ClinicalTrials.gg
RecruitingNCT06796504Updated Sep 2, 2026

The SetPoint System as a Pro-Remyelination Therapy for Relapsing-Remitting Multiple Sclerosis: A Pilot Study

An interventional study of Implant Procedure and Disease-Modifying Therapies (DMTs) in Relapsing Remitting Multiple Sclerosis, sponsored by SetPoint Medical Corporation. Recruiting at 9 sites in United States. Open to participants aged 22 Years to 60 Years. Per ClinicalTrials.gov, last updated 2026-09-02.

Sponsored by SetPoint Medical Corporation · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Started Apr 2026; still recruiting 6 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
60
Allocation
Randomized
Ages
22 Years to 60 Years
Sex
All
01

Study summary

The MS pilot study will assess the safety and investigate the remyelinating effects of the SetPoint System (study device) in adult patients diagnosed with relapsing-remitting multiple sclerosis (RRMS). The SetPoint System is intended for adjunctive use with standard of care therapy for RRMS. The study device contains a miniaturized stimulator (implant) that is surgically placed under general anesthesia on the vagus nerve through a small incision on the left side of the neck (implant procedure). The study will enroll up to 60 participants at up to 10 sites. All eligible participants will undergo the implant procedure. Two-thirds of the participants will receive active stimulation (treatment) and the one-third will receive non-active stimulation (control). Following treatment evaluations at Week 48, there will be a one-way crossover of control subjects to active stimulation and a 48-week open-label follow-up with all subjects (treatment and control) receiving active stimulation to evaluate long-term safety.

Read the detailed description

The MS pilot study is a 2:1 randomized, double-blind, sham-controlled, multi-center pivotal study enrolling up to 60 subjects at up to 10 study centers across the U.S. The study will assess the safety and investigate the remyelinating effects of the SetPoint System (study device) in adult patients diagnosed with relapsing-remitting multiple sclerosis (RRMS). The SetPoint System is intended for adjunctive use with standard of care therapy for RRMS. The study device contains a miniaturized stimulator (implant) that is surgically implanted inside the left side of the neck on the vagus nerve (implant procedure). The implant delivers a small amount of electricity (stimulation) to the nerve. All eligible subjects will undergo the surgery under general anesthesia. Two-thirds of the subjects will receive active stimulation (the treatment group) and the other one-third will receive non-active stimulation (the control group). Stimulation will be delivered for 1 min once per day for 48 weeks. Following treatment evaluations at Week 48, there will be a one-way crossover of control subjects to active stimulation and a 48-week open-label follow-up with all subjects (treatment and control) receiving active stimulation to evaluate long-term safety. Blinding will be maintained for each individual participant until that participant has completed their Week 48 assessments.

02

Conditions studied

  • Relapsing Remitting Multiple Sclerosis
03

In context

Multiple Sclerosis, Relapsing-Remitting

618 studies on the registry are indexed under Multiple Sclerosis, Relapsing-Remitting; 82 are open to participants now.

This study's planned enrollment of 60 is close to the median of 66 across 437 interventional studies indexed under Multiple Sclerosis, Relapsing-Remitting.

Browse Multiple Sclerosis, Relapsing-Remitting studies →

Lead sponsor

SetPoint Medical Corporation is the lead sponsor of 9 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 60 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

  • Age 22-60 years at .
  • Diagnosis of RRMS by revised 2017 McDonald criteria.
  • MS disease duration does not exceed 15 years from date of diagnosis at the time of informed consent
  • Latency delay >116 milliseconds on baseline full-field transient pattern reversal visual evoked potential (VEP) in at least one eye. Both eyes can be included if they meet all inclusion criteria.Patients who do not meet the absolute P100 latency threshold of 116 ms in either eye will qualify if they have an inter-eye difference in P100 latency of >6 ms
  • Peri-papillary retinal nerve fiber layer (pRNFL) > 70 microns on Optical Coherence Topography (OCT) in the VEP-qualifying eye (sufficient axons).
  • Best corrected high-contrast (HCVA) better than 20/200 Snellen equivalent or letter score of 35
  • Best corrected low-contrast letter acuity (LCLA) by Sloan chart (2.5% black on white) of no better than 40 letters in the VEP-qualifying eye (Snellen equivalent of 20/40). (Best corrected LCLA must be worse than best corrected HCVA.)
  • Absence of clinical relapse for at least 12 months prior to informed consent
  • No new lesions or increase in existing lesion volume on most recent clinic brain MRI (must be within 1 year of consent)
  • Taking a stable regimen of disease-modifying therapy (DMT) prior to informed consent. The DMT must have been started and maintained at least one year prior to consent.
  • Score of 2.5 to 6.5 by Expanded Disability Status Scale (EDSS) at baseline.

Exclusion criteria

Exclusion Criteria:

  • Confounding ophthalmologic disease or impairments/conditions that could interfere with visual testing (e.g., cataracts, disc hemorrhage, macular star, cotton wool spots, macular degeneration, glaucoma, diabetic and/or hypertensive retinopathy, history of detached retina, etc.)
  • Severe myopia defined as a refractive error of -6.00 diopters or more
  • Concurrent neurological disorders, including known moderate or severe cervical myelopathy.
  • Clinical optic neuritis within 6 months before screening.
  • treatment for MS symptoms in the 30 days prior to consent
  • >40 kg/m2
  • /allergy to MRI contrast agents and/or unable to perform MRI (e.g., claustrophobia).
  • Regular use of or dependency on nicotine products within the past year.
  • Not a surgical candidate.
Terms in these criteria, in plain language(4)

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.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

05

Study design

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

Study arms

  • Experimental
    Treatment

    Active stimulation for 1 minute once per day

    Procedure: Implant Procedure · Drug: Disease-Modifying Therapies (DMTs) · Device: Active stimulation

  • Sham comparator
    Control

    Non-active stimulation for 1 minute once per day

    Procedure: Implant Procedure · Drug: Disease-Modifying Therapies (DMTs) · Device: Non-active stimulation

Interventions

  • ProcedureImplant Procedure

    The SetPoint System (study device)contains a miniaturized stimulator (implant) that is surgically implanted inside the left side of the neck on the vagus nerve (implant procedure). All eligible subjects will undergo the surgery under general anesthesia in outpatient settings.

  • DrugDisease-Modifying Therapies (DMTs)

    All subjects will continue treatment with standard of care disease-modifying therapies for the duration of the study.

  • DeviceActive stimulation

    Active stimulation for 1 minute once per day

  • DeviceNon-active stimulation

    Non-active stimulation for 1 minute once per day

06

What researchers measure

Primary outcomes

  1. Incidence of adverse events

    All adverse events from Screening through Week 96 (end of study) will be tabulated.

    Time frame: Informed consent through Week 96

Other outcomes

  1. Reduction in VEP latency

    Change from baseline full-field VEP P100 latency at Week 48.

    Time frame: Baseline (Screening) through Week 48

  2. Change in lesion size as detected on MRI

    New T2 and/or contrast enhancing lesions Change in T2 lesion volume Change in phase (paramagnetic) rim lesions (PRL) Difference in the occurrence and volume of slowly expanding lesions

    Time frame: Baseline (Screening) through Week 48

  3. Change in number of letters accurately read

    Change from baseline in LCLA and HCVA at Week 48.

    Time frame: Baseline (Screening) through Week 48

  4. Change in the NEI-VFQ-25 score

    Change from baseline in NEI-VFQ-25 at Week 48

    Time frame: Baseline (Screening) through Week 48

  5. Change in EDSS scores

    Change from baseline in EDSS at Week 48

    Time frame: Baseline (Screening) through Week 48

  6. Change in Modified MSFC scores

    Change from baseline in modified MSFC at Week 48 for both composite score and each individual assessment (25-foot timed walk, 9-hole peg, and Symbol Digit Modalities Test)

    Time frame: Baseline (Screening) through Week 48

  7. Change in MFIS score

    Change from baseline in MFIS at Week 48

    Time frame: Baseline (Screening) through Week 48

  8. Change in magnetization transfer ratios (MTR) in brain lesions

    MTR is a surrogate to detect remyelination of lesions in the brain.

    Time frame: Baseline (Screening) through Week 48

07

Study locations

9 of 9 sites recruiting
  • University of California Irvine Center for Clinical Research
    Irvine, California 92617, United States
    Recruiting
    • Veronica Martin · Contactvero@hs.uci.edu
    • Michael Sy, MD · Principal investigator
  • Shepherd Center
    Atlanta, Georgia 30309, United States
    Recruiting
  • Johns Hopkins School of Medicine
    Baltimore, Maryland 21287, United States
    Recruiting
    • Adam Didouchevski · Contactadidouc1@jh.edu · 443-818-1451
    • Bardia Nourbakhsh, MD · Principal investigator
  • Minnesota Center for Multiple Sclerosis
    Plymouth, Minnesota 55446, United States
    Recruiting
  • The University of Texas at Austin
    Austin, Texas 78712, United States
    Recruiting
  • The University of Texas Health Science Center at Houston
    Houston, Texas 77030, United States
    Recruiting
  • UW Medicine Multiple Sclerosis Center-Northwest
    Seattle, Washington 98133, United States
    Recruiting
    • Elisa McGee · Contactemcgee@uw.edu · 206-598-9260
    • Yujie Wang, MD · Principal investigator
  • West Virginia University
    Morgantown, West Virginia 26506, United States
    Recruiting
  • Medical College of Wisconsin
    Milwaukee, Wisconsin 53226, United States
    Recruiting
    • Alexis Micale · Contactamicale@mcw.edu · 414-955-0737
    • Ahmed Obeidat, MD · Principal investigator
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 Sep 2, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06796504
Lead sponsor
SetPoint Medical Corporation
Responsible party
Sponsor
First posted
Jan 28, 2025
Start date
Apr 17, 2026
Primary completion
Dec 31, 2027 (estimated)
Completion
Sep 30, 2030 (estimated)
Last update
Sep 2, 2026

Study contacts

Paula Timm
Contact
ptimm@setpointmedical.com

Oversight

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

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