ClinicalTrials.gg
Not yet recruitingNCT06542289ParalysisUpdated Jun 10, 2025

Safety and Effectiveness of the BlinkER System in Participants With Facial Nerve Palsy

An interventional study of BlinkER device. in Bell's Palsy, Ramsay Hunt Syndrome and Lyme Disease, sponsored by Neurotrigger Ltd. Not yet recruiting at 1 site in United States. Open to participants aged 22 Years to 120 Years. Per ClinicalTrials.gov, last updated 2025-06-10.

Sponsored by Neurotrigger Ltd · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
80
Allocation
Not applicable
Ages
22 Years to 120 Years
Sex
All
01

Study summary

Prospective, single-arm, multicenter, single-masked, pivotal study to Evaluate the Safety and Effectiveness of the Blinker system in Participants with Facial Nerve Palsy.

Read the detailed description

A single-arm, multicenter study will be conducted to evaluate the safety and effectiveness of the Blinker system in achieving eyelid closure over a 3-month period in individuals with facial nerve palsy. The study aims to enroll at least 80 participants for evaluation. Participants will use the investigative device for a duration of 3 months.

All subjects will undergo the following visits: Screening/Baseline (Day 0), Day 1, Week 1, Week 2, Month 1, Month 2 (Remote visit), and Month 3.

The inclusion criteria for participants will be unilateral facial palsy due to conditions such as Bell's palsy, Ramsay Hunt syndrome, malignant or benign tumor resection, Lyme disease, cerebrovascular accident (hemorrhagic or ischemic), or trauma.

The estimated total study duration is 12 months.

02

Conditions studied

  • Bell's Palsy
  • Ramsay Hunt Syndrome
  • Lyme Disease
  • Facial Palsy

Keywords

  • BlinkER System
  • BlinkER
03

In context

Bell Palsy

85 studies on the registry are indexed under Bell Palsy; 30 are open to participants now.

This study's planned enrollment of 80 is above the median of 42 across 70 interventional studies indexed under Bell Palsy.

Browse Bell Palsy studies →

Lead sponsor

Neurotrigger Ltd is the lead sponsor of 3 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
22 Years to 120 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

22 years of age or older

  • Unilateral facial palsy due to any of the following: Bell's palsy, Ramsay Hunt syndrome, malignant or benign tumor resection, Lyme disease, cerebrovascular accident (hemorrhagic or ischemic), or trauma
  • A deficit in eye closure during blinking, defined as a mean blink score ≤2.0 in the study eye on the scale by Mäkelä, et al, as graded by the investigator.
  • Willing and able to comply with the study procedures and follow-up
  • Willing and able to provide
  • English, Spanish, or Hebrew, Arabic -speaking
  • In a trial with the BlinkER System, the device produces blinks sufficient to cover the pupil in the study eye, defined as a mean grade ≥ 3.0 on the Mäkelä scale, as graded by the investigator.
  • Participant successfully completes BlinkER System training and certification

Exclusion criteria

Exclusion Criteria:

  • Bilateral facial paralysis (for example Parkinson's Disease)
  • History of prior intervention that is providing closure of the eyelids (e.g., facial reanimation, complete tarsorrhaphy surgery, etc.)
  • Has an implanted eyelid weight in the study eyelid.
  • History of diabetic neuropathy, unstable cardiovascular disease, neurologic disease causing severe cognitive or motor impairment, severe immunological deficiency, or malignant diseases that are not in remission
  • Signs of corneal infection, severe ocular surface inflammation, or significant periorbital skin inflammation/infection
  • Suspected or diagnosed epilepsy.
  • Cancerous lesions in the area where the BlinkER system electrodes will be applied.
  • Cardiac demand pacemaker, implanted defibrillator or other implanted electronic device
  • Cornea or iris abnormalities that preclude visualization of the pupil
  • Cranial nerve V palsy or neurotrophic keratitis
  • Synkinesis that results in eyelid closure
  • Known allergy to any of the patient-contacting materials of the BlinkeER electrode (i.e. polyethylene (PET) film tape or hydrogel)
  • Participants who are pregnant or nursing.
  • Participation in another ophthalmic clinical trial within one year prior to enrollment. Participant must also be willing to refrain from another ophthalmic study for the duration of the study.
  • Co-existing condition, either ocular or non-ocular that, in the judgement of the investigator could affect the safety or effectiveness of treatment or the compliance of the participant to the protocol.
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
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
80 participants (estimated)

Study arms

  • Experimental
    BlinkER system treatment

    A prospective single-arm multicenter pivotal study designed to evaluate the safety and effectiveness of the BlinkER System in achieving eyelid closure in participants with facial nerve palsy. Participants will receive the NeuroTrigger Basic System and use it for up to 3 months.

    Device: BlinkER device.

Interventions

  • DeviceBlinkER device.

    Participants will use the BlinkER System for 8-16 hours daily (removed during sleep) at approximately 10 blinks/minute. The stimulation cycle will be ON and OFF to achieve the desired blink rate. Participants will receive training on device usage before starting the study.

06

What researchers measure

Primary outcomes

  1. The percent of participants who achieve eyelid closure graded by independent, masked graders at a reading center.

    Eyelid closure is defined as a mean blink score as graded by the independent masked graders using the Mäkelä scale: 5- Complete eye closure 4- Nearly complete eye closure 3- Eyelid covers the pupil 2-Eyelid partially covers the pupil 1-Twitch 0- No movement

    Time frame: 2 weeks

Secondary outcomes

  1. Percent of participants who achieve eyelid closure in the study eye at 1 month.

    Eyelid closure is defined as a mean blink score as graded by the independent masked graders using the Mäkelä scale: 5- Complete eye closure 4- Nearly complete eye closure 3- Eyelid covers the pupil 2-Eyelid partially covers the pupil 1-Twitch 0- No movement

    Time frame: up to 1 month

  2. Percent of participants who achieve eyelid closure in the study eye at 3 months.

    Eyelid closure is defined as a mean blink score as graded by the independent masked graders using the Mäkelä scale: 5- Complete eye closure 4- Nearly complete eye closure 3- Eyelid covers the pupil 2-Eyelid partially covers the pupil 1-Twitch 0- No movement

    Time frame: up to 3 months

  3. safety outcome is the rate of adverse events through 3 months.

    safety measures include IOP, BCVA, slit lamp biomicroscopy and non-mydriatic fundus findings, and VAS pain and discomfort questionnaire evaluated at the follow-up visits.

    Time frame: 3 months

07

Study locations

1 site
  • Rand Eye Institute
    Deerfield Beach, Florida 33064, United States
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Start is estimated for Oct 2025; primary completion for Oct 2026, 12 months later.

Of 40 interventional studies with no phase under Bell Palsy, half reached primary completion within 10 months of starting (the median), counting those still running; a quarter within 3 and three quarters within 21. This study's planned 12 months is above that.

How these figures are worked out, and which studies are left out of them.

Registered
Jul 22, 2024
First posted
Aug 7, 2024
StartEst.
Oct 1, 2025
Primary completionEst.
Oct 31, 2026
CompletionEst.
Nov 30, 2026
Last update
Jun 10, 2025
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jun 10, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06542289
Lead sponsor
Neurotrigger Ltd
Responsible party
Sponsor
First posted
Aug 7, 2024
Start date
Oct 1, 2025 (estimated)
Primary completion
Oct 31, 2026 (estimated)
Completion
Nov 30, 2026 (estimated)
Last update
Jun 10, 2025

Study contacts

Hila Kfir
Contact
hila@nt-med.com
+972-523313350
Nikolai Kunicher
Contact
nikolai@nt-med.com
+972- 522963130
Ran Ben Cnaan, MD
principal investigator · Sourasky Medical Center - Ichilov
Alison Rand, MD
principal investigator · Rand Eye Institute
Jennifer Tan, MD
principal investigator · Sheffield Teaching Hospital - Royal Hallamshire Hospital
David Zadok, MD
principal investigator · Shaarei Zedek MC
Bernard Chang, MD
principal investigator · Leeds Teaching Hospital - St. James University Hospital
Reza Vagefi, MD
principal investigator · Tufts University

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 not yet recruiting, as verified in Nov 2024. You cannot join it, but the record below documents what was studied.

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