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External Sensing and Neuromodulation to Assess Diabetic Pain Outcomes (XANADO) (XANADO)

Primary Purpose

Chronic Pain

Status
Not yet recruiting
Phase
Not Applicable
Locations
United States
Study Type
Interventional
Intervention
Standard of care neuromodulation therapy (SCS or DRG)
Sponsored by
Abbott Medical Devices
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Chronic Pain focused on measuring ABT-CIP-10458, Chronic Pain, Neuromodulation System, SCS, Diabetic Pain, DRG

Eligibility Criteria

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

Inclusion Criteria:

  1. Subject must provide written informed consent prior to any clinical investigation-related procedure.
  2. Subject is at least 18 years of age or older at the time of enrollment.
  3. Subject is scheduled to undergo trial of an Abbott neuromodulation system for chronic intractable pain at least 7 days after enrollment and commencement of the baseline data collection period.
  4. Subject's scheduled trial duration for the Abbott neuromodulation system is at least 7 days.
  5. Subject has a baseline (with no stimulation) pain NRS of ≥ 6.
  6. Subject is willing to cooperate with the study requirements including completion of all office visits.
  7. Subject agrees to wear the wearable sensing devices (Apple watch®, and Oura™ Ring or Fitbit®).
  8. Subject agrees to answer questionnaires regularly for the duration of the study.

Exclusion Criteria:

  1. Subject is enrolled, or intends to participate, in a competing or confounding clinical study, as determined by Abbott.
  2. Pregnant or nursing subjects and those who plan pregnancy during the clinical investigation follow-up period.
  3. Subject is part of a vulnerable population.
  4. Presence of other anatomic or comorbid conditions, or other medical, social, or psychological conditions that, in the investigator's opinion, could limit the subject's ability to participate in the clinical investigation or to comply with follow-up requirements of the clinical investigation results.
  5. Subject has a current diagnosis of a coagulation disorder, bleeding diathesis, progressive peripheral vascular disease, post-herpetic neuralgia or uncontrolled diabetes mellitus.
  6. Subject has, or is scheduled to receive, implantation of another neuromodulation system (e.g. DRG or SCS system or intrathecal pump) to address their chronic pain.
  7. Subject engages in a profession or other activity that could be damaging to the wearable sensors, as determined by the investigator.
  8. Subject has a physical condition that makes it difficult to wear the wearable sensors, as determined by the investigator.
  9. Subject has tremors (e.g. Parkinson's disease or Familial tremors).
  10. Subject has sleep/wake schedule that would present a challenge in completing all clinical site visits or in use of the wearable devices and engagement in the surveys via the mobile device.
  11. Subject is bedridden.

Protocol-Specific Screening Exclusion Criteria

  1. Subjects reports a history of allergy to any component in Ensure Surgery product or Juven Nutrition powder will be excluded from the N2 arm of the study.
  2. Subject reports gastrointestinal disorder (severe chronic diarrhea, nausea, vomiting) that in the opinion of the principal investigator or physician would preclude ingestion of the study product; an obstruction of the gastrointestinal tract, inflammatory bowel disease; short bowel syndrome or other major gastrointestinal disease.

Sites / Locations

  • Rush University Medical Center

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Subjects using Neuromodulation Therapy (SCS or DRG)

Arm Description

Patients will trial standard of care neuromodulation therapy (SCS or DRG), and if successful will proceed to a permanent implant.

Outcomes

Primary Outcome Measures

The mean change in pain scores measured by the Numerical Rating Scale (NRS) at baseline and follow up at 3 months
Change in physical activity levels, pain interference and decreased sleep quality with reported pain, performance of tasks, association of facial recognition analysis with reported pain, need for reprogramming or other therapeutic interventions or termination of neuromodulation.
The mean change in pain scores measured by the Numerical Rating Scale (NRS) at baseline and follow up at 6 months
Change in physical activity levels, pain interference and decreased sleep quality with reported pain, performance of tasks, association of facial recognition analysis with reported pain, need for reprogramming or other therapeutic interventions or termination of neuromodulation.

Secondary Outcome Measures

Full Information

First Posted
September 9, 2022
Last Updated
March 23, 2023
Sponsor
Abbott Medical Devices
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1. Study Identification

Unique Protocol Identification Number
NCT05537662
Brief Title
External Sensing and Neuromodulation to Assess Diabetic Pain Outcomes (XANADO)
Acronym
XANADO
Official Title
External Sensing and Neuromodulation to Assess Diabetic Pain Outcomes
Study Type
Interventional

2. Study Status

Record Verification Date
March 2023
Overall Recruitment Status
Not yet recruiting
Study Start Date
March 2023 (Anticipated)
Primary Completion Date
January 2025 (Anticipated)
Study Completion Date
April 2025 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Abbott Medical Devices

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
Yes
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
This is a prospective, longitudinal, single-center, non-randomized, open-label, post-market clinical feasibility study to assess the efficacy of neuromodulation therapies (SCS and DRG) for chronic pain patients with diabetes and investigate whether physical and physiological data collected from diabetic and pre-diabetic chronic pain patients is predictive of subjective patient-reported outcomes (PROs) and of adjustments in patient care. These assessments will be made prior to, during, and after the trial of the SCS or DRG system. The study will be carried out in the United States at a single site.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Chronic Pain
Keywords
ABT-CIP-10458, Chronic Pain, Neuromodulation System, SCS, Diabetic Pain, DRG

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
30 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Subjects using Neuromodulation Therapy (SCS or DRG)
Arm Type
Experimental
Arm Description
Patients will trial standard of care neuromodulation therapy (SCS or DRG), and if successful will proceed to a permanent implant.
Intervention Type
Device
Intervention Name(s)
Standard of care neuromodulation therapy (SCS or DRG)
Intervention Description
Standard SCS or DRG therapy
Primary Outcome Measure Information:
Title
The mean change in pain scores measured by the Numerical Rating Scale (NRS) at baseline and follow up at 3 months
Description
Change in physical activity levels, pain interference and decreased sleep quality with reported pain, performance of tasks, association of facial recognition analysis with reported pain, need for reprogramming or other therapeutic interventions or termination of neuromodulation.
Time Frame
At 3 month
Title
The mean change in pain scores measured by the Numerical Rating Scale (NRS) at baseline and follow up at 6 months
Description
Change in physical activity levels, pain interference and decreased sleep quality with reported pain, performance of tasks, association of facial recognition analysis with reported pain, need for reprogramming or other therapeutic interventions or termination of neuromodulation.
Time Frame
At 6 month

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Subject must provide written informed consent prior to any clinical investigation-related procedure. Subject is at least 18 years of age or older at the time of enrollment. Subject's scheduled trial duration for the Abbott neuromodulation system is at least 7 days. Subject is scheduled to undergo trial of an Abbott neuromodulation system for chronic intractable back and/or leg pain at least 7 days after enrollment and commencement of the baseline data collection period. Subject agrees to take an A1C screening test prior to study enrollment and has a confirmed HbA1C level ≥ 5.7%. Subject has a baseline (with no stimulation) pain NRS of ≥ 6. Subject is willing to cooperate with the study requirements including completion of all office visits. Subject agrees to wear the wearable sensing devices (Fitbit® and Freestyle Libre). Subject agrees to answer questionnaires regularly for the duration of the study. Exclusion Criteria: Subject is enrolled, or intends to participate, in a competing or confounding clinical study, as determined by Abbott. Pregnant or nursing subjects and those who plan pregnancy during the clinical investigation follow-up period. Subject is part of a vulnerable population. Presence of other anatomic or comorbid conditions, or other medical, social, or psychological conditions that, in the investigator's opinion, could limit the subject's ability to participate in the clinical investigation or to comply with follow-up requirements of the clinical investigation results. Subject has a current diagnosis of a coagulation disorder, bleeding diathesis, progressive peripheral vascular disease, post-herpetic neuralgia. Subject has, or is scheduled to receive, implantation of another neuromodulation system (e.g. DRG or SCS system or intrathecal pump) to address their chronic pain. Subject has already participated in a SCS trial period before enrolling in the study. Subject engages in a profession or other activity that could be damaging to the wearable sensors, as determined by the investigator. Subject has a physical condition that makes it difficult to wear the wearable sensors, as determined by the investigator. Subject has tremors (e.g. Parkinson's disease or Familial tremors). Subject has sleep/wake schedule that would present a challenge in completing all clinical site visits or in use of the wearable devices and engagement in the surveys via the mobile device. Subject is bedridden.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Ameya Nanivadekar
Phone
(972) 309-2103
Email
Ameya.nanivadekar@abbott.com
Facility Information:
Facility Name
Rush University Medical Center
City
Chicago
State/Province
Illinois
ZIP/Postal Code
60612
Country
United States
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Daniel Torrez, BS
Phone
312-942-2741
Email
daniel_torrez@rush.edu
First Name & Middle Initial & Last Name & Degree
Tolga Suvar, MD

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

External Sensing and Neuromodulation to Assess Diabetic Pain Outcomes (XANADO)

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