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U.S. Department of Health and Human Services

Post-Approval Studies (PAS) Database

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The FDA has the authority to require sponsors to perform a post-approval study (or studies) at the time of approval of a premarket approval (PMA), humanitarian device exemption (HDE), or product development protocol (PDP) application. Post-approval studies can provide patients, health care professionals, the device industry, the FDA and other stakeholders information on the continued safety and effectiveness (or continued probable benefit, in the case of an HDE) of approved medical devices. This database allows you to search Post-Approval Study information by applicant or device information.

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Safety and Performance PAS


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General
Study Status Ongoing
Application Number /
Requirement Number
P240039 / PAS001
Date Original Protocol Accepted 09/26/2025
Date Current Protocol Accepted 01/16/2026
Study Name Safety and Performance PAS
Device Name SetPoint System
Clinical Trial Number(s) NCT04539964 
General Study Protocol Parameters
Study Design Comprehensive/Linked/RegistryBased Surveillance
Data Source Sponsor Registry
Comparison Group No Control
Analysis Type Descriptive
Study Population Adult: At least 22 yrs
Detailed Study Protocol Parameters
Study Objectives Design: Prospective, multicenter, observational post-market registry study with no investigational interventions. Objectives: (1) Assess adherence to surgical training requirements; (2) Monitor device performance including complaints and deficiencies/malfunctions; (3) Evaluate clinical outcomes as observed in routine practice; (4) Monitor safety outcomes including device-related adverse events as required by FDA Conditions of Approval.
Study Population Adult patients with moderately to severely active rheumatoid arthritis who are indicated for the SetPoint System and have attempted implant procedures. Inclusion: (1) Indicated for SetPoint System; (2) Implant procedure attempted; (3) Willing to sign informed consent. Exclusion: (1) Contraindicated for SetPoint System; (2) Enrolled in concurrent drug/device studies; (3) Life expectancy <3 years.
Sample Size Number of subjects: Approximately 150 participants
Assumptions for sample size estimation: 90% power to detect adverse events occurring at =1.5% population rate; 98% power to demonstrate device failure rate <14% (assuming true rate of 5%); based on RESET-RA experience of 34/242 subjects with Charger deficiencies.
Number of sites: Multiple rheumatology sites (unspecified)
Sites location: United States
Key Study Endpoints Safety Endpoints - Primary: Related adverse events attributed to implantation/explantation procedures, SetPoint System components, or stimulation therapy
Safety Endpoints - Secondary: Device complaints and deficiencies; serious adverse events; device replacements due to cauterization or deficiencies.
Effectiveness Endpoints - Primary: None specified (observational study)
Effectiveness Endpoints - Secondary: Clinical Disease Activity Index (CDAI) assessments; device performance metrics (battery status, impedance, dose compliance).
Follow-up Visits and Length of Follow-up Schedule: Screening, implant procedure, post-operative clearance, activation (14-21 days post-surgery), then every 6 months for 3 years (visits at 6, 12, 18, 24, 30, and 36 months post-activation). Length: Maximum 3 years post-implant. Additional visits: Explant and post-explant clearance visits as needed; unscheduled visits for adverse events or device deficiencies.


Safety and Performance PAS Reporting Schedule

Reporting Schedule
Report
Date Due
FDA Receipt
Date
Applicant's Reporting Status
6 month report 01/28/2026 01/30/2026 Overdue/Received
1 year report 07/30/2026    
18 month report 01/28/2027    
2 year report 07/30/2027    
3 year report 07/29/2028    


Contact Us

Mandated Studies Program
Food and Drug Administration
10903 New Hampshire Ave.
Silver Spring, MD 20993-0002
Email: MandatedStudiesPrograms@fda.hhs.gov

Additional Resources

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