Trial Outcomes & Findings for Hand Function for Tetraplegia (NCT NCT00890916)

NCT ID: NCT00890916

Last Updated: 2021-06-09

Results Overview

Grasp and Release Test (GRT) - The Grasp and Release Test (GRT) \[Wuolle, 1994; Smith et al., 1996; Carroll et al., 2000; Taylor et al., 2002; Mulcahey et al., 2004\], developed at the Cleveland FES Center, has been utilized by multiple centers to show improvements in hand function after implantation of a neuroprosthesis and tendon transfers \[Peckham, 2001\]. This pick-and-place test requires the participant to unilaterally acquire, move, and release six objects varying in weight and size. The objects are: 1) a small peg, 2) a wooden cube, 3) a small juice can, 4) a videotape, 5) a paperweight (\~1000g) and a simulated fork task (spring-loaded plunger). The number of objects that the participant can successfully manipulate are scored. Success in manipulating each object in the GRT is defined as the ability to pick up and place the object at least once within 30 seconds.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

10 participants

Primary outcome timeframe

6-9 weeks

Results posted on

2021-06-09

Participant Flow

Note that the data from the first three (of 10) participants was published in the Journal of Hand Surgery (2008; 33(4):539-50).

Participant milestones

Participant milestones
Measure
Neuroprosthesis System
Subjects who have undergone implantation of the neuroprosthesis system known as the FIRSTHAND/IST-12 System.
Rehab - Neuroprosthesis (NP) "On"
STARTED
10
Rehab - Neuroprosthesis (NP) "On"
Grasp Release Pre-Test "ON"
10
Rehab - Neuroprosthesis (NP) "On"
COMPLETED
10
Rehab - Neuroprosthesis (NP) "On"
NOT COMPLETED
0
Rehab - NP "Off"
STARTED
10
Rehab - NP "Off"
Grasp Release Pre-Test "OFF"
10
Rehab - NP "Off"
COMPLETED
10
Rehab - NP "Off"
NOT COMPLETED
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Hand Function for Tetraplegia

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Neuroprosthesis System
n=10 Participants
Receives implanted device for hand function. FIRSTHAND System: Implanted neuroprosthesis with myoelectric control and electrical stimulation of multiple channels. Also known as the "IST-12" System.
Age, Categorical
<=18 years
0 Participants
n=99 Participants
Age, Categorical
Between 18 and 65 years
10 Participants
n=99 Participants
Age, Categorical
>=65 years
0 Participants
n=99 Participants
Sex: Female, Male
Female
2 Participants
n=99 Participants
Sex: Female, Male
Male
8 Participants
n=99 Participants
Grasp-Release Test
2 Number of Completions
n=99 Participants

PRIMARY outcome

Timeframe: 6-9 weeks

Grasp and Release Test (GRT) - The Grasp and Release Test (GRT) \[Wuolle, 1994; Smith et al., 1996; Carroll et al., 2000; Taylor et al., 2002; Mulcahey et al., 2004\], developed at the Cleveland FES Center, has been utilized by multiple centers to show improvements in hand function after implantation of a neuroprosthesis and tendon transfers \[Peckham, 2001\]. This pick-and-place test requires the participant to unilaterally acquire, move, and release six objects varying in weight and size. The objects are: 1) a small peg, 2) a wooden cube, 3) a small juice can, 4) a videotape, 5) a paperweight (\~1000g) and a simulated fork task (spring-loaded plunger). The number of objects that the participant can successfully manipulate are scored. Success in manipulating each object in the GRT is defined as the ability to pick up and place the object at least once within 30 seconds.

Outcome measures

Outcome measures
Measure
Neuroprosthesis System
n=10 Participants
Subjects with the implanted FIRSTHAND/IST-12 System.
Grasp Release Test - Test of Functional Ability to Pick up and Move Objects
Rehab - NP "OFF"
2 Number of Completions
Interval 0.0 to 4.0
Grasp Release Test - Test of Functional Ability to Pick up and Move Objects
Rehab - NP "ON"
5.5 Number of Completions
Interval 5.0 to 6.0

Adverse Events

Neuroprosthesis System

Serious events: 0 serious events
Other events: 2 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Neuroprosthesis System
n=10 participants at risk
Receives implanted device for hand function. FIRSTHAND System: Implanted neuroprosthesis with myoelectric control and electrical stimulation of multiple channels.
Infections and infestations
Device Infection
20.0%
2/10 • Number of events 2

Additional Information

Dr. Kevin Kilgore

Louis Stokes Cleveland VAMC

Phone: 216-9573657

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place