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Evaluation of NMES Therapy for Pain Relief Associated With Knee Osteoarthritis

Primary Purpose

Knee Osteoarthritis

Status
Completed
Phase
Not Applicable
Locations
United States
Study Type
Interventional
Intervention
Home-based Neuromuscular Electrical Stimulation (NMES) therapy
Sponsored by
CyMedica Orthopedics, Inc
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Knee Osteoarthritis

Eligibility Criteria

21 Years - undefined (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  1. Subject must provide a signed informed consent for CM-2019R. The subject will be provided with a copy of the signed Informed Consent upon signature.
  2. Currently enrolled in the parent trial CM-2019 or have successfully completed the parent trial within 21 days of enrollment in the roll-over trial.
  3. Willing and able to continue parent trial study treatment.
  4. Pregnancy test, if it has been >14 days since completion of the parent trial.
  5. Subject must continue to be willing to refrain from receiving knee intra-articular injections of steroids, knee intra-articular injections of hyaluronic acid, opioids, and analgesics (except for acetaminophen up to 3000 mg/day or an equivalent) for the duration of the study.
  6. Subject must continue to be willing to take acetaminophen (up to 3000 mg/day) or an equivalent as pain medication for the duration of the study.
  7. Subject must continue to be willing to stop taking any pain medications 24 hours prior any scheduled study visit.
  8. Subject must continue to be willing to stop receiving knee physical therapy of the target knee for the duration of the study.
  9. Subject must continue be willing to stop wearing any knee unloader brace of the target knee for the duration of the study.
  10. Subjects must be willing and able to comply with all study procedures for the duration of the clinical study

Exclusion Criteria:

  1. Subjects with a new diagnosis of inflammatory arthritis (knee rheumatoid arthritis, active gout, knee joint infection, Lyme disease, SLE, etc.) since parent trial enrollment.
  2. Subjects with a new diagnosis of severe neuropathy condition and under medication for treatment of the condition since parent trial enrollment.
  3. Subjects with a new diagnosis of fibromyalgia since parent trial enrollment.
  4. Subjects who have had an injury or an acute traumatic injury to the target knee since parent trial enrollment.
  5. Subject must NOT have had arthroscopy of the target knee since parent trial enrollment.
  6. Subjects who have had treatment of the target knee with intra-articular injections of steroids since parent trial enrollment. Subjects who have had intra-articular injections of hyaluronic acid since parent trial enrollment.
  7. Subjects who have a scheduled surgery on the target knee within the study period. (Subjects that are contemplating the surgery can be included.)
  8. Subjects who have used electrotherapy or acupuncture for OA of the target knee since parent trial enrollment year.
  9. Subjects who have had implanted electrical devices since parent trial enrollment (cardiac pacemakers, deep brain stimulators, implantable cardiac defibrillators).
  10. Subjects with a current new malignancy or who have received treatment for malignancy since parent trial enrollment, with the exception of resected basal cell carcinoma and squamous cell carcinoma of the skin.
  11. Subjects with a new skin breakdown or infection in the area where the study device will be placed (quadriceps of the target knee).
  12. Subjects with any newly reported chronic conditions (e.g., diabetes, hypertension, congestive heart failure, etc.) or that have not been well-controlled during the parent trial.
  13. Subjects who have any new litigation for worker's compensation.
  14. Subjects with any new condition, in the opinion of the Investigator that might interfere with the evaluation of the study objectives.
  15. Subjects who are pregnant.
  16. Subject who enrolled in any new clinical study from the last day of treatment in the parent trial that required the use of an investigational device, drug or biologic.

Sites / Locations

  • Noble Clinical Research
  • Tucson Orthopedic Institute
  • Synergy Group US LLC
  • Synergy Group US LLC
  • Synergy Group US LLC

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Sham Comparator

Arm Label

Active NMES

Modified NMES sham

Arm Description

Outcomes

Primary Outcome Measures

Knee pain
Assessment of knee pain relief associated with knee osteoarthritis using VAS instrument scale
Knee pain and function
Assessment of knee pain relief and function improvements associated with knee osteoarthritis using WOMAC survey
Knee pain and function
Assessment of knee pain relief and function improvements associated with knee osteoarthritis using KOOS Jr. survey

Secondary Outcome Measures

Knee function
Knee functional improvements including quadriceps strength tes
Knee function
Knee functional improvements including Timed Up and Go test
Knee function
Knee functional improvements including 3 Min walk test
Knee function
Knee functional improvements including Repeated chair rise test

Full Information

First Posted
April 23, 2020
Last Updated
March 16, 2021
Sponsor
CyMedica Orthopedics, Inc
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1. Study Identification

Unique Protocol Identification Number
NCT04367597
Brief Title
Evaluation of NMES Therapy for Pain Relief Associated With Knee Osteoarthritis
Official Title
A Roll-over Study of CM-2019 Trial (A Randomized, Sham Controlled, Double-blind, Multi-center Study of Neuromuscular Electrical Stimulation (NMES) as an Adjunctive Therapy for Knee Pain Relief and Improving Functional Outcomes in Knee Osteoarthritis (OA) Patients)
Study Type
Interventional

2. Study Status

Record Verification Date
March 2021
Overall Recruitment Status
Completed
Study Start Date
April 20, 2020 (Actual)
Primary Completion Date
August 20, 2020 (Actual)
Study Completion Date
March 16, 2021 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
CyMedica Orthopedics, Inc

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
Yes
Product Manufactured in and Exported from the U.S.
No
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
A roll-over study of the current CM-2019 trial to assess the same preplanned outcomes of CM-2019 at 14 weeks.
Detailed Description
This roll-over study is designed as a 14-week treatment continuation from CM-2019 (parent study), a randomized, sham controlled, double-blind, multi-center study trial to evaluate the efficacy of CyMedica Orthopedics e-vive™ system, a multifunctional electrotherapy device providing neuromuscular electrical stimulation (NMES) as an adjunctive therapy for pain relief and accelerating functional recovery in patients with knee osteoarthritis. This follow-up trial will include subjects who have been randomized into the CM-2019 trial. Subjects will be enrolled into the appropriate treatment group based upon the treatment received in the parent study. It is hypothesized that the continued use of CyMedica e-vive NMES may provide additional pain relief and improved knee function for an additional 14 weeks compared to sham.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Knee Osteoarthritis

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Model Description
Randomized, sham-controlled, double-blind, multi-center
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
64 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Active NMES
Arm Type
Experimental
Arm Title
Modified NMES sham
Arm Type
Sham Comparator
Intervention Type
Device
Intervention Name(s)
Home-based Neuromuscular Electrical Stimulation (NMES) therapy
Intervention Description
A home-based NMES treatment applied by the subjects daily
Primary Outcome Measure Information:
Title
Knee pain
Description
Assessment of knee pain relief associated with knee osteoarthritis using VAS instrument scale
Time Frame
14 weeks post intervention
Title
Knee pain and function
Description
Assessment of knee pain relief and function improvements associated with knee osteoarthritis using WOMAC survey
Time Frame
14 weeks post intervention
Title
Knee pain and function
Description
Assessment of knee pain relief and function improvements associated with knee osteoarthritis using KOOS Jr. survey
Time Frame
14 weeks post intervention
Secondary Outcome Measure Information:
Title
Knee function
Description
Knee functional improvements including quadriceps strength tes
Time Frame
14 weeks post intervention
Title
Knee function
Description
Knee functional improvements including Timed Up and Go test
Time Frame
14 weeks post intervention
Title
Knee function
Description
Knee functional improvements including 3 Min walk test
Time Frame
14 weeks post intervention
Title
Knee function
Description
Knee functional improvements including Repeated chair rise test
Time Frame
14 weeks post intervention

10. Eligibility

Sex
All
Minimum Age & Unit of Time
21 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Subject must provide a signed informed consent for CM-2019R. The subject will be provided with a copy of the signed Informed Consent upon signature. Currently enrolled in the parent trial CM-2019 or have successfully completed the parent trial within 21 days of enrollment in the roll-over trial. Willing and able to continue parent trial study treatment. Pregnancy test, if it has been >14 days since completion of the parent trial. Subject must continue to be willing to refrain from receiving knee intra-articular injections of steroids, knee intra-articular injections of hyaluronic acid, opioids, and analgesics (except for acetaminophen up to 3000 mg/day or an equivalent) for the duration of the study. Subject must continue to be willing to take acetaminophen (up to 3000 mg/day) or an equivalent as pain medication for the duration of the study. Subject must continue to be willing to stop taking any pain medications 24 hours prior any scheduled study visit. Subject must continue to be willing to stop receiving knee physical therapy of the target knee for the duration of the study. Subject must continue be willing to stop wearing any knee unloader brace of the target knee for the duration of the study. Subjects must be willing and able to comply with all study procedures for the duration of the clinical study Exclusion Criteria: Subjects with a new diagnosis of inflammatory arthritis (knee rheumatoid arthritis, active gout, knee joint infection, Lyme disease, SLE, etc.) since parent trial enrollment. Subjects with a new diagnosis of severe neuropathy condition and under medication for treatment of the condition since parent trial enrollment. Subjects with a new diagnosis of fibromyalgia since parent trial enrollment. Subjects who have had an injury or an acute traumatic injury to the target knee since parent trial enrollment. Subject must NOT have had arthroscopy of the target knee since parent trial enrollment. Subjects who have had treatment of the target knee with intra-articular injections of steroids since parent trial enrollment. Subjects who have had intra-articular injections of hyaluronic acid since parent trial enrollment. Subjects who have a scheduled surgery on the target knee within the study period. (Subjects that are contemplating the surgery can be included.) Subjects who have used electrotherapy or acupuncture for OA of the target knee since parent trial enrollment year. Subjects who have had implanted electrical devices since parent trial enrollment (cardiac pacemakers, deep brain stimulators, implantable cardiac defibrillators). Subjects with a current new malignancy or who have received treatment for malignancy since parent trial enrollment, with the exception of resected basal cell carcinoma and squamous cell carcinoma of the skin. Subjects with a new skin breakdown or infection in the area where the study device will be placed (quadriceps of the target knee). Subjects with any newly reported chronic conditions (e.g., diabetes, hypertension, congestive heart failure, etc.) or that have not been well-controlled during the parent trial. Subjects who have any new litigation for worker's compensation. Subjects with any new condition, in the opinion of the Investigator that might interfere with the evaluation of the study objectives. Subjects who are pregnant. Subject who enrolled in any new clinical study from the last day of treatment in the parent trial that required the use of an investigational device, drug or biologic.
Facility Information:
Facility Name
Noble Clinical Research
City
Tucson
State/Province
Arizona
ZIP/Postal Code
85704
Country
United States
Facility Name
Tucson Orthopedic Institute
City
Tucson
State/Province
Arizona
ZIP/Postal Code
85712
Country
United States
Facility Name
Synergy Group US LLC
City
Houston
State/Province
Texas
ZIP/Postal Code
77061
Country
United States
Facility Name
Synergy Group US LLC
City
Katy
State/Province
Texas
ZIP/Postal Code
77450
Country
United States
Facility Name
Synergy Group US LLC
City
Missouri City
State/Province
Texas
ZIP/Postal Code
77459
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
No

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Evaluation of NMES Therapy for Pain Relief Associated With Knee Osteoarthritis

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