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RecruitingNCT07774598Updated Aug 19, 2026

Non-Invasive Neuromodulation for Essential Tremor: Long-Term Safety and Effectiveness Study

An interventional study of Transcutaneous Afferent Patterned Stimulation in Essential Tremor, sponsored by Ruijin Hospital. Recruiting at 1 site in China. Open to participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2026-08-19.

Sponsored by Ruijin Hospital · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Registered 3 months after the study started (first participant enrolled Dec 2025, registered Mar 2026).
  • Started Dec 2025; still recruiting 10 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
50
Allocation
Not applicable
Ages
18 Years to 75 Years
Sex
All
01

Study summary

This is a prospective, single-center, single-arm, open-label clinical study designed to evaluate the long-term efficacy and safety of non-invasive neuromodulation using transcutaneous afferent patterned stimulation (TAPS) in patients with essential tremor (ET).

Essential tremor is a common movement disorder that can significantly impair daily functioning and quality of life. Pharmacological treatments are often limited by suboptimal efficacy or adverse effects, highlighting the need for alternative therapeutic approaches.

In this study, eligible participants with essential tremor will receive TAPS treatment over a defined follow-up period. Clinical outcomes, including tremor severity, functional performance, and patient-reported outcomes, will be assessed longitudinally to evaluate treatment effectiveness. Safety will be monitored throughout the study by recording adverse events and device-related complications.

The results of this study aim to provide clinical evidence regarding the long-term therapeutic potential and safety profile of TAPS as a non-invasive neuromodulation strategy for essential tremor.

02

Conditions studied

  • Essential Tremor

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03

In context

Essential Tremor

272 studies on the registry are indexed under Essential Tremor; 75 are open to participants now.

This study's planned enrollment of 50 is above the median of 25 across 189 interventional studies indexed under Essential Tremor.

Browse Essential Tremor studies →

Lead sponsor

Ruijin Hospital is the lead sponsor of 679 studies on the registry; 387 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 75 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

  • Adults aged ≥18 and \<75 years
  • Clinical diagnosis of essential tremor (ET), characterized by postural and/or kinetic tremor, primarily affecting one or both upper limbs, with or without involvement of other body regions (e.g., head, voice, or lower limbs)
  • At least one major hand task score ≥2 on the TETRAS (The Essential Tremor Rating Assessment Scale), and a score ≥3 on the Bain \& Findley Activities of Daily Living (BF-ADL) scale
  • Able and willing to provide written

Exclusion criteria

Exclusion Criteria:

  • Presence of implanted electronic medical devices (e.g., deep brain stimulator or cardiac pacemaker)
  • History of thalamotomy or other neurosurgical procedures for tremor
  • History of epilepsy
  • Current treatment with botulinum toxin for upper limb tremor
  • Skin lesions on the upper limb at the stimulation site (e.g., tumors, hemangiomas)
  • Neurological disorders affecting the upper limbs
  • Known allergy to device materials (e.g., silicone, cotton textiles)
  • Pregnant women
  • Intake of caffeine or excessive alcohol within 8 hours prior to enrollment
  • Severe cardiovascular or cerebrovascular diseases, or other significant neurological disorders
  • Inability to comply with study procedures or follow-up
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
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
50 participants (estimated)

Study arms

  • Experimental
    TAPS Treatment

    Device: Transcutaneous Afferent Patterned Stimulation

Interventions

  • DeviceTranscutaneous Afferent Patterned Stimulation

    A non-invasive, wearable neuromodulation device that delivers transcutaneous afferent patterned stimulation (TAPS) to modulate neural circuits associated with essential tremor. The device is applied according to the study protocol over the treatment period.

06

What researchers measure

Primary outcomes

  1. Change in Tremor Severity (The Essential Tremor Rating Assessment Scale [TETRAS] Score)

    Change in tremor severity from baseline to each post-treatment time point, assessed using the The Essential Tremor Rating Assessment Scale (TETRAS). The TETRAS score ranges from 0 to 64, with higher scores indicating more severe tremor.

    Time frame: Baseline; Day 1; 1 month; 3 months

  2. Incidence of Adverse Events

    Incidence, type, and severity of adverse events occurring after treatment initiation. Adverse events will be graded according to standard criteria (e.g., CTCAE)

    Time frame: 3 months

Secondary outcomes

  1. Change in Activities of Daily Living (Blessed Functional Activities of Daily Living [BF-ADL] Score)

    Change in activities of daily living from baseline to each post-treatment time point, assessed using the Blessed Functional Activities of Daily Living Scale (BF-ADL). The BF-ADL score ranges from 0 to 17, with higher scores indicating greater functional impairment.

    Time frame: Baseline; Day 1; 1 month; 3 months

  2. Change in Anxiety Severity (Hamilton Anxiety Rating Scale [HAMA])

    Change in anxiety severity from baseline to each post-treatment time point, assessed using the Hamilton Anxiety Rating Scale (HAMA). The HAMA score ranges from 0 to 56, with higher scores indicating more severe anxiety.

    Time frame: Baseline; 1 month; 3 months

  3. Change in Depression Severity (Hamilton Depression Rating Scale [HAMD])

    Change in depression severity from baseline to each post-treatment time point, assessed using the Hamilton Depression Rating Scale (HAMD). The HAMD score ranges from 0 to 52, with higher scores indicating more severe depression.

    Time frame: Baseline; 1 month; 3 months

  4. Change in Cognitive Function (Montreal Cognitive Assessment [MoCA])

    Change in cognitive function from baseline to each post-treatment time point, assessed using the Montreal Cognitive Assessment (MoCA). The MoCA score ranges from 0 to 30, with higher scores indicating better cognitive function.

    Time frame: Baseline; 1 month; 3 months

  5. Change in Cognitive Function (Mini-Mental State Examination [MMSE])

    Change in cognitive function from baseline to each post-treatment time point, assessed using the Mini-Mental State Examination (MMSE). The MMSE score ranges from 0 to 30, with higher scores indicating better cognitive function.

    Time frame: Baseline; 1 month; 3 months

  6. Change in EEG Alpha Band Power

    Change in electroencephalogram (EEG) alpha band power (8-12 Hz) from baseline to each post-treatment time point.

    Time frame: Baseline; 1 month; 3 months

  7. Change in Motor Evoked Potential (MEP) Amplitude

    Change in motor evoked potential (MEP) amplitude from baseline to each post-treatment time point, measured using transcranial magnetic stimulation. MEP amplitude is measured in millivolts (mV), with higher values indicating greater corticospinal excitability.

    Time frame: Baseline; 1 month; 3 months

  8. Change in Functional Connectivity (fMRI)

    Change in functional connectivity between predefined brain regions from baseline to post-treatment, assessed using functional magnetic resonance imaging (fMRI).

    Time frame: Baseline; 3 months

07

Study locations

1 of 1 sites recruiting
  • Department of Neurology and Institute of Neurology, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, Shanghai 200025
    Shanghai, China
    Recruiting
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 Aug 19, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07774598
Lead sponsor
Ruijin Hospital
Responsible party
Sponsor
First posted
Aug 19, 2026
Start date
Dec 15, 2025
Primary completion
Mar 15, 2027 (estimated)
Completion
Jun 15, 2027 (estimated)
Last update
Aug 19, 2026

Study contacts

Jun Liu, MD,PhD
Contact
jly0520@hotmail.com
021-86-64370045

Oversight

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

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