsor
Encora, Inc.
Responsible party
Sponsor
First posted
Apr 2, 2024
Start date
Jan 1, 2024
Primary completion
Jul 3, 2024
Completion
Nov 12, 2024
Last update
Oct 1, 2025

Study contacts

Kristi Winterfeldt, MSHS
principal investigator · Encora Therapeutics

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 Sep 2025. You cannot join it, but the record below documents what was studied.

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