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LBL-5122 Rev C NOV 2019

which is defined as the enrolled subjects with a baseline 
TETRAS spiral rating ≥ 2, as assessed by the average score 
from three independent blinded raters. Due to potential 
differences between the in-person spiral rating from 
the investigator and the spiral rating averaged across 3 
blinded raters, it was possible that a few enrolled subjects 
who met the inclusion criteria of a baseline TETRAS spiral 
rating ≥ 2 as assessed by the investigator, would not 
meet the criteria of a baseline TETRAS spiral rating ≥ 2 
as assessed by the average score from the three raters. 
In this situation, these subjects were not included in the 
Effectiveness Analysis Population (EAP).

Analysis Populations

The numbers of subjects in each of the pre-specified 
analyses populations are summarized in Table 3 and 
described in the subsections below. 

TABLE 2 

Analysis Populations of Subjects

Total

Treatment

Sham

Enrolled Population

93

48

45

Effectiveness Analysis 
Population (EAP)

77

40

37

Per-Protocol (PP)  
Analysis Population

6

30

30

Subject Demographics 

Subjects enrolled in the study were on average 70.2 years 
old 

(range: 35 – 89 years)

 and had been diagnosed with 

ET for on average 31.4 years 

(range: 2 – 77 years)

. 61% of 

subjects were currently taking at least 1 medication for 
their tremor, and 59% had received at least one prior 
form of treatment for ET. Subjects enrolled in the study 

TABLE 3  

Baseline characteristics of Effectiveness  

Analysis Population (N = 77)

Overall 

(N=77)

Treatment 

(N=40)

Sham 

(N=37)

Age of onset in years

Mean (SD)

38.8 (21.2)

40.2 (21.7)

37.2 (20.7)

Range

5 – 71

5 - 70

5 – 71

Age of diagnosis in years

Mean (SD)

53.4 (14.6)

54.3 (13.9)

52.4 (15.4)

Range

12 – 78

18 - 78

12 – 75

Family history of  
ET, yes, n(%)

59 (77%)

32 (80%)

27 (73%)

Current Tremor co-therapy, n(%)

None

28 (36%)

13 (33%)

15 (41%)

1 medication

29 (38%)

15 (38%)

14 (38%)

>1 medication

20 (26%)

12 (30%)

8 (22%)

Prior Treatments of ET, n(%)

Medication

48 (62%)

24 (60%)

24 (65%)

Botox

4 (5.2%)

3 (7.5%)

1 (2.7%)

DBS

0 (0.0%)

0 (0.0%)

0 (0.0%)

Other

3 (3.9%)

2 (5.0%)

1 (2.7%)

Baseline TETRAS Spiral (min score=0, max score=4)

Mean (SD)

2.8 (0.6)

3.0 (0.7)

2.6 (0.5)

Range

2.0 – 4.0

4.0 – 2.0

2.0 – 4.0

Baseline TETRAS Performance Subscale, total score (min 
score=0, max score=64)

1

Mean (SD)

26.2 (5.9)

26.7 (5.9)

25.7 (5.9)

Range

16 – 42

17 - 39

16 – 42

Baseline Bain & Findley ADL, total score (min score=25, max 
score=100)

2

Mean (SD)

44.9 (9.4)

45.7 (9.0)

44.0 (9.8)

Range

30 – 69

31 - 67

30 – 69

QUEST summary index (min score=0, max score=1)

3

Mean (SD)

0.32 (0.15)

0.30 (0.13)

0.33 (0.17)

Range

0.03 - 0.65

0.11 - 0.63

0.03 - 0.65

1

The total score is the sum of the scores from the 16 TETRAS tasks. 

2

The total score is the sum of the scores from the 25 ADL tasks. 

3

The summary index is calculated as the average of the 

percentage for each of the 5 domains 

Screened 

(n=111)

Enrolled and Randomized 

(n=93)

Screen Failures 

(n=18)

Treatment 

(n=48; 40 in EAP)

Sham 

(n=45; 37 in EAP)

Completed 

(n=48; 40 in EAP)

Discontinued 

(n=1; 0 in EAP)

Completed 

(n=44; 37 in EAP)

Figure 9: Subject Disposition Chart

Содержание Cala Trio CT1-STR

Страница 1: ...HEALTH CARE PROFESSIONAL GUIDE Caution Federal law restricts this device to sale by or on the order of a physician LBL 5122 Rev C NOV 2019...

Страница 2: ...la Trio 12 7 0 Caring for Cala Trio 13 7 1 How to Charge Cala Trio 13 7 2 How to Replace Cala Trio Band 13 7 3 How to Change Stimulation Intensity Preset 13 7 4 How to Recalibrate Cala Trio 14 7 5 How...

Страница 3: ...from fingers and small objects and from water drops vertically falling on Cala Trio when it is tilted up to 15 from vertical Do not immerse in a bathtub or use while swimming Cala Trio is rated for t...

Страница 4: ...ef of hand tremor is desired i e before activities involving your hands such as meals or writing Cala Trio therapy is recommended for use at least twice daily to help with the activities listed above...

Страница 5: ...ncrease the risk of arrhythmia Do not apply stimulation over open wounds or rashes or over swollen red infected or inflamed areas or skin eruptions e g phlebitis thrombophlebitis varicose veins etc Do...

Страница 6: ...n that lack normal sensation Keep out of the reach of children and pets The device is single patient use by the individual for whom it has been prescribed It should not be worn by anyone else or on an...

Страница 7: ...subject s wrist circumference with a wrist measurement device measuring tape Measure over the wrist bone 2 Wrap the measuring tape around the wrist There should be no visible gaps between the measuri...

Страница 8: ...on points toward the elbow not the hand Step 3 Center the stimulator on the back of your wrist as close to the hand as possible without hindering wrist movement Note Correct placement of the Cala Trio...

Страница 9: ...p Cala Trio Step 1 Press the MAIN button to wake up the stimulator You should see Cala Trio displayed UP button DOWN button MAIN button Step 2 From Cala Trio press and hold the MAIN button for 3 secon...

Страница 10: ...rs in the areas highlighted in the images above Note Tingling sensation varies depending on Cala Trio positioning and amount of water on the wrist You may feel a stinging sensation if you did not wet...

Страница 11: ...postural hold To complete your Tremor Task You can find your Tremor Task in your prescription information Get in position to do your Tremor Task Press the MAIN button to start the measurement Note On...

Страница 12: ...will ask you if your Tremor Task To rate how your tremor level has changed compared to before therapy Step 1 Press the MAIN button to bring up the rating display Step 2 Press UP button or DOWN button...

Страница 13: ...handedness of the band matches your prescription information Step 2 Remove the used band by unsnapping it from the stimulator Step 3 For the new one align the half circle cut outs on the back of the b...

Страница 14: ...to save If you do not want to save the calibration press DOWN and then MAIN to exit Cala Trio therapy is re calibrated and ready to use Step 2 Release the buttons and Cala Trio will automatically res...

Страница 15: ...d the MAIN button for a few seconds to reset the stimulator Use stimulator as instructed If the error persists contact Cala Health at 888 699 1009 or CustomerSuccess CalaTrio com Charge Device Cala Tr...

Страница 16: ...ic Thalamotomy Gamma Knife Radiosurgical Thalamotomy and focused ultrasound for the treatment of tremor 3 Suspected or diagnosed epilepsy or other seizure disorder 4 Pregnant 5 Swollen infected inflam...

Страница 17: ...ssion The subject reported their improvement on the 7 point CGI I scale defined as follows 1 Very much improved 2 Much improved 3 Minimally improved 4 No change 5 Minimally worse 6 Much worse 7 Very m...

Страница 18: ...ham or treatment and to the spiral order e g baseline during or after stimulation The independent blinded raters rated the spirals using the 5 point 0 4 TETRAS scale using a 0 5 point resolution The s...

Страница 19: ...prior form of treatment for ET Subjects enrolled in the study TABLE 3 Baseline characteristics of Effectiveness Analysis Population N 77 Overall N 77 Treatment N 40 Sham N 37 Age of onset in years Mea...

Страница 20: ...56 0 76 0 35 0 102 0001 0 263 Sham 36 0 39 0 60 0 17 0 108 0 0006 1 One of the 77 EAP subjects had missing post stimulation TETRAS Spiral rating data therefore the N for this analysis is 76 TABLE 6 Su...

Страница 21: ...reatment 40 2 29 0 70 0 51 0 70 0 56 0 72 Sham 37 2 16 0 57 0 34 0 44 0 36 0 54 Kinetic Treatment 40 2 29 0 47 0 50 0 51 0 53 0 59 Sham 37 2 27 0 47 0 31 0 38 0 34 0 43 Upper Limb Total Treatment 40 6...

Страница 22: ...After stimulation the responder rate was 27 5 compared to 16 7 in the sham group TABLE 12 TETRAS Spiral responder rate during and after stimulation EAP N 77 During Stimulation After Stimulation Respo...

Страница 23: ...onitored by an independent Safety Reviewer who is a board certified neurologist and movement disorder specialist The Safety Reviewer could make recommendations for protocol modifications or trial disc...

Страница 24: ...ile 27 5 had a 1 0 point improvement directly after 40 minutes of device use These differences are clinically meaningful The duration of the effect was not assessed beyond the assessments five minutes...

Страница 25: ...ype Permanent rechargable battery not serviceable or replaceable Power Source AC 50 60 Hz Rated Voltage 100 240V Max Current 0 5 A Duration Fully charged battery lasts 5 therapy sessions MEASUREMENT A...

Страница 26: ...nal function Therefore its RF emissions are very low and are not likely to cause any interference in nearby electronic equipment RF emissions CISPR 11 Class B Cala Trio is suitable for use in all esta...

Страница 27: ...output power rating of the transmitter in watts W according to the transmitter manufacturer and d is the recommended separation distance in metres m Field strengths from fixed RF transmitters as dete...

Страница 28: ...um output power not listed above the recommended separation distance d in meters m can be estimated using the equation applicable to the frequency of the transmitter where P is the maximum output powe...

Страница 29: ...the Cala TrioTM that such customer purchased the Product shall be free from defects in materials and workmanship under normal use and will perform in accordance with the Product specifications set fo...

Страница 30: ...30 Questions about Cala Trio Visit CalaTrio com HCPFAQs LBL 5122 Rev C NOV 2019...

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