Vagus Nerve Stimulation for Moderate to Severe Rheumatoid Arthritis

Study Purpose

The RESET-RA study will assess the safety and efficacy of the SetPoint System (study device) for the treatment of adult patients with active, moderate to severe rheumatoid arthritis who have had an inadequate response or intolerance to biologic or targeted synthetic Disease-Modifying Anti-Rheumatic Drugs (DMARDs). The study device contains a miniaturized stimulator (implant) that is surgically placed under general anesthesia on the vagus nerve through a small incision on the left side of the neck (implant procedure). The study will enroll 250 subjects at 40 sites. All eligible subjects will undergo the implant procedure. Half of the subjects will receive active stimulation (treatment) and the other half will receive non-active stimulation (control). After completing primary endpoint assessments at Week 12, there will be a one-way crossover of control subjects to active stimulation and a 180-week open-label follow-up with all subjects (treatment and control) receiving active stimulation to evaluate long-term safety.

Recruitment Criteria

Accepts Healthy Volunteers

Healthy volunteers are participants who do not have a disease or condition, or related conditions or symptoms

No
Study Type

An interventional clinical study is where participants are assigned to receive one or more interventions (or no intervention) so that researchers can evaluate the effects of the interventions on biomedical or health-related outcomes.


An observational clinical study is where participants identified as belonging to study groups are assessed for biomedical or health outcomes.


Searching Both is inclusive of interventional and observational studies.

Interventional
Eligible Ages 22 Years - 75 Years
Gender All
More Inclusion & Exclusion Criteria

Inclusion Criteria:

  • - 22-75 years of age at screening.
  • - Active moderate or severe RA, defined as at least 4/28 tender and 4/28 swollen joints.
  • - Demonstrated an inadequate response, loss of response, or intolerance to 1 or more approved for rheumatoid arthritis biologic or targeted synthetic Disease-Modifying Anti-Rheumatic Drugs (DMARDs), including Janus kinase inhibitors (JAKi) - Receiving treatment with at least 1 conventional synthetic DMARD for at least 12 weeks and on a continuous non-changing dose and route of administration for at least 4 weeks prior to Screening and able to continue the same stable dose through Week 12.

Exclusion Criteria:

  • - Untreated or poorly controlled psychiatric illness or history of substance abuse.
  • - Significant immunodeficiency due to underlying illness.
  • - History of stroke or transient ischemic attack, or diagnosis of cerebrovascular fibromuscular dysplasia.
  • - Clinically significant cardiovascular disease.
  • - Neurological syndromes, including multiple sclerosis, Alzheimer's disease, or Parkinson's disease.
  • - Uncontrolled fibromyalgia.
  • - History of left or right carotid surgery.
  • - History of unilateral or bilateral vagotomy, partial or complete splenectomy.
  • - Recurrent vasovagal syncope episodes.
  • - Current, regular use of tobacco products.
- Hypersensitivity/allergy to MRI contrast agents and/or unable to perform MRI

Trial Details

Trial ID:

This trial id was obtained from ClinicalTrials.gov, a service of the U.S. National Institutes of Health, providing information on publicly and privately supported clinical studies of human participants with locations in all 50 States and in 196 countries.

NCT04539964
Phase

Phase 1: Studies that emphasize safety and how the drug is metabolized and excreted in humans.

Phase 2: Studies that gather preliminary data on effectiveness (whether the drug works in people who have a certain disease or condition) and additional safety data.

Phase 3: Studies that gather more information about safety and effectiveness by studying different populations and different dosages and by using the drug in combination with other drugs.

Phase 4: Studies occurring after FDA has approved a drug for marketing, efficacy, or optimal use.

Phase 3
Lead Sponsor

The sponsor is the organization or person who oversees the clinical study and is responsible for analyzing the study data.

SetPoint Medical Corporation
Principal Investigator

The person who is responsible for the scientific and technical direction of the entire clinical study.

John Tesser, MDMark Richardson, MD PhD
Principal Investigator Affiliation Arizona Arthritis and Rheumatology Research, P.C.Massachusetts General Hospital
Agency Class

Category of organization(s) involved as sponsor (and collaborator) supporting the trial.

Industry
Overall Status Recruiting
Countries United States
Conditions

The disease, disorder, syndrome, illness, or injury that is being studied.

Rheumatoid Arthritis
Additional Details

The RESET-RA study is an operationally seamless, 2-stage, randomized, double-blind, sham-controlled, multicenter pivotal study enrolling 250 subjects at 40 study centers across the U.S. The study will assess the safety and efficacy of the SetPoint System (study device) for the treatment of adult patients with active, moderate to severe rheumatoid arthritis (RA) who have had an inadequate response, loss of response or intolerance to biologic or targeted synthetic Disease-Modifying Anti-Rheumatic Drugs (DMARDs). The study device contains a miniaturized stimulator (implant) that is surgically implanted inside the left side of the neck on the vagus nerve (implant procedure). The implant delivers a small amount of electricity (stimulation) to the nerve. All eligible subjects will undergo the surgery under general anesthesia. Half of the subjects will receive active stimulation (the treatment group) and the other half will receive non-active stimulation (the control group). Stimulation will be delivered for 1 min once per day for 12 weeks. After completing primary endpoint assessments at Week 12, there will be a one-way crossover of control subjects to active stimulation and a 180-week open-label follow-up with all subjects (treatment and control) receiving active stimulation to evaluate long-term safety. Blinding will be maintained until the last enrolled and randomized subject in Stage 2 completes Week 12 assessments, and the study database is locked.

Arms & Interventions

Arms

Experimental: Treatment

Active stimulation for 1 min once per day

Sham Comparator: Control

Non-active stimulation for 1 min once per day

Interventions

Procedure: - Implant Procedure

The SetPoint System (study device) contains a miniaturized stimulator (implant) that is surgically implanted inside the left side of the neck on the vagus nerve (implant procedure). All eligible subjects will undergo the surgery under general anesthesia in outpatient settings.

Drug: - Conventional Synthetic DMARD

All subjects will continue to take at least one type of conventional synthetic DMARD at the same stable dose as for 4 weeks prior to consent

Device: - Active stimulation

Active stimulation for 1 min once per day

Device: - Non-active stimulation

Non-active stimulation for 1 min once per day

Contact a Trial Team

If you are interested in learning more about this trial, find the trial site nearest to your location and contact the site coordinator via email or phone. We also strongly recommend that you consult with your healthcare provider about the trials that may interest you and refer to our terms of service below.

University of Alabama at Birmingham, Birmingham, Alabama

Status

Withdrawn

Address

University of Alabama at Birmingham

Birmingham, Alabama, 35294

Mesa, Arizona

Status

Recruiting

Address

Arizona Arthritis ans Rheumatology Research, PPLC

Mesa, Arizona, 85210

Site Contact

Melissa Clark

[email protected]

855-737-3872 (855RESETRA)

Phoenix, Arizona

Status

Recruiting

Address

Arizona Arthritis Rheumatology & Research, PLLC

Phoenix, Arizona, 85037

Site Contact

Brenda Salazar

[email protected]

855-737-3872 (855RESETRA)

Tucson, Arizona

Status

Recruiting

Address

Arizona Arthritis & Rheumatology Research, PLLC

Tucson, Arizona, 85704

Site Contact

Ravathi Pillai

[email protected]

855-737-3872 (855RESETRA)

Medvin Clinical Research, Covina, California

Status

Recruiting

Address

Medvin Clinical Research

Covina, California, 91722

Site Contact

Maria Rodriguez

[email protected]

855-737-3872 (855RESETRA)

Inland Rheumatology Clinical Trials, Upland, California

Status

Recruiting

Address

Inland Rheumatology Clinical Trials

Upland, California, 91786

Site Contact

Amalia Ellis

[email protected]

855-737-3872 (855RESETRA)

Medvin Clinical Research, Whittier, California

Status

Recruiting

Address

Medvin Clinical Research

Whittier, California, 90602

Site Contact

Nereyda Negrete

[email protected]

855-737-3872 (855RESETRA)

Fort Collins, Colorado

Status

Recruiting

Address

The Arthritis & Rheumatology Clinic of Northern Colorado

Fort Collins, Colorado, 80528

Stamford Therapeutics Consortium, Stamford, Connecticut

Status

Recruiting

Address

Stamford Therapeutics Consortium

Stamford, Connecticut, 06905

Delaware Arthritis, Lewes, Delaware

Status

Recruiting

Address

Delaware Arthritis

Lewes, Delaware, 19958

Site Contact

Paul Townsend

[email protected]

855-737-3872 (855RESETRA)

Aventura, Florida

Status

Recruiting

Address

Arthritis & Rheumatic Disease Specialties

Aventura, Florida, 33180

Site Contact

Odence DeLaRosa

[email protected]

855-737-3872 (855RESETRA)

HARAC Research Corporation, Avon Park, Florida

Status

Recruiting

Address

HARAC Research Corporation

Avon Park, Florida, 33825

Site Contact

Yulissa Peguero

[email protected]

855-737-3872 (855RESETRA)

RecioMed Clinical Research Network, Inc., Boynton Beach, Florida

Status

Terminated

Address

RecioMed Clinical Research Network, Inc.

Boynton Beach, Florida, 33472

Bay Area Rheumatology, Clearwater, Florida

Status

Recruiting

Address

Bay Area Rheumatology

Clearwater, Florida, 33765

Site Contact

Lorraine Androsiglio

[email protected]

855-737-3872 (855RESETRA)

IRIS Research and Development, Plantation, Florida

Status

Recruiting

Address

IRIS Research and Development

Plantation, Florida, 33324

Site Contact

Kathy Perez, MD

[email protected]

855-737-3872 (855RESETRA)

West Broward Rheumatology Associates, Tamarac, Florida

Status

Withdrawn

Address

West Broward Rheumatology Associates

Tamarac, Florida, 33321

Florida Medical Clinic, LLC, Zephyrhills, Florida

Status

Withdrawn

Address

Florida Medical Clinic, LLC

Zephyrhills, Florida, 33542

Augusta University, Augusta, Georgia

Status

Recruiting

Address

Augusta University

Augusta, Georgia, 30912

Site Contact

Valerie England

[email protected]

855-737-3872 (855RESETRA)

Parris and Associates Rheumatology, Lawrenceville, Georgia

Status

Recruiting

Address

Parris and Associates Rheumatology

Lawrenceville, Georgia, 30044

Site Contact

Mannai Countermarsh

[email protected]

855-737-3872 (855RESETRA)

Northwestern University, Chicago, Illinois

Status

Recruiting

Address

Northwestern University

Chicago, Illinois, 60611

Site Contact

Thomas Callahan

[email protected]

855-737-3872 (855RESETRA)

Hinsdale, Illinois

Status

Recruiting

Address

Hinsdale Orthopaedics Illinois Bone and Joint Institute

Hinsdale, Illinois, 60521

Boston, Massachusetts

Status

Recruiting

Address

Massachusetts General Hospital Division of Rheumatology, Allergy, and Immunology

Boston, Massachusetts, 02114

Site Contact

Amelia Cogan

[email protected]

855-737-3872 (855RESETRA)

UMass Memorial Medical Center, Worcester, Massachusetts

Status

Recruiting

Address

UMass Memorial Medical Center

Worcester, Massachusetts, 01605

Site Contact

Mohan Pahari

[email protected]

855-737-3872 (855RESETRA)

June DO, PC, Lansing, Michigan

Status

Recruiting

Address

June DO, PC

Lansing, Michigan, 48910

Site Contact

Tresa Nelson

[email protected]

855-737-3872 (855RESETRA)

Saint Paul Rheumatology, P.A., Eagan, Minnesota

Status

Recruiting

Address

Saint Paul Rheumatology, P.A.

Eagan, Minnesota, 55121

Site Contact

Yolanda Fabelo

[email protected]

855-737-3872 (855RESETRA)

Kansas City Physician Partners, Kansas City, Missouri

Status

Recruiting

Address

Kansas City Physician Partners

Kansas City, Missouri, 64151

West County Rheumatology, Saint Louis, Missouri

Status

Recruiting

Address

West County Rheumatology

Saint Louis, Missouri, 63122

Physician Research Collaboration, LLC, Lincoln, Nebraska

Status

Recruiting

Address

Physician Research Collaboration, LLC

Lincoln, Nebraska, 68516

Site Contact

Aleece Reetz

[email protected]

855-737-3872 (855RESETRA)

Albuquerque Center for Rheumatology, Albuquerque, New Mexico

Status

Recruiting

Address

Albuquerque Center for Rheumatology

Albuquerque, New Mexico, 87102

Site Contact

Valerie Ramirez

[email protected]

855-737-3872 (855RESETRA)

Babylon, New York

Status

Recruiting

Address

Long Island Regional Arthritis & Osteoporosis Care

Babylon, New York, 11702

Site Contact

Victoria Vuong, DO

[email protected]

855-737-3872 (855RESETRA)

DJL Clinical Research, Charlotte, North Carolina

Status

Recruiting

Address

DJL Clinical Research

Charlotte, North Carolina, 28210

Site Contact

Audrey Droppelman

[email protected]

855-737-3872 (855RESETRA)

PMG Research, Hickory, North Carolina

Status

Withdrawn

Address

PMG Research

Hickory, North Carolina, 28601

Health Research of Oklahoma, PLLC, Oklahoma City, Oklahoma

Status

Recruiting

Address

Health Research of Oklahoma, PLLC

Oklahoma City, Oklahoma, 73103

Site Contact

Charlene Prescott

[email protected]

855-737-3872 (855RESETRA)

Lehigh Valley Health Network, Allentown, Pennsylvania

Status

Recruiting

Address

Lehigh Valley Health Network

Allentown, Pennsylvania, 18103

Site Contact

Matthew Karpowicz

[email protected]

855-737-3872 (855RESETRA)

Altoona Center for Clinical Research, Duncansville, Pennsylvania

Status

Recruiting

Address

Altoona Center for Clinical Research

Duncansville, Pennsylvania, 16635

Philadelphia, Pennsylvania

Status

Recruiting

Address

University of Pennsylvania Medical Center

Philadelphia, Pennsylvania, 19104

Site Contact

Juliana Bonilla

[email protected]

855-737-3872 (855RESETRA)

West Tennessee Research Institute, Jackson, Tennessee

Status

Withdrawn

Address

West Tennessee Research Institute

Jackson, Tennessee, 38305

Allen, Texas

Status

Recruiting

Address

Arthritis & Rheumatology Research Institute, PLLC

Allen, Texas, 75013

Site Contact

Guadalupe Cindo

[email protected]

855-737-3872 (855RESETRA)

Austin Regional Clinic, Austin, Texas

Status

Terminated

Address

Austin Regional Clinic

Austin, Texas, 78717

Tekton Research, Austin, Texas

Status

Recruiting

Address

Tekton Research

Austin, Texas, 78745

Site Contact

Jeffrey Holleran

[email protected]

855-737-3872 (855RESETRA)

Central Texas Rheumatology Associates, Austin, Texas

Status

Recruiting

Address

Central Texas Rheumatology Associates

Austin, Texas, 78746

Site Contact

Kelly Van Schouwen

[email protected]

855-737-3872 (855RESETRA)

Colleyville, Texas

Status

Recruiting

Address

Precision Comprehensive Clinical Research Solutions

Colleyville, Texas, 76034

Site Contact

Venkata Sunkara

[email protected]

855-737-3872 (855RESETRA)

Biopharma Informatic, Houston, Texas

Status

Terminated

Address

Biopharma Informatic

Houston, Texas, 77043

Southwest Rheumatology Research LLC, Mesquite, Texas

Status

Recruiting

Address

Southwest Rheumatology Research LLC

Mesquite, Texas, 75150

Site Contact

Nancy Delacruz

[email protected]

855-737-3872 (855RESETRA)

Clinical Trials of Texas, Inc, San Antonio, Texas

Status

Recruiting

Address

Clinical Trials of Texas, Inc

San Antonio, Texas, 78229

Site Contact

Matthew Korte

[email protected]

855-737-3872 (855RESETRA)

Annapolis Rheumatology, Fairfax, Virginia

Status

Recruiting

Address

Annapolis Rheumatology

Fairfax, Virginia, 22033

Site Contact

Latonia Fowler

[email protected]

855-737-3872 (855RESETRA)

Sound Clinical Research, LLC, Bothell, Washington

Status

Recruiting

Address

Sound Clinical Research, LLC

Bothell, Washington, 98021

Site Contact

Aubrey Hubble

[email protected]

855-737-3872 (855RESETRA)

Arthritis Northwest Rheumatology, PLLC, Spokane, Washington

Status

Withdrawn

Address

Arthritis Northwest Rheumatology, PLLC

Spokane, Washington, 99204

Huntington, West Virginia

Status

Withdrawn

Address

University Physicians and Surgeons, INC dba Marshall Health

Huntington, West Virginia, 25701

West Virginia University, Morgantown, West Virginia

Status

Terminated

Address

West Virginia University

Morgantown, West Virginia, 26506