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RecruitingNCT06622655Agilik@homeUpdated Jun 26, 2026

Clinical Improvement Due to the Home Use of Agilik in Children With Cerebral Palsy

An interventional study of Powered orthosis in Cerebral Palsy (CP), sponsored by IRCCS Eugenio Medea. Recruiting at 6 sites in Italy. Open to participants aged 5 Years to 17 Years. Per ClinicalTrials.gov, last updated 2026-06-26.

Sponsored by IRCCS Eugenio Medea · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Started Oct 2024; still recruiting 2 years later.
Phase
Not applicable
Study type
Interventional
Enrollment
40
Allocation
Randomized
Ages
5 Years to 17 Years
Sex
All
01

Study summary

The goal of this clinical trial is to learn if a two month training with the Agilik powered orthosis improves the knee extension or the endurance in pediatric patients with Cerebral palsy and a crouch gait. It will also learn about the safety of Agilik. The main questions it aims to answer are:

Does the Agilik powered orthosis increase the value of the knee extension during walking? What medical problems do participants have when using the Agilik powered orthosis? Researchers will compare a group of patients using the Agilik powered exoskeleton with a group of patients treated with standard therapy.

Participants will:

Use Agilik at home or perform standard therapy for 2 months Visit the clinic at the beginning of the study, after 3 months and after 1 additional month.

02

Conditions studied

  • Cerebral Palsy (CP)

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Keywords

  • exoskeleton device
  • powered orthosis
  • cerebral palsy
  • crouch gait
  • home use
03

In context

Cerebral Palsy

1,936 studies on the registry are indexed under Cerebral Palsy; 458 are open to participants now.

This study's planned enrollment of 40 is above the median of 34 across 1,431 interventional studies indexed under Cerebral Palsy.

Browse Cerebral Palsy studies →

Lead sponsor

IRCCS Eugenio Medea is the lead sponsor of 108 studies on the registry; 51 are open to participants now.

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

04

Who can participate

Ages eligible
5 Years to 17 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

  • Diagnosis of CP and a crouch gait
  • Provision of signed and dated form.
  • Stated willingness to comply with all study procedures and availability for the duration of the study, or alternatively, ability to do so based on parent report and physician observation during history and physical examination.
  • Body weight between 20 and 125 Kg
  • Knee flexion retraction assessed in supine position by less than 10°. Hamstring contracture as assessed by straight leg raising test does not limit ability to participate in the study.
  • Subjects must not have had a tibio-tarsal arthrodesis. In addition, they must have at least 5° of passive dorsi-flexion of the ankle.
  • Able to walk at least 3 m without stopping, with or without a walking aid.
  • Able to understand and follow simple directions based on parent report and physician observation during historical and physical examination.
  • GMFCS level I, II and III
  • MAS score ≤ 2

Exclusion criteria

Exclusion Criteria:

  • Any severe neurological, musculoskeletal and/or cardiorespiratory involvement preventing the ability to walk;
  • A history of uncontrolled seizure in the past year
  • Severe spasticity
  • Hip and/or knee flexion contracture of more than 20°
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
Parallel assignment
Masking
None (open label)
Enrollment
40 participants (estimated)

Study arms

  • Experimental
    Intervention Arm

    Home rehabilitation

    Device: Powered orthosis

  • No intervention
    Control Group

Interventions

  • DevicePowered orthosis

    Home rehabilitation (2 months, 30 minutes/day, 5 days/week) during which subjects will practice walking with the device at home.

06

What researchers measure

Primary outcomes

  1. Endurance

    Distance walked during a 6-minutes walking test (6MWT)

    Time frame: Baseline, 3 months and 4 months

  2. Knee extension in mid stance (KEMS)

    Anti-gravity knee extension in mid stance measured with quantitative gait analysis

    Time frame: Baseline, 3 months and 4 months

Secondary outcomes

  1. Measurements of the Joint range of motions (ROMs) and muscle lengths

    Joint Range of motions and muscle lengths as measured by therapists

    Time frame: Baseline, 3 months and 4 months

  2. Level of spasticity in the lower limbs

    Assessed with the Modified Ashworth scale (MAS)

    Time frame: Baseline, 3 months and 4 months

  3. Walking speed

    Assessed with the 10-meter walking test (10mWT)

    Time frame: Baseline, 3 months and 4 months

  4. Postural and motor abilities

    Assessed with the Gross Motor Function Measure-88 (GMFM-88)

    Time frame: Baseline, 3 months and 4 months

  5. Gait pattern

    Assessed with overground 3D gait analysis with electromyography (EMG) data acquisition

    Time frame: Baseline, 3 months and 4 months

  6. Self-perception of performance in everyday living

    Assessed with the Canadian Occupational Performance Measure (COPM)

    Time frame: Baseline, 3 months and 4 months

  7. Static balance

    Assessed with Centre of Pressure (COP) detection using the force platforms of the gait analysis.

    Time frame: Baseline, 3 months and 4 months

  8. Usability and acceptability of the powered orthosis

    Assessed with the System Usability Scale (SUS) and the Technology Acceptance Method 3 (TAM-3)

    Time frame: After the treatment only in the intervention group

  9. Behavioural engagement

    Assessed with semi-structured interviews

    Time frame: After the treatment only in the intervention group

Other outcomes

  1. Spatiotemporal parameters of gait during daily life

    Remote monitoring of gait behavior assessed with sensorized shoes

    Time frame: Between baseline and month 3

07

Study locations

4 of 6 sites recruiting
  • IRCCS E. MEDEA - Associazione "La Nostra Famiglia"
    Bosisio Parini, Lecco 23842, Italy
    Recruiting
  • IRCCS Fondazione Stella Maris
    Calambrone, Pisa 56128, Italy
    Not yet recruiting
  • Fondazione Don Carlo Gnocchi Onlus - IRCCS S. Maria Nascente
    Milan, 20148, Italy
    Recruiting
  • Fondazione Mondino
    Pavia, 27100, Italy
    Not yet recruiting
  • Fondazione Don Carlo Gnocchi Onlus
    Roma, 00194, Italy
    Recruiting
  • Fondazione Don Carlo Gnocchi Onlus - Centro S. Maria al Mare
    Salerno, 84131, Italy
    Recruiting
08

References and documents

Publications

  • Nossa R, Storm FA, Diella E, Riboni R, Molteni LE, Chiappini M, Maghini C, Beretta E, Nicotra R, Abbondio S, Ferrante C, Cotardo A, Sgherri G, Germanotta M, Mauro MC, Fasano A, Cordoni C, Ferrarin M, Cavallini A, Signorini SG, Sgandurra G, Aprile I, Iuvone L, Cavalagli A, Biffi E; Agilik@home Study Group. Agilik@home: A randomized controlled trial protocol to evaluate the effects of home-based training with the Agilik powered KAFO in children with cerebral palsy and crouch gait. PLoS One. 2026 Mar 25;21(3):e0340877. doi: 10.1371/journal.pone.0340877. eCollection 2026. PubMed 41880375 ↗

Individual participant data

Plan to share: Yes — The results obtained at the end of this clinical trial will be presented at national and international conferences and submitted to peer-reviewed international journals. The raw data of the study will be published among the supplementary materials of scientific articles and/or uploaded to Zenodo, a multidisciplinary repository, managed by CERN in Geneva, which allows researchers to share and preserve research results in any size and form. Depositing data in ZENODO guarantees their compliance with the FAIR principles.

Supporting information: Study protocol, Statistical analysis plan

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

Started Oct 2024 (actual). Primary completion is estimated for Nov 2026, 25 months after the start.

Of 902 non-industry interventional studies with no phase under Cerebral Palsy, half reached primary completion within 12 months of starting (the median), counting those still running; a quarter within 5 and three quarters within 31. This study's planned 25 months is above that.

Counting every sponsor, half of 921 studies reached it within 12 months; a quarter within 5 and three quarters within 31.

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

Registered
Sep 30, 2024
First posted
Oct 2, 2024
StartActual
Oct 29, 2024
Primary completionEst.
Nov 2026
CompletionEst.
Nov 2026
Last update
Jun 26, 2026
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 26, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06622655
Collaborators
IRCCS Fondazione Stella Maris, Fondazione Don Carlo Gnocchi ETS, IRCCS National Neurological Institute "C. Mondino" Foundation
Responsible party
Sponsor
First posted
Oct 2, 2024
Start date
Oct 29, 2024
Primary completion
Nov 2026 (estimated)
Completion
Nov 2026 (estimated)
Last update
Jun 26, 2026

Study contacts

Emilia Biffi, PhD
Contact
emilia.biffi@lanostrafamiglia.it
+39031877862
Cristina Maghini, MD
Contact
cristina.maghini@lanostrafamiglia.it

Oversight

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

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