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Investigator Resigned
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The primary objective of this study is to compare the efficacy and patient preference for spinal cord stimulation (SCS) using the Precision device with the electrode array placed at T7 versus placement at T8. Eligible patients will have chronic intractable pain in the back or lower extremities and will have independently elected SCS as the next line of therapy. There is some anecdotal evidence that the coverage of the paresthesia resulting from T7 placement is preferable to that obtained by the more commonly used T8 placement but there has been no study to support this observation.
The conventional implantation of the spinal cord stimulator calls for dual percutaneous leads placed at T8-T9 vertebral levels. Recently published studies as outlined in a letter to the editor of Neuromodulation suggest that a "well placed single lead will generally perform better than a dual lead." Furthermore, anecdotal reports suggest that lead placement at T7 will capture axial back pain with greater success compared to lead placement at alternative sites.
This study aims to achieve better pain treatment and paresthesia coverage by placing a single lead at T7.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 1 | Active Comparator | Stimulation will occur at the T7 followed by T8 during the trial implant period |
|
| 2 | Active Comparator | Stimulation will occur at the T8 followed by T7 during the trial implant period |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Precision for Spinal Cord Stimulation | Device | During Trial Implant Period, stimulation from single lead initially turned on at the T7 or T8 level, then crossover. At time of permanent implant, subject chooses which level they want the stimulator turned on. |
| Measure | Description | Time Frame |
|---|---|---|
| The Primary Efficacy Endpoint is Pain Severity After Trial Stimulation. | End of trial (approximately 5 days) |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Roshini Jain | Boston Scientific Neuromodulation Corporation | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Anesthesia Associates of Belleville | Belleville | Illinois | 62220 | United States |
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| ID | Title | Description |
|---|---|---|
| FG000 | Study | Stimulation at T7 followed by T8 or stimulation at T8 followed by T7 during the trial implant period Precision for Spinal Cord Stimulation: During Trial Implant Period, stimulation from single lead initially turned on at the T7 or T8 level, then crossover. At time of permanent implant, subject chooses which level they want the stimulator turned on. |
| FG001 | Stimulation at T7 Followed by T8 | Stimulation at T7 followed by T8 during the trial implant period Precision for Spinal Cord Stimulation: During Trial Implant Period, stimulation from single lead initially turned on at the T7 or T8 level, then crossover. At time of permanent implant, subject chooses which level they want the stimulator turned on. |
| FG002 | Stimulation at T8 Followed by T7 | Stimulation at T8 followed by T7 during the trial implant period Precision for Spinal Cord Stimulation: During Trial Implant Period, stimulation from single lead initially turned on at the T7 or T8 level, then crossover. At time of permanent implant, subject chooses which level they want the stimulator turned on. |
| Title | Milestones | Reasons Not Completed | ||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
Insufficient data collected
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| ID | Title | Description |
|---|---|---|
| BG000 | Baseline | Enrolled subjects |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Categorical | Count of Participants |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | ||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | The Primary Efficacy Endpoint is Pain Severity After Trial Stimulation. | The study was terminated and efforts were made to locate data. No study data are available | Posted | End of trial (approximately 5 days) |
|
Adverse events were collected from enrollment through end of study (52 weeks post-activation or withdrawal).
Insufficient data collected. The study was terminated and efforts were made to locate data. Number of participants/randomization assignment unknown.
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Study | Stimulation will occur at T7 followed by T8 or T8 followed by T7 during the trial implant period Precision for Spinal Cord Stimulation: During Trial Implant Period, stimulation from single lead initially turned on at the T7 or T8 level, then crossover. At time of permanent implant, subject chooses which level they want the stimulator turned on. |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| General disorders | Systematic Assessment |
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Insufficient data collected to report results
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Director, Clinical Research Sciences | Boston Scientific | 6619494350 | roshini.jain@bsci.com |
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| ID | Term |
|---|---|
| D010146 | Pain |
| D001416 | Back Pain |
| D059350 | Chronic Pain |
| ID | Term |
|---|---|
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| ID | Term |
|---|---|
| D062187 | Spinal Cord Stimulation |
| ID | Term |
|---|---|
| D004599 | Electric Stimulation Therapy |
| D013812 | Therapeutics |
| D026741 | Physical Therapy Modalities |
| D012046 | Rehabilitation |
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| Participants |
|
| Sex: Female, Male | Count of Participants | Participants |
|
| Region of Enrollment | Number | participants |
|
|
| 1 |
| 13 |
| 2 |
| 13 |
| 0 |
| 13 |
| Twitching | Nervous system disorders | Systematic Assessment |
|
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