Helius Medical Technologies, Inc. (Nasdaq:HSDT) (“Helius” or the
“Company”), a neurotech company focused on delivering a novel
therapeutic neuromodulation approach for balance and gait deficits,
today announced positive results from the PoNS Therapeutic
Experience Program, or PoNSTEP, study for people with multiple
sclerosis (MS).
“The results from this study validate existing evidence of the
efficacy of PoNS across clinical data and real-world utilization of
the therapy by demonstrating durability of effect as further
evidence of its long-term therapeutic benefits,” stated Antonella
Favit-Van Pelt, M.D., Ph.D., Helius’ Chief Medical Officer. “The
PoNSTEP study marks an important stepstone in further understanding
the role of neuromodulation and, consequently, neuroplasticity in
gait function rehabilitation. PoNS Therapy’s neuromodulation effect
on brain mechanisms of motor control is likely to enhance
neuroplasticity and contribute to maintain PoNS therapeutic effect
on gait deficit in people with MS.”
The recently completed study, provides the first clinical
evidence of a positive relationship between adherence to using the
PoNS device with targeted physical exercise (PoNS Therapy) and
improvement of gait deficit, along with establishing the long-term
therapeutic effect of PoNS Therapy at six months post-treatment in
people with MS. This observation is in line with maintenance of
effect’s evidence from other clinical trials in people with balance
deficits due to traumatic brain injury.
The study involved 43 patients with gait deficit due to
mild-to-moderate MS, who received 14 weeks of physical
rehabilitation with PoNS Therapy. The therapy included 2 weeks in
the clinic (Phase 1) and 12 weeks at home (Phase 2), followed by a
6-month post-treatment observation (Phase 3). Of the 41 patients
who started, 38 completed the study, and 29 were evaluated at 6
months. Patients with a 30% or greater decline in functional
improvement were eligible for an additional 12 weeks of therapy.
The primary outcome measure was the DGI, with changes evaluated
using statistical tests and correlation analyses to assess
adherence and DGI improvements.
PoNSTEP Results
- There were statistically significant
findings in DGI during Phase 1 and Phase 2 among the 38 subjects
who completed the treatment protocol for a total mean improvement
of 5.00 (4.1 to 5.9, p<0.001) at week 14.
- In Phase 2, average therapy
adherence 71% and gait improvement was linearly associated with
adherence (r=0.345; p=0.034), while, in Phase 1 adherence, was
89.5% and, consequently, not associated with improvement.
- In addition to mean 2.5 points
improvement in DGI achieved in Phase 1, Phase 2, participants with
≥85% adherence improved mean 3.7 points [1.8 SD]; those with
<85% adherence improved mean 2.0 points [1.8 SD], and the
difference was statistically significant [p=.0.008].
- 28 of 41 (70.7%) participants who
completed the 14-wk therapy were reassessed at 6-months and only 1
of 28 showed ≥ 30% decline in DGI (95% exact binomial CI: 0.09% to
18.4%).
- Mean decline (%) in DGI was -4.1
(95% CI -9.4% to 1.1%; range -35.7% to 25.0%) with the 95% CI’s
lower bound showing statistically reliable evidence that the true
mean decline was no more than -9.4% (p=0.12).
“We are pleased to report the PoNSTEP study results corroborate
the known evidence of PoNS Therapy’s efficacy in improving gait
deficit due to MS,” stated Dane Andreeff, Helius’ President and
Chief Executive Officer. “Like many therapeutics, treatment
compliance is key to achieving incremental and lasting therapeutic
beneficial effects with PoNS Therapy. This important study provides
convincing evidence of the role of neuroplasticity for a durable
gait function improvement in MS. We thank all the investigators and
patients involved in the study and we look forward to sharing the
data to increase awareness on PoNS Therapy at upcoming scientific
conferences.”
About PoNS Therapeutic Experience Program
(PoNSTEP)
The Therapeutic Experience Program (“TEP”) is a
Helius-sponsored, open label observational, interventional
multi-center outcome research study designed to assess adherence to
on-label PoNS therapy for improvement in gait deficits for patients
with multiple sclerosis (“MS”) in a real-world clinical setting.
The study aims to understand better the relationship between
adherence to on label (100-120 minute per day) PoNS Therapy, which
combines the PoNS device with physical therapy, and the therapeutic
outcome on gait deficit improvement over 14 weeks of study
treatment, as measured by changes in the Dynamic Gait Index (DGI)
scores. PoNS therapy is applied in a supervised clinical setting
for the first two weeks (Phase 1) and, independently, at home for
the remaining 12 weeks (Phase 2). The study also includes a six
month no-treatment follow-up phase aimed at establishing durability
of therapeutic effect (Phase 3).
The primary endpoint of the study is maintenance of gait
improvement from the end of supervised therapy (Phase 1) to the end
of unsupervised therapy (Phase 2) in relation to the subject’s
adherence to PoNS therapy. The secondary endpoints are, among
others, maintenance of improvement of gait and balance deficit over
6-m timeframe and clinical global impression of change.
The study was performed at six Centers of Excellence across the
United States, including Neurology Center of New England in Foxboro
(MA), the Shepherd Center in Atlanta (GE), Montefiore Medical
Center (“Montefiore”) in NY (NY), Oregon Health & Science
University (“OHSU”) in Portland (OR), MGH Institute of Health
Professions in Boston (MA), NYU Langone Health in NY (NY), and
recruited 43 MS participants with gait deficit.
About the PoNS Device and PoNS Therapy
The Portable Neuromodulation Stimulator (“PoNS”) is an
innovative, non-implantable, orally applied therapy that delivers
neurostimulation through a mouthpiece connected to a controller and
it’s used, primarily at home, with physical rehabilitation
exercise, to improve balance and gait. The PoNS device, which
delivers mild electrical impulses to the tongue, is indicated for
use in the United States as a short-term treatment of gait deficit
due to mild-to-moderate symptoms from multiple sclerosis (“MS”) and
is to be used as an adjunct to a supervised therapeutic exercise
program in patients 22 years of age and over by prescription
only.
PoNS has shown effectiveness in treating gait or balance and a
significant reduction in the risk of falling in stroke patients in
Canada, where it received authorization for sale in three
indications: (i) for use as a short-term treatment (14 weeks) of
gait deficit due to mild and moderate symptoms from stroke and is
to be used in conjunction with physical therapy; (ii) for use as a
short-term treatment (14 weeks) of chronic balance deficit due to
mild-to-moderate traumatic brain injury (“mmTBI”) and is to be used
in conjunction with physical therapy; and (iii) for use as a
short-term treatment (14 weeks) of gait deficit due to mild and
moderate symptoms from MS and is to be used in conjunction with
physical therapy. PoNS is also authorized for sale in Australia for
short term use by healthcare professionals as an adjunct to a
therapeutic exercise program to improve balance and gait. For more
information visit www.ponstherapy.com.
About Helius Medical Technologies,
Inc.
Helius Medical Technologies is a leading neurotech company in
the medical device field focused on neurologic deficits using
orally applied technology platform that amplifies the brain’s
ability to engage physiologic compensatory mechanisms and promote
neuroplasticity, improving the lives of people dealing with
neurologic diseases. The Company’s first commercial product is the
Portable Neuromodulation Stimulator. For more information about the
PoNS® or Helius Medical Technologies,
visit www.heliusmedical.com.
Cautionary Disclaimer Statement
Certain statements in this news release are not based on
historical facts and constitute forward-looking statements or
forward-looking information within the meaning of the U.S. Private
Securities Litigation Reform Act of 1995 and Canadian securities
laws. All statements other than statements of historical fact
included in this news release are forward-looking statements that
involve risks and uncertainties. Forward-looking statements are
often identified by terms such as “believe,” “expect,” “continue,”
“will,” “goal,” “aim” and similar expressions. Such forward-looking
statements include, among others, statements regarding future
presentation and uses of the PoNSTEP study results and the uses and
effectiveness of PoNS and PoNS Therapy.
There can be no assurance that such statements will prove to be
accurate and actual results and future events could differ
materially from those expressed or implied by such statements.
Important factors that could cause actual results to differ
materially from the Company’s expectations include uncertainties
associated with the Company’s capital requirements to achieve its
business objectives, availability of funds, the Company’s ability
to find additional sources of funding, manufacturing, labor
shortage and supply chain risks, including risks related to
manufacturing delays, the Company’s ability to obtain national
Medicare insurance coverage and to obtain a reimbursement code, the
Company’s ability to continue to build internal commercial
infrastructure, secure state distribution licenses, market
awareness of the PoNS device, future clinical trials and the
clinical development process, the product development process and
the FDA regulatory submission review and approval process, other
development activities, ongoing government regulation, and other
risks detailed from time to time in the “Risk Factors” section of
the Company’s Annual Report on Form 10-K for the year ended
December 31, 2023, and its other filings with the United States
Securities and Exchange Commission and the Canadian securities
regulators, which can be obtained from either at www.sec.gov or
www.sedar.com.
The reader is cautioned not to place undue reliance on any
forward-looking statement. The forward-looking statements contained
in this news release are made as of the date of this news release
and the Company assumes no obligation to update any forward-looking
statement or to update the reasons why actual results could differ
from such statements except to the extent required by law.
Investor Relations Contact
Philip Trip TaylorGilmartin
Groupinvestorrelations@heliusmedical.com
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