Trial Outcomes & Findings for Extension Study Evaluating NTX100 Neuromodulation System for Medication-Refractory Primary RLS (NCT NCT05196828)
NCT ID: NCT05196828
Last Updated: 2024-09-19
Results Overview
Responder rate is defined as the proportion of responses of "Much Improved" or "Very Much Improved" relative to baseline on the investigator-rated 7-point CGI-I scale. The outcomes were also evaluated as Treatment Group (Arm 1) at 24 weeks related to Control Group (Arm 2) at 24 weeks. The primary outcome, however, is the measure relative to baseline.
COMPLETED
NA
103 participants
Week 24
2024-09-19
Participant Flow
Subjects were recruited from the parent study (CT-04, RESTFUL Study). The CT-04 study enrolled 133 subjects, 126 of which completed the study. These 126 subjects were invited to participate in the CT-05 Extension study but 23 were not enrolled (7 not reachable, 12 did not consent, 1 was ineligible and 3 were unable to enroll due to a site not yet active.). This left 103 subjects that were consented and enrolled in CT-05, the Extension study.
Participant milestones
| Measure |
Arm 1 - Direct Roll-Over Extension
24-wks of Active neurostimulation - Noninvasive peripheral nerve stimulation device programmed to deliver active stimulation; followed by 8-wks of No Intervention
NTX100 Neuromodulation System: Active Noninvasive peripheral nerve stimulation device programmed to active mode
|
Arm 2 - Control Group
24-wks of No Intervention
|
|---|---|---|
|
Overall Study
STARTED
|
44
|
59
|
|
Overall Study
COMPLETED
|
41
|
55
|
|
Overall Study
NOT COMPLETED
|
3
|
4
|
Reasons for withdrawal
| Measure |
Arm 1 - Direct Roll-Over Extension
24-wks of Active neurostimulation - Noninvasive peripheral nerve stimulation device programmed to deliver active stimulation; followed by 8-wks of No Intervention
NTX100 Neuromodulation System: Active Noninvasive peripheral nerve stimulation device programmed to active mode
|
Arm 2 - Control Group
24-wks of No Intervention
|
|---|---|---|
|
Overall Study
Withdrawal by Subject
|
2
|
0
|
|
Overall Study
Lost to Follow-up
|
0
|
4
|
|
Overall Study
Adverse Event
|
1
|
0
|
Baseline Characteristics
Extension Study Evaluating NTX100 Neuromodulation System for Medication-Refractory Primary RLS
Baseline characteristics by cohort
| Measure |
Arm 1 - Direct Roll-Over Extension
n=44 Participants
24-wks of Active neurostimulation - Noninvasive peripheral nerve stimulation device programmed to deliver active stimulation; followed by 8-wks of No Intervention
NTX100 Neuromodulation System: Active Noninvasive peripheral nerve stimulation device programmed to active mode
|
Arm 2 - Control Group
n=59 Participants
24-wks of No Intervention
|
Total
n=103 Participants
Total of all reporting groups
|
|---|---|---|---|
|
Age, Continuous
|
57.7 years
STANDARD_DEVIATION 11.65 • n=99 Participants
|
57.5 years
STANDARD_DEVIATION 11.85 • n=107 Participants
|
57.6 years
STANDARD_DEVIATION 11.75 • n=206 Participants
|
|
Sex: Female, Male
Female
|
26 Participants
n=99 Participants
|
32 Participants
n=107 Participants
|
58 Participants
n=206 Participants
|
|
Sex: Female, Male
Male
|
18 Participants
n=99 Participants
|
27 Participants
n=107 Participants
|
45 Participants
n=206 Participants
|
|
Ethnicity (NIH/OMB)
Hispanic or Latino
|
4 Participants
n=99 Participants
|
3 Participants
n=107 Participants
|
7 Participants
n=206 Participants
|
|
Ethnicity (NIH/OMB)
Not Hispanic or Latino
|
40 Participants
n=99 Participants
|
52 Participants
n=107 Participants
|
92 Participants
n=206 Participants
|
|
Ethnicity (NIH/OMB)
Unknown or Not Reported
|
0 Participants
n=99 Participants
|
4 Participants
n=107 Participants
|
4 Participants
n=206 Participants
|
|
Race (NIH/OMB)
American Indian or Alaska Native
|
0 Participants
n=99 Participants
|
0 Participants
n=107 Participants
|
0 Participants
n=206 Participants
|
|
Race (NIH/OMB)
Asian
|
0 Participants
n=99 Participants
|
2 Participants
n=107 Participants
|
2 Participants
n=206 Participants
|
|
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
|
0 Participants
n=99 Participants
|
0 Participants
n=107 Participants
|
0 Participants
n=206 Participants
|
|
Race (NIH/OMB)
Black or African American
|
0 Participants
n=99 Participants
|
2 Participants
n=107 Participants
|
2 Participants
n=206 Participants
|
|
Race (NIH/OMB)
White
|
40 Participants
n=99 Participants
|
52 Participants
n=107 Participants
|
92 Participants
n=206 Participants
|
|
Race (NIH/OMB)
More than one race
|
4 Participants
n=99 Participants
|
3 Participants
n=107 Participants
|
7 Participants
n=206 Participants
|
|
Race (NIH/OMB)
Unknown or Not Reported
|
0 Participants
n=99 Participants
|
0 Participants
n=107 Participants
|
0 Participants
n=206 Participants
|
PRIMARY outcome
Timeframe: Week 24Responder rate is defined as the proportion of responses of "Much Improved" or "Very Much Improved" relative to baseline on the investigator-rated 7-point CGI-I scale. The outcomes were also evaluated as Treatment Group (Arm 1) at 24 weeks related to Control Group (Arm 2) at 24 weeks. The primary outcome, however, is the measure relative to baseline.
Outcome measures
| Measure |
Arm 1 - Direct Roll-Over Extension
n=44 Participants
24-wks of Active neurostimulation - Noninvasive peripheral nerve stimulation device programmed to deliver active stimulation; followed by 8-wks of No Intervention
NTX100 Neuromodulation System: Active Noninvasive peripheral nerve stimulation device programmed to active mode
|
Arm 2 - Control Group
n=59 Participants
24-wks of No Intervention
|
|---|---|---|
|
Number of Subjects for Which the Clinician Reported "Much Improved" or "Very Much Improved" on the Clinical Global Impressions-Improvement (CGI-I) Scale in Treatment Group (Arm 1) Relative to Baseline.
|
32 Participants
|
8 Participants
|
SECONDARY outcome
Timeframe: Week 24Responder rate is defined as the proportion of responses "Much Improved" or "Very Much Improved" on the Patient Global Impressions-Improvement (PGI-I) Scale in the Treatment Group (Arm 1) Relative to Baseline. Note that the Responder Rate was be calculated relative to baseline for the endpoint but was also be calculated relative to the value for the control group at Week 24.
Outcome measures
| Measure |
Arm 1 - Direct Roll-Over Extension
n=44 Participants
24-wks of Active neurostimulation - Noninvasive peripheral nerve stimulation device programmed to deliver active stimulation; followed by 8-wks of No Intervention
NTX100 Neuromodulation System: Active Noninvasive peripheral nerve stimulation device programmed to active mode
|
Arm 2 - Control Group
n=59 Participants
24-wks of No Intervention
|
|---|---|---|
|
Number of Subjects That Report "Much Improved" or "Very Much Improved" on the Patient Global Impressions-Improvement (PGI-I) Scale in the Treatment Group (Arm 1) Relative to Baseline.
|
33 Participants
|
12 Participants
|
SECONDARY outcome
Timeframe: Week 24IRLS is a participant-rated questionnaire that rates RLS severity from 0-40, where 40 is the most severe. Note that the IRLS score was calculated relative to baseline for the endpoint but was also be calculated relative to the value for the control group at Week 24.
Outcome measures
| Measure |
Arm 1 - Direct Roll-Over Extension
n=44 Participants
24-wks of Active neurostimulation - Noninvasive peripheral nerve stimulation device programmed to deliver active stimulation; followed by 8-wks of No Intervention
NTX100 Neuromodulation System: Active Noninvasive peripheral nerve stimulation device programmed to active mode
|
Arm 2 - Control Group
n=59 Participants
24-wks of No Intervention
|
|---|---|---|
|
Mean Change From Baseline in International Restless Legs Syndrome Study Group Rating Scale (IRLS) Score in Arm 1
|
-11.3 score on a scale
Standard Deviation 8.43
|
-5.4 score on a scale
Standard Deviation 6.70
|
SECONDARY outcome
Timeframe: Week 24MOS-II is a subscale of the participant-rated MOS questionnaire that measures subjective sleep quality. The MOS-I (6-items) and MOS-II (9-items) are the two validated subscales of the 12-item MOS Sleep Scale. Both are scored from 0 to 100, where 100 corresponds to the worst possible sleep problems and 0 corresponds to no sleep problems. See https://labs.dgsom.ucla.edu/hays/files/view/docs/surveys/sleep/sleepman-112603.pdf for more information. Note that the mean MOS-II score was calculated relative to baseline for the endpoint but was also be calculated relative to the value for the control group at Week 24.
Outcome measures
| Measure |
Arm 1 - Direct Roll-Over Extension
n=44 Participants
24-wks of Active neurostimulation - Noninvasive peripheral nerve stimulation device programmed to deliver active stimulation; followed by 8-wks of No Intervention
NTX100 Neuromodulation System: Active Noninvasive peripheral nerve stimulation device programmed to active mode
|
Arm 2 - Control Group
n=59 Participants
24-wks of No Intervention
|
|---|---|---|
|
Mean Change From Baseline in Medical Outcomes Study Sleep Problems Index II (MOS-II) Score in Arm 1
|
-17.2 score on a scale
Standard Deviation 18.81
|
-6.4 score on a scale
Standard Deviation 15.18
|
SECONDARY outcome
Timeframe: Week 24MOS-I is a subscale of the participant-rated MOS questionnaire that measures subjective sleep quality. The MOS-I (6-items) and MOS-II (9-items) are the two validated subscales of the 12-item MOS Sleep Scale. Both are scored from 0 to 100, where 100 corresponds to the worst possible sleep problems and 0 corresponds to no sleep problems. See https://labs.dgsom.ucla.edu/hays/files/view/docs/surveys/sleep/sleepman-112603.pdf for more information. Note that the outcome is measured relative to baseline but also relative to the Arm 2 (control group) at 24 weeks.
Outcome measures
| Measure |
Arm 1 - Direct Roll-Over Extension
n=44 Participants
24-wks of Active neurostimulation - Noninvasive peripheral nerve stimulation device programmed to deliver active stimulation; followed by 8-wks of No Intervention
NTX100 Neuromodulation System: Active Noninvasive peripheral nerve stimulation device programmed to active mode
|
Arm 2 - Control Group
n=59 Participants
24-wks of No Intervention
|
|---|---|---|
|
Mean Change From Baseline in Medical Outcomes Study Sleep Problems Index I (MOS-I) Score in Arm 1
|
-15.8 score on a scale
Standard Deviation 19.21
|
-5.7 score on a scale
Standard Deviation 15.48
|
SECONDARY outcome
Timeframe: Week 24The International Restless Legs Syndrome (IRLS) Question #7 is a participant-rated question that measures the frequency of RLS symptoms in terms of days per week.
Outcome measures
| Measure |
Arm 1 - Direct Roll-Over Extension
n=44 Participants
24-wks of Active neurostimulation - Noninvasive peripheral nerve stimulation device programmed to deliver active stimulation; followed by 8-wks of No Intervention
NTX100 Neuromodulation System: Active Noninvasive peripheral nerve stimulation device programmed to active mode
|
Arm 2 - Control Group
n=59 Participants
24-wks of No Intervention
|
|---|---|---|
|
Days Per Week of RLS Symptoms Based on Question #7 in the International Restless Legs Syndrome Study Group Rating Scale (IRLS) Score in Arm 1
|
-1.50 Days/Week
Standard Deviation 1.34
|
-0.41 Days/Week
Standard Deviation 0.91
|
Adverse Events
Arm 1
Arm 2
Serious adverse events
Adverse event data not reported
Other adverse events
| Measure |
Arm 1
n=44 participants at risk
Treatment Group
|
Arm 2
n=44 participants at risk
Control Group
|
|---|---|---|
|
Skin and subcutaneous tissue disorders
Discomfort
|
22.7%
10/44 • Number of events 10 • Up to 32 weeks.
Descriptive analyses of adverse events for both study arms, classified and tabulated by seriousness, relationship to the device, and severity.
|
6.8%
3/44 • Number of events 3 • Up to 32 weeks.
Descriptive analyses of adverse events for both study arms, classified and tabulated by seriousness, relationship to the device, and severity.
|
Additional Information
Results disclosure agreements
- Principal investigator is a sponsor employee
- Publication restrictions are in place