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Prospective Evaluation of Reduced Impedance Noninvasive Cortical Electrostimulation (RINCE) to Reduce Fibromyalgia Effects - Extension Study (PERRFECT)

Primary Purpose

Fibromyalgia

Status
Completed
Phase
Not Applicable
Locations
United States
Study Type
Interventional
Intervention
RINCE
Sponsored by
Cerephex Corporation
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Fibromyalgia focused on measuring Pain

Eligibility Criteria

22 Years - 65 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Patient must have successfully completed study NPT-201 and had an inadequate pain response, defined as <50% reduction in pain from baseline during participation in NPT-201.
  • Patient must provide written informed consent and privacy authorization prior to participation in the study.
  • Female patients of childbearing potential must be willing to use an acceptable method of birth control for the duration of their study participation. Acceptable birth control includes a vasectomized partner, contraceptives (oral, parenteral, or transdermal), intrauterine device, or double barrier method including condoms, sponge, diaphragm, or vaginal ring with spermicidal jellies or cream. Patients considered not of childbearing potential must be surgically sterile (total hysterectomy, bilateral salpingo-oophorectomy, or tubal ligation) or greater than one year post-menopausal, defined as a complete cessation of menstruation for at least one year.
  • Patients must be willing to refrain from all excluded therapies for the duration of the study.
  • In the opinion of the Investigator, the patient is willing and able to comply with all protocol-specified requirements.

Exclusion Criteria:

  • Patient has a current significant psychological or psychiatric disorder (e.g., severe, unstable or poorly controlled depression, severe anxiety or obsessive-compulsive disorder.
  • Patient has a score of 2 or 3 on item 9 of the BDI, or, based on the investigator's judgment, the patient is at risk of suicidal ideation or behavior.
  • Patient has resumed treatment with duloxetine, milnacipran, pregabalin, gabapentin, sodium oxybate or prohibited narcotics.
  • Female patient who is pregnant, planning a pregnancy, or breastfeeding.
  • Any anticipated need for surgery that might confound results or interfere with patient's ability to comply with the protocol.
  • The occurrence of a major protocol violation during the lead-in study indicating a lack of compliance or other significant concern that precludes the patient's ongoing participation.

Sites / Locations

  • St. Joseph Mercy Oakland

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

12-week RINCE

Arm Description

RINCE - active RINCE therapy involving 24 total treatment applications from the NeuroPoint device

Outcomes

Primary Outcome Measures

Change from baseline in patient 24-hour recall average pain intensity
Pain intensity evaluated on a 100-mm visual analog scale (VAS)

Secondary Outcome Measures

Patient self-reported Global Impression of Change
Change from baseline in Revised Fibromyalgia Impact Questionnaire
Change from baseline in patient 7-day recall average pain intensity
Change from baseline in Jenkins Sleep Questionnaire

Full Information

First Posted
October 4, 2013
Last Updated
September 2, 2015
Sponsor
Cerephex Corporation
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1. Study Identification

Unique Protocol Identification Number
NCT01958853
Brief Title
Prospective Evaluation of Reduced Impedance Noninvasive Cortical Electrostimulation (RINCE) to Reduce Fibromyalgia Effects - Extension Study
Acronym
PERRFECT
Official Title
An Open Label Extension Trial for Patients With Fibromyalgia Who Complete Study NPT-201 (NCT01825954) and Who Experience Inadequate Pain Reduction
Study Type
Interventional

2. Study Status

Record Verification Date
September 2015
Overall Recruitment Status
Completed
Study Start Date
August 2013 (undefined)
Primary Completion Date
May 2014 (Actual)
Study Completion Date
May 2014 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Cerephex Corporation

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The purpose of this open label study is to provide up to 24 active treatments of noninvasive cortical electrostimulation therapy only to those fibromyalgia patients who experienced inadequate pain reduction in a sham controlled double blinded lead in study, NPT-201 (NCT01825954). The therapy will be provided by the NeuroPoint device using the same protocol as that used in active treatment arms of NPT-201. The study's primary outcome measure will be the patient's change from baseline in self-reported 24-hour average pain intensity. The study will provide active treatment to those participants who received sham therapy in NPT-201, and will test whether or not additional therapy applications might further improve pain in those participants who previously received active therapy, but did not achieve adequate pain relief.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Fibromyalgia
Keywords
Pain

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
23 (Actual)

8. Arms, Groups, and Interventions

Arm Title
12-week RINCE
Arm Type
Experimental
Arm Description
RINCE - active RINCE therapy involving 24 total treatment applications from the NeuroPoint device
Intervention Type
Device
Intervention Name(s)
RINCE
Other Intervention Name(s)
RINCE therapy, RINCE therapy using the NeuroPoint device
Intervention Description
The NeuroPoint device is used to deliver repeat applications of RINCE therapy
Primary Outcome Measure Information:
Title
Change from baseline in patient 24-hour recall average pain intensity
Description
Pain intensity evaluated on a 100-mm visual analog scale (VAS)
Time Frame
Assessed at 12 weeks
Secondary Outcome Measure Information:
Title
Patient self-reported Global Impression of Change
Time Frame
Assessed at 12 weeks
Title
Change from baseline in Revised Fibromyalgia Impact Questionnaire
Time Frame
Assessed at 12 weeks
Title
Change from baseline in patient 7-day recall average pain intensity
Time Frame
Assessed at 12 weeks
Title
Change from baseline in Jenkins Sleep Questionnaire
Time Frame
Assessed at 12 weeks
Other Pre-specified Outcome Measures:
Title
Change from baseline in Beck Depression Inventory (BDI-II)
Time Frame
Assessed at 12 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
22 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Patient must have successfully completed study NPT-201 and had an inadequate pain response, defined as <50% reduction in pain from baseline during participation in NPT-201. Patient must provide written informed consent and privacy authorization prior to participation in the study. Female patients of childbearing potential must be willing to use an acceptable method of birth control for the duration of their study participation. Acceptable birth control includes a vasectomized partner, contraceptives (oral, parenteral, or transdermal), intrauterine device, or double barrier method including condoms, sponge, diaphragm, or vaginal ring with spermicidal jellies or cream. Patients considered not of childbearing potential must be surgically sterile (total hysterectomy, bilateral salpingo-oophorectomy, or tubal ligation) or greater than one year post-menopausal, defined as a complete cessation of menstruation for at least one year. Patients must be willing to refrain from all excluded therapies for the duration of the study. In the opinion of the Investigator, the patient is willing and able to comply with all protocol-specified requirements. Exclusion Criteria: Patient has a current significant psychological or psychiatric disorder (e.g., severe, unstable or poorly controlled depression, severe anxiety or obsessive-compulsive disorder. Patient has a score of 2 or 3 on item 9 of the BDI, or, based on the investigator's judgment, the patient is at risk of suicidal ideation or behavior. Patient has resumed treatment with duloxetine, milnacipran, pregabalin, gabapentin, sodium oxybate or prohibited narcotics. Female patient who is pregnant, planning a pregnancy, or breastfeeding. Any anticipated need for surgery that might confound results or interfere with patient's ability to comply with the protocol. The occurrence of a major protocol violation during the lead-in study indicating a lack of compliance or other significant concern that precludes the patient's ongoing participation.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Donald E Deering, PhD
Organizational Affiliation
St. Joseph Mercy Oakland
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Jeffrey B Hargrove, PhD
Organizational Affiliation
Cerephex Corporation
Official's Role
Principal Investigator
Facility Information:
Facility Name
St. Joseph Mercy Oakland
City
Pontiac
State/Province
Michigan
ZIP/Postal Code
48341
Country
United States

12. IPD Sharing Statement

Citations:
PubMed Identifier
22233397
Citation
Hargrove JB, Bennett RM, Simons DG, Smith SJ, Nagpal S, Deering DE. A randomized placebo-controlled study of noninvasive cortical electrostimulation in the treatment of fibromyalgia patients. Pain Med. 2012 Jan;13(1):115-24. doi: 10.1111/j.1526-4637.2011.01292.x.
Results Reference
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PubMed Identifier
22525670
Citation
Hargrove JB, Bennett RM, Clauw DJ. Long-term outcomes in fibromyalgia patients treated with noninvasive cortical electrostimulation. Arch Phys Med Rehabil. 2012 Oct;93(10):1868-71. doi: 10.1016/j.apmr.2012.04.006. Epub 2012 Apr 21.
Results Reference
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Prospective Evaluation of Reduced Impedance Noninvasive Cortical Electrostimulation (RINCE) to Reduce Fibromyalgia Effects - Extension Study

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