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Purpose of Study
The purpose of this phase three clinical trial is to demonstrate the efficacy of the Resonator™ device, manufactured by pico-tesla Magnetic Therapies, LLC (the Sponsor), as an adjunctive therapy to improving aspects of health and quality of life that are relevant to patients with Parkinson's Disease. Accordingly Sponsor plans on submitting the data and analysis of this trial via a 510(k) de novo application to obtain FDA clearance to sell the device.
Study Overview
This clinical trial will evaluate a new non-invasive, non significant risk, device therapy as an adjuvant symptomatic treatment for some of the signs and/or symptoms of Parkinson’s Disease (PD). The device utilizes patented technology involving extremely low level electromagnetic fields (EMF) to provide whole body immersion. EMF treatment with the Resonator™ device is a new technology and has shown promising results in both a Phase one open label pilot study completed in May, 2007, and a recently completed Phase two double blind, placebo controlled, randomized study.
In this double blind, randomized, placebo controlled Trial; the Study population consists of non-demented subjects with PD on stable appropriate drug therapy. The primary outcome measure is the improvement in Subject’s Quality of Life as measured by the Summary Index score of the Parkinson’s Disease Questionnaire (PDQ-39) after 8 weeks of treatment compared to baseline. Secondary outcomes are improvement in the measures of: Mobility and ADL sub-scores as measured by the PDQ-39, depression as measured by the Beck Depression Inventory II (BDI-II), ADL as measured by the UPDRS (II) and Motor score as measured by the UPDRS (III), along with total UPDRS score including parts I-IV, fatigue as measured by the Fatigue Severity Scale, somnolence as measured by the Epworth Sleepiness Scale, non motor symptoms as measured by the PD Non Motor Symptoms Assessment Scale, and a timed finger tapping motor assessment. The study intervention involves 3 treatment sessions per week for 8 weeks, each lasting 1 ½ hours. Thereafter, subjects will undergo evaluations over the next one month to determine the time course of treatment effect washout.
Labeling
Once the device has been cleared for market in the U.S., the device will be labeled as a prescription device, per 21 CFR § 801.109.
Indication for Use
The results of this clinical study will be used to support the following indication for use: “The Resonator™ device is indicated as an adjunctive therapy to improving aspects of health and quality of life that are relevant to patients with Parkinson's Disease.”
Worldwide Regulatory Status of the Jacobson Resonator™ Device
- The FDA responded to three separate 513(g) submissions for the Jacobson Resonator™, C030143 on October 28, 2003 and C040058 on May 14, 2004, stating that the Jacobson Resonator™ could be marketed with the labeling, “to enhance feelings of relaxation,” without filing a premarket notification or submission with FDA. The FDA also stated in these responses that they did not intend to enforce premarket requirements for this device when marketed under this indication. The Office of Device Evaluation recently confirmed in December of 2007, that this stance remains in effect.
- The Jacobson Resonator™ Model JR 18 was issued an EC Production Quality Assurance Certificate on August 1, 2001 for the therapeutic application for knee osteoarthritis; Certificate # 2001 01 0303 CP; NB # 0318.
- The Jacobson Resonator™ was issued a Health Canada Medical Device License on September 27, 2001; License Number 25852.
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