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Objective Assessment of Activity and Sleep Quality In Burst Spinal Cord Stimulation (OASIS)

Primary Purpose

Chronic Pain

Status
Completed
Phase
Not Applicable
Locations
International
Study Type
Interventional
Intervention
Accelerometry
Sponsored by
Abbott Medical Devices
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional diagnostic trial for Chronic Pain focused on measuring Chronic Pain, BurstDR, spinal cord stimulation, Accelerometry

Eligibility Criteria

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

Inclusion Criteria:

  • Subject is able to provide informed consent to participate in the study;
  • Subject is 18 years of age or older;
  • Subject has failed to respond to at least 6 months of conventional treatment including pharmacological treatment, physical therapy, epidural injections and/or radiofrequency therapy;
  • Subjects with the diagnosis of failed back surgery syndrome or chronic intractable trunk and/or lower limb pain and are eligible for a SCS trial;
  • Subjects have an average trunk pain VAS score of at least 6.0 out of 10.0, and/or lower limb pain VAS score of at least 6.0 out of 10.0;
  • Subject is on stable pain medications, as determined by the Investigator, for at least 28 days prior to enrolling in this study, and is willing to stay on those medications with no dose adjustments until activation of the permanently implanted SCS device;
  • Subject's medical record has been evaluated by the Investigator to ensure that the subject is a good candidate for a neurostimulation system;
  • Subject is willing to cooperate with the study requirements including compliance with the regimen and completion of all office visits;
  • Subject agrees to wear the wearable sensor for the duration of the study;
  • Female candidates of child-bearing potential agree to commit to the use of an effective method of contraception (including but not limited to sterilization, barrier devices, oral contraceptives, intrauterine devices (IUDs), condoms, rhythm method, or abstinence) for the duration of the study

Exclusion Criteria:

  • Subject is currently participating in a clinical investigation that includes an active treatment arm;
  • Subject has been implanted with or participated in a trial period for a neurostimulation system;
  • Non- ambulatory subjects who are not expected to become ambulatory after receiving neurostimulation;
  • Subject diagnosed with fibromyalgia or chronic fatigue;
  • Subject has an infusion pump;
  • Subject has evidence of an active disruptive psychological or psychiatric disorder as determined as per standard of care;
  • Subject has a current diagnosis of a coagulation disorder, bleeding diathesis, progressive peripheral vascular disease or uncontrolled diabetes mellitus;
  • Subject has a current diagnosis of a progressive neurological disease as determined by the Investigator;
  • Subject is immunocompromised;
  • Subjects with concurrent clinically significant or disabling chronic pain problem that requires additional treatment;
  • Subject has an existing medical condition that is likely to require repetitive MRI evaluation in the future (i.e. epilepsy, stroke, multiple sclerosis, acoustic neuroma, tumor);
  • Subject has history of cancer requiring active treatment in the last 12 months;
  • Subject has an existing medical condition that is likely to require the use of diathermy in the future;
  • Subject has documented history of allergic response to titanium or silicone;
  • Subject has a documented history of substance abuse (narcotics, alcohol, etc.) or substance dependency in the 6 months prior to baseline data collection;
  • Female candidates of child bearing potential that are pregnant (confirmed by positive urine/blood pregnancy test)

Sites / Locations

  • AZ Sint-Augustinus
  • AZ Middelheim
  • Erasmus MC

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Activity and sleep quality recording

Arm Description

Patients will receive a wrist worn accelerometer and accelerometry will be used to monitor physical activity and sleep quality during standard BurstDR Spinal Cord Stimulation clinical treatment

Outcomes

Primary Outcome Measures

Change in Activity Levels
Recording performed with wrist worn accelerometer. Medium to Vigorous Physical Activity (MVPA) were calculated based on accelerometry data. MVPA value represents the hours of medium to vigorous physical activity in a day.
Change in Sleep Quality
Recording performed with wrist worn accelerometer. Sleep duration was calculated based on accelerometry data.

Secondary Outcome Measures

Change in Visual Analog Scale (VAS) for Pain
Subjective evaluation of pain levels used in clinical practice as standard. Minimum value is 0 (no pain), maximum value is 10 (maximum pain imaginable)
Change in Visual Analog Scale (VAS) for Pain
Subjective evaluation of pain levels used in clinical practice as standard. Minimum value is 0 (no pain), maximum value is 10 (maximum pain imaginable)
Change in Visual Analog Scale (VAS) for Pain
Subjective evaluation of pain levels used in clinical practice as standard. Minimum value is 0 (no pain), maximum value is 10 (maximum pain imaginable)
Change in Visual Analog Scale (VAS) for Pain
Subjective evaluation of pain levels used in clinical practice as standard. Minimum value is 0 (no pain), maximum value is 10 (maximum pain imaginable)
Change in European Quality of Life 5 Dimensions (EQ-5D)
Questionnaire pertaining to quality of life. Minimum Value 0, maximum value 1 with higher numbers representing higher quality of life.
Change in European Quality of Life 5 Dimensions (EQ-5D)
Questionnaire pertaining to quality of life. Minimum Value 0, maximum value 1 with higher numbers representing higher quality of life
Change in European Quality of Life 5 Dimensions (EQ-5D)
Questionnaire pertaining to quality of life. Minimum Value 0, maximum value 1 with higher numbers representing higher quality of life
Change in European Quality of Life 5 Dimensions (EQ-5D)
Questionnaire pertaining to quality of life. Minimum Value 0, maximum value 1 with higher numbers representing higher quality of life
Change in Oswestry Disability Index (ODI)
Questionnaire pertaining to disability levels. Minimum value 0, maximum value 100 with higher values representing higher levels of disability.
Change in Oswestry Disability Index (ODI)
Questionnaire pertaining to disability levels. Minimum value 0, maximum value 100 with higher values representing higher levels of disability.
Change in Oswestry Disability Index (ODI)
Questionnaire pertaining to disability levels. Minimum value 0, maximum value 100 with higher values representing higher levels of disability.
Change in Oswestry Disability Index (ODI)
Questionnaire pertaining to disability levels. Minimum value 0, maximum value 100 with higher values representing higher levels of disability.
Change in Activity Levels
Recording performed with wrist worn accelerometer. Medium to Vigorous Physical Activity (MVPA) were calculated based on accelerometry data. MVPA value represents the hours of medium to vigorous physical activity in a day. Average percent change in MVPA from baseline value is reported.
Change in Sleep Quality
Recording performed with wrist worn accelerometer. Sleep duration was calculated based on accelerometry data.
Change in Activity Levels
Recording performed with wrist worn accelerometer. Medium to Vigorous Physical Activity (MVPA) were calculated based on accelerometry data. MVPA value represents the hours of medium to vigorous physical activity in a day. Average percent change in MVPA from baseline value is reported.
Change in Sleep Quality
Recording performed with wrist worn accelerometer. Sleep duration was calculated based on accelerometry data.
Change in Activity Levels
Recording performed with wrist worn accelerometer. Medium to Vigorous Physical Activity (MVPA) were calculated based on accelerometry data. MVPA value represents the hours of medium to vigorous physical activity in a day. Average percent change in MVPA from baseline value is reported.
Change in Sleep Quality
Recording performed with wrist worn accelerometer. Sleep duration was calculated based on accelerometry data.

Full Information

First Posted
October 27, 2016
Last Updated
July 24, 2019
Sponsor
Abbott Medical Devices
Collaborators
AZ Sint-Augustinus, Wilrijk, AZ Middelheim, Antwerpen, Erasmus Medical Center
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1. Study Identification

Unique Protocol Identification Number
NCT02950831
Brief Title
Objective Assessment of Activity and Sleep Quality In Burst Spinal Cord Stimulation
Acronym
OASIS
Official Title
Objective Assessment of Activity and Sleep Quality In Burst Spinal Cord Stimulation
Study Type
Interventional

2. Study Status

Record Verification Date
July 2019
Overall Recruitment Status
Completed
Study Start Date
October 2016 (undefined)
Primary Completion Date
March 2018 (Actual)
Study Completion Date
March 2018 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Abbott Medical Devices
Collaborators
AZ Sint-Augustinus, Wilrijk, AZ Middelheim, Antwerpen, Erasmus Medical Center

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The purpose of this study is to assess feasibility of using wearable sensors to capture objective assessments of patient's activity and sleep quality during the spinal cord stimulation (SCS) treatment continuum.
Detailed Description
Eligible patients will undergo standard clinical care using BurstDR SCS and will be asked to wear a wrist worn accelerometer for a baseline period, during SCS trial and for 3 months after activation of the SCS stimulation.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Chronic Pain
Keywords
Chronic Pain, BurstDR, spinal cord stimulation, Accelerometry

7. Study Design

Primary Purpose
Diagnostic
Study Phase
Not Applicable
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
27 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Activity and sleep quality recording
Arm Type
Experimental
Arm Description
Patients will receive a wrist worn accelerometer and accelerometry will be used to monitor physical activity and sleep quality during standard BurstDR Spinal Cord Stimulation clinical treatment
Intervention Type
Other
Intervention Name(s)
Accelerometry
Other Intervention Name(s)
wrist worn accelerometers
Intervention Description
Record of activity levels using a wrist worn accelerometer
Primary Outcome Measure Information:
Title
Change in Activity Levels
Description
Recording performed with wrist worn accelerometer. Medium to Vigorous Physical Activity (MVPA) were calculated based on accelerometry data. MVPA value represents the hours of medium to vigorous physical activity in a day.
Time Frame
between baseline and the end of spinal cord stimulation trial period (average of 1 month)
Title
Change in Sleep Quality
Description
Recording performed with wrist worn accelerometer. Sleep duration was calculated based on accelerometry data.
Time Frame
between baseline and the end of spinal cord stimulation trial period (average of 1 month)
Secondary Outcome Measure Information:
Title
Change in Visual Analog Scale (VAS) for Pain
Description
Subjective evaluation of pain levels used in clinical practice as standard. Minimum value is 0 (no pain), maximum value is 10 (maximum pain imaginable)
Time Frame
between baseline and the end of spinal cord stimulation trial period (average of 1 month)
Title
Change in Visual Analog Scale (VAS) for Pain
Description
Subjective evaluation of pain levels used in clinical practice as standard. Minimum value is 0 (no pain), maximum value is 10 (maximum pain imaginable)
Time Frame
between baseline and 1 month post permanent spinal cord stimulator activation followup
Title
Change in Visual Analog Scale (VAS) for Pain
Description
Subjective evaluation of pain levels used in clinical practice as standard. Minimum value is 0 (no pain), maximum value is 10 (maximum pain imaginable)
Time Frame
between baseline and 2 month post permanent spinal cord stimulator activation followup
Title
Change in Visual Analog Scale (VAS) for Pain
Description
Subjective evaluation of pain levels used in clinical practice as standard. Minimum value is 0 (no pain), maximum value is 10 (maximum pain imaginable)
Time Frame
between baseline and 3 month post permanent spinal cord stimulator activation followup
Title
Change in European Quality of Life 5 Dimensions (EQ-5D)
Description
Questionnaire pertaining to quality of life. Minimum Value 0, maximum value 1 with higher numbers representing higher quality of life.
Time Frame
between baseline and the end of spinal cord stimulation trial period (average of 1 month)
Title
Change in European Quality of Life 5 Dimensions (EQ-5D)
Description
Questionnaire pertaining to quality of life. Minimum Value 0, maximum value 1 with higher numbers representing higher quality of life
Time Frame
between baseline and 1 month post permanent spinal cord stimulator activation followup
Title
Change in European Quality of Life 5 Dimensions (EQ-5D)
Description
Questionnaire pertaining to quality of life. Minimum Value 0, maximum value 1 with higher numbers representing higher quality of life
Time Frame
between baseline and 2 month post permanent spinal cord stimulator activation followup
Title
Change in European Quality of Life 5 Dimensions (EQ-5D)
Description
Questionnaire pertaining to quality of life. Minimum Value 0, maximum value 1 with higher numbers representing higher quality of life
Time Frame
between baseline and 3 month post permanent spinal cord stimulator activation followup
Title
Change in Oswestry Disability Index (ODI)
Description
Questionnaire pertaining to disability levels. Minimum value 0, maximum value 100 with higher values representing higher levels of disability.
Time Frame
between baseline and the end of spinal cord stimulation trial period (average of 1 month)
Title
Change in Oswestry Disability Index (ODI)
Description
Questionnaire pertaining to disability levels. Minimum value 0, maximum value 100 with higher values representing higher levels of disability.
Time Frame
between baseline and 1 month post permanent spinal cord stimulator activation followup
Title
Change in Oswestry Disability Index (ODI)
Description
Questionnaire pertaining to disability levels. Minimum value 0, maximum value 100 with higher values representing higher levels of disability.
Time Frame
between baseline and 2 month post permanent spinal cord stimulator activation followup
Title
Change in Oswestry Disability Index (ODI)
Description
Questionnaire pertaining to disability levels. Minimum value 0, maximum value 100 with higher values representing higher levels of disability.
Time Frame
between baseline and 3 month post permanent spinal cord stimulator activation followup
Title
Change in Activity Levels
Description
Recording performed with wrist worn accelerometer. Medium to Vigorous Physical Activity (MVPA) were calculated based on accelerometry data. MVPA value represents the hours of medium to vigorous physical activity in a day. Average percent change in MVPA from baseline value is reported.
Time Frame
between baseline and 1 month post permanent spinal cord stimulator activation followup
Title
Change in Sleep Quality
Description
Recording performed with wrist worn accelerometer. Sleep duration was calculated based on accelerometry data.
Time Frame
between baseline and 1 month post permanent spinal cord stimulator activation followup
Title
Change in Activity Levels
Description
Recording performed with wrist worn accelerometer. Medium to Vigorous Physical Activity (MVPA) were calculated based on accelerometry data. MVPA value represents the hours of medium to vigorous physical activity in a day. Average percent change in MVPA from baseline value is reported.
Time Frame
between baseline and 2 month post permanent spinal cord stimulator activation followup
Title
Change in Sleep Quality
Description
Recording performed with wrist worn accelerometer. Sleep duration was calculated based on accelerometry data.
Time Frame
between baseline and 2 month post permanent spinal cord stimulator activation followup
Title
Change in Activity Levels
Description
Recording performed with wrist worn accelerometer. Medium to Vigorous Physical Activity (MVPA) were calculated based on accelerometry data. MVPA value represents the hours of medium to vigorous physical activity in a day. Average percent change in MVPA from baseline value is reported.
Time Frame
between baseline and 3 month post permanent spinal cord stimulator activation followup
Title
Change in Sleep Quality
Description
Recording performed with wrist worn accelerometer. Sleep duration was calculated based on accelerometry data.
Time Frame
between baseline and 3 month post permanent spinal cord stimulator activation followup

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Subject is able to provide informed consent to participate in the study; Subject is 18 years of age or older; Subject has failed to respond to at least 6 months of conventional treatment including pharmacological treatment, physical therapy, epidural injections and/or radiofrequency therapy; Subjects with the diagnosis of failed back surgery syndrome or chronic intractable trunk and/or lower limb pain and are eligible for a SCS trial; Subjects have an average trunk pain VAS score of at least 6.0 out of 10.0, and/or lower limb pain VAS score of at least 6.0 out of 10.0; Subject is on stable pain medications, as determined by the Investigator, for at least 28 days prior to enrolling in this study, and is willing to stay on those medications with no dose adjustments until activation of the permanently implanted SCS device; Subject's medical record has been evaluated by the Investigator to ensure that the subject is a good candidate for a neurostimulation system; Subject is willing to cooperate with the study requirements including compliance with the regimen and completion of all office visits; Subject agrees to wear the wearable sensor for the duration of the study; Female candidates of child-bearing potential agree to commit to the use of an effective method of contraception (including but not limited to sterilization, barrier devices, oral contraceptives, intrauterine devices (IUDs), condoms, rhythm method, or abstinence) for the duration of the study Exclusion Criteria: Subject is currently participating in a clinical investigation that includes an active treatment arm; Subject has been implanted with or participated in a trial period for a neurostimulation system; Non- ambulatory subjects who are not expected to become ambulatory after receiving neurostimulation; Subject diagnosed with fibromyalgia or chronic fatigue; Subject has an infusion pump; Subject has evidence of an active disruptive psychological or psychiatric disorder as determined as per standard of care; Subject has a current diagnosis of a coagulation disorder, bleeding diathesis, progressive peripheral vascular disease or uncontrolled diabetes mellitus; Subject has a current diagnosis of a progressive neurological disease as determined by the Investigator; Subject is immunocompromised; Subjects with concurrent clinically significant or disabling chronic pain problem that requires additional treatment; Subject has an existing medical condition that is likely to require repetitive MRI evaluation in the future (i.e. epilepsy, stroke, multiple sclerosis, acoustic neuroma, tumor); Subject has history of cancer requiring active treatment in the last 12 months; Subject has an existing medical condition that is likely to require the use of diathermy in the future; Subject has documented history of allergic response to titanium or silicone; Subject has a documented history of substance abuse (narcotics, alcohol, etc.) or substance dependency in the 6 months prior to baseline data collection; Female candidates of child bearing potential that are pregnant (confirmed by positive urine/blood pregnancy test)
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Lalit Venkatesan, Ph.D.
Organizational Affiliation
Abbott Medical Devices
Official's Role
Study Director
Facility Information:
Facility Name
AZ Sint-Augustinus
City
Wilrijk
State/Province
Antwerp
ZIP/Postal Code
2610
Country
Belgium
Facility Name
AZ Middelheim
City
Antwerpen
State/Province
Flanders
ZIP/Postal Code
2020
Country
Belgium
Facility Name
Erasmus MC
City
Rotterdam
State/Province
South Holland
ZIP/Postal Code
3015 CE
Country
Netherlands

12. IPD Sharing Statement

Plan to Share IPD
No

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Objective Assessment of Activity and Sleep Quality In Burst Spinal Cord Stimulation

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