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RecruitingNCT07831278Updated Sep 21, 2026

Training Independent Muscle Activation From a Common Source

An interventional study of amputation or revision procedure with additional RPNI construction in Amputation, sponsored by Brigham and Women's Hospital. Recruiting at 2 sites in United States. Open to participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2026-09-21.

Sponsored by Brigham and Women's Hospital · Not applicable, Interventional, and Other

Phase
Not applicable
Study type
Interventional
Enrollment
10
Allocation
Not applicable
Ages
18 Years to 65 Years
Sex
All
01

Study summary

In this study, the investigators are evaluating a new surgical technique that may allow participants to control their muscles in a new way after their amputation or revision surgery. The investigators are looking for people who have limb amputation or require a revision operation to a previous amputation. Participants must be over 18 and younger than 65, willing to begin participation within two weeks of their surgery, and be willing to travel regularly to Boston.

In this study, participants will have a modified revision procedure on their amputated limb or a modified amputation procedure, followed by a series of follow up visits in clinic and to a gait lab at Harvard. Participants will also use a wearable device on their limb at home to complete daily training tasks and games.

02

Conditions studied

  • Amputation

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Keywords

  • amputation
  • amputation revision
  • residual limb pain
  • phantom pain
03

In context

Phantom Limb

163 studies on the registry are indexed under Phantom Limb; 35 are open to participants now.

This study's planned enrollment of 10 is below the median of 30 across 125 interventional studies indexed under Phantom Limb.

Browse Phantom Limb studies →

Lead sponsor

Brigham and Women's Hospital is the lead sponsor of 1,267 studies on the registry; 228 are open to participants now.

Of its 116 completed or terminated interventional studies of FDA-regulated products, 65 (56%) have results posted.

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

04

Who can participate

Ages eligible
18 Years to 65 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 18-65
  • Fluent in English
  • Approved for and scheduled to undergo acute amputation or revision amputation surgery (e.g. above-knee amputation with sciatic nerve ablation) OR sciatic nerve ablation for clinical indications (e.g. persistent pain, symptomatic neuroma, soft tissue breakdown, muscle atrophy, socket-related discomfort).
  • Willing and able to initiate participation within 14 days of surgery
  • Willing to perform at home studies
  • Possess adequate cognitive and communication abilities to describe their sensorimotor recovery during follow-up assessments
  • Demonstrate appropriate motivation and reliability to comply with scheduled training and evaluation sessions throughout the postoperative period
  • Able to travel to BWH/BWFH and Harvard University for all required visits without lodging support

Exclusion criteria

Exclusion Criteria:

    • Passive or active metal implants incompatible with EMG

      • Pacemakers, deep brain stimulators, or other electronic implantables
      • Pregnancy or breastfeeding
      • Current seizure disorder or other neurologically limiting conditions
      • Cognitive or developmental disorders that limit task comprehension
      • Vascular disorders impeding regeneration
      • Known impairments in wound healing, including connective tissue disorders or under chronic systemic therapy
      • Extensive peripheral neuropathies that may hinder neural regeneration and functional RPNI development
      • Active smoker
      • Are unable to provide
      • Have a demonstrated history of poor protocol adherence
      • Pregnant at the time of screening
Terms in these criteria, in plain language(2)

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.

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.

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
Other
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
10 participants (estimated)

Study arms

  • Experimental
    Surgical Intervention - RPNI Construction

    Subjects undergoing the proposed operative intervention with associated follow up testing

    Procedure: amputation or revision procedure with additional RPNI construction

Interventions

  • Procedureamputation or revision procedure with additional RPNI construction

    amputation or revision procedure in which additional RPNIs (regenerative peripheral nerve interfaces) are created beyond what would be included in a standard care procedure

06

What researchers measure

Primary outcomes

  1. Co-Contraction Interference Measure

    Degree of co-contraction interference or crosstalk between RPNIs, modeled by fitting an exponential decay fit to task error over time or repetitions

    Time frame: from operative intervention to 12 months postop

Secondary outcomes

  1. Task Performance Measure - Success Rate

    Task success rate, measured by the mean squared error between intended and actual movement paths.

    Time frame: from operative intervention to 12 months postop

  2. Task Performance Measure - Speed

    Task completion speed, measured by the mean squared error between intended and actual movement

    Time frame: immediately post intervention to 12 months postop

  3. Task Performance Measure - Participant Controllability

    Participant controllability over task, measured by the mean squared error between intended and actual movement paths.

    Time frame: immediately post intervention to 12 months postop

07

Study locations

1 of 2 sites recruiting
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

Start is estimated for Sep 2026; primary completion for Aug 2028, 23 months later.

Of 61 non-industry interventional studies with no phase under Phantom Limb, half reached primary completion within 32 months of starting (the median), counting those still running; a quarter within 12 and three quarters within 47. This study's planned 23 months is below that.

Counting every sponsor, half of 64 studies reached it within 34 months; a quarter within 13 and three quarters within 50.

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

Registered
Sep 1, 2026
First posted
Sep 21, 2026
StartEst.
Sep 2026
Primary completionEst.
Aug 31, 2028
CompletionEst.
Aug 31, 2028
Last update
Sep 21, 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 Sep 21, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07831278
Collaborators
Harvard University
Responsible party
Matthew Carty (Roberta and Stephen R. Weiner Endowed Chair in Surgery, Brigham & Women's Hospital; Director, MGB Limb Restoration Research Initiative, Brigham and Women's Hospital) — Principal investigator
First posted
Sep 21, 2026
Start date
Sep 2026 (estimated)
Primary completion
Aug 31, 2028 (estimated)
Completion
Aug 31, 2028 (estimated)
Last update
Sep 21, 2026

Study contacts

Matthew J Carty, MD
Contact
mcarty@bwh.harvard.edu
617-983-4555
Matthew J Carty, MD
principal investigator · Brigham and Women's Hospital
Shriya Srinivasan, PhD
principal investigator · Harvard University

Oversight

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

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