Safety and Efficacy of Carpal Stim in Treating Carpal Tunnel Syndrome
Primary Purpose
Carpal Tunnel Syndrome
Status
Completed
Phase
Not Applicable
Locations
Taiwan
Study Type
Interventional
Intervention
PRF stimulation
Sham stimulation
Sponsored by
About this trial
This is an interventional treatment trial for Carpal Tunnel Syndrome
Eligibility Criteria
Inclusion Criteria:
- Male or female subjects aged ≥ 20 years old during the recruitment phase
Clinical diagnosis of CTS:
- Diagnosis of CTS was confirmed by Nerve Conduction Velocity (NCV) but not limited to NCV
- Symptoms consistent with CTS for at least 3 months and the numerical rating scale (NRS) score ≥ 5 during the recruitment phase
- Willing to abstain from any other treatment or therapy for CTS throughout the trial except protocol-described medications
- The subject is willing and able to comply with the procedure and requirements of this trial
- The participant is able to understand and provide informed consent, and has signed their written informed consent in accordance with IRB requirements
Exclusion Criteria:
- Wrist fractures or cysts at the CTS affected side
- Wrist surgery within the past 3 months, especially carpal tunnel release surgery at the CTS affected side
- Receiving upper limb (including neck) surgery
- Injections of corticosteroids/cortisone into the wrist or hand within the past 3 months
- With a past medical history of diabetic polyneuropathy
- With a past medical history of rheumatoid arthritis
- With a past medical history of epilepsy
- Body Mass Index (BMI) > 40 kg/m2
- Participation in any investigational study in the last 2 weeks or current enrollment in any trial.
- Active infection at the stimulator contact site during the recruitment phase
- Pregnant women or diagnosed with postpartum edema in the wrist per investigator's discretion
- Patients with implanted medical devices that are electronic products, such as implantable cardioverter defibrillators, pacemakers, spinal cord stimulation systems, or spinal cord drug infusion pumps
Sites / Locations
- Hualien Tzu Chi Hospital
- Chung Shan Medical University Hospital
- National Cheng Kung University Hospital
- Veterans General Hospital-Taipei
- Linkou Chang Gung Memorial Hospital
Arms of the Study
Arm 1
Arm 2
Arm Type
Sham Comparator
Active Comparator
Arm Label
Sham Control Group
PRF Group
Arm Description
Subject receiving fake stimulation (no stimulation but same device procedure with PRF group)
Subject receiving 500 KHz PRF stimulation for 15 min
Outcomes
Primary Outcome Measures
Effectiveness: The responder rate of the PRF group and Sham-Control group
Safety: Incidence of adverse events (AEs) and serious AEs (SAEs)
Safety: Change in Nerve Conduction Velocity 14th day compared to baseline
Median nerve sensory latency time change over 20%
Secondary Outcome Measures
Proportion in responder in treatment and sham-controlled groups
Change in NRS score in treatment and sham-controlled groups compared to baseline
Change in PGIC scale in treatment and sham-controlled compared to baseline
Change in GSS score in treatment and sham-controlled compared to baseline
Change in BCTQ-SSS score in treatment and sham-controlled compared to baseline
Change in BCTQ-FSS score in treatment and sham-controlled compared to baseline
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT05497037
Brief Title
Safety and Efficacy of Carpal Stim in Treating Carpal Tunnel Syndrome
Official Title
A Prospective, Multicenter, Randomized, Double-Blind, Two-Arm, Sham-Controlled, Parallel-Design Trial to Assess the Efficacy and Safety of Carpal Stim for Treating Carpal Tunnel Syndrome
Study Type
Interventional
2. Study Status
Record Verification Date
February 2023
Overall Recruitment Status
Completed
Study Start Date
March 9, 2022 (Actual)
Primary Completion Date
December 31, 2022 (Actual)
Study Completion Date
February 8, 2023 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
GiMer Medical
4. Oversight
Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No
5. Study Description
Brief Summary
The objective of this study is to assess the efficacy and safety of Carpal Stim for pain relief in CTS subjects.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Carpal Tunnel Syndrome
7. Study Design
Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigator
Allocation
Randomized
Enrollment
58 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Sham Control Group
Arm Type
Sham Comparator
Arm Description
Subject receiving fake stimulation (no stimulation but same device procedure with PRF group)
Arm Title
PRF Group
Arm Type
Active Comparator
Arm Description
Subject receiving 500 KHz PRF stimulation for 15 min
Intervention Type
Device
Intervention Name(s)
PRF stimulation
Intervention Description
One time 500 kHZ stimulation for 15 min
Intervention Type
Device
Intervention Name(s)
Sham stimulation
Intervention Description
Sham stimulation for 15 min
Primary Outcome Measure Information:
Title
Effectiveness: The responder rate of the PRF group and Sham-Control group
Time Frame
1 hour after end of stimulation
Title
Safety: Incidence of adverse events (AEs) and serious AEs (SAEs)
Time Frame
Up to 14 days
Title
Safety: Change in Nerve Conduction Velocity 14th day compared to baseline
Description
Median nerve sensory latency time change over 20%
Time Frame
14 days
Secondary Outcome Measure Information:
Title
Proportion in responder in treatment and sham-controlled groups
Time Frame
3, 7, 14 days after end of stimulation
Title
Change in NRS score in treatment and sham-controlled groups compared to baseline
Time Frame
1hr, 3, 7, 14 days after end of stimulation
Title
Change in PGIC scale in treatment and sham-controlled compared to baseline
Time Frame
1hr, 3, 7, 14 days after end of stimulation
Title
Change in GSS score in treatment and sham-controlled compared to baseline
Time Frame
1hr, 3, 7, 14 days after end of stimulation
Title
Change in BCTQ-SSS score in treatment and sham-controlled compared to baseline
Time Frame
14 days after end of stimulation
Title
Change in BCTQ-FSS score in treatment and sham-controlled compared to baseline
Time Frame
14 days after end of stimulation
10. Eligibility
Sex
All
Minimum Age & Unit of Time
20 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Male or female subjects aged ≥ 20 years old during the recruitment phase
Clinical diagnosis of CTS:
Diagnosis of CTS was confirmed by Nerve Conduction Velocity (NCV) but not limited to NCV
Symptoms consistent with CTS for at least 3 months and the numerical rating scale (NRS) score ≥ 5 during the recruitment phase
Willing to abstain from any other treatment or therapy for CTS throughout the trial except protocol-described medications
The subject is willing and able to comply with the procedure and requirements of this trial
The participant is able to understand and provide informed consent, and has signed their written informed consent in accordance with IRB requirements
Exclusion Criteria:
Wrist fractures or cysts at the CTS affected side
Wrist surgery within the past 3 months, especially carpal tunnel release surgery at the CTS affected side
Receiving upper limb (including neck) surgery
Injections of corticosteroids/cortisone into the wrist or hand within the past 3 months
With a past medical history of diabetic polyneuropathy
With a past medical history of rheumatoid arthritis
With a past medical history of epilepsy
Body Mass Index (BMI) > 40 kg/m2
Participation in any investigational study in the last 2 weeks or current enrollment in any trial.
Active infection at the stimulator contact site during the recruitment phase
Pregnant women or diagnosed with postpartum edema in the wrist per investigator's discretion
Patients with implanted medical devices that are electronic products, such as implantable cardioverter defibrillators, pacemakers, spinal cord stimulation systems, or spinal cord drug infusion pumps
Facility Information:
Facility Name
Hualien Tzu Chi Hospital
City
Hualien City
Country
Taiwan
Facility Name
Chung Shan Medical University Hospital
City
Taichung
Country
Taiwan
Facility Name
National Cheng Kung University Hospital
City
Tainan
Country
Taiwan
Facility Name
Veterans General Hospital-Taipei
City
Taipei
Country
Taiwan
Facility Name
Linkou Chang Gung Memorial Hospital
City
Taoyuan
Country
Taiwan
12. IPD Sharing Statement
Plan to Share IPD
No
Learn more about this trial
Safety and Efficacy of Carpal Stim in Treating Carpal Tunnel Syndrome
We'll reach out to this number within 24 hrs