NCT04430218

Brief Summary

The purpose of this research is to gather information on the safety and effectiveness of an implanted wireless sensory enabled highly intuitive controlled prosthetic device.

Trial Health

77
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
15

participants targeted

Target at below P25 for not_applicable

Timeline
73mo left

Started Aug 2020

Longer than P75 for not_applicable

Geographic Reach
1 country

2 active sites

Status
recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Progress49%
Aug 2020Jun 2032

First Submitted

Initial submission to the registry

May 12, 2020

Completed
1 month until next milestone

First Posted

Study publicly available on registry

June 12, 2020

Completed
2 months until next milestone

Study Start

First participant enrolled

August 18, 2020

Completed
5.9 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

June 30, 2026

Expected
6 years until next milestone

Study Completion

Last participant's last visit for all outcomes

June 30, 2032

Last Updated

March 6, 2026

Status Verified

March 1, 2026

Enrollment Period

5.9 years

First QC Date

May 12, 2020

Last Update Submit

March 4, 2026

Conditions

Keywords

Sensory FeedbackAdvanced ControlSensorimotor feedbackProstheses and implants

Outcome Measures

Primary Outcomes (1)

  • Patient Experience Measure

    Consists of 49 items and consists of five subscales, measuring Self-efficacy, Embodiment, Body image, Prosthesis Efficiency, and Social Touch. Each scale is scored individually, and a higher score indicates a better outcome.

    9 months post implant

Secondary Outcomes (1)

  • Modified Box and Blocks

    9 months post implant

Study Arms (2)

iSens

EXPERIMENTAL

3 months trial with the iSens system

Device: iSens

State of the Art Prosthesis

NO INTERVENTION

3 months trial with their own prosthesis.

Interventions

iSensDEVICE

The study involves a surgical implant of cuff electrodes on the nerves in the amputated limb, and muscle recording electrodes the remaining muscles. These will be connected to an implanted stimulator. The stimulator will connect wirelessly to an advanced prosthesis. This may allow a user to move the prosthetic hand intuitively and feel what your prosthesis is touching.

iSens

Eligibility Criteria

Age21 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Age 21 or greater
  • Acquired upper limb amputation
  • Unilateral or bilateral amputation, Above or below elbow
  • At least 6 months since time of amputation
  • Current user of a myoelectric prosthesis or prescribed to use one
  • Viable target nerves in the upper extremity \*
  • Recommendation from a psychologist following a psychological assessment that the subject is mentally competent and capable of completing the study related activities

You may not qualify if:

  • A contraindication preventing surgery
  • Uncontrolled diabetes
  • Chronic skin ulcerations
  • History of poor wound healing without specific cause
  • History of uncontrolled infection without specific cause
  • Active infection
  • Pregnancy or women of childbearing potential unwilling to prevent pregnancy during participation in the study
  • Inability to speak English
  • Expectation that MRI will be required at any point for duration of study or while device is implanted.
  • Arthritis in the area of implant
  • Individuals with active implantable medical devices or individuals that use external active medical devices that are medically necessary and/or life-supporting or life-sustaining (e.g. insulin pumps, ventilators)
  • Presence of auto immune diseases, or conditions requiring immunosuppression.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (2)

Louis Stokes VA Medical Center, Cleveland, OH

Cleveland, Ohio, 44106-1702, United States

RECRUITING

Case Western Reserve University

Cleveland, Ohio, 44106, United States

RECRUITING

Related Publications (3)

  • Cady SR, Lambrecht J, Tyler DJ. Enhanced sensory perception and myoelectric control with high channel count implanted sensorimotor systems. J Neural Eng. 2025 Dec 9;22(6):066024. doi: 10.1088/1741-2552/ae24ae.

  • Cady SR, Lambrecht JM, Dsouza KT, Dunning JL, Anderson JR, Malone KJ, Chepla KJ, Graczyk EL, Tyler DJ. First-in-human implementation of a bidirectional somatosensory neuroprosthetic system with wireless communication. J Neuroeng Rehabil. 2025 Apr 23;22(1):90. doi: 10.1186/s12984-025-01613-z.

  • Lambrecht JM, Cady SR, Peterson EJ, Dunning JL, Dinsmoor DA, Pape F, Graczyk EL, Tyler DJ. A distributed, high-channel-count, implanted bidirectional system for restoration of somatosensation and myoelectric control. J Neural Eng. 2024 Jun 21;21(3). doi: 10.1088/1741-2552/ad56c9.

Study Officials

  • Emily L Graczyk, PhD

    Louis Stokes VA Medical Center, Cleveland, OH

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Emily L Graczyk, PhD

CONTACT

Melissa S Schmitt

CONTACT

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
OUTCOMES ASSESSOR
Masking Details
The assessments will be analyzed by a blinded assessor.
Purpose
OTHER
Intervention Model
CROSSOVER
Model Details: This study is designed as a randomized clinical trial in a small population of subjects to answer the primary question of whether use of a sensory-enabled, high degree-of-freedom (SE-ihDOF) prosthesis with the iSens system improves the subject's quality of life compared to use of their prescribed state-of-art (SOA) prosthesis
Sponsor Type
FED
Responsible Party
SPONSOR

Study Record Dates

First Submitted

May 12, 2020

First Posted

June 12, 2020

Study Start

August 18, 2020

Primary Completion (Estimated)

June 30, 2026

Study Completion (Estimated)

June 30, 2032

Last Updated

March 6, 2026

Record last verified: 2026-03

Data Sharing

IPD Sharing
Will not share

Deidentified data will be uploaded to a data repository.

Locations