ClinicalTrials.gg
RecruitingNCT07675109Updated Jun 30, 2026

Optimizing Extended-Duration (XD-) TOMAC Therapy for Restless Legs Syndrome (RLS)

An interventional study of Investigational Extended Duration (XD-) TOMAC Therapy and Tonic Motor Activation (TOMAC) Therapy in Restless Legs Syndrome (RLS), sponsored by Noctrix Health, Inc.. Recruiting at 1 site in United States. Open to participants aged 21 Years and older. Per ClinicalTrials.gov, last updated 2026-06-30.

Sponsored by Noctrix Health, Inc. (part of ResMed) · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Started Jun 2026; still recruiting 5 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
20
Allocation
Randomized
Ages
21 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 107 studies in Restless Legs Syndrome with a site in United States — 9 open to participants now, 13 under way, none of them phase 3. Restless Legs Syndrome · United States.

Planned enrollment
66th of 95
20 · median 46
Started
2026
with 1 other
No phase
30 of 107
5 open now
Primary completion
2026-12
later than 7 of 12 live
Registered
106th of 107
by date
Lead sponsor
8 of 107
Noctrix Health, Inc.

Among the 107 studies in Restless Legs Syndrome with a site in United States, this one is the 66th largest by planned enrollment of the 95 interventional ones that give a count, is one of 2 that started in 2026, is one of 30 with no phase, reaches primary completion later than 7 of the 12 other live ones, and was the 106th registered.

Restless Legs Syndrome

259 studies on the registry are indexed under Restless Legs Syndrome; 38 are open to participants now.

Browse Restless Legs Syndrome studies →

Open to participants now

9 of the 107 studies in Restless Legs Syndrome with a site in United States are open now. Recruiting first, the newest first:

3 more — sign in →

All 9 open studies →

A study can be open while its sites in United States have not opened yet or have stopped. Only those recruiting at a site in United States →

Who these studies take

Of the 25 Restless Legs Syndrome studies recruiting now, 10 (40%) set no upper age limit and 12 (48%) stop at 75 or younger; 0 take children under 18; 10 take healthy volunteers.

This study: 21 Years and older · all sexes · no healthy volunteers.

The full table on the hub →

This tab as a report to print or save as PDF → With an account.

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 107 studies in Restless Legs Syndrome with a site in United States, or all of them as a file.
02

Study summary

This study assesses the tolerability, safety, and impact of an investigational medical device on restless legs syndrome symptoms.

The IRB has established that the investigational device is non-significant risk.

Read the detailed description

In this 12-week study, participants complete a 1-week baseline (no intervention) followed by 1-week Tonic Motor Activation (TOMAC) therapy (30-minutes of stimulation). Next, participants complete 4-weeks of Extended Duration (XD-) TOMAC. Then, participants will complete investigational TOMAC medical device interventions for 6-weeks in a pseudo-randomized order.

03

Conditions studied

  • Restless Legs Syndrome (RLS)

Keywords

  • TOMAC
  • stimulation
  • neuromodulation
  • RLS
04

Who can participate

Ages eligible
21 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

  • Subject has signed a valid, IRB-approved form, can understand the requirements of the study and instructions for device usage, and can converse in English
  • Subject has received a medical diagnosis of primary restless legs syndrome (RLS).
  • Subject agrees to not change dosage or schedule of any medications that are known to impact RLS symptoms during the study, including RLS medications, antidepressants, sleep medications, or sedative antihistamines or treatments such as CPAP (continuous positive airway pressure).
  • Subject reports that RLS symptoms are most significant in lower legs and/or feet.
  • Subject reports that RLS symptoms caused awakenings or interfered with falling back asleep at least 3 nights per week during the month prior to study entry.
  • The subject possesses the necessary equipment, internet/phone accessibility, and communication ability to complete electronic questionnaires and respond to electronic communications and phone calls from the research staff throughout the in-home portion of the study.
  • Subject has moderate-severe RLS symptoms as defined by a score of 15 or greater points on IRLS (International Restless Legs Syndrome Study Group Rating Scale).
  • Subject is 21 years of age or older.

Exclusion criteria

Exclusion Criteria:

  • The subject has an active medical device implant anywhere in the body (including but not limited to pacemakers, spinal cord stimulators, deep brain stimulators).
  • The subject has a metal implant at the site of the study device electrode application (not including knee replacements).
  • The subject has been diagnosed with epilepsy or other seizure disorder.
  • The subject has a moderate or severe cognitive disorder or mental illness that would affect his or her ability to participate in the study.
  • The subject has a known allergy to device materials, electrode gel, polyurethane foam, or lycra (or a severe previous reaction to medical adhesives or bandages).
  • Subject has any of the following at or near the location of device application: Acute injury, Cellulitis, Open sores
  • The subject is unable or unwilling to comply with study requirements.
  • The subject has a medical condition not listed above that may put them at risk.
  • Subject has prior experience with neurostimulation devices developed by the study sponsor
  • Subject has a primary sleep disorder other than RLS that significantly interferes with sleep at the present time (e.g. obstructive sleep apnea stably controlled via CPAP would not be an exclusion).
  • On nights with no RLS symptoms (if any), subject reports typical sleep onset latency of >60min.
  • Subject has severe peripheral neuropathy affecting the lower legs and/or subject has neuropathy and is unable to clearly distinguish between symptoms of neuropathy and symptoms of RLS.
  • Subject reports a habitual sleep schedule that is not primarily aligned with nighttime hours (bedtime 8:00pm-2:00am and morning awakening 4:00am-11:00am), or reports that bedtime regularly varies by more than 4 hours (e.g., due to shift work or an inconsistent sleep schedule).
  • Subject is taking an unstable or inconsistent dose or schedule of medication that is likely to impact RLS symptoms or sleep, such as RLS medications, antidepressants, sleep medications, or sedative antihistamines.
  • Subject has changed dose or schedule of medication or treatment that is likely to impact RLS symptoms or sleep in the past 30 days, such as RLS medications, antidepressants, sleep medications, or sedative antihistamines or treatments such as CPAP.
  • During initial device set-up, device does not properly fit the subject or calibrated intensity settings are outside of operational range
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
Crossover assignment
Masking
Single (Participant)
Enrollment
20 participants (estimated)

Study arms

  • Experimental
    Investigational XD-TOMAC Therapy 1

    Participants will use investigational noninvasive neuromodulation device for XD-TOMAC therapy as instructed for 3, 2-week periods over the final 6-weeks of the study. The XD-TOMAC therapy settings may change for each of the 2-week periods in a pseudo-randomized order. Investigational XD-TOMAC settings may include different methods for modulating the stimulation waveform.

    Device: Investigational Extended Duration (XD-) TOMAC Therapy · Device: Tonic Motor Activation (TOMAC) Therapy

  • Experimental
    Investigational XD-TOMAC Therapy 2

    Participants will use investigational noninvasive neuromodulation device for XD-TOMAC therapy as instructed for 3, 2-week periods over the final 6-weeks of the study. The XD-TOMAC therapy settings may change for each of the 2-week periods in a pseudo-randomized order. Investigational XD-TOMAC settings may include different methods for modulating the stimulation waveform.

    Device: Investigational Extended Duration (XD-) TOMAC Therapy · Device: Tonic Motor Activation (TOMAC) Therapy

  • Experimental
    Investigational XD-TOMAC Therapy 3

    Participants will use investigational noninvasive neuromodulation device for XD-TOMAC therapy as instructed for 3, 2-week periods over the final 6-weeks of the study. The XD-TOMAC therapy settings may change for each of the 2-week periods in a pseudo-randomized order. Investigational XD-TOMAC settings may include different methods for modulating the stimulation waveform.

    Device: Investigational Extended Duration (XD-) TOMAC Therapy · Device: Tonic Motor Activation (TOMAC) Therapy

Interventions

  • DeviceInvestigational Extended Duration (XD-) TOMAC Therapy

    The investigational noninvasive neuromodulation device will be setup by the participant at bedtime and used to provide Extended Duration Tonic Motor Activation (XD-TOMAC) every night. The IRB has established that the investigational device is non-significant risk.

    Also known as: Noninvasive Neuromodulation, XD-TOMAC

  • DeviceTonic Motor Activation (TOMAC) Therapy

    The noninvasive neuromodulation device will be setup by the participant to be used for TOMAC 30-minute stimulation therapy sessions as needed during the 2nd week of the study and as appropriate for the remainder of the study. The IRB has established that the device is non-significant risk.

    Also known as: Noninvasive Neuromodulation, TOMAC

06

What researchers measure

Primary outcomes

  1. Number of RLS-related awakenings per night

    This outcome measures the number of awakenings per night that were related to RLS symptoms. A lower number represents a better outcome. Assessed via daily sleep diary and compared for each intervention to the Baseline period

    Time frame: 12 weeks

Secondary outcomes

  1. Mean change in International RLS Study Group Rating Scale (IRLS) total score

    International Restless Legs Syndrome Study Group (IRLS) Rating Scale Score is a participant-rated questionnaire that rates RLS severity from 0-40, where 40 is the most severe. The mean change is assessed over the final week of each intervention and compared to assessment at Study Entry.

    Time frame: 12 weeks

  2. Mean change in sleep efficiency percentage

    Sleep efficiency (SE) is the percentage of the time a person spends asleep relative to the total time dedicated to sleep. A better outcome corresponds to a percentage closer to 100%. Assessed via daily sleep diary and compared from the last week of each intervention to the Baseline period.

    Time frame: 12 weeks

  3. Mean change in minutes awake after sleep onset (WASO)

    Minutes Awake after Sleep Onset (WASO) refer to the total number of minutes awake after first going to sleep and before waking up for the next day in the morning. Lower WASO corresponds to a better outcome. Assessed via daily sleep diary and compared from the last week of each intervention to the Baseline period.

    Time frame: 12 weeks

  4. Mean change in minutes awake after sleep onset with RLS symptoms (WASO-R)

    Minutes Awake after Sleep Onset (WASO-R) refer to the total number of minutes awake with RLS symptoms after first going to sleep and before waking up for the next day in the morning. Lower WASO-R corresponds to a better outcome. Assessed via daily sleep diary and compared from the last week of each intervention to the Baseline period.

    Time frame: 12 weeks

  5. Mean change in Medical Outcomes Study Sleep Problems Index II (MOS-II) score

    The Medical Outcomes Study Sleep Problems Index II (MOS-II) score is a subscale of the participant-rated MOS questionnaire that measures subjective sleep quality. The MOS-I (6-items) and MOS-II (9-items) are the two validated subscales of the 12-item MOS Sleep Scale. Both are scored from 0 to 100, where 100 corresponds to the worst possible sleep problems and 0 corresponds to no sleep problems. The mean change is assessed over the final 2-weeks of each intervention and compared to assessment at Study Entry.

    Time frame: 12 weeks

  6. Patient Global Impressions - Improvement (PGI-I) responder rate

    The Responder Rate is the percentage of subjects with a Patient Global Impressions of Improvement (PGI-I) rating of Much Improved or Very Much Improved relative to study entry. The scores for the Patient Global Impressions of Improvement (PGI-I) are: Very Much Improved (1), Much Improved (2), Minimally Improved (3), No Change (4), Minimally Worse (5), Much Worse (6), Very Much Worse (7). Assessed over the final week of each intervention.

    Time frame: 12 weeks

07

Study locations

1 of 1 sites recruiting
  • Noctrix Health Headquarters
    Pleasanton, California 94566, United States
    Recruiting
08

References and documents

Individual participant data

Plan to share: No — Due to the investigational nature of the device, IPD will not be shared for this study.

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 Jun 2026 (actual). Primary completion is estimated for Dec 2026, 6 months after the start.

Of 53 interventional studies with no phase under Restless Legs Syndrome, half reached primary completion within 12 months of starting (the median), counting those still running; a quarter within 5 and three quarters within 40. This study's planned 6 months is below that.

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

Registered
Jun 23, 2026
First posted
Jun 30, 2026
StartActual
Jun 8, 2026
Primary completionEst.
Dec 2026
CompletionEst.
Jun 2027
Last update
Jun 30, 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 30, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07675109
Responsible party
Sponsor
First posted
Jun 30, 2026
Start date
Jun 8, 2026
Primary completion
Dec 2026 (estimated)
Completion
Jun 2027 (estimated)
Last update
Jun 30, 2026

Study contacts

Clinical Research Coordinator
Contact
clinicalcoordinator@noctrixhealth.com
415-531-1578
Jonathan D Charlesworth, PhD
principal investigator · Noctrix Health

Oversight

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

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