UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000057216
Receipt number R000064684
Scientific Title Efficacy and Cost-effectiveness of Brain-Machine Interface Therapy in Stroke Patients with Upper-extremity Paralysis: A Single-blind Randomized Controlled Trial
Date of disclosure of the study information 2025/03/12
Last modified on 2026/03/11 11:04:18

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Basic information

Public title

Efficacy and Cost-effectiveness of Brain-Machine Interface Therapy in Stroke Patients with Upper-extremity Paralysis

Acronym

ECOBITS Trial

Scientific Title

Efficacy and Cost-effectiveness of Brain-Machine Interface Therapy in Stroke Patients with Upper-extremity Paralysis: A Single-blind Randomized Controlled Trial

Scientific Title:Acronym

ECOBITS Trial

Region

Japan


Condition

Condition

Stroke (Cerebral Infarction,Intracerebral Hemorrhage,Subarachnoid Hemorrhage)

Classification by specialty

Rehabilitation medicine

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

The study aims to evaluate the effect of brain-machine interface (BMI) technology on improving upper limb function in hospitalized patients with severe upper limb paralysis within 60 days of stroke onset compared to a control group receiving conventional rehabilitation only.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2

Pragmatic

Developmental phase

Not applicable


Assessment

Primary outcomes

Change from baseline in Fugl-Meyer Assessment-Upper Extremity (FMA-UE) motor score at day 30 after randomization

Key secondary outcomes

FMA-UE subscales, sensory assessment (10-point scale), Modified Ashworth Scale, Functional Independence Measure, finger muscle EMG, EQ-5D-5L


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -but assessor(s) are blinded

Control

Active

Stratification

YES

Dynamic allocation

YES

Institution consideration

Institution is considered as adjustment factor in dynamic allocation.

Blocking

NO

Concealment

Central registration


Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Device,equipment

Interventions/Control_1

Brain-Machine Interface (BMI) therapy for 20 minutes/session, 5 sessions/week for 4 weeks (total 20 sessions) plus conventional rehabilitation

Interventions/Control_2

Conventional rehabilitation including electrical stimulation, upper limb stretching, range of motion exercises, and upper limb movement training

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

18 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

1. Stroke patients (hemorrhage, infarction, or subarachnoid hemorrhage) within 60 days of onset
2. Severe upper limb paresis:
Passive extension range of motion >= -10 degrees at fingers' MP joints
Initial FMA-UE (upper extremity motor function score) <= 30
3. Age >= 18 years
4. Capable of providing informed consent (for patients with motor aphasia, consent can be obtained by proxy after confirming patient's understanding using SLTA)

Key exclusion criteria

1. Patients unable to undergo rehabilitation (neurological diseases, severe comorbidities, cognitive dysfunction [MMSE<21, except for motor aphasia], psychiatric disorders)
2. Patients with cardiac pacemaker or implantable cardioverter-defibrillator
3. Patients who participated in another clinical trial or clinical research within the year prior to participating in the research
4. Prior botulinum toxin therapy or nerve block before enrollment
5. Patients unable to undergo EEG measurement

Target sample size

116


Research contact person

Name of lead principal investigator

1st name Nobuo
Middle name
Last name Sakata

Organization

Heisei Medical Welfare Group Research Institute

Division name

Research Department

Zip code

151-0053

Address

1-3-1 Yoyogi, Shibuya-ku, Tokyo, Japan

TEL

+81-3-6712-6401

Email

sakata.nobuo@hmw.gr.jp


Public contact

Name of contact person

1st name Noriko
Middle name
Last name Kanasaki

Organization

Heisei Medical Welfare Group Research Institute

Division name

Administrative division

Zip code

151-0053

Address

1-3-1 Yoyogi, Shibuya-ku, Tokyo, Japan

TEL

+81-3-6712-6401

Homepage URL


Email

kanasaki.noriko@hmw.gr.jp


Sponsor or person

Institute

Heisei Medical Welfare Group Research Institute

Institute

Department

Personal name



Funding Source

Organization

Self funding

Organization

Division

Category of Funding Organization

Non profit foundation

Nationality of Funding Organization

Japan


Other related organizations

Co-sponsor

LIFESCAPES Inc.

Name of secondary funder(s)



IRB Contact (For public release)

Organization

Heisei Medical Welfare Group Research Institute Ethics Review Committee

Address

1-3-1 Yoyogi, Shibuya-ku, Tokyo, Japan

Tel

+81-3-6172-6401

Email

info.research@hmw.gr.jp


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

2025 Year 03 Month 12 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

2025 Year 01 Month 31 Day

Date of IRB

2025 Year 03 Month 04 Day

Anticipated trial start date

2025 Year 03 Month 13 Day

Last follow-up date

2029 Year 03 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2025 Year 03 Month 05 Day

Last modified on

2026 Year 03 Month 11 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000064684