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| Name | Class |
|---|---|
| University of Pittsburgh | OTHER |
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This is a randomized (1:1), placebo-controlled clinical trial that will examine the feasibility and effectiveness of a 2-day application of the NeuroCuple device for pain relief and reduction of opioid use following wisdom teeth extraction. The primary objectives are to determine whether the active NeuroCuple reduces postoperative pain and decreases opioid consumption compared to a sham (placebo) device. A total of 120 participants will be enrolled over a 1-year period and randomized to receive either the active device or an identical-appearing placebo device without the captor array layer.
This will be a triple-blind randomized (1:1) placebo-controlled clinical trial to determine the feasibility and effectiveness of a 2-days only 12-18h/day, mostly at night application of the NeuroCuple for reducing surgical pain and opioid use after third molar extraction. Study subjects, 18-40y, will be followed on days 1, 7, 1 month, and 3 months post-extraction via REDCap surveys with text, email, or phone reminders. Results will establish NeuroCuple as an effective non-opioid pain management approach for post-dental extraction pain. Importantly, a sham device that looks exactly like the active device will be implemented, allowing for a robust triple-blinded RCT. A prototype specific for this STTR's dental extraction indication has been designed, with the device inside a sleeve over the cheek that wraps around the head with feedback from dentists and patients for easier and better use compliance, efficacy, FDA indication and reimbursement
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| NEUROCUPLE™ Group | Experimental | This arm of subjects will receive the active NEUROCUPLE™ patch to wear for 2-days following their Wisdom Teeth Extraction procedure |
|
| Sham Group | Sham Comparator | This arm of subjects will receive the placebo (non-active, sham) patch to wear for 2-days following their Wisdom Tooth Extraction procedure |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| NEUROCUPLE™ Patch | Device | nCAP Medical has developed an effective, safe, opioid-sparing, non-pharmacological analgesic device, NeuroCuple®, that can reduce opioid use and surgical pain. |
| Measure | Description | Time Frame |
|---|---|---|
| Opioid Consumption | Total prescription opioid use in Oral Morphine Milligram Equivalent (MME) in first 48 hours | First 48 hours post extraction |
| Measure | Description | Time Frame |
|---|---|---|
| Opioid Consumption | Total prescription opioid use in Oral Morphine Milligram Equivalent (MME) on post-operative day 7 | post-extraction Day 7 |
| Opioid Consumption | Total prescription opioid use in Oral Morphine Milligram Equivalent (MME) on post-extraction day 30 |
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Inclusion Criteria:
Exclusion Criteria:
Sex, race, and ethnicity will not be used as exclusion criteria.
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Amy L Monroe | Contact | 4126236382 | clingrantinfo@gmail.com |
| Name | Affiliation | Role |
|---|---|---|
| Daniel Hawkins, MD | University of Pittsburgh | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Pittsburgh School of Dental Medicine | Pittsburgh | Pennsylvania | 15261 | United States |
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Enrolled subjects will be randomized to receive either NeuroCuple or placebo (sham device). Each randomized participant will be assigned a subject ID number, and this ID number will correspond to a treatment allocation number based on a pre-designed randomization schema.
On Day 1 (day of surgery), participants will receive two NeuroCuple strips (2" x 3" average cheek size) or two shams applied by a trained researcher at their first study visit and participants and their caregivers (if requested) will be shown how to apply, remove, and care for the strip. The strips will be contained within a sleeve that can be wrapped around the jaw and top of head. Participants will be instructed to wear the intervention for >12-18 hours per day for 2 days only since the most intense pain following wisdom tooth extraction is usually experienced in the first 48 hours.
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| Sham Patch | Device | The sham patch is identical to the active patch but with no active agents. |
|
| post-extraction Day 30 |
| Opioid Consumption | Total prescription opioid use in Oral Morphine Milligram Equivalent (MME) on post-extraction day 90 | post-extraction Day 90 |
| Post-Operative Pain Score | Average pain score based on Brief Pain Inventory (BPI)- Severity (0=no pain and 10=worst imaginable pain) in first 48 hours post extraction. | 48 hours post-extraction |
| Opioid prescription refills | Opioid prescription refills via Prescription Drug Monitoring Program (PDMP) at 1 week post extraction | One week post extraction |
| Opioid prescription refills | Opioid prescription refills via Prescription Drug Monitoring Program (PDMP) at 30 days post extraction | post-extraction day 30 |
| Opioid prescription refills | Opioid prescription refills via Prescription Drug Monitoring Program (PDMP) at 90 days post extraction | post-extraction day 90 |
| Pain Interference | Measured by BPI on post-extraction days 1-7, 30 days and 90 days | post-extraction days 1-7, 30 days and 90 days |
| Daily use of non-opioid analgesics | measured in MME | post-extraction days 1-7 |
| Time to normalcy (work or activity, and solid food intake) | measured in hours | post-extraction days 1-7 |
| Adverse events (i.e., ER visit, hospitalization, opioid side-effects, intervention side effects) | monitored via EMR and ePRO | post-extraction days 1-7 |
| Sleep quality | Pittsburgh Sleep Questionnaire 3 (PSQ3, range 0-21) | post-extraction days 1-7 |
| Risk of opioid misuse and abuse using Screener and Opioid Assessment for Patients with Pain-Revised (SOAPP-R) | score greater than or equal to 18 is positive for being at risk for developing OUD | post-extraction day 7, 1 month, and 3 months. |
| Protocol adherence in first 48 hours | yes/no if they kept the patch on per the protocol | 48 hours post-extraction |
| patient satisfaction | 0-5 score with greater score greater satisfaction | 48 hours post-extraction |