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Enrolling by invitationNCT06681779GCS02Updated Nov 8, 2024

A Study of Transcutaneous Electrical Stimulation As a Noxious Stimulus for the Glasgow Coma Scale

An interventional study of Transcutaneous electrical stimulation and Standard of Care (SOC) in Comatose, sponsored by Markey Olson. Enrolling by invitation at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2024-11-08.

Sponsored by Markey Olson · Not applicable, Interventional, and Diagnostic

From the registry’s dates

  • Primary completion was expected by Dec 2025, 10 months ago, but the record still lists the study as enrolling by invitation.
Phase
Not applicable
Study type
Interventional
Enrollment
90
Allocation
Non-randomized
Ages
18 Years and older
Sex
All
01

Study summary

The purpose of this study is to determine whether electrical stimulation can be used to replace physical stimulation to test awareness of patients with impaired consciousness. Physical stimulation can cause bruising, damaged nails and ribs, and other damage with repeated testing, and electrical stimulation may be safer and cause less distress with time. This device has not been approved by the U.S. Food and Drug Administration (FDA).

Read the detailed description

For patients enrolled in this study, the study doctor or study staff will give non-invasive electrical stimulation to measure response. Depending on what study group, the study team may apply this stimulation several times at one (Phase 1) or two (Phase 2) separate time points approximately 2 hours apart (when GCS would normally be collected as part of clinical care). In addition to GCS using normal physical stimulation, the study team will test responses to electrical stimulation. To do this, electrodes (special wired stickers that conduct electricity) will be placed on the forehead, finger, and toe. Stimulation will be applied to one area at a time by connecting the electrode to a stimulator. For each physical and electrical stimulation, response will be measured (such as flinching, opening eyes, making sounds, etc.). The goal is to create electrical stimulation patterns that cause the same response as the physical exam without causing any physical damage.

A video recording will also be taken of the participant's telemetry unit (the screen showing their heart rate and other vital signs throughout the study. This video, in addition to the information from the participant's medical record, is to make sure that there are no unexpected changes in vital signs during the study. The participant will not be visible on this video.

02

Conditions studied

  • Comatose

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Keywords

  • Glasgow Coma Scale
  • Coma
  • Transcutaneous stimulation
03

In context

Coma

138 studies on the registry are indexed under Coma; 35 are open to participants now.

This study's planned enrollment of 90 is close to the median of 85 across 77 interventional studies indexed under Coma.

Browse Coma studies →

Lead sponsor

Markey Olson is the lead sponsor of 3 studies on the registry; 3 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years and older
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

  1. Patient is admitted to the Barrow Neurological Institute's neuro ICU
  2. Patient is in a comatose state, which is defined as a patient who is both non-responsive and has a GCS eye or motor response sub-score that requires noxious stimulation
  3. Age greater than or equal to 18 years
  4. Patient has an available surrogate decision maker with the capacity to consent for participation in a research study

Exclusion criteria

Exclusion Criteria:

  1. A neurologic decline immediately prior to study participation that requires urgent or emergent workup or management*
  2. Patients in whom the frequency or extent of neurologic assessments is being limited due to concern that noxious stimulation may provoke intracranial hypertension, cardiorespiratory instability, or other adverse events
  3. Patients with an implantable or external pacemaker that is currently in use
  4. Ongoing cardiorespiratory instability
  5. Pregnant females
  6. Prisoners
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.

Relapsed and refractory

Relapsed: the illness came back after treatment had worked. Refractory: it did not respond to treatment, or stopped responding while still on it.

05

Study design

Phase
Not applicable
Primary purpose
Diagnostic
Allocation
Non-randomized
Intervention model
Sequential assignment
Masking
Single (Outcomes assessor)
Enrollment
90 participants (estimated)

Study arms

  • Experimental
    E2

    Patients with a stable GCS subscore of E2, eyes opening to pain

    Device: Transcutaneous electrical stimulation · Other: Standard of Care (SOC)

  • Experimental
    E1

    Patients with a stable GCS subscore of E2, eyes non-responsive to pain

    Device: Transcutaneous electrical stimulation · Other: Standard of Care (SOC)

  • Experimental
    Upper Extremity M5

    Patients with a stable GCS subscore of M5, localizing, in at least one upper limb

    Device: Transcutaneous electrical stimulation · Other: Standard of Care (SOC)

  • Experimental
    Upper Extremity M4

    Patients with a stable GCS subscore of M4, withdrawing, in at least one upper limb

    Device: Transcutaneous electrical stimulation · Other: Standard of Care (SOC)

  • Experimental
    Upper Extremity M3

    Patients with a stable GCS subscore of M3, flexing, in at least one upper limb

    Device: Transcutaneous electrical stimulation · Other: Standard of Care (SOC)

  • Experimental
    Upper Extremity M2

    Patients with a stable GCS subscore of M2, extending, in at least one upper limb

    Device: Transcutaneous electrical stimulation · Other: Standard of Care (SOC)

  • Experimental
    Upper Extremity M1

    Patients with a stable GCS subscore of M1, no response to stimuli, in at least one upper limb

    Device: Transcutaneous electrical stimulation · Other: Standard of Care (SOC)

  • Experimental
    Lower Extremity M4

    Patients with a stable GCS subscore of M4, withdrawing, in at least one lower limb

    Device: Transcutaneous electrical stimulation · Other: Standard of Care (SOC)

  • Experimental
    Lower Extremity M3

    Patients with a stable GCS subscore of M3, flexing, in at least one lower limb

    Device: Transcutaneous electrical stimulation · Other: Standard of Care (SOC)

  • Experimental
    Lower Extremity M1

    Patients with a stable GCS subscore of M1, no response, in at least one lower limb

    Device: Transcutaneous electrical stimulation · Other: Standard of Care (SOC)

Interventions

  • DeviceTranscutaneous electrical stimulation

    Transcutaneous electrical stimulation will be used to create noxious stimuli for the GCS exam

  • OtherStandard of Care (SOC)

    Physical pain stimulation, as used in traditional standard care, will be used to score the GCS exam, and the device results will be compared to this SOC exam.

06

What researchers measure

Primary outcomes

  1. Comparison of Transcutaneous Stimulation Glascow Coma Scale (Exams) score with traditional SOC

    Two GCS exams will be conducted at the same time point, and it will be determined whether the same score is obtained for both methods.

    Time frame: Less than 24 hours

07

Study locations

1 site
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

Started Oct 2024 (actual). Primary completion is estimated for Dec 2025, 14 months after the start.

Of 39 non-industry interventional studies with no phase under Coma, half reached primary completion within 39 months of starting (the median), counting those still running; a quarter within 17 and three quarters within 54. This study's planned 14 months is below that.

Counting every sponsor, half of 39 studies reached it within 39 months; a quarter within 17 and three quarters within 54.

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

Registered
Nov 7, 2024
First posted
Nov 8, 2024
StartActual
Oct 31, 2024
Primary completionEst.
Dec 31, 2025
CompletionEst.
Dec 31, 2025
Last update
Nov 8, 2024
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 Nov 8, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06681779
Lead sponsor
Markey Olson
Responsible party
Markey Olson (Program Manager, St. Joseph's Hospital and Medical Center, Phoenix) — Sponsor-investigator
First posted
Nov 8, 2024
Start date
Oct 31, 2024
Primary completion
Dec 31, 2025 (estimated)
Completion
Dec 31, 2025 (estimated)
Last update
Nov 8, 2024

Study contacts

Brandon M Fox, MD, PhD
study director · Barrow Neurological Institute

Oversight

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

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No contact was published for this record. The registry link below has the sponsor’s details.

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