UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000056037
Receipt number R000064039
Scientific Title Evaluating the Efficacy of VR-Based Somato-Cognitive Coordination Therapy Across Diseases: A Multicenter Prospective Intervention Study
Date of disclosure of the study information 2024/11/04
Last modified on 2024/11/06 14:11:12

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Basic information

Public title

Evaluating the Efficacy of VR-Based Somato-Cognitive Coordination Therapy Across Diseases: A Multicenter Prospective Intervention Study

Acronym

RECOVER trial

Scientific Title

Evaluating the Efficacy of VR-Based Somato-Cognitive Coordination Therapy Across Diseases: A Multicenter Prospective Intervention Study

Scientific Title:Acronym

REprogramming COordination through Virtual Environment Rehabilitation Trial

Region

Japan Asia(except Japan) Europe


Condition

Condition

We will consider the following diseases as potential research subjects, assessing the feasibility of conducting the study based on the capabilities of each facility. Neurology: Stroke, ataxia, hemispatial neglect, Parkinson's disease, multiple system atrophy, spinocerebellar degeneration, progressive supranuclear palsy, higher cortical dysfunctions, amyotrophic lateral sclerosis, migraine. Orthopedics: Spinal cord injury, periarthritis, radial nerve palsy, post-traffic accident neck pain, lumbar spinal stenosis, knee osteoarthritis, post-operative femur fractures, frailty, sarcopenia. Pediatrics: Cerebral palsy, autism spectrum disorders, developmental coordination disorders, ADHD, spinal muscular atrophy, muscular dystrophy. Anesthesiology: CPSP, CRPS, fibromyalgia, other chronic pain. Malignancy: Chemotherapy-induced neuropathy, chemobrain. Cardiology: Heart failure. Respirology: COPD. Infection: Post-COVID-19 sequelae, herpes zoster. Psychiatry: Depression, schizophrenia.

Classification by specialty

Medicine in general Cardiology Pneumology
Neurology Psychosomatic Internal Medicine Infectious disease
Surgery in general Pediatrics Psychiatry
Orthopedics Anesthesiology Neurosurgery
Plastic surgery Rehabilitation medicine

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

The objective of this study is to ascertain the therapeutic efficacy of Somato-Cognitive Coordination Therapy (SCCT) using virtual reality (VR) technology across various diseases and symptoms. Additionally, this trial, registered under UMIN-CTR ID: UMIN000041770, aims to expand the participating facilities and clarify the target diseases, and will undergo re-evaluation by the ethics committee for these purposes. Consequently, patient enrollment will be retroactively applied to the point of the initial UMIN000041770 registration.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Based on the underlying disease and clinical state, various indices such as disease-specific tests and blood data (biomarkers) will be measured and evaluated as primary endpoints. However, researchers may also set additional indices they deem necessary as evaluation criteria.

Various physical function assessment indices include: the 10-meter walk test, Timed Up and Go test (TUG), Functional Independence Measure (FIM), Berg Balance Scale (BBS), Fugl-Meyer Assessment (FMA), Manual Muscle Test (MMT), Box and Block Test (BBT), Simple Test for Evaluating Hand Function (STEF), pegboard test, finger-to-nose test, single-leg stance test, Scale for the Assessment and Rating of Ataxia (SARA), stabilometry, the A-I-U-E-O test, presence of diplopia, muscle strength including grip strength, among others.

Various cognitive function assessment indices include: Mini-Mental State Examination (MMSE), Hasegawa's Dementia Scale-Revised (HDS-R), Self-Rating Depression Scale (SDS) score, Trail Making Test (TMT-A/B), Line Bisection Test, and assessments of reactivity and spontaneity in patients with higher cortical dysfunctions.

Additionally, disease-specific indices such as the Movement Disorder Society-Unified Parkinson's Disease Rating Scale (MDS-UPDRS) will be selectively used as needed, based on feasibility and necessity for each disease subcategory within the RECOVER trial.

Assessment points will be set at the initial visit before and after SCCT, and subsequently at discretionary time points. These can be demarcated by duration, such as approximately one month, three months, six months, nine months, and one year after the start of treatment, or by the number of SCCT sessions, such as after 5 or 10 sessions.

Key secondary outcomes

Based on the underlying disease and clinical state, various indices such as disease-specific tests and blood data (biomarkers) will also be measured and evaluated as secondary endpoints. However, researchers may also set additional indices they deem necessary as evaluation criteria.

Various physical function assessment indices include: the 10-meter walk test, Timed Up and Go test (TUG), Functional Independence Measure (FIM), Berg Balance Scale (BBS), Fugl-Meyer Assessment (FMA), Manual Muscle Test (MMT), Box and Block Test (BBT), Simple Test for Evaluating Hand Function (STEF), pegboard test, finger-to-nose test, single-leg stance test, Scale for the Assessment and Rating of Ataxia (SARA), stabilometry, the A-I-U-E-O test, presence of diplopia, muscle strength including grip strength, among others.

Various cognitive function assessment indices include: Mini-Mental State Examination (MMSE), Hasegawa's Dementia Scale-Revised (HDS-R), Self-Rating Depression Scale (SDS) score, Trail Making Test (TMT-A/B), Line Bisection Test, and assessments of reactivity and spontaneity in patients with higher cortical dysfunctions.

Additionally, disease-specific indices such as the Movement Disorder Society-Unified Parkinson's Disease Rating Scale (MDS-UPDRS) will be selectively used as needed, based on feasibility and necessity for each disease subcategory within the RECOVER trial.

Assessment points will be set at the initial visit before and after SCCT, and subsequently at discretionary time points. These can be demarcated by duration, such as approximately one month, three months, six months, nine months, and one year after the start of treatment, or by the number of SCCT sessions, such as after 5 or 10 sessions.


Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Self control

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Treatment

Type of intervention

Device,equipment

Interventions/Control_1

Somato-Cognitive Coordination Therapy (SCCT) using Virtual Reality (VR) equipment

Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

1 years-old <=

Age-upper limit

100 years-old >=

Gender

Male and Female

Key inclusion criteria

1) Patients who present with physical or cognitive impairments and have been assessed by two or more physicians as having no further improvement in symptoms or functions with current medical interventions, or who have not shown improvement in subjective symptoms and objective physical-cognitive assessment indicators despite receiving treatment in the past six months.

2) Individuals who have provided consent for participation in the study, either personally or through a legally authorized representative

Key exclusion criteria

1) Individuals deemed unsuitable for participation in the study by the attending physician, principal investigator or co-investigators

Target sample size

5


Research contact person

Name of lead principal investigator

1st name Masahiko
Middle name
Last name Hara

Organization

mediVR, Inc.

Division name

Department of Neurology and Clinical Rehabilitation, mediVR Rehabilitation Center

Zip code

561-0872

Address

Ryokuchi Station Building 3F, Terauchi 2-chome 4-1, Toyonaka

TEL

06-6151-4008

Email

hara@medivr.jp


Public contact

Name of contact person

1st name Masatake
Middle name
Last name Tamaki

Organization

The Japan Society of Clinical Reesarch

Division name

Department of Clinical Investigation

Zip code

561-0871

Address

Higashiterauchi-cho 1-10-446, Toyonaka, Osaka

TEL

81-90-7593-2229

Homepage URL


Email

info@japanscr.org


Sponsor or person

Institute

mediVR, Inc.

Institute

Department

Personal name



Funding Source

Organization

Not applicable

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Ethical Comittee of the Japan Society of Clinical Research

Address

Higashiterauchi-cho 1-10-446, Toyonaka, Osaka

Tel

81-90-7593-2229

Email

info@japanscr.org


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2024 Year 11 Month 04 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Open public recruiting

Date of protocol fixation

2024 Year 11 Month 01 Day

Date of IRB

2024 Year 11 Month 06 Day

Anticipated trial start date

2024 Year 11 Month 06 Day

Last follow-up date

2029 Year 12 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded

2029 Year 12 Month 31 Day


Other

Other related information



Management information

Registered date

2024 Year 11 Month 04 Day

Last modified on

2024 Year 11 Month 06 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000064039