Chronic Knee PainPhase 2/3RELEARNNCT05335486
Investigating RELEARN Neurofeedback as Treatment for Chronic Musculoskeletal Pain
A Phase 2/3 study testing RELEARN Neurofeedback in people with Chronic Knee Pain and Chronic Pain, run by Redo-Neurosystems at 1 site in Denmark.
Trial summary
This clinical investigation will be carried out as a randomized controlled trial conducted at the Northern Regional Hospital, Hjørring. This investigation will enrol 36 patients suffering from severe knee osteoarthritis pain, primarily from the orthopaedic ward at Hjørring Hospital, where potential participants will… Read more about this study
- Who is it for?
- Ages 18 to 65 years
- Conditions the study is for
- Chronic Knee Pain, Chronic Pain, Osteoarthritis
- What is being tested?
- RELEARN Neurofeedback
- Type of treatment
- Medical device
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 0 participants
- Where
- 1 siteDenmark
- Study dates
- 5 Oct 2022to 1 Jul 2023
- Phase
- Phase 2/3
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 65 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Age 18-65 years old
- Knee arthrosis (Kellgren-Lawrence score of ≥ 2)
- 24h VAS ≥ 4
- Ongoing pain, lasting more than three months
Who cannot join
- Participants who meet any of the below criteria will be excluded from the investigation:
- Pregnant or lactating woman
- Use of opioids or cannabis
- Active drug addiction defined as the use of cannabis, opioids, or other drugs
- Previous or current neurologic, systemic, or mental illness, including any liver, kidney or metabolic disease.
- Rheumatoid arthritis
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- Evidence of other pain types such as visceral, neuropathic, or malignant pain.
- Evidence of other sources of ongoing pain such as root affect, traumas, or congenital malformation
- Severe inflammation in the area of interest
- Blindness or deafness
- Consumption of alcohol, caffeine, nicotine on test day
- Recent history of fractures or surgery in the area of interest
- Participation in other clinical trials throughout the study period and one month prior to participation
- History of epilepsy
- Obesity class III and above. I.e. BMI > 39,9
Trial locations and contacts
1 site in 1 country.
About this study
This clinical investigation will be carried out as a randomized controlled trial conducted at the Northern Regional Hospital, Hjørring. This investigation will enrol 36 patients suffering from severe knee osteoarthritis pain, primarily from the orthopaedic ward at Hjørring Hospital, where potential participants will be identified during routine consultations.
The RELEARN intervention consists of encephalography (EEG) neurofeedback of cerebral movement evoked signatures of pain, where the participants will be instructed in attempting to manipulate these signatures to reduce pain perception. This investigation is carried out to analyse the clinical performance and safety of the RELEARN neurofeedback software.
Read the detailed description
The participants will be randomized into treatment group A and control group B, 1:1 and be stratified based on age, sex, and ethnicity. Group A participants will be asked to attend eight sessions of RELEARN neurofeedback with an approximate duration of 45 minutes per session, and group B participants will be asked to attend eight sessions with no intervention and serve as no-treatment controls with an approximate duration of 5 minutes per session. Both groups (A and B) will undergo three follow-up sessions: one month, three months, and five months post intervention.
- Conditions
- Chronic Knee Pain, Chronic Pain, Osteoarthritis
- Being tested
- RELEARN Neurofeedback, Standard care control
- Keywords
- chronic pain, Chronic Knee Pain, Osteoarthritis, Neurofeedback, EEG, EMG, Movement evoked potentials, Neuroplasticity, Pain perception
- Medical subject headings
- Chronic Pain, Osteoarthritis
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
RELEARN NeurofeedbackDevice
Standard care + The RELEARN intervention.
Intervention group participants will be seen at the orthopedic ward and receive standard care for knee osteoarthrosis, defined by Danish clinical guidelines.
During standard care, intervention group participants will be subject to the RELEARN intervention, consisting of encephalography (EEG) neurofeedback of cerebral movement evoked signatures of pain, where the participants will be instructed in attempting to manipulate these signatures to reduce pain perception.
Standard care controlOther
Standard Care control.
Control group participants will be seen at the orthopedic ward and receive standard care for knee osteoarthrosis, defined by Danish clinical guidelines. During standard care, the control group participants will be asked to attend eight control sessions with no RELEARN intervention with an approximate duration of 5 minutes per session. Also, participants will undergo three follow-up sessions: one month, three months, and five months post-intervention
| Study group | Role | What they receive |
|---|---|---|
| RELEARN - Intervention | Experimental | Intervention group participants will be seen at the orthopedic ward and receive standard care for knee osteoarthrosis, defined by Danish clinical guidelines.
In addition, intervention group participants will be asked to attend eight sessions of RELEARN neurofeedback with an approximate duration of 45 minutes per session. Also, participants will undergo three follow-up sessions: one month, three months, and five months post-intervention Receives: Device: RELEARN Neurofeedback |
| Standard care control | Active comparator | Standard Care control. Control group participants will be seen at the orthopedic ward and receive standard care for knee osteoarthrosis, defined by Danish clinical guidelines. During standard care, the control group participants will be asked to attend eight control sessions with no RELEARN intervention with an approximate duration of 5 minutes per session. Also, participants will undergo three follow-up sessions: one month, three months, and five months post-intervention Receives: Other: Standard care control |
What is being measured
The primary outcome is the main question the study is designed to answer.
Changes in Pain Perception
Change in the 10-point Visual Analogue Scale (VAS) over time (0 = no pain, 10 = maximum imaginable pain)
Measured: Up to 6 month
Secondary outcomes (4)
Change in quality of life
QoL (EQ-5D), Visual Analog Scale (VAS), by which respondents can report their perceived health status with a grade ranging from 0 (the worst possible health status) to 100 (the best possible health status).
Measured: Up to 6 month
Change in pain characteristics
Pain characteristics (MPQ and WOMAC)
Measured: Up to 6 month
Change in consumption of analgesics
Consumption of analgesics (MQS-III)
Measured: Up to 6 month
Evaluate the safety of the RELEARN software by assessment of adverse events and device deficiencies
Incidence of AE/ADE/SAE/SADE/DD
Measured: Up to 6 month
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted19 Apr 2022
- Study start5 Oct 2022
- Primary completion1 Jul 2023
- Study completion1 Jul 2023
Why it stopped: Lack of clinician interest and insufficient patient availability
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Chronic Knee PainStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 2/3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Model description
- Randomised controlled study
- Masking
- None (open label)
- Enrolment
- 0 participants (actual)
Sponsor and investigators
- Lead sponsor
- Redo-Neurosystems
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- Regionshospital Nordjylland
- Responsible party
- Sponsor
- Investigators
- Peter Christian Leutscher, Dr. PhD, Principal investigator, Center of Clinical Research, Regional Hospital North Jutland, Hjørring, Denmark
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05335486
- Sponsor's protocol ID
- RELEARN2200701
- Acronym
- RELEARN
- Status last verified
- Feb 2024
- First submitted
- 4 Apr 2022
- Last updated
- 6 Feb 2024
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 6 Feb 2024. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Investigating RELEARN Neurofeedback as Treatment for Chronic Musculoskeletal Pain
- ClinicalTrials.gov ID
- NCT05335486
- Acronym / sponsor ID
- RELEARN / RELEARN2200701
- Conditions
- Chronic Knee Pain, Chronic Pain, Osteoarthritis
- Keywords
- chronic pain, Chronic Knee Pain, Osteoarthritis, Neurofeedback, EEG, EMG, Movement evoked potentials, Neuroplasticity
- Phase
- Phase 2/3
- Study type
- Interventional
- Recruitment status
- WithdrawnReason stopped: Lack of clinician interest and insufficient patient availability
- Enrolment
- 0 participants (actual)
- Lead sponsor
- Redo-NeurosystemsIndustry (pharma, biotech, devices)
- Collaborators
- Regionshospital Nordjylland
- Study start
- 5 Oct 2022 (actual)
- Primary completion
- 1 Jul 2023 (actual)
- Study completion
- 1 Jul 2023 (actual)
- First posted
- 19 Apr 2022 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This clinical investigation will be carried out as a randomized controlled trial conducted at the Northern Regional Hospital, Hjørring. This investigation will enrol 36 patients suffering from severe knee osteoarthritis pain, primarily from the orthopaedic ward at Hjørring Hospital, where potential participants will be identified during routine consultations.
The RELEARN intervention consists of encephalography (EEG) neurofeedback of cerebral movement evoked signatures of pain, where the participants will be instructed in attempting to manipulate these signatures to reduce pain perception. This investigation is carried out to analyse the clinical performance and safety of the RELEARN neurofeedback software.
Detailed description
The participants will be randomized into treatment group A and control group B, 1:1 and be stratified based on age, sex, and ethnicity. Group A participants will be asked to attend eight sessions of RELEARN neurofeedback with an approximate duration of 45 minutes per session, and group B participants will be asked to attend eight sessions with no intervention and serve as no-treatment controls with an approximate duration of 5 minutes per session. Both groups (A and B) will undergo three follow-up sessions: one month, three months, and five months post intervention.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
- Model description
- Randomised controlled study
| Arm | Type | Receives |
|---|---|---|
| RELEARN - Intervention | Experimental | Device: RELEARN NeurofeedbackIntervention group participants will be seen at the orthopedic ward and receive standard care for knee osteoarthrosis, defined by Danish clinical guidelines. In addition, intervention group participants will be asked to attend eight sessions of RELEARN neurofeedback with an approximate duration of 45 minutes per session. Also, participants will undergo three follow-up sessions: one month, three months, and five months post-intervention |
| Standard care control | Active comparator | Other: Standard care controlStandard Care control. Control group participants will be seen at the orthopedic ward and receive standard care for knee osteoarthrosis, defined by Danish clinical guidelines. During standard care, the control group participants will be asked to attend eight control sessions with no RELEARN intervention with an approximate duration of 5 minutes per session. Also, participants will undergo three follow-up sessions: one month, three months, and five months post-intervention |
Who may qualify
- Ages
- 18 to 65 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (4 listed)
- Age 18-65 years old
- Knee arthrosis (Kellgren-Lawrence score of ≥ 2)
- 24h VAS ≥ 4
- Ongoing pain, lasting more than three months
Key exclusion criteria (15 listed)
- Pregnant or lactating woman
- Use of opioids or cannabis
- Active drug addiction defined as the use of cannabis, opioids, or other drugs
- Previous or current neurologic, systemic, or mental illness, including any liver, kidney or metabolic disease.
- Rheumatoid arthritis
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| RELEARN NeurofeedbackStandard care + The RELEARN intervention. Intervention group participants will be seen at the orthopedic ward and receive standard care for knee osteoarthrosis, defined by Danish clinical guidelines. During standard care, intervention group participants will be subject to the RELEARN intervention, consisting of encephalography (EEG) neurofeedback of cerebral movement evoked signatures of pain, where the participants will be instructed in attempting to manipulate these signatures to reduce pain perception. | Device | RELEARN - Intervention |
| Standard care controlStandard Care control. Control group participants will be seen at the orthopedic ward and receive standard care for knee osteoarthrosis, defined by Danish clinical guidelines. During standard care, the control group participants will be asked to attend eight control sessions with no RELEARN intervention with an approximate duration of 5 minutes per session. Also, participants will undergo three follow-up sessions: one month, three months, and five months post-intervention | Other | Standard care control |
Primary outcome
Changes in Pain Perception
Time frame: Up to 6 month
Change in the 10-point Visual Analogue Scale (VAS) over time (0 = no pain, 10 = maximum imaginable pain)
4 secondary outcomes
Change in quality of life
Time frame: Up to 6 month
Change in pain characteristics
Time frame: Up to 6 month
Change in consumption of analgesics
Time frame: Up to 6 month
Evaluate the safety of the RELEARN software by assessment of adverse events and device deficiencies
Time frame: Up to 6 month
Results and safety
The study was withdrawn before enrolling participants, so there are no results.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 6 Feb 2024.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Peter Christian Leutscher, Dr. PhD principal investigator
Center of Clinical Research, Regional Hospital North Jutland, Hjørring, Denmark
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2/3 study testing RELEARN Neurofeedback in people with Chronic Knee Pain and Chronic Pain, run by Redo-Neurosystems at 1 site in Denmark.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 4 inclusion and 15 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: withdrawn, as of the sponsor's last update on 6 Feb 2024. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Denmark. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this combined phase mean?
Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
The study was withdrawn before enrolling participants, so there are no results.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Changes in Pain Perception (time frame: Up to 6 month). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 6 Feb 2024.