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The Effectiveness of Pain Management Using the ARCHIMEDES® Constant-Flow Infusion Pump System for Intrathecal Delivery

Primary Purpose

Chronic Pain

Status
Completed
Phase
Phase 4
Locations
International
Study Type
Interventional
Intervention
Archimedes Constant Flow Implantable Pump
Sponsored by
Codman & Shurtleff
About
Eligibility
Locations
Outcomes
Full info

About this trial

This is an interventional treatment trial for Chronic Pain focused on measuring Intrathecal pain management, constant flow pump

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria: The Subject has been suffering from chronic (benign and/or malignant) intractable pain for at least 2 or more months duration (pending national laws) with a pre-implant value equal or more than 7 on the Visual Analog Pain Scale. The subject does not tolerate oral pain medication at the required therapeutic dose to treat his/her pain. The Subject has a minimum reasonable life expectancy of at least 6 months. The Subject has given written Informed Consent prior to enrollment into this study. The body size of the Subject is sufficient to accept the pump bulk and weight, per the Principal Investigator's discretion. The Subject is willing to participate in this registry for 1 year post implant and is willing to comply with the investigational plan requirements. It is the Principal Investigator's judgment, based on the knowledge of the Subject, and Subject's condition, as well as the features of the implantable system that the Subject is an appropriate candidate for pain management utilizing an implantable pump for continuously delivering preservative-free morphine sulfate via an intrathecal route. Exclusion Criteria: The Subject has a skin condition (i.e., scleroderma, psoriasis, rash, or open wound) at the site chosen for implantation that would compromise the integrity or access to the injection port. The Subject has previously enrolled in or participated in an investigational drug or device trial within the preceding 4 weeks. The Subject has any known contraindication to preservative-free morphine sulfate. The Subject has a suspected or documented allergy to preservative-free morphine sulfate or related drugs. The Subject has a suspected or documented allergy to the materials of the infusion pump or catheter(s) (for example, silicone). The Subject has a history of drug and/or alcohol abuse per Principal Investigator discretion. The Subject is a female who is pregnant or lactating.

Sites / Locations

Outcomes

Primary Outcome Measures

Pain management measured by the visual analog pain scale
Pain management measured by quality of life score (SF-36)

Secondary Outcome Measures

Device-related adverse events over the duration of the study

Full Information

First Posted
September 13, 2005
Last Updated
April 30, 2012
Sponsor
Codman & Shurtleff
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1. Study Identification

Unique Protocol Identification Number
NCT00196053
Brief Title
The Effectiveness of Pain Management Using the ARCHIMEDES® Constant-Flow Infusion Pump System for Intrathecal Delivery
Official Title
Observational Registry: The Effectiveness of Pain Management Using the ARCHIMEDES® Implantable Constant-Flow Infusion Pump System for Intrathecal Delivery
Study Type
Interventional

2. Study Status

Record Verification Date
April 2012
Overall Recruitment Status
Completed
Study Start Date
March 2005 (undefined)
Primary Completion Date
August 2007 (Actual)
Study Completion Date
August 2007 (Actual)

3. Sponsor/Collaborators

Name of the Sponsor
Codman & Shurtleff

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The purpose of this observational registry is to collect a continuum of meaningful clinical data on the ARCHIMEDES implantable pump in pain management
Detailed Description
Pain management has been a long-standing challenge to the medical community, specifically for the treatment of chronic pain. Chronic Pain is defined by the American Chronic Pain Association as "pain that continues a month or more beyond the usual recovery period for an illness or injury or pain that goes on over months or years as a result of a chronic condition." Chronic pain affects the patient's quality of life, work performance and attendance, mental health, social interactions and overall activities of daily living. Implantable pumps were used for cancer and non-cancer patients, who had pain, which was resistant to conventional therapy. Intrathecal morphine administration is now accepted as a safe and effective method of controlling or reducing pain and its impact on the sufferer. The Codman ARCHIMEDES Implantable Constant-Flow Infusion Pump is CE marked, and has been commercially available in Europe for intrathecal delivery of morphine and baclofen since August 1997. ARCHIMEDES is intended for the treatment of chronic intractable (cancer or non-cancer) pain, which requires chronic intrathecal infusion of preservative-free morphine sulfate. This is a European, multicenter, prospective, single arm, observational registry conducted on a total of 150 Subjects at up to 10 centers in Europe. Subjects will be followed at 3, 6, 9, and 12 months post Archimedes implant to assess their pain management and quality of life.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Chronic Pain
Keywords
Intrathecal pain management, constant flow pump

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 4
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
55 (Actual)

8. Arms, Groups, and Interventions

Intervention Type
Device
Intervention Name(s)
Archimedes Constant Flow Implantable Pump
Primary Outcome Measure Information:
Title
Pain management measured by the visual analog pain scale
Time Frame
Quarterly for 1 year post-implant
Title
Pain management measured by quality of life score (SF-36)
Time Frame
Quarterly for 1 year post-implant
Secondary Outcome Measure Information:
Title
Device-related adverse events over the duration of the study
Time Frame
End of trial

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: The Subject has been suffering from chronic (benign and/or malignant) intractable pain for at least 2 or more months duration (pending national laws) with a pre-implant value equal or more than 7 on the Visual Analog Pain Scale. The subject does not tolerate oral pain medication at the required therapeutic dose to treat his/her pain. The Subject has a minimum reasonable life expectancy of at least 6 months. The Subject has given written Informed Consent prior to enrollment into this study. The body size of the Subject is sufficient to accept the pump bulk and weight, per the Principal Investigator's discretion. The Subject is willing to participate in this registry for 1 year post implant and is willing to comply with the investigational plan requirements. It is the Principal Investigator's judgment, based on the knowledge of the Subject, and Subject's condition, as well as the features of the implantable system that the Subject is an appropriate candidate for pain management utilizing an implantable pump for continuously delivering preservative-free morphine sulfate via an intrathecal route. Exclusion Criteria: The Subject has a skin condition (i.e., scleroderma, psoriasis, rash, or open wound) at the site chosen for implantation that would compromise the integrity or access to the injection port. The Subject has previously enrolled in or participated in an investigational drug or device trial within the preceding 4 weeks. The Subject has any known contraindication to preservative-free morphine sulfate. The Subject has a suspected or documented allergy to preservative-free morphine sulfate or related drugs. The Subject has a suspected or documented allergy to the materials of the infusion pump or catheter(s) (for example, silicone). The Subject has a history of drug and/or alcohol abuse per Principal Investigator discretion. The Subject is a female who is pregnant or lactating.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Michael Ward, DVM
Organizational Affiliation
Unaffilliated
Official's Role
Study Director
Facility Information:
City
Laon
ZIP/Postal Code
02000
Country
France
City
Bamberg
ZIP/Postal Code
81677
Country
Germany
City
Freiburg
ZIP/Postal Code
79106
Country
Germany
City
Konstanz
ZIP/Postal Code
78461
Country
Germany
City
Meppen
ZIP/Postal Code
49704
Country
Germany
City
Tutzing
ZIP/Postal Code
82327
Country
Germany
City
Middlesbrough
ZIP/Postal Code
TS4 3BW
Country
United Kingdom
City
Plymoth
ZIP/Postal Code
PL6 8DH
Country
United Kingdom

12. IPD Sharing Statement

Learn more about this trial

The Effectiveness of Pain Management Using the ARCHIMEDES® Constant-Flow Infusion Pump System for Intrathecal Delivery

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