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Prospective Evaluation of RINCE to Reduce Fibromyalgia Effects - 202 (PERRFECT-202)

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 fibromyalgia, pain, stimulation

Eligibility Criteria

22 Years - 75 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Patient is male or female, 22 to 75 years of age, inclusive.
  • Patient has a diagnosis of primary fibromyalgia as defined by the 2010 American College of Rheumatology Preliminary Diagnostic Criteria for fibromyalgia.
  • At screening, the patient scores between 40 and 90 on a visual analog scale 24-hour recall pain scale, and between 4 and 9 inclusive on an 11 point numerical rating scale.
  • If female, is either not of childbearing potential or is willing to utilize specified practices throughout the study to prevent becoming pregnant.
  • Patient is willing and able to refrain or withdraw from the following therapies for the duration of the study: duloxetine, milnacipran, pregabalin, gabapentin, naltrexone, sodium oxybate, and opiates.
  • Qualified patients with mild or moderate depression must be clinically stable, without risk of suicidal ideation or behavior, and the dose of allowed anti-depressants should have been stable for at least three months prior to the Baseline clinic visit.
  • Patient is willing and able to comply with all protocol-specified requirements.
  • Patient is capable of reading and understanding English and has provided written informed consent to participate.

Exclusion Criteria:

  • The patient suffers from one or more of clinically significant psychiatric condition that could interfere with the patient's well-being or ability to comply with the protocol.
  • Patient has a Beck Depression Inventory-II total score greater than 25 at either the Screening visit or Baseline clinic visit.
  • The patient is at increased risk of suicide.
  • Patient is unable, unwilling or not advised to refrain from or discontinue prohibited medications or treatments.
  • Patient has a diagnosis of, or is being treated for, systemic lupus erythematosus, inflammatory arthritis, or other documented systemic autoimmune disorder, Parkinson's disease, multiple sclerosis, or cancer (other than basal or squamous cell skin cancer).
  • Patient has any other chronic pain condition that, in the Investigator's or Sponsor's opinion, could interfere with the patient's assessment of his/her fibromyalgia status.
  • Patient has a history of severe, refractory or uncontrolled migraine headaches, seizure disorder or clinically significant cognitive dysfunction.
  • Patient is pregnant or planning to become pregnant within the next 6 months.
  • Patient has a body mass index greater than 45 at the Screening visit.
  • Patient meets any of the study's exclusionary laboratory criteria.
  • Patient has any other disease or medical condition that, in the opinion of the Investigator or Sponsor, could endanger the patient, interfere with the evaluation of the study device's efficacy or safety, or compromise the patient's ability to comply with/complete the study.
  • Patient has a history of cranial electrical stimulation or transcutaneous magnetic stimulation within 2 years of screening, or electroconvulsive therapy within 5 years of screening; patient was enrolled in the Sponsor's previous NPT-301 study and received greater than 12 stimulation treatments.
  • Patient has a metal implant at or above the level of the 7th cervical vertebra, a cardiac pacemaker or defibrillator, or vagus nerve stimulator.
  • Any recent surgery or anticipated need for surgery that might confound results or interfere with patient's ability to comply with the protocol.
  • Myocardial infarction during the 12 months prior to screening, uncontrolled hypertension, active cardiac disease, clinically significant cardiac rhythm or conduction abnormality, or anticipation of bypass or other cardiac surgery within the next 12 months.
  • Current systemic infection (e.g., HIV, hepatitis B or C; Lyme disease).
  • Patient is receiving systemic corticosteroids greater than 5 mg prednisone or equivalent per day.
  • Patient is using opiates on a regular or frequent basis.
  • Pending or current litigation or disability claim (including Workman's Compensation).
  • History of significant alcohol and/or drug abuse or dependency within preceding 5 years, or a positive result on the screening (or subsequent) drug screen indicating use of an illicit substance.
  • Patient has participated in an investigational study of a therapeutic treatment within 90 days prior to Screening visit or is currently participating in another clinical trial.
  • Patient is a staff member or relative of a staff member at either the investigative site or the sponsor.

Sites / Locations

  • Achieve Clinical Research, LLC
  • Superior Research LLC
  • Chicago Research Center
  • Upstate Clinical Research Associates

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Active Comparator

Active Comparator

Sham Comparator

Arm Label

12-week RINCE mode 1

12-week RINCE mode 2

Sham RINCE

Arm Description

RINCE - active RINCE therapy involving 24 total treatment applications from NeuroPoint device at treatment mode 1

RINCE - active RINCE therapy involving 24 total treatment applications from NeuroPoint device at treatment mode 2

Sham RINCE - sham RINCE therapy involving 24 total sham applications from NeuroPoint device

Outcomes

Primary Outcome Measures

Change from baseline in patients' 24-hour recall average pain intensity
The primary efficacy endpoint will be the contrast at 12 weeks versus Baseline in the (paired) mean weekly change in patients' self-reported daily (24-hour) recall average pain intensity using an 11-point (0-10) numerical rating scale.

Secondary Outcome Measures

Patient self-reported Global Impression of Change
Change from baseline in Revised Fibromyalgia Impact Questionnaire
Change from baseline in patients' 7 day recall average pain intensity
Average pain intensity evaluated using an 11-point (0-10) numerical rating scale.

Full Information

First Posted
November 23, 2015
Last Updated
January 25, 2018
Sponsor
Cerephex Corporation
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1. Study Identification

Unique Protocol Identification Number
NCT02613949
Brief Title
Prospective Evaluation of RINCE to Reduce Fibromyalgia Effects - 202
Acronym
PERRFECT-202
Official Title
A Double-Blinded, Randomized, Sham-Controlled, Study of the Revised NeuroPoint Device for the Treatment of Pain Associated With Fibromyalgia
Study Type
Interventional

2. Study Status

Record Verification Date
January 2018
Overall Recruitment Status
Completed
Study Start Date
November 2015 (undefined)
Primary Completion Date
July 8, 2016 (Actual)
Study Completion Date
July 29, 2016 (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 study is to test the safety and efficacy of a noninvasive cortical electrostimulation therapy known as "Reduced Impedance Noninvasive Cortical Electrostimulation" (RINCE) in the treatment of pain associated with fibromyalgia. Patients who meet the 2010 American College of Rheumatology criteria for fibromyalgia will receive up to 24 RINCE treatments delivered by a medical device called "NeuroPoint". Approximately 45 fibromyalgia patients will be randomized into one of three study groups. One of these groups will receive sham treatment, meaning they will receive no treatment at all. A second group will receive active RINCE treatment at a nominal signal amplitude level (treatment mode 1). A third group will receive active RINCE treatment at a higher than nominal signal amplitude level (treatment mode 2). The study's primary outcome measure will be the difference between active and sham treatment groups in the mean change from baseline in patients' 24-hour recall average pain scores. The study's hypothesis is that there will be a difference between treatment groups in primary outcome measure.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Fibromyalgia
Keywords
fibromyalgia, pain, stimulation

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigator
Allocation
Randomized
Enrollment
45 (Actual)

8. Arms, Groups, and Interventions

Arm Title
12-week RINCE mode 1
Arm Type
Active Comparator
Arm Description
RINCE - active RINCE therapy involving 24 total treatment applications from NeuroPoint device at treatment mode 1
Arm Title
12-week RINCE mode 2
Arm Type
Active Comparator
Arm Description
RINCE - active RINCE therapy involving 24 total treatment applications from NeuroPoint device at treatment mode 2
Arm Title
Sham RINCE
Arm Type
Sham Comparator
Arm Description
Sham RINCE - sham RINCE therapy involving 24 total sham applications from NeuroPoint device
Intervention Type
Device
Intervention Name(s)
RINCE
Other Intervention Name(s)
RINCE therapy, RINCE therapy delivered by 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 patients' 24-hour recall average pain intensity
Description
The primary efficacy endpoint will be the contrast at 12 weeks versus Baseline in the (paired) mean weekly change in patients' self-reported daily (24-hour) recall average pain intensity using an 11-point (0-10) numerical rating scale.
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 patients' 7 day recall average pain intensity
Description
Average pain intensity evaluated using an 11-point (0-10) numerical rating scale.
Time Frame
Assessed at 12 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
22 Years
Maximum Age & Unit of Time
75 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Patient is male or female, 22 to 75 years of age, inclusive. Patient has a diagnosis of primary fibromyalgia as defined by the 2010 American College of Rheumatology Preliminary Diagnostic Criteria for fibromyalgia. At screening, the patient scores between 40 and 90 on a visual analog scale 24-hour recall pain scale, and between 4 and 9 inclusive on an 11 point numerical rating scale. If female, is either not of childbearing potential or is willing to utilize specified practices throughout the study to prevent becoming pregnant. Patient is willing and able to refrain or withdraw from the following therapies for the duration of the study: duloxetine, milnacipran, pregabalin, gabapentin, naltrexone, sodium oxybate, and opiates. Qualified patients with mild or moderate depression must be clinically stable, without risk of suicidal ideation or behavior, and the dose of allowed anti-depressants should have been stable for at least three months prior to the Baseline clinic visit. Patient is willing and able to comply with all protocol-specified requirements. Patient is capable of reading and understanding English and has provided written informed consent to participate. Exclusion Criteria: The patient suffers from one or more of clinically significant psychiatric condition that could interfere with the patient's well-being or ability to comply with the protocol. Patient has a Beck Depression Inventory-II total score greater than 25 at either the Screening visit or Baseline clinic visit. The patient is at increased risk of suicide. Patient is unable, unwilling or not advised to refrain from or discontinue prohibited medications or treatments. Patient has a diagnosis of, or is being treated for, systemic lupus erythematosus, inflammatory arthritis, or other documented systemic autoimmune disorder, Parkinson's disease, multiple sclerosis, or cancer (other than basal or squamous cell skin cancer). Patient has any other chronic pain condition that, in the Investigator's or Sponsor's opinion, could interfere with the patient's assessment of his/her fibromyalgia status. Patient has a history of severe, refractory or uncontrolled migraine headaches, seizure disorder or clinically significant cognitive dysfunction. Patient is pregnant or planning to become pregnant within the next 6 months. Patient has a body mass index greater than 45 at the Screening visit. Patient meets any of the study's exclusionary laboratory criteria. Patient has any other disease or medical condition that, in the opinion of the Investigator or Sponsor, could endanger the patient, interfere with the evaluation of the study device's efficacy or safety, or compromise the patient's ability to comply with/complete the study. Patient has a history of cranial electrical stimulation or transcutaneous magnetic stimulation within 2 years of screening, or electroconvulsive therapy within 5 years of screening; patient was enrolled in the Sponsor's previous NPT-301 study and received greater than 12 stimulation treatments. Patient has a metal implant at or above the level of the 7th cervical vertebra, a cardiac pacemaker or defibrillator, or vagus nerve stimulator. Any recent surgery or anticipated need for surgery that might confound results or interfere with patient's ability to comply with the protocol. Myocardial infarction during the 12 months prior to screening, uncontrolled hypertension, active cardiac disease, clinically significant cardiac rhythm or conduction abnormality, or anticipation of bypass or other cardiac surgery within the next 12 months. Current systemic infection (e.g., HIV, hepatitis B or C; Lyme disease). Patient is receiving systemic corticosteroids greater than 5 mg prednisone or equivalent per day. Patient is using opiates on a regular or frequent basis. Pending or current litigation or disability claim (including Workman's Compensation). History of significant alcohol and/or drug abuse or dependency within preceding 5 years, or a positive result on the screening (or subsequent) drug screen indicating use of an illicit substance. Patient has participated in an investigational study of a therapeutic treatment within 90 days prior to Screening visit or is currently participating in another clinical trial. Patient is a staff member or relative of a staff member at either the investigative site or the sponsor.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
R. Michael Gendreau, MD PhD
Organizational Affiliation
Cerephex Corporation
Official's Role
Study Director
Facility Information:
Facility Name
Achieve Clinical Research, LLC
City
Birmingham
State/Province
Alabama
ZIP/Postal Code
35216
Country
United States
Facility Name
Superior Research LLC
City
Sacramento
State/Province
California
ZIP/Postal Code
95825
Country
United States
Facility Name
Chicago Research Center
City
Chicago
State/Province
Illinois
ZIP/Postal Code
60634
Country
United States
Facility Name
Upstate Clinical Research Associates
City
Williamsville
State/Province
New York
ZIP/Postal Code
14221
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
background
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
background

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Prospective Evaluation of RINCE to Reduce Fibromyalgia Effects - 202

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