Last reviewed · How we verify

NCT03995069: NEAD

Novel Training Environment to Normalize Altered Finger Force Direction Post Stroke

Completed NA Results posted Last updated 11 July 2025
What this trial tests

NA trial testing 3D in Stroke in 51 participants. Completed in 26 January 2024.

Timeline
28 October 2020
Primary endpoint
26 January 2024
26 January 2024

Quick facts

Lead sponsorVA Office of Research and Development
PhaseNA
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingdouble
Primary purposetreatment
Enrollment51
Start date28 October 2020
Primary completion26 January 2024
Estimated completion26 January 2024
Sites1 location across United States

Drugs / interventions tested

Conditions studied

Sponsor

VA Office of Research and Development — full company profile →

Who can join

18 and older, any sex, with Stroke. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Action Research Arm Test (ARAT) Primary · baseline to within 1 week post intervention

change in a clinical assessment, ARAT, that is in a scale 0-57 with a higher score representing better upper extremity function

GroupValue95% CI
Visual Feedback of 3D Digit Force3.5± 0.65
Visual Feedback of 1D Digit Force0.8± 0.66
Box and Block Test Secondary · baseline to within 1 week post intervention

a clinical assessment measuring the number of blocks that a person can move in a minute, with a higher score representing better upper extremity function

GroupValue95% CI
Visual Feedback of 3D Digit Force3.03± 0.97
Visual Feedback of 1D Digit Force0.92± 0.95
Stroke Impact Scale Hand Subscale Secondary · baseline to within 1 week post intervention

Perceived difficulty in using the affected hand for activities of daily living. Scale 0-100. A higher score represents better function (less difficulty).

GroupValue95% CI
Visual Feedback of 3D Digit Force12± 2
Visual Feedback of 1D Digit Force6± 2
Action Research Arm Test Secondary · baseline to 1 month post intervention

change in a clinical assessment of Action Research Arm Test that is in a scale 0-57 with a higher score representing better upper extremity function

GroupValue95% CI
Visual Feedback of 3D Digit Force3.9± 0.7
Visual Feedback of 1D Digit Force0.7± 0.7
Box and Block Test Secondary · baseline to 1 month post intervention

a clinical assessment for upper extremity function.

GroupValue95% CI
Visual Feedback of 3D Digit Force2.5± 1
Visual Feedback of 1D Digit Force0.5± 1
Stroke Impact Scale Hand Subscale Secondary · baseline to 1 month post intervention

Perceived difficulty in using the affected hand for activities of daily living. Scale 0-100. A higher score represents better function (less difficulty).

GroupValue95% CI
Visual Feedback of 3D Digit Force15± 2
Visual Feedback of 1D Digit Force8± 2

Adverse events — posted to ClinicalTrials.gov

Time frame: During the study participation (approximately 10 weeks). Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Visual Feedback of 3D Digit Force
Serious: 2/22 (9%)
Deaths: 0/22
Visual Feedback of 1D Digit Force
Serious: 3/23 (13%)
Deaths: 0/23

Serious adverse events (4 terms)

ReactionSystemVisual Feedback of 3D Digi…Visual Feedback of 1D Digi…
transient amnesia, blackoutGeneral disorders
drug abuseGeneral disorders
tremor with new seizure medicationNervous system disorders
car accidentGeneral disorders
Other adverse events (1 terms — click to expand)

ReactionSystemVisual Feedback of 3D Digi…Visual Feedback of 1D Digi…
other adverse eventsGeneral disorders

Most-reported serious reactions: transient amnesia, blackout, drug abuse, tremor with new seizure medication, car accident.

Data from ClinicalTrials.gov NCT03995069 adverse events section.

Sponsor's own description

Despite the functional importance, fingertip forces are rarely explicitly addressed with feedback in therapy. This gap in treatment is due to a lack of tools to provide explicit feedback on patients' volitional finger force generation. To address this unmet need, the investigators developed a novel tool for practice of volitional three-dimensional (3D) force generation with explicit feedback. The objective of this project is to determine if 3D finger force training is an effective tool in restoring hand function post stroke.

Publications & conference data

2 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Effect of novel training to normalize altered finger force direction post-stroke: study protocol for a double-blind randomized controlled trial.
    Seo NJ, Kamper DG, Ramakrishnan V, Harvey JB, et al · · 2022 · cited 3× · PMID 35413931 · DOI 10.1186/s13063-022-06224-w
  2. Biofeedback Training for 3-Dimensional Finger Force Control to Improve Upper Limb Function Poststroke: An RCT.
    Seo NJ, Schranz C, Coupland K, Blaschke J, et al · · 2025 · PMID 40401398 · DOI 10.1161/strokeaha.125.050965

Verify or expand the search:

Other recruiting trials for Stroke

Currently open trials in the same condition.

Other VA Office of Research and Development trials

Trials by the same sponsor.

Verify against primary sources

Data sources for this page

Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT03995069.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing