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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT02417532
Registration number
NCT02417532
Ethics application status
Date submitted
11/04/2015
Date registered
15/04/2015
Titles & IDs
Public title
Safety and Feasibility Evaluation of Robot Assisted Physiotherapy Exercises With REX
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Scientific title
Safety and Feasibility Evaluation of Robot Assisted Physiotherapy Exercises With REX
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Secondary ID [1]
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RXPR-0001
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Universal Trial Number (UTN)
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Trial acronym
RAPPER II
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Spinal Cord Injury
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Condition category
Condition code
Injuries and Accidents
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0
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Fractures
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Injuries and Accidents
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Other injuries and accidents
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Neurological
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0
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Other neurological disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Devices - Rehabilitation using REX
Experimental: Rehabilitation using REX - Exercises using Rex mobility assist device
Treatment: Devices: Rehabilitation using REX
Exercises of wheelchair dependent subjects using REX
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Intervention code [1]
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Treatment: Devices
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Ability to Transfer
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Assessment method [1]
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Completion of transfer with supervision or 1 assistant from wheelchair or bed into REX
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Timepoint [1]
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1 day
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Primary outcome [2]
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Adverse Events
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Assessment method [2]
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absence of unexpected serious adverse events
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Timepoint [2]
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1 day
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Primary outcome [3]
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Transfer Time
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Assessment method [3]
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Time it took for participant to transfer into the Rex with or without supervision.
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Timepoint [3]
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1 day
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Secondary outcome [1]
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Participant Satisfaction Questionnaire
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Assessment method [1]
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overall user satisfaction with the device
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Timepoint [1]
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1 Day
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Secondary outcome [2]
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Timed up and go Test- Ability to Stand From Chair
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Assessment method [2]
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The number of seconds required to walk 3 m and turn around and walk back to the chair. (Functional test)
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Timepoint [2]
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1 Day
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Eligibility
Key inclusion criteria
Inclusion Criteria
* Wheelchair user
* Spinal Injury Levels of C4 down to L5
* Has no outstanding skin integrity issues that could be effected by the REX device
* Should be between approximately 1.42m and 1.93m in height. More specifically, REX is able to accommodate the following limb lengths:
* Upper leg length : 380 - 470 mm
* Lower leg length : 366 - 470 mm
* Heel position (Ankle to hind foot) : 40 - 92 mm
* Floor to ankle height (To be measured while wearing the shoe to be used for mobilising in REX) : 96 - 116 mm
* Has a skeletal hip width of 380 mm or less (limit imposed by REX)
* Is between 40 kg and 100 kg weight (limits imposed by REX)
* Has the manual dexterity to work a joystick
* Sufficient passive range of motion in the Hip, Knee and Ankle of at least
* Hip 90 degrees flexion 15 degrees hip extension 20 degrees abduction 16 degrees adduction
* Knee 0 degrees extension 93 degrees flexion
* Ankle 20 degrees dorsiflexion (with weight bearing and 10 degrees knee flexion) 22 degrees dorsiflexion (with 93 degrees knee flexion) 10 degrees plantar flexion 9 degrees inversion 9 degrees eversion
* Thigh lateral diameter of < 135 mm (230 mm above the knee joint line)
* Calf lateral diameter of < 100 mm (90 mm below the knee joint line)
* Manual dexterity to work a joystick with or without a T-Bar and use emergency stop button
* No contraindications to standing or mobilising
* Patients must choose to participate, and must have signed the informed consent document
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Minimum age
10
Years
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Maximum age
90
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
* Patients who do not meet inclusion criteria or physician discretion.
* Patients with history of impaired cardiac function who have been referred to and reviewed by a medical professional. With a decision made that they should not continue in the trial due to their impaired cardiac function.
* Patients contraindicated to walk or stand
* Patients with spinal injury outside Inclusion criteria
* Withdrawal or refusal to sign informed consent
* Any other contraindication based on physician discretion
* Known allergy (skin contact) to materials used in Rex
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Study design
Purpose of the study
Other
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Allocation to intervention
NA
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Single group
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Other design features
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Phase
NA
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
1/05/2015
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
1/12/2016
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Sample size
Target
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Accrual to date
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Final
56
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Recruitment in Australia
Recruitment state(s)
VIC
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Recruitment hospital [1]
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Austin Health - Heidelberg
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Recruitment postcode(s) [1]
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3084 - Heidelberg
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Recruitment outside Australia
Country [1]
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New Zealand
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State/province [1]
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Auckland
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Country [2]
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New Zealand
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State/province [2]
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Christchurch
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Country [3]
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United Kingdom
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State/province [3]
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Kent
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Country [4]
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United Kingdom
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State/province [4]
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Middlesex
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Country [5]
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United Kingdom
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State/province [5]
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Northamptonshire
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Rex Bionics Plc
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Address
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Country
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Other collaborator category [1]
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Commercial sector/industry
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Name [1]
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Generic Devices Consulting, Inc.
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Address [1]
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Country [1]
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Ethics approval
Ethics application status
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Summary
Brief summary
Prospective, Open label, single arm, non-randomized, non-comparative registry study of Robot-Assisted Physiotherapy Exercises with the REX Robot powered exercise system in patients with Spinal cord or other injury preventing unsupported patient ambulation.
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Trial website
https://clinicaltrials.gov/study/NCT02417532
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Trial related presentations / publications
Birch N, Graham J, Priestley T, Heywood C, Sakel M, Gall A, Nunn A, Signal N. Results of the first interim analysis of the RAPPER II trial in patients with spinal cord injury: ambulation and functional exercise programs in the REX powered walking aid. J Neuroeng Rehabil. 2017 Jun 19;14(1):60. doi: 10.1186/s12984-017-0274-6.
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Public notes
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Contacts
Principal investigator
Name
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Nicholas C Birch, FRCS
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Address
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The Chris Moody Centre
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for scientific queries
Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results are available at
https://clinicaltrials.gov/study/NCT02417532