"SMART-FM": Smart-Phone Based Digital Therapeutic for Management of Fibromyalgia (SMART-FM)
Primary Purpose
Fibromyalgia
Status
Completed
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
Digital ACT
Digital Symptom Tracker
Sponsored by
About this trial
This is an interventional treatment trial for Fibromyalgia
Eligibility Criteria
Key Inclusion Criteria:
- Subject is 22 to 75 years of age, inclusive
Subject has a diagnosis of primary FM as defined by the 2016 American College of Rheumatology Preliminary Diagnostic Criteria for FM, which requires satisfaction of the following criteria:
- Widespread pain index (WPI) ≥7 and symptom severity (SS) scale score ≥5, OR WPI 4-6 and SS scale score ≥9;
- Symptoms have been present at a similar level for at least 3 months;
- Pain must be present in at least 4 out of 5 body regions
- Subject with ongoing treatments should be on stable therapy for 30 days prior to screening appointment.
- Subject is capable of reading and understanding English and has provided written informed consent to participate.
Key Exclusion Criteria:
- Lifetime history of bipolar disorder as assessed by the MINI.
- Current, untreated, major depressive episode and/or anxiety disorders as assessed by the MINI.
- Subject has a BDI-II total score > 25 at either the Screening appointment or Baseline appointment.
- The subject is at increased risk of suicide on the basis of the investigator's judgment, a response > 1 to BDI item #9, or the results of the Columbia-Suicide Severity Rating Scale ("C-SSRS") conducted at Screening or Baseline (i.e., any suicidal behavior during the preceding year or C-SSRS Type 3, 4, or 5 suicidal ideation during the preceding year).
- Subject has any other disease or medical condition that, in the opinion of the Investigator or Sponsor, could endanger the subject, interfere with the evaluation of the study device's efficacy or safety, or compromise the subject's ability to comply with/complete the study.
Sites / Locations
- Excell Research, Inc.
- Superior Research LLC
- Clinical Neuroscience Solutions, Inc.
- Upstate Clinical Research Associates LLC
- University of Cincinnati Physicians Company, LLC
- Neuro-Behavioral Clinical Research, Inc.
- Lehigh Center for Clinical Research
Arms of the Study
Arm 1
Arm 2
Arm Type
Active Comparator
Active Comparator
Arm Label
Digital Acceptance and Commitment Therapy (ACT)
Digital Symptom Tracker
Arm Description
Outcomes
Primary Outcome Measures
Revised Fibromyalgia Impact Questionnaire (FIQ-R) Total Score
FIQ-R total score ranges between 0-100 with a reduction in score indicating reduced fibromyalgia severity.
Secondary Outcome Measures
Key Secondary Endpoint of This Clinical Trial - Rate of Patient's Global Impression of Change (PGIC) Responders at Week 12 - Any Improvement
PGIC scores included are: Very much improved, much improved, minimally improved, no change, minimally worse, much worse, very much worse
Full Information
NCT ID
NCT05005351
First Posted
August 10, 2021
Last Updated
July 12, 2023
Sponsor
Swing Therapeutics, Inc.
1. Study Identification
Unique Protocol Identification Number
NCT05005351
Brief Title
"SMART-FM": Smart-Phone Based Digital Therapeutic for Management of Fibromyalgia
Acronym
SMART-FM
Official Title
"SMART-FM": Smart-Phone Based Digital Therapeutic for Management of Fibromyalgia
Study Type
Interventional
2. Study Status
Record Verification Date
February 2022
Overall Recruitment Status
Completed
Study Start Date
October 28, 2020 (Actual)
Primary Completion Date
July 9, 2021 (Actual)
Study Completion Date
July 9, 2021 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Swing Therapeutics, Inc.
4. Oversight
Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
Yes
Device Product Not Approved or Cleared by U.S. FDA
Yes
Product Manufactured in and Exported from the U.S.
No
Data Monitoring Committee
No
5. Study Description
Brief Summary
This is a non-significant risk, multi-center, randomized, active-controlled study to compare the effectiveness of two digital therapies in the management of fibromyalgia over 12 weeks. The primary endpoint is mean change from baseline to Week 12 in the weekly revised Fibromyalgia Impact Questionnaire (FIQ-R) total score.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Fibromyalgia
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
67 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Digital Acceptance and Commitment Therapy (ACT)
Arm Type
Active Comparator
Arm Title
Digital Symptom Tracker
Arm Type
Active Comparator
Intervention Type
Device
Intervention Name(s)
Digital ACT
Intervention Description
Participants in Digital ACT arm complete daily ACT lessons and activities and continue their non-pharmacological and pharmacological treatment as usual.
Intervention Type
Device
Intervention Name(s)
Digital Symptom Tracker
Intervention Description
Participants in the Digital Symptom Tracker arm complete daily symptom and function tracking, have access to digital fibromyalgia and health education, and continue their non-pharmacological and pharmacological treatment as usual.
Primary Outcome Measure Information:
Title
Revised Fibromyalgia Impact Questionnaire (FIQ-R) Total Score
Description
FIQ-R total score ranges between 0-100 with a reduction in score indicating reduced fibromyalgia severity.
Time Frame
Baseline to Week 12
Secondary Outcome Measure Information:
Title
Key Secondary Endpoint of This Clinical Trial - Rate of Patient's Global Impression of Change (PGIC) Responders at Week 12 - Any Improvement
Description
PGIC scores included are: Very much improved, much improved, minimally improved, no change, minimally worse, much worse, very much worse
Time Frame
Week 12
10. Eligibility
Sex
All
Minimum Age & Unit of Time
22 Years
Maximum Age & Unit of Time
75 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Key Inclusion Criteria:
Subject is 22 to 75 years of age, inclusive
Subject has a diagnosis of primary FM as defined by the 2016 American College of Rheumatology Preliminary Diagnostic Criteria for FM, which requires satisfaction of the following criteria:
Widespread pain index (WPI) ≥7 and symptom severity (SS) scale score ≥5, OR WPI 4-6 and SS scale score ≥9;
Symptoms have been present at a similar level for at least 3 months;
Pain must be present in at least 4 out of 5 body regions
Subject with ongoing treatments should be on stable therapy for 30 days prior to screening appointment.
Subject is capable of reading and understanding English and has provided written informed consent to participate.
Key Exclusion Criteria:
Lifetime history of bipolar disorder as assessed by the MINI.
Current, untreated, major depressive episode and/or anxiety disorders as assessed by the MINI.
Subject has a BDI-II total score > 25 at either the Screening appointment or Baseline appointment.
The subject is at increased risk of suicide on the basis of the investigator's judgment, a response > 1 to BDI item #9, or the results of the Columbia-Suicide Severity Rating Scale ("C-SSRS") conducted at Screening or Baseline (i.e., any suicidal behavior during the preceding year or C-SSRS Type 3, 4, or 5 suicidal ideation during the preceding year).
Subject has any other disease or medical condition that, in the opinion of the Investigator or Sponsor, could endanger the subject, interfere with the evaluation of the study device's efficacy or safety, or compromise the subject's ability to comply with/complete the study.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Michael Gendreau, MD
Organizational Affiliation
Consulting Chief Medical Officer
Official's Role
Study Director
Facility Information:
Facility Name
Excell Research, Inc.
City
Oceanside
State/Province
California
ZIP/Postal Code
92056
Country
United States
Facility Name
Superior Research LLC
City
Sacramento
State/Province
California
ZIP/Postal Code
95831
Country
United States
Facility Name
Clinical Neuroscience Solutions, Inc.
City
Orlando
State/Province
Florida
ZIP/Postal Code
32801
Country
United States
Facility Name
Upstate Clinical Research Associates LLC
City
Williamsville
State/Province
New York
ZIP/Postal Code
14221
Country
United States
Facility Name
University of Cincinnati Physicians Company, LLC
City
Cincinnati
State/Province
Ohio
ZIP/Postal Code
45219
Country
United States
Facility Name
Neuro-Behavioral Clinical Research, Inc.
City
North Canton
State/Province
Ohio
ZIP/Postal Code
44720
Country
United States
Facility Name
Lehigh Center for Clinical Research
City
Allentown
State/Province
Pennsylvania
ZIP/Postal Code
18104
Country
United States
12. IPD Sharing Statement
Plan to Share IPD
No
Citations:
PubMed Identifier
37382794
Citation
Catella S, Gendreau RM, Kraus AC, Vega N, Rosenbluth MJ, Soefje S, Malhotra S, Luciano JV, McCracken LM, Williams DA, Arnold LM. Self-guided digital acceptance and commitment therapy for fibromyalgia management: results of a randomized, active-controlled, phase II pilot clinical trial. J Behav Med. 2023 Jun 29. doi: 10.1007/s10865-023-00429-3. Online ahead of print.
Results Reference
result
Links:
URL
https://www.swingtherapeutics.com/
Description
Swing Therapeutics Website
Learn more about this trial
"SMART-FM": Smart-Phone Based Digital Therapeutic for Management of Fibromyalgia
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