UMIN-ICDS Clinical Trial

Unique ID issued by UMIN UMIN000062578
Receipt number R000071463
Scientific Title Test-retest reliability of NIRS-based laterality indices and type classification in convalescent stroke (Phase 0)
Date of disclosure of the study information 2026/08/14
Last modified on 2026/08/14 13:57:36

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Basic information

Public title

A study on the reproducibility of NIRS-based classification indices for stroke upper-limb rehabilitation

Acronym

NIRS-RELY (Phase 0)

Scientific Title

Test-retest reliability of NIRS-based laterality indices and type classification in convalescent stroke (Phase 0)

Scientific Title:Acronym

NIRS-RELY (Phase 0)

Region

Japan


Condition

Condition

Stroke (hemorrhagic or ischemic), convalescent phase, upper-limb hemiparesis

Classification by specialty

Neurology Rehabilitation medicine Adult

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To quantify the test-retest reliability of the continuous laterality indices (Wrist D_raw, Tap Diff) and the derived type labels (Type A/B/C) of an NIRS-based classifier using same-day repeated measurements that exclude true change (rTMS effect and spontaneous recovery), and to judge, by a pre-specified decision rule, whether it is usable for individual-level treatment allocation.

Basic objectives2

Others

Basic objectives -Others

Evaluation of measurement properties (test-retest reliability)

Trial characteristics_1

Exploratory

Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Test-retest reliability of the continuous indices Wrist D_raw and Tap Diff, expressed as ICC(2,1) with 95%CI; together with SEM_abs, MDC95, and agreement of the type labels (Cohen/Fleiss kappa).

Key secondary outcomes

(1) Reduction of margin = 1.96 x SEM / sqrt(k) with k-averaging (k=1,2,3). (2) Bland-Altman bias and 95% limits of agreement. (3) Within-subject SD, SEM and ICC stratified by severity and task type (tap/grip).


Base

Study type

Observational


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


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

20 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

Inpatients with stroke (hemorrhagic/ischemic) in a convalescent rehabilitation ward
FMA-UE <= 47 (moderate-to-severe upper-limb paresis)
Meets the functional floor for the NIRS task (can stably perform the affected-hand task for 3 blocks / 180 s on verbal or imitation instruction)
Approximately 14-180 days after onset
Aged 20 years or older
Written informed consent (or by proxy as needed)

Key exclusion criteria

FMA-UE >= 48 (very mild)
Cannot meet the functional floor (severe disturbance of consciousness, severe receptive aphasia, or severe cognitive impairment preventing stable task performance)
Marked involuntary movement precluding stable task performance
Scheduled rTMS or other cortical-excitability-modifying intervention on the day of measurement (the measurement period refers to three consecutive measurements within the same session on a single day; planned rTMS after the measurement day is not an exclusion criterion)
Scalp/skull condition unsuitable for probe attachment
Non-consent

Target sample size

31


Research contact person

Name of lead principal investigator

1st name Takuma
Middle name
Last name Nakamura

Organization

Kyoto Ohara Memorial Hospital

Division name

Department of Neurology

Zip code

601-1245

Address

334-1 Ohara Todera-cho, Sakyo-ku, Kyoto 601-1245, Japan

TEL

075-744-3121(9992)

Email

nakamuratakuma@kyotoohara-gr.jp


Public contact

Name of contact person

1st name Takuma
Middle name
Last name Nakamura

Organization

Kyoto Ohara Memorial Hospital

Division name

Department of Neurology

Zip code

601-1245

Address

334-1 Ohara Todera-cho, Sakyo-ku, Kyoto

TEL

075-744-3121

Homepage URL


Email

nakamuratakuma@kyotoohara-gr.jp


Sponsor or person

Institute

Kyoto Ohara Memorial Hospital

Institute

Department

Personal name



Funding Source

Organization

None

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization

None


Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Ethics Committee, Kyoto Ohara Memorial Hospital

Address

334-1 Ohara Todera-cho, Sakyo-ku, Kyoto

Tel

075-744-3121

Email

kobayashinobuyuki@kyotoohara-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

京都大原記念病院(京都府)


Other administrative information

Date of disclosure of the study information

2026 Year 08 Month 14 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

Preinitiation

Date of protocol fixation

2026 Year 08 Month 13 Day

Date of IRB


Anticipated trial start date

2026 Year 08 Month 30 Day

Last follow-up date

2029 Year 09 Month 30 Day

Date of closure to data entry

2029 Year 10 Month 31 Day

Date trial data considered complete

2029 Year 11 Month 30 Day

Date analysis concluded

2030 Year 01 Month 31 Day


Other

Other related information

This is a measurement-property (test-retest reliability) study that gates a future treatment-allocation trial. Because repetitions share the same day and montage, the estimated reliability is an upper bound not including donning or between-day variability; real-world reliability may be lower. Reporting follows GRRAS.
The institution formally determined that ethics committee review was not required for this study (non-invasive, non-interventional, and within the scope of routine clinical care; determination date: 19 June 2026). Written informed consent is obtained from participants, and an opt-out procedure is provided when written consent is not feasible.


Management information

Registered date

2026 Year 08 Month 14 Day

Last modified on

2026 Year 08 Month 14 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000071463