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Not yet recruitingNCT07668258NMESUpdated Jun 25, 2026

Clinical Trial to Evaluate the Efficacy of Neuromuscular Electrical Stimulation Therapy in Patients With Sarcopenia

An interventional study of neuromuscular electrical stimulation in Sarcopenia, sponsored by Exosystems. Not yet recruiting. Open to participants aged 50 Years to 85 Years. Per ClinicalTrials.gov, last updated 2026-06-25.

Sponsored by Exosystems · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
40
Allocation
Randomized
Ages
50 Years to 85 Years
Sex
All
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Study summary

The goal of this clinical trial is to exploratorily evaluate the safety and efficacy of a home-based lower extremity muscle strengthening and physical performance enhancement program using Neuromuscular Electrical Stimulation (NMES) devices.

Participants will apply NMES stimulation to both thighs for 8 weeks, at a frequency of at least 4 times per week.

Read the detailed description

Neuromuscular electrical stimulation (NMES) is a non-invasive, non-surgical, and non-pharmacological intervention that delivers electrical stimulation to superficial skeletal muscles to activate motor nerves, thereby inducing muscle contractions without voluntary effort. In patients with sarcopenia, aging and reduced physical activity lead to progressive declines in muscle mass and strength. This deterioration is closely associated with increased risk of falls, greater physical dependency, and reduced quality of life. In particular, lower extremity muscles-especially the quadriceps-are well-known predictors of gait speed, and maintaining muscle mass and strength in these muscles is critical for improving clinical outcomes.

To date, most studies on NMES have been conducted in older adults, and clinical research specifically targeting patients diagnosed with sarcopenia remains limited. Therefore, this study aims to exploratorily evaluate the safety and efficacy of a home-based program using an NMES device to improve lower extremity muscle strength and physical performance in patients with sarcopenia.

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Conditions studied

  • Sarcopenia

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Keywords

  • sarcopenia
  • muscle mass
  • knee strength
  • Physical Performance
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In context

Sarcopenia

1,208 studies on the registry are indexed under Sarcopenia; 402 are open to participants now.

This study's planned enrollment of 40 is below the median of 60 across 775 interventional studies indexed under Sarcopenia.

Browse Sarcopenia studies →

Lead sponsor

Exosystems is the lead sponsor of 2 studies on the registry; 1 is open to participants now.

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

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Who can participate

Ages eligible
50 Years to 85 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  1. Diagnosed with sarcopenia according to the Asian Working Group for Sarcopenia (2019) criteria
  2. Able to perform the exercise program provided by the investigators, with sufficient physical and cognitive function
  3. Able to understand the study explanation and provide voluntary informed consent
  4. Able to operate a mobile phone independently or with assistance from a caregiver

Exclusion criteria

Exclusion Criteria:

1) History of Knee Surgery

  • Any prior surgical procedure on either knee (right or left) 2) Recent Knee Injection or Procedure
  • Receipt of any injection or interventional procedure in either knee within the past 3 months 3) Ongoing Treatment for Knee Pain
  • Currently receiving medication or physical therapy for knee pain 4) Implanted Electrical Devices
  • Presence of an implanted electrical device (e.g., pacemaker, electrical stimulator) 5) Seizure Disorder
  • Current or past history of seizures requiring medication 6) Severe Peripheral Arterial Disease
  • Significant arterial circulatory disorder in the lower extremities 7) Hernia
  • Presence of abdominal or inguinal hernia 8) Difficulty Operating Devices
  • Difficulty operating medical devices or mobile phones 9) Metal Allergy
  • Known metal allergy that interferes with device application 10) Skin Lesions on Thigh
  • Skin conditions on the thigh (e.g., burns, scars) that interfere with electrical stimulation 11) Suspected Infection on Thigh
  • Signs suggestive of infection on the thigh (e.g., erythema, warmth) 12) Impaired Sensation at Patch Site
  • Reduced sensation at the patch site preventing adequate self-reporting 13) End-stage Organ Failure
  • Diagnosis of end-stage heart failure or end-stage renal disease requiring dialysis 14) Abnormal Laboratory Findings
  • Any of the following (based on the most recent test within 6 months; if unavailable, a screening CBC will be performed):

    • Platelet count \< 50,000/μL
    • Hemoglobin \< 8.0 g/dL
    • Absolute neutrophil count \< 1,000/μL 15) Impaired Ambulation
  • Difficulty walking due to visual impairment, fracture, severe muscle paralysis, dizziness, or other causes 16) Inability to Participate in Rehabilitation Exercise
  • Judged by the investigator as unable to participate in rehabilitation exercise For example, diagnosis of Cachexia, defined as: Unintentional weight loss ≥ 5% within the past 6 months, or BMI \< 20 kg/m² with ≥ 2% weight loss 17) Withdrawal or Lack of Consent 18) Other Reasons
  • Any other condition deemed by the investigator to make the participant unsuitable for participation in this clinical trial
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Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Outcomes assessor)
Enrollment
40 participants (estimated)

Study arms

  • Active comparator
    NMES Treatment Group

    electrical stimulation with an exercise therapy program

    Device: neuromuscular electrical stimulation

  • Sham comparator
    Control Group

    minimal perceptible level electrical stimulation with an exercise therapy program

    Device: neuromuscular electrical stimulation

Interventions

  • Deviceneuromuscular electrical stimulation

    once daily, for at least 20 minutes per session, at least 4 times per week, over the 8-week study period

06

What researchers measure

Primary outcomes

  1. Change in muscle mass

    Appendicular Skeletal Muscle Mass Index (kg/m²): * Assessed using bioelectrical impedance analysis (BIA). * Calculated as appendicular skeletal muscle mass divided by height squared (kg/m²).

    Time frame: from baseline to Week 8.

  2. Change in rectus femoris muscle thickness

    Muscle thickness (mm) : assessed using ultrasound in Rectus femoris thickness

    Time frame: from baseline to Week 8

  3. Change in isometric knee extensor and flexor strengths

    Isometric knee extensor and flexor strengths (N or kgf) : assessed using isometric strength

    Time frame: from baseline to Week 8

  4. Change in muscle contraction quality and parameters

    * Muscle contraction quality and parameters: Muscle Function Index using NMES * Reported as a numerical score reflecting muscle quality and neuromuscular function. * Higher scores indicate better muscle quality and function

    Time frame: from baseline to Week 8

  5. Change in gait speed,

    Gait speed (m/s) : Assessed using the 6-meter walk test

    Time frame: from baseline to Week 8

  6. Change in Timed Up and Go test

    Timed Up and Go test (seconds): Time required to complete the Timed Up and Go test

    Time frame: from baseline to Week 8

  7. Change in Short Physical Performance Battery score

    Short Physical Performance Battery total score (0-12) : Composite score derived from balance, gait speed, and chair stand performance

    Time frame: from baseline to Week 8

  8. Change in five-times sit-to-stand test.

    five-times sit-to-stand test (seconds) : Time required to complete five consecutive sit-to-stand movements

    Time frame: from baseline to Week 8

Secondary outcomes

  1. change in handgrip strength

    1\. Handgrip strength (kg) * Assessed using a Smedley-type handgrip dynamometer. * Higher values indicate greater muscle strength.

    Time frame: from baseline to Week 8

  2. change in Short International Physical Activity Questionnaire scores

    Short International Physical Activity Questionnaire total scores (MET-min/week) * Assessed using a 7-item self-administered questionnaire. * Higher scores indicate greater physical activity levels.

    Time frame: from baseline to Week 8

  3. change in quality of life related to sarcopenia

    Sarcopenia-Related Quality of Life total score (0-100) * Assessed using the SarQoL questionnaire. * Higher scores indicate better quality of life.

    Time frame: from baseline to Week 8

07

Study locations

No study locations are listed for this record.

08

References and documents

Publications

  • Chen LK, Woo J, Assantachai P, Auyeung TW, Chou MY, Iijima K, Jang HC, Kang L, Kim M, Kim S, Kojima T, Kuzuya M, Lee JSW, Lee SY, Lee WJ, Lee Y, Liang CK, Lim JY, Lim WS, Peng LN, Sugimoto K, Tanaka T, Won CW, Yamada M, Zhang T, Akishita M, Arai H. Asian Working Group for Sarcopenia: 2019 Consensus Update on Sarcopenia Diagnosis and Treatment. J Am Med Dir Assoc. 2020 Mar;21(3):300-307.e2. doi: 10.1016/j.jamda.2019.12.012. Epub 2020 Feb 4. PubMed 32033882 ↗
  • Jandova T, Narici MV, Steffl M, Bondi D, D'Amico M, Pavlu D, Verratti V, Fulle S, Pietrangelo T. Muscle Hypertrophy and Architectural Changes in Response to Eight-Week Neuromuscular Electrical Stimulation Training in Healthy Older People. Life (Basel). 2020 Sep 8;10(9):184. doi: 10.3390/life10090184. PubMed 32911678 ↗
  • Kern H, Barberi L, Lofler S, Sbardella S, Burggraf S, Fruhmann H, Carraro U, Mosole S, Sarabon N, Vogelauer M, Mayr W, Krenn M, Cvecka J, Romanello V, Pietrangelo L, Protasi F, Sandri M, Zampieri S, Musaro A. Electrical stimulation counteracts muscle decline in seniors. Front Aging Neurosci. 2014 Jul 24;6:189. doi: 10.3389/fnagi.2014.00189. eCollection 2014. PubMed 25104935 ↗

Individual participant data

Plan to share: Undecided

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 25, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT07668258
Lead sponsor
Exosystems
Collaborators
The Catholic University of Korea
Responsible party
Sponsor
First posted
Jun 25, 2026
Start date
Jun 9, 2026 (estimated)
Primary completion
Dec 2026 (estimated)
Completion
Feb 2027 (estimated)
Last update
Jun 25, 2026

Study contacts

Sangui Choi, CPO
Contact
tkddml30@exosystems.io
+82-10-3028-7759
JongIn LEE, M.D.
Contact
ljikyh@catholic.ac.kr
82-2-2258-6283
Sangui Choi, CPO
principal investigator · Exosystems

Oversight

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

Not currently enrolling

This study is not yet recruiting, as verified in Jun 2026. You cannot join it, but the record below documents what was studied.

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