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Cala ONE Device for Essential Tremor

Multicenter Study of Safety and Effectiveness of Cala ONE Device for Essential Tremor

Status
Completed
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT02629614
Enrollment
93
Registered
2015-12-14
Start date
2016-04-30
Completion date
2016-11-30
Last updated
2023-07-18

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Essential Tremor

Brief summary

This study evaluates the safety and effectiveness of the Cala ONE device to aid in the symptomatic relief of hand tremors in adult essential tremor subjects. This study is a prospective, randomized, double-blinded, sham-controlled study.

Interventions

The Cala ONE device is a wrist-worn stimulator which applies transcutaneous electrical stimulation non-invasively to the median and radial nerves of an individual through disposable hydrogel electrodes.

Sponsors

Cala Health, Inc.
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Outcomes Assessor)

Eligibility

Sex/Gender
ALL
Age
22 Years to No maximum
Healthy volunteers
No

Inclusion criteria

1. 22 years or older 2. A diagnosis of essential tremor as confirmed from clinical history and examination by a movement disorder neurologist 3. Signed informed consent 4. At least one hand exhibiting kinetic tremor ≥ 2 as assessed by the TETRAS Archimedes spiral task completed during the baseline evaluation, as assessed by the Investigator in-person. 5. Score of 3 or above in any one of the items of the Bain & Findley ADL Scale

Exclusion criteria

1. Implanted electrical medical device, such as a pacemaker, defibrillator, or deep brain stimulator 2. Previous thalamotomy procedure, including Stereotactic Thalamotomy, Gamma Knife Radiosurgical Thalamotomy, and focused ultrasound, for the treatment of tremor 3. Suspected or diagnosed epilepsy or other seizure disorder 4. Pregnant 5. Swollen, infected, inflamed areas, or skin eruptions, open wounds, or cancerous lesions of skin at stimulation site 6. Peripheral neuropathy affecting the tested upper extremity 7. Alcoholism (score of 4 or higher on DSM-5) 8. Other possible causes of tremor, including Parkinson's disease, drug-induced, enhanced physiological tremor, dystonia 9. Other neurodegenerative disease like Parkinson-plus syndromes suspected on neurological examination. These include: multisystem atrophy, progressive supranuclear palsy, dementia with Lewy bodies, and cortical basal ganglionic degeneration 10. Changes in medication for tremor within 1 month prior to study enrollment 11. Change in antidepressant medication within 3 months prior to study enrollment 12. Botulinum Toxin injection for hand tremor within 6 months prior to study enrollment 13. Current participation in any other interventional research study 14. Previous participation in any other Cala Health interventional research study 15. Alcohol or caffeine consumption within 12 hours of study enrollment Subjects already taking medications for their essential tremor will remain on their medications during the study with no changes in medication type or dosage levels.

Design outcomes

Primary

MeasureTime frameDescription
Change in TETRAS Spiral Rating After StimulationImmediately before and after 40 minute stimulation sessionThe primary effectiveness variable is the change in tremor severity immediately after the stimulation session compared to baseline (immediately prior to stimulation) as measured using the TETRAS Archimedes spiral task (assessed by 3 blinded raters). The Essential Tremor Rating Assessment Scale (TETRAS) is a commonly used scale to assess and measure the severity of essential tremor. Each task was calculated individually on a 0-4 scale, with higher scores indicating more severe tremors.

Secondary

MeasureTime frameDescription
Change in TETRAS Spiral Rating During StimulationImmediately before and 30 minutes into stimulation sessionAn additional analysis variable is the change in tremor severity during the stimulation session (30 minutes into stimulation session) compared to baseline (immediately prior to stimulation) as measured using the TETRAS Archimedes spiral task (assessed by 3 blinded raters). The Essential Tremor Rating Assessment Scale (TETRAS) is a commonly used scale to assess and measure the severity of essential tremor. Each task was calculated individually on a 0-4 scale, with higher scores indicating more severe tremors.
Self-report ImprovementImmediately before and after 40 minute stimulation sessionThe percentage of subjects in the treatment group indicating improvement on the CGI-I Scale will be compared to the sham group. The Clinical Global Impression - Improvement (GGI-I) scale evaluates a clinician's rating of tremor improvement noted in the subject, as a result of the treatment. The scale ranges from 1 (very much improved) to 7 (very much worse).

Other

MeasureTime frameDescription
Change in Bain & Findley ADL: Use a Spoon to Drink LiquidImmediately before and after 40 minute stimulation sessionThe change in tremor severity on drinking liquid with a spoon as assessed by the subject using the Bain & Findley ADL rating scale. The Bain and Findley Activities of Daily Living (BF-ADL) assessment evaluates the subject's ability to perform a number of specific ADLs, measured before and after treatment. Each ADL is performed by the subject and self-rated on a scale of 1-4, with higher scores indicating greater difficulty in performing the task.
Change in Bain & Findley ADL: Hold a Cup of LiquidImmediately before and after 40 minute stimulation sessionThe change in tremor severity on holding a cup of liquid as assessed by the subject using the Bain & Findley ADL rating scale. The Bain and Findley Activities of Daily Living (BF-ADL) assessment evaluates the subject's ability to perform a number of specific ADLs, measured before and after treatment. Each ADL is performed by the subject and self-rated on a scale of 1-4, with higher scores indicating greater difficulty in performing the task.
Change in Bain & Findley ADL: PouringImmediately before and after 40 minute stimulation sessionThe change in tremor severity on pouring as assessed by the subject using the Bain & Findley ADL rating scale. The Bain and Findley Activities of Daily Living (BF-ADL) assessment evaluates the subject's ability to perform a number of specific ADLs, measured before and after treatment. Each ADL is performed by the subject and self-rated on a scale of 1-4, with higher scores indicating greater difficulty in performing the task.
Change in Kinetic TremorImmediately before and after 40 minute stimulation sessionThe change in tremor severity on the kinetic tremor task as assessed by an investigator using the TETRAS rating scale. The Essential Tremor Rating Assessment Scale (TETRAS) is a commonly used scale to assess and measure the severity of essential tremor. Each task was calculated individually on a 0-4 scale, with higher scores indicating more severe tremors.
Change in Bain & Findley ADL: Picking up ChangeImmediately before and after 40 minute stimulation sessionThe change in tremor severity on picking up change as assessed by the subject using the Bain & Findley ADL rating scale. The Bain and Findley Activities of Daily Living (BF-ADL) assessment evaluates the subject's ability to perform a number of specific ADLs, measured before and after treatment. Each ADL is performed by the subject and self-rated on a scale of 1-4, with higher scores indicating greater difficulty in performing the task.
Change in Bain & Findley ADL: Inserting Plug Into SocketImmediately before and after 40 minute stimulation sessionThe change in tremor severity on inserting a plug into a socket as assessed by the subject using the Bain & Findley ADL rating scale. The Bain and Findley Activities of Daily Living (BF-ADL) assessment evaluates the subject's ability to perform a number of specific ADLs, measured before and after treatment. Each ADL is performed by the subject and self-rated on a scale of 1-4, with higher scores indicating greater difficulty in performing the task.
Change in Bain & Findley ADL: UnlockingImmediately before and after 40 minute stimulation sessionThe change in tremor severity on unlocking a lock with a key as assessed by the subject using the Bain & Findley ADL rating scale. The Bain and Findley Activities of Daily Living (BF-ADL) assessment evaluates the subject's ability to perform a number of specific ADLs, measured before and after treatment. Each ADL is performed by the subject and self-rated on a scale of 1-4, with higher scores indicating greater difficulty in performing the task.
Change in Bain & Findley ADL: DialingImmediately before and after 40 minute stimulation sessionThe change in tremor severity on dialing a telephone as assessed by the subject using the Bain & Findley ADL rating scale. The Bain and Findley Activities of Daily Living (BF-ADL) assessment evaluates the subject's ability to perform a number of specific ADLs, measured before and after treatment. Each ADL is performed by the subject and self-rated on a scale of 1-4, with higher scores indicating greater difficulty in performing the task.
Change in Lateral Wing Beating Postural TremorImmediately before and after 40 minute stimulation sessionThe change in tremor severity in the lateral wing beating postural tremor task as assessed by an investigator using the TETRAS rating scale. The Essential Tremor Rating Assessment Scale (TETRAS) is a commonly used scale to assess and measure the severity of essential tremor. Each task was calculated individually on a 0-4 scale, with higher scores indicating more severe tremors.
Change in Forward Outstretched Postural TremorImmediately before and after 40 minute stimulation sessionThe change in tremor severity on outstretched tremor task as assessed by an investigator using the TETRAS rating scale. The Essential Tremor Rating Assessment Scale (TETRAS) is a commonly used scale to assess and measure the severity of essential tremor. Each task was calculated individually on a 0-4 scale, with higher scores indicating more severe tremors.

Countries

United States

Participant flow

Participants by arm

ArmCount
TAPS Stimulation
Temporal Afferent Patterned Stimulation (TAPS) is alternating bursts of TENS stimulation applied to the radial and median nerves of a subject's wrist using the Cala ONE device. Cala ONE Device: The Cala ONE device is a wrist-worn stimulator which applies transcutaneous electrical stimulation non-invasively to the median and radial nerves of an individual through disposable hydrogel electrodes.
48
Sham Stimulation
0 amplitude stimulation applied to the radial and median nerves of a subject's wrist using the Cala ONE device. Cala ONE Device: The Cala ONE device is a wrist-worn stimulator which applies transcutaneous electrical stimulation non-invasively to the median and radial nerves of an individual through disposable hydrogel electrodes.
45
Total93

Baseline characteristics

CharacteristicTAPS StimulationSham StimulationTotal
Age, Categorical
<=18 years
0 Participants0 Participants0 Participants
Age, Categorical
>=65 years
36 Participants33 Participants69 Participants
Age, Categorical
Between 18 and 65 years
12 Participants12 Participants24 Participants
Age, Continuous70.5 years
STANDARD_DEVIATION 11.2
69.8 years
STANDARD_DEVIATION 10.1
70.2 years
STANDARD_DEVIATION 10.6
Ethnicity (NIH/OMB)
Hispanic or Latino
2 Participants0 Participants2 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
45 Participants45 Participants90 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
1 Participants0 Participants1 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants1 Participants1 Participants
Race (NIH/OMB)
Asian
0 Participants1 Participants1 Participants
Race (NIH/OMB)
Black or African American
0 Participants0 Participants0 Participants
Race (NIH/OMB)
More than one race
1 Participants2 Participants3 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants
Race (NIH/OMB)
White
47 Participants41 Participants88 Participants
Sex: Female, Male
Female
25 Participants23 Participants48 Participants
Sex: Female, Male
Male
23 Participants22 Participants45 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
— / —— / —
other
Total, other adverse events
2 / 481 / 45
serious
Total, serious adverse events
0 / 480 / 45

Outcome results

Primary

Change in TETRAS Spiral Rating After Stimulation

The primary effectiveness variable is the change in tremor severity immediately after the stimulation session compared to baseline (immediately prior to stimulation) as measured using the TETRAS Archimedes spiral task (assessed by 3 blinded raters). The Essential Tremor Rating Assessment Scale (TETRAS) is a commonly used scale to assess and measure the severity of essential tremor. Each task was calculated individually on a 0-4 scale, with higher scores indicating more severe tremors.

Time frame: Immediately before and after 40 minute stimulation session

Population: Of the 92 subjects that completed the study, 77 were included in the analysis. 15 (8 in the treatment group and 7 in the sham group) were excluded due to significant protocol deviation reasons.

ArmMeasureGroupValue (MEAN)Dispersion
TAPS StimulationChange in TETRAS Spiral Rating After StimulationBaseline2.95 score on a scaleStandard Deviation 0.68
TAPS StimulationChange in TETRAS Spiral Rating After StimulationPost Stimulation2.41 score on a scaleStandard Deviation 1
Sham StimulationChange in TETRAS Spiral Rating After StimulationBaseline2.63 score on a scaleStandard Deviation 0.52
Sham StimulationChange in TETRAS Spiral Rating After StimulationPost Stimulation2.23 score on a scaleStandard Deviation 0.8
Secondary

Change in TETRAS Spiral Rating During Stimulation

An additional analysis variable is the change in tremor severity during the stimulation session (30 minutes into stimulation session) compared to baseline (immediately prior to stimulation) as measured using the TETRAS Archimedes spiral task (assessed by 3 blinded raters). The Essential Tremor Rating Assessment Scale (TETRAS) is a commonly used scale to assess and measure the severity of essential tremor. Each task was calculated individually on a 0-4 scale, with higher scores indicating more severe tremors.

Time frame: Immediately before and 30 minutes into stimulation session

Population: Of the 92 subjects that completed the study, 77 were included in the analysis. 15 (8 in the treatment group and 7 in the sham group) were excluded due to significant protocol deviation reasons.

ArmMeasureGroupValue (MEAN)Dispersion
TAPS StimulationChange in TETRAS Spiral Rating During StimulationBaseline2.95 score on a scaleStandard Deviation 0.68
TAPS StimulationChange in TETRAS Spiral Rating During StimulationDuring Stimulation2.58 score on a scaleStandard Deviation 0.9
Sham StimulationChange in TETRAS Spiral Rating During StimulationBaseline2.63 score on a scaleStandard Deviation 0.52
Sham StimulationChange in TETRAS Spiral Rating During StimulationDuring Stimulation2.26 score on a scaleStandard Deviation 0.67
Secondary

Self-report Improvement

The percentage of subjects in the treatment group indicating improvement on the CGI-I Scale will be compared to the sham group. The Clinical Global Impression - Improvement (GGI-I) scale evaluates a clinician's rating of tremor improvement noted in the subject, as a result of the treatment. The scale ranges from 1 (very much improved) to 7 (very much worse).

Time frame: Immediately before and after 40 minute stimulation session

Population: Of the 92 subjects that completed the study, 77 were included in the analysis. 15 (8 in the treatment group and 7 in the sham group) were excluded due to significant protocol deviation reasons.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
TAPS StimulationSelf-report Improvement35 Participants
Sham StimulationSelf-report Improvement23 Participants
Other Pre-specified

Change in Bain & Findley ADL: Dialing

The change in tremor severity on dialing a telephone as assessed by the subject using the Bain & Findley ADL rating scale. The Bain and Findley Activities of Daily Living (BF-ADL) assessment evaluates the subject's ability to perform a number of specific ADLs, measured before and after treatment. Each ADL is performed by the subject and self-rated on a scale of 1-4, with higher scores indicating greater difficulty in performing the task.

Time frame: Immediately before and after 40 minute stimulation session

Population: Of the 92 subjects that completed the study, 77 were included in the analysis. 15 (8 in the treatment group and 7 in the sham group) were excluded due to significant protocol deviation reasons.

ArmMeasureGroupValue (MEAN)Dispersion
TAPS StimulationChange in Bain & Findley ADL: DialingBaseline2.23 score on a scaleStandard Deviation 0.89
TAPS StimulationChange in Bain & Findley ADL: DialingChange after stimulation-0.70 score on a scaleStandard Deviation 0.79
Sham StimulationChange in Bain & Findley ADL: DialingBaseline2.00 score on a scaleStandard Deviation 0.91
Sham StimulationChange in Bain & Findley ADL: DialingChange after stimulation-0.30 score on a scaleStandard Deviation 0.62
Other Pre-specified

Change in Bain & Findley ADL: Hold a Cup of Liquid

The change in tremor severity on holding a cup of liquid as assessed by the subject using the Bain & Findley ADL rating scale. The Bain and Findley Activities of Daily Living (BF-ADL) assessment evaluates the subject's ability to perform a number of specific ADLs, measured before and after treatment. Each ADL is performed by the subject and self-rated on a scale of 1-4, with higher scores indicating greater difficulty in performing the task.

Time frame: Immediately before and after 40 minute stimulation session

Population: Of the 92 subjects that completed the study, 77 were included in the analysis. 15 (8 in the treatment group and 7 in the sham group) were excluded due to significant protocol deviation reasons.

ArmMeasureGroupValue (MEAN)Dispersion
TAPS StimulationChange in Bain & Findley ADL: Hold a Cup of LiquidBaseline2.95 score on a scaleStandard Deviation 0.85
TAPS StimulationChange in Bain & Findley ADL: Hold a Cup of LiquidChange after stimulation-1.03 score on a scaleStandard Deviation 0.73
Sham StimulationChange in Bain & Findley ADL: Hold a Cup of LiquidBaseline2.65 score on a scaleStandard Deviation 0.92
Sham StimulationChange in Bain & Findley ADL: Hold a Cup of LiquidChange after stimulation-0.57 score on a scaleStandard Deviation 0.8
Other Pre-specified

Change in Bain & Findley ADL: Inserting Plug Into Socket

The change in tremor severity on inserting a plug into a socket as assessed by the subject using the Bain & Findley ADL rating scale. The Bain and Findley Activities of Daily Living (BF-ADL) assessment evaluates the subject's ability to perform a number of specific ADLs, measured before and after treatment. Each ADL is performed by the subject and self-rated on a scale of 1-4, with higher scores indicating greater difficulty in performing the task.

Time frame: Immediately before and after 40 minute stimulation session

Population: Of the 92 subjects that completed the study, 77 were included in the analysis. 15 (8 in the treatment group and 7 in the sham group) were excluded due to significant protocol deviation reasons.

ArmMeasureGroupValue (MEAN)Dispersion
TAPS StimulationChange in Bain & Findley ADL: Inserting Plug Into SocketChange after stimulation-0.33 score on a scaleStandard Deviation 0.69
TAPS StimulationChange in Bain & Findley ADL: Inserting Plug Into SocketBaseline1.83 score on a scaleStandard Deviation 0.78
Sham StimulationChange in Bain & Findley ADL: Inserting Plug Into SocketBaseline1.76 score on a scaleStandard Deviation 0.8
Sham StimulationChange in Bain & Findley ADL: Inserting Plug Into SocketChange after stimulation-0.24 score on a scaleStandard Deviation 0.55
Other Pre-specified

Change in Bain & Findley ADL: Picking up Change

The change in tremor severity on picking up change as assessed by the subject using the Bain & Findley ADL rating scale. The Bain and Findley Activities of Daily Living (BF-ADL) assessment evaluates the subject's ability to perform a number of specific ADLs, measured before and after treatment. Each ADL is performed by the subject and self-rated on a scale of 1-4, with higher scores indicating greater difficulty in performing the task.

Time frame: Immediately before and after 40 minute stimulation session

Population: Of the 92 subjects that completed the study, 77 were included in the analysis. 15 (8 in the treatment group and 7 in the sham group) were excluded due to significant protocol deviation reasons.

ArmMeasureGroupValue (MEAN)Dispersion
TAPS StimulationChange in Bain & Findley ADL: Picking up ChangeBaseline2.03 score on a scaleStandard Deviation 0.86
TAPS StimulationChange in Bain & Findley ADL: Picking up ChangeChange after stimulation-0.53 score on a scaleStandard Deviation 0.68
Sham StimulationChange in Bain & Findley ADL: Picking up ChangeBaseline1.92 score on a scaleStandard Deviation 0.89
Sham StimulationChange in Bain & Findley ADL: Picking up ChangeChange after stimulation-0.05 score on a scaleStandard Deviation 0.62
Other Pre-specified

Change in Bain & Findley ADL: Pouring

The change in tremor severity on pouring as assessed by the subject using the Bain & Findley ADL rating scale. The Bain and Findley Activities of Daily Living (BF-ADL) assessment evaluates the subject's ability to perform a number of specific ADLs, measured before and after treatment. Each ADL is performed by the subject and self-rated on a scale of 1-4, with higher scores indicating greater difficulty in performing the task.

Time frame: Immediately before and after 40 minute stimulation session

Population: Of the 92 subjects that completed the study, 77 were included in the analysis. 15 (8 in the treatment group and 7 in the sham group) were excluded due to significant protocol deviation reasons.

ArmMeasureGroupValue (MEAN)Dispersion
TAPS StimulationChange in Bain & Findley ADL: PouringChange after stimulation-0.70 score on a scaleStandard Deviation 0.76
TAPS StimulationChange in Bain & Findley ADL: PouringBaseline2.78 score on a scaleStandard Deviation 1.03
Sham StimulationChange in Bain & Findley ADL: PouringChange after stimulation-0.59 score on a scaleStandard Deviation 0.72
Sham StimulationChange in Bain & Findley ADL: PouringBaseline2.59 score on a scaleStandard Deviation 0.86
Other Pre-specified

Change in Bain & Findley ADL: Unlocking

The change in tremor severity on unlocking a lock with a key as assessed by the subject using the Bain & Findley ADL rating scale. The Bain and Findley Activities of Daily Living (BF-ADL) assessment evaluates the subject's ability to perform a number of specific ADLs, measured before and after treatment. Each ADL is performed by the subject and self-rated on a scale of 1-4, with higher scores indicating greater difficulty in performing the task.

Time frame: Immediately before and after 40 minute stimulation session

Population: Of the 92 subjects that completed the study, 77 were included in the analysis. 15 (8 in the treatment group and 7 in the sham group) were excluded due to significant protocol deviation reasons.

ArmMeasureGroupValue (MEAN)Dispersion
TAPS StimulationChange in Bain & Findley ADL: UnlockingBaseline2.23 score on a scaleStandard Deviation 0.86
TAPS StimulationChange in Bain & Findley ADL: UnlockingChange after stimulation-0.60 score on a scaleStandard Deviation 0.87
Sham StimulationChange in Bain & Findley ADL: UnlockingBaseline1.86 score on a scaleStandard Deviation 0.67
Sham StimulationChange in Bain & Findley ADL: UnlockingChange after stimulation-0.16 score on a scaleStandard Deviation 0.55
Other Pre-specified

Change in Bain & Findley ADL: Use a Spoon to Drink Liquid

The change in tremor severity on drinking liquid with a spoon as assessed by the subject using the Bain & Findley ADL rating scale. The Bain and Findley Activities of Daily Living (BF-ADL) assessment evaluates the subject's ability to perform a number of specific ADLs, measured before and after treatment. Each ADL is performed by the subject and self-rated on a scale of 1-4, with higher scores indicating greater difficulty in performing the task.

Time frame: Immediately before and after 40 minute stimulation session

Population: Of the 92 subjects that completed the study, 77 were included in the analysis. 15 (8 in the treatment group and 7 in the sham group) were excluded due to significant protocol deviation reasons.

ArmMeasureGroupValue (MEAN)Dispersion
TAPS StimulationChange in Bain & Findley ADL: Use a Spoon to Drink LiquidBaseline3.18 score on a scaleStandard Deviation 0.78
TAPS StimulationChange in Bain & Findley ADL: Use a Spoon to Drink LiquidChange after stimulation-0.78 score on a scaleStandard Deviation 0.89
Sham StimulationChange in Bain & Findley ADL: Use a Spoon to Drink LiquidBaseline3.00 score on a scaleStandard Deviation 0.85
Sham StimulationChange in Bain & Findley ADL: Use a Spoon to Drink LiquidChange after stimulation-0.59 score on a scaleStandard Deviation 0.76
Other Pre-specified

Change in Forward Outstretched Postural Tremor

The change in tremor severity on outstretched tremor task as assessed by an investigator using the TETRAS rating scale. The Essential Tremor Rating Assessment Scale (TETRAS) is a commonly used scale to assess and measure the severity of essential tremor. Each task was calculated individually on a 0-4 scale, with higher scores indicating more severe tremors.

Time frame: Immediately before and after 40 minute stimulation session

Population: Of the 92 subjects that completed the study, 77 were included in the analysis. 15 (8 in the treatment group and 7 in the sham group) were excluded due to significant protocol deviation reasons.

ArmMeasureGroupValue (MEAN)Dispersion
TAPS StimulationChange in Forward Outstretched Postural TremorBaseline1.96 score on a scaleStandard Deviation 0.54
TAPS StimulationChange in Forward Outstretched Postural TremorChange after stimulation-0.75 score on a scaleStandard Deviation 0.65
Sham StimulationChange in Forward Outstretched Postural TremorBaseline1.91 score on a scaleStandard Deviation 0.54
Sham StimulationChange in Forward Outstretched Postural TremorChange after stimulation-0.35 score on a scaleStandard Deviation 0.51
Other Pre-specified

Change in Forward Outstretched Postural Tremor

The change in tremor severity on outstretched tremor task as assessed by an investigator using the TETRAS rating scale. The Essential Tremor Rating Assessment Scale (TETRAS) is a commonly used scale to assess and measure the severity of essential tremor. Each task was calculated individually on a 0-4 scale, with higher scores indicating more severe tremors.

Time frame: Immediately before and 30 minutes into stimulation session

Population: Of the 92 subjects that completed the study, 77 were included in the analysis. 15 (8 in the treatment group and 7 in the sham group) were excluded due to significant protocol deviation reasons.

ArmMeasureGroupValue (MEAN)Dispersion
TAPS StimulationChange in Forward Outstretched Postural TremorBaseline1.96 score on a scaleStandard Deviation 0.54
TAPS StimulationChange in Forward Outstretched Postural TremorChange during stimulation-0.56 score on a scaleStandard Deviation 0.59
Sham StimulationChange in Forward Outstretched Postural TremorBaseline1.91 score on a scaleStandard Deviation 0.54
Sham StimulationChange in Forward Outstretched Postural TremorChange during stimulation-0.35 score on a scaleStandard Deviation 0.41
Other Pre-specified

Change in Kinetic Tremor

The change in tremor severity on the kinetic tremor task as assessed by an investigator using the TETRAS rating scale. The Essential Tremor Rating Assessment Scale (TETRAS) is a commonly used scale to assess and measure the severity of essential tremor. Each task was calculated individually on a 0-4 scale, with higher scores indicating more severe tremors.

Time frame: Immediately before and 30 minutes into stimulation session

Population: Of the 92 subjects that completed the study, 77 were included in the analysis. 15 (8 in the treatment group and 7 in the sham group) were excluded due to significant protocol deviation reasons.

ArmMeasureGroupValue (MEAN)Dispersion
TAPS StimulationChange in Kinetic TremorBaseline2.29 score on a scaleStandard Deviation 0.47
TAPS StimulationChange in Kinetic TremorChange during stimulation-0.50 score on a scaleStandard Deviation 0.51
Sham StimulationChange in Kinetic TremorBaseline2.27 score on a scaleStandard Deviation 0.47
Sham StimulationChange in Kinetic TremorChange during stimulation-0.53 score on a scaleStandard Deviation 0.59
Other Pre-specified

Change in Kinetic Tremor

The change in tremor severity on the kinetic tremor task as assessed by an investigator using the TETRAS rating scale. The Essential Tremor Rating Assessment Scale (TETRAS) is a commonly used scale to assess and measure the severity of essential tremor. Each task was calculated individually on a 0-4 scale, with higher scores indicating more severe tremors.

Time frame: Immediately before and after 40 minute stimulation session

Population: Of the 92 subjects that completed the study, 77 were included in the analysis. 15 (8 in the treatment group and 7 in the sham group) were excluded due to significant protocol deviation reasons.

ArmMeasureGroupValue (MEAN)Dispersion
TAPS StimulationChange in Kinetic TremorBaseline2.29 score on a scaleStandard Deviation 0.47
TAPS StimulationChange in Kinetic TremorChange after stimulation-0.53 score on a scaleStandard Deviation 0.59
Sham StimulationChange in Kinetic TremorChange after stimulation-0.34 score on a scaleStandard Deviation 0.43
Sham StimulationChange in Kinetic TremorBaseline2.27 score on a scaleStandard Deviation 0.47
Other Pre-specified

Change in Lateral Wing Beating Postural Tremor

The change in tremor severity in the lateral wing beating postural tremor task as assessed by an investigator using the TETRAS rating scale. The Essential Tremor Rating Assessment Scale (TETRAS) is a commonly used scale to assess and measure the severity of essential tremor. Each task was calculated individually on a 0-4 scale, with higher scores indicating more severe tremors.

Time frame: Immediately before and 30 minutes into stimulation session

Population: Of the 92 subjects that completed the study, 77 were included in the analysis. 15 (8 in the treatment group and 7 in the sham group) were excluded due to significant protocol deviation reasons.

ArmMeasureGroupValue (MEAN)Dispersion
TAPS StimulationChange in Lateral Wing Beating Postural TremorBaseline2.29 score on a scaleStandard Deviation 0.7
TAPS StimulationChange in Lateral Wing Beating Postural TremorChange during stimulation-0.51 score on a scaleStandard Deviation 0.7
Sham StimulationChange in Lateral Wing Beating Postural TremorBaseline2.16 score on a scaleStandard Deviation 0.57
Sham StimulationChange in Lateral Wing Beating Postural TremorChange during stimulation-0.34 score on a scaleStandard Deviation 0.44
Other Pre-specified

Change in Lateral Wing Beating Postural Tremor

The change in tremor severity in the lateral wing beating postural tremor task as assessed by an investigator using the TETRAS rating scale. The Essential Tremor Rating Assessment Scale (TETRAS) is a commonly used scale to assess and measure the severity of essential tremor. Each task was calculated individually on a 0-4 scale, with higher scores indicating more severe tremors.

Time frame: Immediately before and after 40 minute stimulation session

Population: Of the 92 subjects that completed the study, 77 were included in the analysis. 15 (8 in the treatment group and 7 in the sham group) were excluded due to significant protocol deviation reasons.

ArmMeasureGroupValue (MEAN)Dispersion
TAPS StimulationChange in Lateral Wing Beating Postural TremorChange after stimulation-0.56 score on a scaleStandard Deviation 0.72
TAPS StimulationChange in Lateral Wing Beating Postural TremorBaseline2.29 score on a scaleStandard Deviation 0.7
Sham StimulationChange in Lateral Wing Beating Postural TremorBaseline2.16 score on a scaleStandard Deviation 0.57
Sham StimulationChange in Lateral Wing Beating Postural TremorChange after stimulation-0.36 score on a scaleStandard Deviation 0.54

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026