Trial Outcomes & Findings for Clinical Study to Evaluate the Implantation of the ActiGait Drop Foot Stimulator System (NCT NCT01116466)

NCT ID: NCT01116466

Last Updated: 2021-08-26

Results Overview

The test assesses distance walked over 6 minutes as a sub-maximal test of aerobic capacity (endurance). At baseline this test was done with subject's conventional walking aid. At 6 and 12 weeks post-implantation this was done with and without stimulation.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

5 participants

Primary outcome timeframe

Baseline, 6 and 12 weeks post-implantation

Results posted on

2021-08-26

Participant Flow

Participant milestones

Participant milestones
Measure
ActiGait - Implantable Drop Foot Stimulator
Subjects came with conventional walking aid and then received ActiGait implant
Overall Study
STARTED
5
Overall Study
COMPLETED
5
Overall Study
NOT COMPLETED
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Clinical Study to Evaluate the Implantation of the ActiGait Drop Foot Stimulator System

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
ActiGait - Implantable Drop Foot Stimulator
n=5 Participants
Subjects came with conventional walking aid and then received ActiGait implant
Age, Categorical
<=18 years
0 Participants
n=99 Participants
Age, Categorical
Between 18 and 65 years
4 Participants
n=99 Participants
Age, Categorical
>=65 years
1 Participants
n=99 Participants
Age, Continuous
47.2 years
STANDARD_DEVIATION 11.9 • n=99 Participants
Sex: Female, Male
Female
2 Participants
n=99 Participants
Sex: Female, Male
Male
3 Participants
n=99 Participants
Region of Enrollment
Germany
5 participants
n=99 Participants

PRIMARY outcome

Timeframe: Baseline, 6 and 12 weeks post-implantation

The test assesses distance walked over 6 minutes as a sub-maximal test of aerobic capacity (endurance). At baseline this test was done with subject's conventional walking aid. At 6 and 12 weeks post-implantation this was done with and without stimulation.

Outcome measures

Outcome measures
Measure
ActiGait - Implantable Drop Foot Stimulator
n=5 Participants
Subjects came with conventional walking aid and then received ActiGait implant
Distance Walked in 6 Minutes
Baseline
211 m
Standard Deviation 36.78
Distance Walked in 6 Minutes
6 weeks post-implantation stimulation off
211 m
Standard Deviation 37.48
Distance Walked in 6 Minutes
6 weeks post-implantation stimulation on
260 m
Standard Deviation 31.5
Distance Walked in 6 Minutes
12 weeks post-implantation stimulation off
214 m
Standard Deviation 33.46
Distance Walked in 6 Minutes
12 weeks post-implantation stimulation on
248 m
Standard Deviation 29.56

SECONDARY outcome

Timeframe: Baseline, 6 and 12 weeks post-implantation

The test assesses walking speed in meters per second over a short duration. At baseline this test was done with subject's conventional walking aid. At 6 and 12 weeks post-implantation this was done with and without stimulation.

Outcome measures

Outcome measures
Measure
ActiGait - Implantable Drop Foot Stimulator
n=5 Participants
Subjects came with conventional walking aid and then received ActiGait implant
Walking Speed During 10 Meter Gait Test
6 weeks post-implantation stimulation on
0.77 m/s
Standard Deviation 0.077
Walking Speed During 10 Meter Gait Test
12 weeks post-implantation stimulation off
0.55 m/s
Standard Deviation 0.071
Walking Speed During 10 Meter Gait Test
Baseline
0.62 m/s
Standard Deviation 0.07
Walking Speed During 10 Meter Gait Test
6 weeks post-implantation stimulation off
0.55 m/s
Standard Deviation 0.065
Walking Speed During 10 Meter Gait Test
12 weeks post-implantation stimulation on
0.77 m/s
Standard Deviation 0.064

SECONDARY outcome

Timeframe: Baseline,12 weeks post-implantation

Population: Two subjects were not available for the test.

A semi-structured interview is conducted in order to identify subject's limitations with daily occupations of importance in categories self-care, productivtiy or leisure. The subject is then asked to rate the imporance of each of the occupations using a 10-point rating scale. Afterwards the subject chooses up to 5 of the most important occupations (problems) (basis for identifying intervention goals). The subject is asked to use a 10 point scale to rate level of performance and satisfaction with performance for each of the five identified problems. Average COPM performance score and satisfaction score are calculated. The scores range between 1 and 10, where 1 indicates poor performance and low satisfaction, respectively, while 10 indicates very good performance and high satisfaction.

Outcome measures

Outcome measures
Measure
ActiGait - Implantable Drop Foot Stimulator
n=3 Participants
Subjects came with conventional walking aid and then received ActiGait implant
Canadian Occupational Performance Measure (COPM) Score
Performance Baseline
3.37 units on a scale
Standard Deviation 1.27
Canadian Occupational Performance Measure (COPM) Score
Performance 12 weeks post-implantation
3.80 units on a scale
Standard Deviation 1.74
Canadian Occupational Performance Measure (COPM) Score
Satisfaction Baseline
2.47 units on a scale
Standard Deviation 0.46
Canadian Occupational Performance Measure (COPM) Score
Satisfaction 12 weeks post-implantation
2.70 units on a scale
Standard Deviation 0.70

SECONDARY outcome

Timeframe: Baseline, week 12 post-implantation

It is a test of dynamic balance that clinically assesses the person's ability to step over objects forward, sideways, and backwards. The patient's time to perform the test is measured which shorter time representing better performance. At baseline this test was done with subject's conventional walking aid. At 12 weeks post-implantation it was done with and without stimulation.

Outcome measures

Outcome measures
Measure
ActiGait - Implantable Drop Foot Stimulator
n=5 Participants
Subjects came with conventional walking aid and then received ActiGait implant
Four Square Step Test (FSST)
Baseline
38.09 s
Standard Deviation 27.41
Four Square Step Test (FSST)
12 weeks post-implantation stimulation off
44.44 s
Standard Deviation 39.51
Four Square Step Test (FSST)
12 weeks post-implantation stimulation on
21.49 s
Standard Deviation 5.54

SECONDARY outcome

Timeframe: Baseline, week 12 post-implantation

Population: Two subjects were unavailable for the test.

Measured: Nervus peroneus communis (CPN) and Nervus peroneus superficialis (SPN)

Outcome measures

Outcome measures
Measure
ActiGait - Implantable Drop Foot Stimulator
n=3 Participants
Subjects came with conventional walking aid and then received ActiGait implant
Nerve Conduction Velocity of the Peroneal Nerve
Baseline CPN
48.33 m/s
Standard Deviation 4.73
Nerve Conduction Velocity of the Peroneal Nerve
Baseline SPN
43 m/s
Standard Deviation 1
Nerve Conduction Velocity of the Peroneal Nerve
12 weeks post-implantation CPM
50 m/s
Standard Deviation 4.36
Nerve Conduction Velocity of the Peroneal Nerve
12 weeks post-implantation SPN
42.67 m/s
Standard Deviation 6.66

SECONDARY outcome

Timeframe: Week 2 post-implantation

MRI will be conducted to evaluate the impact of the implant on the common peroneal nerve (e.g. positioning of the nerve cuff along the nerve, path of the lead wire and the common peroneal nerve, estimation of the cross-sectional area of the common peroneal nerve compared to the pre-operative MRI recording, etc.). The outcome will be quantified by surgeon's judgement whether the final implant position is consistent with safe application of the ActiGait® implant as described in the manufacturer's surgical manual. Number of safe and successful implantations will be counted.

Outcome measures

Outcome measures
Measure
ActiGait - Implantable Drop Foot Stimulator
n=5 Participants
Subjects came with conventional walking aid and then received ActiGait implant
Change in MRI of Affected Leg and Implant Post-implantation
5 number of safe implantations

Adverse Events

ActiGait - Implantable Drop Foot Stimulator

Serious events: 1 serious events
Other events: 1 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
ActiGait - Implantable Drop Foot Stimulator
n=5 participants at risk
Subjects came with conventional walking aid and then received ActiGait implant
Surgical and medical procedures
Haematoma around implantation site and bleeding after stitches removal, requiring additional surgery
20.0%
1/5 • Number of events 1

Other adverse events

Other adverse events
Measure
ActiGait - Implantable Drop Foot Stimulator
n=5 participants at risk
Subjects came with conventional walking aid and then received ActiGait implant
Surgical and medical procedures
Post-surgical lymphoedema around proximal incision
20.0%
1/5 • Number of events 1

Additional Information

Medical Affairs Manager

Otto Bock Healthcare Products GmbH

Phone: 004315233786733

Results disclosure agreements

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