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.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

103 participants

Primary outcome timeframe

Week 24

Results posted on

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

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

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

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 24

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.

Outcome measures

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 24

Responder 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

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 24

IRLS 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

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 24

MOS-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

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 24

MOS-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

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 24

The 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

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

Serious events: 0 serious events
Other events: 10 other events
Deaths: 0 deaths

Arm 2

Serious events: 0 serious events
Other events: 3 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

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

Jonathan Charlesworth, PhD

Noctrix Health, Inc.

Phone: 804-683-4279

Results disclosure agreements

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