Pilot Study Assessing the Feasibility of Treating Foot Drop With the Neurostep™ System.
Pilot Feasibility Study of the Neurostep™ System in Subjects With Gait Disorder Secondary to CNS Lesion.
5 other identifiers
interventional
14
3 countries
4
Brief Summary
This pilot feasibility study is assessing the safety and technical performance of the Neurostep™ System for the restoration of independent gait in subjects with gait disorder (i.e. foot drop) secondary to a CNS lesion (e.g. stroke).
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for phase_1 stroke
Started Oct 2007
Typical duration for phase_1 stroke
4 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
October 1, 2007
CompletedFirst Submitted
Initial submission to the registry
March 11, 2009
CompletedFirst Posted
Study publicly available on registry
March 12, 2009
CompletedPrimary Completion
Last participant's last visit for primary outcome
November 1, 2009
CompletedStudy Completion
Last participant's last visit for all outcomes
March 1, 2010
CompletedApril 12, 2010
April 1, 2010
2.1 years
March 11, 2009
April 9, 2010
Conditions
Outcome Measures
Primary Outcomes (1)
Electrophysiological integrity of the nerves surrounded by the nerve cuffs assessed using Nerve Conduction Velocity (NCV) tests. Status Quo in physical examinations of the subject.
Throughout the study period (23 weeks)
Secondary Outcomes (1)
Ability to stimulate the common peroneal nerve and selectively activate ankle dorsiflexor muscles to produce symmetrical motion of the foot. Ability to sense the heel-strike and toe-lift events during walking.
From the surgical implantation to the end of the study (i.e. 20 weeks)
Interventions
The Neurostep™ System is a neurostimulation investigational medical device. The entire system is designed to be implanted into the subject's leg via a surgical procedure, during which electrodes are attached to the peripheral nerves responsible for sensing and stimulating the proper muscles that lift the foot during normal walking.
Eligibility Criteria
You may qualify if:
- Diagnosed with a unilateral gait disorder as a result of a specified CNS lesion (e.g., stroke)with stable neurological deficit for at least 6 months
- Medically stable, able to and agree to undergo a surgery
- Able to stand and walk at least 5 meters
- Agree to attend frequent study scheduled visits
- Able to provide verbal or written feedback
- Have provided written informed consent
- Have intact tibial and common peroneal nerves
You may not qualify if:
- Pregnant or nursing women
- Medically insufficiently stable to undergo surgery
- Poor range of motion of affected ankle or fixed ankle
- Foreseen need for Magnetic Resonance Imaging (MRI)
- Significant mental or psychiatric impairment
- Cannot understand or provide signed informed consent
- Cannot provide verbal or written feedback
- Have been implanted with a pacemaker or other active medical device
- Must continuously take anticoagulants
- Uncontrolled heart or cardiovascular-related disease conditions
- Have been diagnosed with muscle atrophy and/or peripheral polyneuropathy
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (4)
VCHA G. F. Strong Rehabilitation Centre
Vancouver, British Columbia, V5Z 2G9, Canada
CHA- Hôpital de l'Enfant-Jésus
Québec, Quebec, G1J 1Z4, Canada
Max Superspeciality Hospital
New Delhi, New Delhi, 17, India
Southampton General Hospital
Southampton, Southampton, SO16 6YD, United Kingdom
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Pankaj Dhawan
VCHA G. F. Strong Rehabilitation Centre
- PRINCIPAL INVESTIGATOR
Michel Prud'homme
CHA- Hôpital de l'Enfant-Jésus
- PRINCIPAL INVESTIGATOR
Ann Ashburn
University Hospital Southampton NHS Foundation Trust
- PRINCIPAL INVESTIGATOR
Sandeep Vaishya
Max Superspeciality Hospital
Study Design
- Study Type
- interventional
- Phase
- phase 1
- Allocation
- NON RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- INDUSTRY
Study Record Dates
First Submitted
March 11, 2009
First Posted
March 12, 2009
Study Start
October 1, 2007
Primary Completion
November 1, 2009
Study Completion
March 1, 2010
Last Updated
April 12, 2010
Record last verified: 2010-04