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Effects of Programming Parameters on Back Pain Relief in Subthreshold Spinal Cord Stimulation

Primary Purpose

Low Back Pain

Status
Terminated
Phase
Not Applicable
Locations
Australia
Study Type
Interventional
Intervention
Boston Scientific Precision Plus spinal cord stimulation therapy
Sponsored by
Boston Scientific Corporation
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Low Back Pain

Eligibility Criteria

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

Inclusion Criteria:

  • Chronic intractable pain of the trunk and/or limbs
  • Documented history of trunk and/or limb pain of at least 180 days
  • Average back pain intensity of 5 or greater on a 0-10 numerical rating scale during the 7-day period prior to the Screening Visit
  • Pass study site's routine psychological/psychiatric evaluation within 180 days of the Trial Lead Insertion Visit
  • If taking any medications for chronic pain, must be on a stable prescription during the 14-day period prior to the Trial Lead Insertion Visit and agree to continue on the same prescription throughout study participation
  • Subject is willing and able to comply with all protocol-required procedures and assessments/evaluations
  • Subject is able to independently read and complete all questionnaires and/or assessments provided in English
  • 18 years of age or older when written informed consent is obtained
  • Subject signs a valid, Ethics Committee-approved informed consent form (ICF) provided in English

Exclusion Criteria:

  • Unable to operate the PrecisionPlus™ system
  • Primary source of pain is cancer-related, pelvic, visceral, angina, or migraine
  • Is a high surgical risk
  • Is diabetic
  • Is immunocompromised
  • Currently on any anticoagulant medications that cannot be discontinued during perioperative period
  • Untreated major depression or untreated generalized anxiety disorder
  • Diagnosed with somatoform disorder, severe personality disorder, borderline personality disorder
  • Diagnosed with any major psychiatric disorder not specifically listed in previous two exclusion criterion
  • Currently diagnosed with cognitive impairment that would limit subject's ability to discern differences in pain severity, complete a pain diary, perform wound care
  • Current abuse of alcohol or illicit drugs
  • Subject requires Magnetic Resonance Imaging (MRI) while implanted with lead(s).
  • Subject is participating (or intends to participate) in another investigational drug or device clinical trial that may influence the data that will be collected for this study
  • Subject has previously undergone a spinal cord stimulation trial or is already implanted with an active implantable device(s) to treat their pain (IPGs, implantable drug pump, etc) or pacemaker or implantable cardiac defibrillator
  • Patient is a woman who is not using adequate contraception, is pregnant or breastfeeding or intends to become pregnant during the course of the study (a urine pregnancy test must be performed within 28 days prior to the Trial Lead Insertion Visit in women of child-bearing potential and the test result document)

Sites / Locations

  • Hunter Pain Clinic

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Placebo Comparator

Active Comparator

Experimental

Arm Label

Sham Stimulation

Treatment 1

Treatment 2

Arm Description

Sham subthreshold spinal cord stimulation therapy

subthreshold spinal cord stimulation therapy

subthreshold spinal cord stimulation therapy

Outcomes

Primary Outcome Measures

Pain Relief
Mean within-patient difference in average back pain intensity among treatment groups

Secondary Outcome Measures

Pain Relief Responder Rate
Difference in the proportion of subjects with ≥50% reduction in average back pain intensity among treatment groups
Leg Pain Reduction
Mean within-patient difference in average leg pain intensity among treatment groups
Disability
Mean within-patient difference in disability among treatment groups
Percent Pain Relief
Mean within-patient difference in overall percent pain relief among treatment groups
Quality of Life, as Measured by EQ-5D-5L
Mean within-patient difference in quality of life among treatment groups

Full Information

First Posted
February 15, 2012
Last Updated
March 31, 2021
Sponsor
Boston Scientific Corporation
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1. Study Identification

Unique Protocol Identification Number
NCT01550562
Brief Title
Effects of Programming Parameters on Back Pain Relief in Subthreshold Spinal Cord Stimulation
Official Title
Precision™ High-Rate Sub-perception Spinal Cord Stimulation for the Treatment of Chronic Intractable Pain
Study Type
Interventional

2. Study Status

Record Verification Date
March 2021
Overall Recruitment Status
Terminated
Why Stopped
In >9 months only 1 patient enrolled. Study stopped because design was too cumbersome and subjects not willing to participate
Study Start Date
February 2012 (Actual)
Primary Completion Date
April 2013 (Actual)
Study Completion Date
April 2013 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Boston Scientific Corporation

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The purpose of this study is to investigate the effects of varying programming parameters in subthreshold spinal cord stimulation therapy for pain relief.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Low Back Pain

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Crossover Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
1 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Sham Stimulation
Arm Type
Placebo Comparator
Arm Description
Sham subthreshold spinal cord stimulation therapy
Arm Title
Treatment 1
Arm Type
Active Comparator
Arm Description
subthreshold spinal cord stimulation therapy
Arm Title
Treatment 2
Arm Type
Experimental
Arm Description
subthreshold spinal cord stimulation therapy
Intervention Type
Device
Intervention Name(s)
Boston Scientific Precision Plus spinal cord stimulation therapy
Intervention Description
Epidural spinal cord stimulation (SCS) using the Boston Scientific Precision Plus SCS system
Primary Outcome Measure Information:
Title
Pain Relief
Description
Mean within-patient difference in average back pain intensity among treatment groups
Time Frame
4,8,and 12 days post temporary lead(s) implantation
Secondary Outcome Measure Information:
Title
Pain Relief Responder Rate
Description
Difference in the proportion of subjects with ≥50% reduction in average back pain intensity among treatment groups
Time Frame
4,8,and 12 days post temporary lead(s) implantation
Title
Leg Pain Reduction
Description
Mean within-patient difference in average leg pain intensity among treatment groups
Time Frame
4,8,and 12 days post temporary lead(s) implantation
Title
Disability
Description
Mean within-patient difference in disability among treatment groups
Time Frame
4,8,and 12 days post temporary lead(s) implantation
Title
Percent Pain Relief
Description
Mean within-patient difference in overall percent pain relief among treatment groups
Time Frame
4,8,and 12 days post temporary lead(s) implantation
Title
Quality of Life, as Measured by EQ-5D-5L
Description
Mean within-patient difference in quality of life among treatment groups
Time Frame
4,8,and 12 days post temporary lead(s) implantation

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Chronic intractable pain of the trunk and/or limbs Documented history of trunk and/or limb pain of at least 180 days Average back pain intensity of 5 or greater on a 0-10 numerical rating scale during the 7-day period prior to the Screening Visit Pass study site's routine psychological/psychiatric evaluation within 180 days of the Trial Lead Insertion Visit If taking any medications for chronic pain, must be on a stable prescription during the 14-day period prior to the Trial Lead Insertion Visit and agree to continue on the same prescription throughout study participation Subject is willing and able to comply with all protocol-required procedures and assessments/evaluations Subject is able to independently read and complete all questionnaires and/or assessments provided in English 18 years of age or older when written informed consent is obtained Subject signs a valid, Ethics Committee-approved informed consent form (ICF) provided in English Exclusion Criteria: Unable to operate the PrecisionPlus™ system Primary source of pain is cancer-related, pelvic, visceral, angina, or migraine Is a high surgical risk Is diabetic Is immunocompromised Currently on any anticoagulant medications that cannot be discontinued during perioperative period Untreated major depression or untreated generalized anxiety disorder Diagnosed with somatoform disorder, severe personality disorder, borderline personality disorder Diagnosed with any major psychiatric disorder not specifically listed in previous two exclusion criterion Currently diagnosed with cognitive impairment that would limit subject's ability to discern differences in pain severity, complete a pain diary, perform wound care Current abuse of alcohol or illicit drugs Subject requires Magnetic Resonance Imaging (MRI) while implanted with lead(s). Subject is participating (or intends to participate) in another investigational drug or device clinical trial that may influence the data that will be collected for this study Subject has previously undergone a spinal cord stimulation trial or is already implanted with an active implantable device(s) to treat their pain (IPGs, implantable drug pump, etc) or pacemaker or implantable cardiac defibrillator Patient is a woman who is not using adequate contraception, is pregnant or breastfeeding or intends to become pregnant during the course of the study (a urine pregnancy test must be performed within 28 days prior to the Trial Lead Insertion Visit in women of child-bearing potential and the test result document)
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Kay Adair
Organizational Affiliation
Boston Scientific Corporation
Official's Role
Study Director
Facility Information:
Facility Name
Hunter Pain Clinic
City
Newcastle
State/Province
New South Wales
ZIP/Postal Code
2292
Country
Australia

12. IPD Sharing Statement

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Effects of Programming Parameters on Back Pain Relief in Subthreshold Spinal Cord Stimulation

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