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Safety of Splenic Stimulation for RA

Sponsor: Galvani Bioelectronics

NCT ID: NCT04955899

View on ClinicalTrials.gov ↗

At a glance

What the study gets you
Access to the study treatment being tested
Type of study
Interventional (receives a drug or procedure)
Time in hospital
In-person visits at study sites — visit count not specified by the sponsor
Drug or intervention
Active Stimulation (device)
How long the study runs
Study runs about 90 months (dates as stated)
About the drug or intervention
Active Stimulation — device: The Galvani System will be implanted in eligible participants, and stimulation will be turned ON
Patient visit burden
Not specified by the sponsor

In plain English

This study, run by Galvani Bioelectronics, is looking at the safety of splenic (spleen) stimulation in people with rheumatoid arthritis (RA), a condition where the immune system attacks the joints. It is for adults whose RA is still active despite trying at least two biologic medicines or JAK inhibitors (a type of medicine for RA).

Who can take part

  • Adults aged 22 to 75 with adult-onset rheumatoid arthritis lasting at least six months
  • Active rheumatoid arthritis
  • RA that has not responded well to at least 2 biologic DMARDs (disease-modifying medicines) and/or JAK inhibitors
  • A suitable break (washout) from previous biologic DMARDs or JAK inhibitors
  • Female participants must have no ability to become pregnant

Who may not be able to

  • Unable to give informed consent
  • Significant mental illness or substance abuse
  • History of vagotomy (surgery cutting the vagus nerve)
  • Active or hidden tuberculosis (TB)
  • HIV infection; current acute or chronic hepatitis B or C; or past hepatitis B
  • Currently having an implanted electrical device, such as a pacemaker or defibrillator
  • Previous surgery to remove the spleen (splenectomy)
  • Taking an experimental drug within 2 weeks or 2 half-lives (whichever is longer) before surgery
  • Other uncontrolled inflammatory diseases
  • Current or repeated infections that the lead researcher feels make the risks outweigh the benefits
  • Cancer in the past 5 years, except non-malignant skin cancer
  • Long-term use of morphine or oxycodone (strong painkillers)

What taking part involves

  • • Not stated — ask the trial team

Time commitment: Not stated — ask the trial team about how many visits there are, how long the trial lasts, and what taking part involves.

Plain-English summary (AI-generated) from registry data. Not eligibility advice — only the trial team can confirm whether you can take part. Use the eligibility checker to see how your health profile matches this trial.

Type of study
Testing a treatment
Ages
22 Years to 75 Years
Who
All
Number of participants
5
Started
2021-10-20
Last checked
2024-02

Plain English Summary

What is this study?

  • • Testing a new treatment for rheumatoid arthritis
  • • NA - 5 participants
  • • This study will evaluate the safety and tolerability of stimulating the splenic neurovascular bundle (NVB) with the Galvani System, which consists of a lead, implantable pulse generator, external components and accessories

Who can take part?

  • • Ages 22 Years to 75 Years
  • • Diagnosed with rheumatoid arthritis

Where?

  • • Glasgow - Greater Glasgow Health Board

This is a simplified summary. Always discuss with your doctor before making any decisions.

About This Trial

This study will evaluate the safety and tolerability of stimulating the splenic neurovascular bundle (NVB) with the Galvani System, which consists of a lead, implantable pulse generator, external components and accessories. Participants eligible for implant will have active rheumatoid arthritis (RA) and have an inadequate response or intolerance to at least two biologic Disease Modifying Anti-Rheumatic Drugs (DMARDs) or JAK inhibitors (JAKis). Five participants will be implanted with the device and receive neurostimulation for 12 weeks.

More detail

The study will be an open-label single-arm study to evaluate the safety and tolerability of Galvani's neuromodulation system. Participants with active rheumatoid arthritis (RA) will be implanted with the Galvani system and receive active stimulation for 12 weeks. The total study duration in the study for each participant is approximately 5 months, with a 4-week screening period, 4 weeks recovery from surgery and a 12-week 'treatment' period. The participants will return to the clinic on pre-defined days for follow-up visits during the trial period. At Days 42 and/or Day 56, if study participants are not responding to stimulation, stimulation parameters might be adapted. At the end of the study (Day-84), participants will enroll in a long-term follow-up study up to 5-years after enrollment in this study.

Rheumatoid Arthritis

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What we know so far

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Preliminary match based on your answers. Full eligibility requires on-site assessment including medical history, physical exam, and lab tests. This does not guarantee enrolment.

Eligibility at a Glance

Key info

  • Age: 22 Years - 75 Years
  • Who can join: All genders

What the study is looking for

  • ✓Adult-onset RA of at least six months duration
  • ✓Male or female participants, 22-75 years of age
  • ✓Active RA
  • ✓Inadequate Response to at least 2 biologic DMARDs and/or JAK- inhibitors (JAKis)
  • ✓Have an appropriate washout from previously used biological DMARDs or JAKi

Who cannot take part

  • ✗Inability to provide agreement to take part.
  • ✗Significant psychiatric disease or substance abuse.
  • ✗History of unilateral or bilateral vagotomy.
  • ✗Active or latent tuberculosis
  • ✗Known infection with human immunodeficiency virus (HIV); current acute or chronic hepatitis B or hepatitis C;...
See the full criteria
Inclusion Criteria: * Adult-onset RA of at least six months duration * Male or female participants, 22-75 years of age * Active RA * Inadequate Response to at least 2 biologic DMARDs and/or JAK- inhibitors (JAKis) * Have an appropriate washout from previously used biological DMARDs or JAKi * A female participant should have no child-bearing potential Exclusion Criteria: * Inability to provide informed consent. * Significant psychiatric disease or substance abuse. * History of unilateral or bilateral vagotomy. * Active or latent tuberculosis * Known infection with human immunodeficiency virus (HIV); current acute or chronic hepatitis B or hepatitis C; previous hepatitis B. * Currently implanted electrically active medical devices (e.g., cardiac pacemakers, automatic implantable cardioverter-defibrillators). * Previous splenectomy * Any investigational small molecule drug or biological within 2 weeks or 2 half-lives whichever is longer, before surgery. * Uncontrolled other inflammatory diseases * Current/recurrent infections that in the opinion of the PI risk\>benefit. * History of cancer within the past 5 years, except non-malignant skin cancer. * Chronic use of morphine or oxicodone

Where Is This Study? (1 UK site)

Greater Glasgow Health Board

Glasgow G12 OXH, United Kingdom

Recruiting
Site contact (verified)

How to Get in Touch

Operations Director

Sponsor contact

CONTACT

+44 (0)800 3688514 clinical@galvani.bio
Data sourced from ClinicalTrials.gov · Last verified: 2024-02