Hôpital Européen Georges Pompidou
Paris, 75015, France
NCT Number: NCT05647304
This is a controlled investigation, with randomization of the patients, which aims at evaluating the safety and performance of device RGn550 in treating sportspeople suffering from acute concussion syndrome. RGn550 is a non-invasive medical device which is applied on the head (helmet). It combines 2 technologies:
* PhotoBioModulation (PBM), which involves exposure to light from the red to near-infrared wavelengths using lasers and Light Emitting Diodes (LEDs) * Static Magnetic Stimulation (SMS), which consists in the application of a static magnetic field.
Considering previous investigations, this innovative technology could reduce brain inflammation implicated in concussion syndrome.
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Notify Me18 year and older
All sexes
Interventional
Not applicable
Paris, 75015, France
This monocentric investigation is planned to include 50 patients who will be followed up to 52 days.
Patients meeting all eligibility criteria will be randomized on a 1: 1 ratio into one of the two groups differing in terms of light exposure duty cycle (duty cycle is 50%) treatment frequency: RGn550 device with a 5 Hz-pulsed wave mode light emission frequency and RGn550 device with a 10 Hz-pulsed wave mode light emission frequency. The RGn550 device will be applied to the patients during two 20-min treatment sessions at 1 week apart.
Three onsite visits will be performed at the following timepoints:
At inclusion visit, after verification of the eligibility criteria, data regarding patients will be collected: demographic data, result of pregnancy test for women, concussion history, concomitant medications.
At each visit:
O The executive function via the TMT A&B O The automated oculomotor and oculopostural functions via the NPC, cover test and Maddox Rod test O The balance via static stabilometric tests
•all AEs and device deficiencies will be collected A blood sample will be collected at D0 and D52 to measure blood markers of concussion.
Healthy volunteers accepted: No
Only the study team can determine whether someone qualifies for participation.
Inclusion criteria
Non-inclusion Criteria:
RGn550 with a 5 Hz-pulsed wave mode light emission
RGn550 with a 10 Hz-pulsed wave mode light emission
Time frame: Throughout the investigation (from Day 0 to Day 52)
Percentage of patients with at least one ADE
Time frame: Throughout the investigation (from Day 0 to Day 52)
Percentage of patients with at least one ADE per severity (mild, moderate and severe)
Time frame: Throughout the investigation (from Day 0 to Day 52)
Percentage of patients with at least one AE
Time frame: Throughout the investigation (from Day 0 to Day 52)
Percentage of patients with at least one DD
Time frame: at Day 0 and Day 7 (before and after treatment session) and at Day 52
Evolution of the Near Point of Convergence (NPC)
Time frame: at Day 0 and Day 7 (before and after treatment session) and at Day 52
Evolution of the deviation assessed via the Cover test considering both eyes
The unilateral cover test was used in this investigation, which consists into covering one eye, horizontally moving a target 5 cm in front of both eyes, and then uncovering the covered eye and observing its reaction. If it fixes the target, this is normal: there is an orthophoria. If it moves to fix the target (restitution movement), the test is positive: there is a heterophoria in near vision. Patients who had visual corrections were to keep them during the test. The test was then repeated on the other eye.
The outcome of this test was a deviation value, considering both eyes, comprised between 0 (better outcome = normal fixation) and 3 (worst outcome = deviated eye without restitution movement).
Time frame: at Day 0 and Day 7 (before and after treatment session) and at Day 52
Evolution of the deviations assessed via Maddox rod test (horizontal deviation, vertical deviation of at least one eye)
Time frame: at Day 0 and Day 7 (before and after treatment session) and at Day 52
Evolution of statokinesigram area with closed eyes
The statokinesigram is the projection onto a 2-dimensional space of the trajectory of the patient's center of pressure. Its area is measured in mm2. The larger the area is, the higher the patient's imbalance is.
The statokinesigram area was measured using the stabilometric platform KFORCE Plates on which the patients were asked to stand for 30 s with closed eyes.
Time frame: at Day 0 and Day 7 (before and after treatment session) and at Day 52
Evolution of the difference between left and right distributions of patient's body weight
Patient's body weight left distribution, respectively right distribution, refer to patient's body weight distribution on his/her left foot, respectively right foot.
The left distribution and the right distribution are two percentages which sum makes 100%.
When body weight is well distributed between left and right feet (coherent balance), the difference between left and right distributions is ≤ 5%.
When body weight is not well distributed between left and right feet (uncoherent balance), the difference between left and right distributions is > 5%.
These distributions were measured using the stabilometric platform KFORCE Plates on which the patients were asked to stand for 30 s with closed eyes.
Time frame: at Day 0 (before treatment session) and at Day 7 (after treatment session) Of note: for 46 patients, TMTB was performed before (rather than after) treatment at D7 (deviation)
Evolution of the Trail Making Test part A and B (TMT A&B) time to perform the task
Time frame: at baseline (which represents the patient's state before the concussion as estimated/assessed by the patient on D0), Day 0 (before treatment session), Day 7 (before treatment session), Day 14 and Day 52
Evolution of the SCAT5 (Sport Concussion Assessment Tool - 5th edition) score
The SCAT5 is a standardized tool for evaluating concussions designed for use by physicians and licensed healthcare professionals. With this tool, the patient rates the intensity of every symptom from 0 (none) to 6 (severe) using a form. This enables to calculate the total number of symptoms (subscore from 0 to 22) and the symptom severity score (subscore from 0 to 132).
Time frame: at Day 0 (before treatment session) and at Day 52
Evolution of the concentration of:
REGEnLIFE SAS
Industry
Pilot Clinical Investigation Evaluating the Safety and Performance of RGn550 in Treating Sportspeople Suffering From Acute Concussion Syndrome - A Prospective, Comparative, Randomized, Simple-blinded, Monocentric Investigation [RGncon Investigation]
Acronym: RECOVERY
OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.
View the official ClinicalTrials.gov record (opens in a new tab)This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.
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