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Effectiveness of the Sana Device on Fibromyalgia Symptoms

Primary Purpose

Fibromyalgia, Pain, Chronic, Quality of Life

Status
Not yet recruiting
Phase
Not Applicable
Locations
Study Type
Interventional
Intervention
Sana Device
Sana Device (Control)
Sponsored by
Sana Health
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Fibromyalgia

Eligibility Criteria

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

Inclusion Criteria:

  • Willing to and capable of providing written informed consent prior to the conduct of any study-related procedures.
  • Male or female, 18 to 65 years of age, inclusive.
  • Have a history of experiencing fibromyalgia - like symptoms for a minimum of 36 months (3 years) prior to Screening.
  • Subject must be in good physical health based on physical exams, vitals, and/or self-reporting. For subjects where there may not be sufficient recent medical records to document general good health the participant will be asked to self-report at the investigator's discretion.
  • Any analgesic medications and medication dosages must be at approximately stable levels for at least 8 weeks prior to enrollment and remain steady throughout the study.
  • A total score on the Generalized Anxiety Disorder 7-item scale (GAD-7) of 5 or above.
  • A total score on the Patient Health Questionnaire 8-item (PHQ-8) of 5 or above.
  • A total score on the STOP-Bang questionnaire of 3 or below.
  • Willing and able to comply with the study requirements, complete study assessments, and participate at scheduled times for the duration of the Treatment Phase.
  • Able to understand, speak and read English sufficient for the completion of study assessments.

Exclusion Criteria:

  • Pregnant or lactating females as self-reported.
  • History or presence of photo-sensitive epilepsy or other photo-sensitive conditions.
  • History or presence of condition(s) that may affect balance, such as seizure disorders or vertigo.
  • History of presence of condition (s) that meet the criteria for major depressive disorder (MDD), bipolar disorder, or any other personality disorders, at the discretion of the investigator.
  • Presence of cancer pain, acute pain following injury or other severe pain not primarily associated with fibromyalgia, at discretion of the investigator.
  • Surgery or trauma requiring rehabilitation within the last 12 weeks.
  • Vision impairments that affect perception of light, color, or brightness in one or both eyes, and differences in visual perception between eyes.
  • Deafness in one or both ears, perceived differences in hearing between ears, or tinnitus.
  • Current ear or eye infection, untreated allergies, or acute illness that may affect eyes or hearing (e.g., due to congestion).
  • Presence of inflammation or broken skin around the eyes in the area of the mask.
  • Presence of narcolepsy or untreated sleep apnea or requiring treatment for sleep apnea such that use of device at bedtime will be interrupted, at discretion of the investigator.
  • At the discretion of the Investigator, participation in any other clinical study in which medication(s) are being delivered or have used an investigational drug or device within the last 30 days.
  • Any pending legal action that could prohibit participation or compliance in the study.
  • Recent history of or current evidence of suicidal ideation or active suicidal behavior, based on medical history, at the discretion of the investigator.
  • Significant medical conditions or other circumstances which, in the opinion of the investigator, would preclude compliance with the protocol, adequate cooperation in the study or obtaining informed consent, or may prevent the subject from safely participating in study.
  • Employment by the investigator or the study site, with direct involvement in the proposed study or other studies under the direction of the investigator or study site, or a family member of an employee or of the investigator.

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm Type

    Active Comparator

    Sham Comparator

    Arm Label

    Active Treatment

    Sham Arm

    Arm Description

    The Sana Device is an externally worn mask that physically contacts the skin of the face. The Sana Device delivers Audio Visual Stimulation (AVS) in the form of coordinated pulses of light (through closed eyelids) and sound at various frequencies. The device is externally communicating only. The Sana Device will be administered at least twice daily, with one treatment session being just prior to bedtime. Additional PRN sessions with the Sana device will be allowed at the subject's discretion.

    The sham treatment device was designed to copy the look and feel of the Sana therapy to a degree that it would be indistinguishable from the true treatment. The sham treatment delivers a series of Audio Visual Stimulation (AVS) in the form of pulses of light (through closed eyelids) and ound but should offer no therapeutic effect to the level of the Sana Device. The sham device will run on the same headset, use a matched intensity of light/audio and used on the same schedule as the Sana treatment.

    Outcomes

    Primary Outcome Measures

    Change in Fibromyalgia Symptoms
    To confirm the superiority of the active arm over sham on changes in quality of life as measured by the Fibromyalgia Impact Questionnaire Revised (FIQR)

    Secondary Outcome Measures

    Changes in Generalized Anxiety Symptoms
    To confirm the superiority of the active arm over sham on generalized anxiety as measured by Generalized Anxiety Disorder 7-item (GAD-7)
    Changes in Depression Symptoms
    To confirm the superiority of the active arm over sham on depression sypmtoms as measured by the Patient Health Questionnaire-8 (PHQ-8)
    Changes in Sleep Quality
    To confirm superiority of the active arm over sham on sleep quality as measured by the PROMIS 4a Sleep Disturbance Scale (PR4A)
    Changes in Pain
    To confirm the superiority of the active arm over sham on reduction of pain as measured by the Pain Enjoyment General-Activity (PEG) scale
    Perceived Change in Quality of Life
    To examine the effect of the active arm on perceived change in quality of life as measured by the Patient Global Impression of Change (PGIC) scale

    Full Information

    First Posted
    May 23, 2022
    Last Updated
    April 10, 2023
    Sponsor
    Sana Health
    Collaborators
    University of Pennsylvania
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    1. Study Identification

    Unique Protocol Identification Number
    NCT05394610
    Brief Title
    Effectiveness of the Sana Device on Fibromyalgia Symptoms
    Official Title
    A Confirmatory Investigation of the Effectiveness of Sana Treatment in Fibromyalgia
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    October 2022
    Overall Recruitment Status
    Not yet recruiting
    Study Start Date
    August 2023 (Anticipated)
    Primary Completion Date
    March 2024 (Anticipated)
    Study Completion Date
    September 2024 (Anticipated)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Sana Health
    Collaborators
    University of Pennsylvania

    4. Oversight

    Studies a U.S. FDA-regulated Drug Product
    No
    Studies a U.S. FDA-regulated Device Product
    No
    Data Monitoring Committee
    Yes

    5. Study Description

    Brief Summary
    This is study designed to confirm the effectiveness of the Sana Device in patients with pain due to fibromyalgia on quality of life as measured by the Fibromyalgia Impact Questionnaire Revised (FIQR). It is a two arm study in which subjects will be randomly assigned to either active device group or sham-controlled group.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Fibromyalgia, Pain, Chronic, Quality of Life

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Not Applicable
    Interventional Study Model
    Parallel Assignment
    Model Description
    Double blind sham contolled
    Masking
    ParticipantInvestigator
    Masking Description
    Investigators and subjects will be blinded to the randomized arm assignment. Subjects will receive the Active Sana treatment OR Sham-controlled treament. The sham controlled device is physically identical to the active treatment, with pattern of lights and sound varying between the two.
    Allocation
    Randomized
    Enrollment
    166 (Anticipated)

    8. Arms, Groups, and Interventions

    Arm Title
    Active Treatment
    Arm Type
    Active Comparator
    Arm Description
    The Sana Device is an externally worn mask that physically contacts the skin of the face. The Sana Device delivers Audio Visual Stimulation (AVS) in the form of coordinated pulses of light (through closed eyelids) and sound at various frequencies. The device is externally communicating only. The Sana Device will be administered at least twice daily, with one treatment session being just prior to bedtime. Additional PRN sessions with the Sana device will be allowed at the subject's discretion.
    Arm Title
    Sham Arm
    Arm Type
    Sham Comparator
    Arm Description
    The sham treatment device was designed to copy the look and feel of the Sana therapy to a degree that it would be indistinguishable from the true treatment. The sham treatment delivers a series of Audio Visual Stimulation (AVS) in the form of pulses of light (through closed eyelids) and ound but should offer no therapeutic effect to the level of the Sana Device. The sham device will run on the same headset, use a matched intensity of light/audio and used on the same schedule as the Sana treatment.
    Intervention Type
    Device
    Intervention Name(s)
    Sana Device
    Intervention Description
    Audio Visual Stimulation patterns intended to produce a therapeutic benefit.
    Intervention Type
    Drug
    Intervention Name(s)
    Sana Device (Control)
    Intervention Description
    A control device that mimics the physcial appearance of the Sana device.
    Primary Outcome Measure Information:
    Title
    Change in Fibromyalgia Symptoms
    Description
    To confirm the superiority of the active arm over sham on changes in quality of life as measured by the Fibromyalgia Impact Questionnaire Revised (FIQR)
    Time Frame
    6 weeks
    Secondary Outcome Measure Information:
    Title
    Changes in Generalized Anxiety Symptoms
    Description
    To confirm the superiority of the active arm over sham on generalized anxiety as measured by Generalized Anxiety Disorder 7-item (GAD-7)
    Time Frame
    6 weeks
    Title
    Changes in Depression Symptoms
    Description
    To confirm the superiority of the active arm over sham on depression sypmtoms as measured by the Patient Health Questionnaire-8 (PHQ-8)
    Time Frame
    6 weeks
    Title
    Changes in Sleep Quality
    Description
    To confirm superiority of the active arm over sham on sleep quality as measured by the PROMIS 4a Sleep Disturbance Scale (PR4A)
    Time Frame
    6 weeks
    Title
    Changes in Pain
    Description
    To confirm the superiority of the active arm over sham on reduction of pain as measured by the Pain Enjoyment General-Activity (PEG) scale
    Time Frame
    6 weeks
    Title
    Perceived Change in Quality of Life
    Description
    To examine the effect of the active arm on perceived change in quality of life as measured by the Patient Global Impression of Change (PGIC) scale
    Time Frame
    6 weeks

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Maximum Age & Unit of Time
    65 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Willing to and capable of providing written informed consent prior to the conduct of any study-related procedures. Male or female, 18 to 65 years of age, inclusive. Have a history of experiencing fibromyalgia - like symptoms for a minimum of 36 months (3 years) prior to Screening. Subject must be in good physical health based on physical exams, vitals, and/or self-reporting. For subjects where there may not be sufficient recent medical records to document general good health the participant will be asked to self-report at the investigator's discretion. Any analgesic medications and medication dosages must be at approximately stable levels for at least 8 weeks prior to enrollment and remain steady throughout the study. A total score on the Generalized Anxiety Disorder 7-item scale (GAD-7) of 5 or above. A total score on the Patient Health Questionnaire 8-item (PHQ-8) of 5 or above. A total score on the STOP-Bang questionnaire of 3 or below. Willing and able to comply with the study requirements, complete study assessments, and participate at scheduled times for the duration of the Treatment Phase. Able to understand, speak and read English sufficient for the completion of study assessments. Exclusion Criteria: Pregnant or lactating females as self-reported. History or presence of photo-sensitive epilepsy or other photo-sensitive conditions. History or presence of condition(s) that may affect balance, such as seizure disorders or vertigo. History of presence of condition (s) that meet the criteria for major depressive disorder (MDD), bipolar disorder, or any other personality disorders, at the discretion of the investigator. Presence of cancer pain, acute pain following injury or other severe pain not primarily associated with fibromyalgia, at discretion of the investigator. Surgery or trauma requiring rehabilitation within the last 12 weeks. Vision impairments that affect perception of light, color, or brightness in one or both eyes, and differences in visual perception between eyes. Deafness in one or both ears, perceived differences in hearing between ears, or tinnitus. Current ear or eye infection, untreated allergies, or acute illness that may affect eyes or hearing (e.g., due to congestion). Presence of inflammation or broken skin around the eyes in the area of the mask. Presence of narcolepsy or untreated sleep apnea or requiring treatment for sleep apnea such that use of device at bedtime will be interrupted, at discretion of the investigator. At the discretion of the Investigator, participation in any other clinical study in which medication(s) are being delivered or have used an investigational drug or device within the last 30 days. Any pending legal action that could prohibit participation or compliance in the study. Recent history of or current evidence of suicidal ideation or active suicidal behavior, based on medical history, at the discretion of the investigator. Significant medical conditions or other circumstances which, in the opinion of the investigator, would preclude compliance with the protocol, adequate cooperation in the study or obtaining informed consent, or may prevent the subject from safely participating in study. Employment by the investigator or the study site, with direct involvement in the proposed study or other studies under the direction of the investigator or study site, or a family member of an employee or of the investigator.
    Central Contact Person:
    First Name & Middle Initial & Last Name or Official Title & Degree
    Melanie Maron
    Phone
    2157461419
    Email
    fibromyalgiastudy@pennmedicine.upenn.edu
    First Name & Middle Initial & Last Name or Official Title & Degree
    Sinead Walsh
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Martin Cheatle, PhD
    Organizational Affiliation
    University of Pennsylvania
    Official's Role
    Principal Investigator

    12. IPD Sharing Statement

    Plan to Share IPD
    No

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