Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
The purpose of this study is to confirm long term efficacy and safety of the ProdigyTM neuromodulation system in the management of failed back surgery syndrome or chronic intractable pain of the trunk and/or limbs.
Not provided
Not provided
Not provided
Not provided
Not provided
| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Burst and Tonic stimulation | Experimental | All subjects were required to receive BurstDR stimulation therapy for the first 3 months after permanent implant. Thereafter the stimulation mode could be changed to tonic stimulation depending on patient's preference or physician's discretion. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Burst and Tonic stimulation | Procedure |
|
| Measure | Description | Time Frame |
|---|---|---|
| Percentage Change From Baseline in Overall VAS at 3 Months | Percentage change in pain relief at the 3- month follow-up visit compared to baseline visit, as measured by the Visual Analog Scale (VAS). The VAS scale with a 10 cm (or 100 mm) line to indicate pain intensity progression with no pain (0) on the left end and worst pain (100) on the right end. Percent change is calculated as "[(post baseline baseline)/baseline] *100%" with positive numbers to represent increases and negative numbers to represent decreases. | 3 months |
| Measure | Description | Time Frame |
|---|---|---|
| Pain Relief | Patient reported pain relief. Patients were asked to evaluate their pain relief over the past week in percentage with 0% being no pain relief and 100% being complete pain relief. | 3 Months |
| Pain Relief |
Not provided
Inclusion Criteria:
Exclusion Criteria:
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Name | Affiliation | Role |
|---|---|---|
| Tony Van Havenbergh | St Augustinus, Wilrijk, Belgium | Principal Investigator |
| Devyani Nanduri | Abbott Medical Devices | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Metro Spinal Clinic | Caulfield | 3162 | Australia | |||
| Frankston Pain Management |
A total of 126 subjects were enrolled, 1 discontinued the study prior to the baseline visit.
Not provided
Not provided
| ID | Title | Description |
|---|---|---|
| FG000 | Observational Cohort | All enrolled patients. |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Enrolled |
|
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Patient reported pain relief. Patients were asked to evaluate their pain relief over the past week in percentage with 0% being no pain relief and 100% being complete pain relief.
| 6 Months |
| Pain Relief | Patient reported pain relief. Patients were asked to evaluate their pain relief over the past week in percentage with 0% being no pain and 100% being complete pain relief. | 12 Months |
| Change in Pain Catastrophizing Scale | The pain catastrophizing scale (PCS) is a validated scale containing 13 items to assess thoughts and feelings about pain while a person is experiencing pain. The total of all 13 items results in a minimum of 0 and a maximum of 54; scores above 30 indicate clinically significant pain catastrophizing. The mean change was calculated based on the value at 12 months minus the value at baseline. | 12 Months |
| Number of Participants With Analgesic Reduction | Patient reported analgesic usage during the 4 weeks preceding the 12-month follow-up visit, compared to the baseline visit. The amount of patients who decreased the dose are reported. | 12 Months |
| Change in Quality of Life | Subjects were provided with the Euroqol-5 dimensions (EQ-5D) questionnaire at baseline and 12 Months follow-up visit. In that questionnaire, subjects were asked to indicate a score for their health on a scale where 100 would mean 'the best state he/she can imagine' and 0 would be the 'worst state he/she can imagine). | Baseline and 12 Months |
| Rate of Serious Adverse Events and/or Procedure/Device-related Adverse Events | Adverse device effects were defined as adverse events related to the study procedures or the device. Serious events were those that resulted in-patient or prolonged hospitalization or were life-threatening. | from enrollment to 12 months follow up |
| Paresthesia Mapping at 3 Months Compared to the Empower Study | Paresthesia mapping is expressed in percent of paresthesia areas as indicated by the patient on a gender specific body diagram. 87 subjects with Burst stimulation at 3 Months (Prodigy-I) were compared to 134 subjects with tonic stimulation at 3 Months (Empower). | 3 Months |
| Frankston |
| Australia |
| Epworth Hospital | Richmond | Australia |
| St Augustinus Ziekenhuis | Wilrijk | Antwerp | 2610 | Belgium |
| Medizinische Einrichtungen der Universität zu Köln | Cologne | Germany |
| University Hospital | Düsseldorf | Germany |
| Hospital Gera | Gera | 07548 | Germany |
| Universitätsklinik für Stereataktische Neurochirurgie | Magdeburg | Germany |
| Universitatsklinikum Tubingen | Tübingen | 72076 | Germany |
| St Vincents University Hospital | Dublin | Ireland |
| Azienda Ospedaliera Monaldi | Naples | Italy |
| Az. Ospedaliero-Universitaria Pisana - Stabilimento Santa Chiara | Pisa | 56126 | Italy |
| Az. Osp.S.Giovanni Addolorata | Roma | 00184 | Italy |
| Medisch Spectrum Twente | Enschede | Netherlands |
| St Antonius Ziekenhuis | Nieuwegein | Netherlands |
| Stichting Alysis Zorggroep | Velp | Netherlands |
| Hospital Virgen de Rocio | Seville | 28108 | Spain |
| University Hospital | Uppsala | 75 185 | Sweden |
| Seacroft Hospital | Leeds | LS146UH | United Kingdom |
| St Bartolomew's | London | EC 1A 7 BE | United Kingdom |
| James Cook University Hospital | Middlesbrough | United Kingdom |
| COMPLETED |
|
| NOT COMPLETED |
|
|
| Trial Stimulation |
|
|
| Burst Stimulation Only (3 Months) |
|
|
| Any Programming (3-6 Months) |
|
|
| Any Program (6-12 Months) |
|
|
Not provided
| ID | Title | Description |
|---|---|---|
| BG000 | Observational Cohort | All enrolled patients. |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean | Standard Deviation | years |
| |||||||||||||||||
| Sex: Female, Male | Count of Participants | Participants |
| ||||||||||||||||||
| Race and Ethnicity Not Collected | Race and Ethnicity were not collected from any participant. | Count of Participants | Participants |
| |||||||||||||||||
| Region of Enrollment | Number | participants |
| ||||||||||||||||||
| Primary Diagnosis | Count of Participants | Participants |
| ||||||||||||||||||
| Work Status | Count of Participants | Participants |
| ||||||||||||||||||
| Did Subject's Pain Cause Subject to Stop Working | Only subjects who reported "Not Working" when asked about work status (N=90) answered this question. | Count of Participants | 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 | Percentage Change From Baseline in Overall VAS at 3 Months | Percentage change in pain relief at the 3- month follow-up visit compared to baseline visit, as measured by the Visual Analog Scale (VAS). The VAS scale with a 10 cm (or 100 mm) line to indicate pain intensity progression with no pain (0) on the left end and worst pain (100) on the right end. Percent change is calculated as "[(post baseline baseline)/baseline] *100%" with positive numbers to represent increases and negative numbers to represent decreases. | 92 patients completed 3 months, but 86 patients had Burst programs only and had available data for Baseline and the 3-month follow-up visit. | Posted | Mean | Standard Deviation | Percentage change | 3 months |
|
|
| |||||||||||||||||||||||||
| Secondary | Pain Relief | Patient reported pain relief. Patients were asked to evaluate their pain relief over the past week in percentage with 0% being no pain relief and 100% being complete pain relief. | Posted | Mean | Standard Deviation | percentage of pain relief | 3 Months |
|
| |||||||||||||||||||||||||||
| Secondary | Pain Relief | Patient reported pain relief. Patients were asked to evaluate their pain relief over the past week in percentage with 0% being no pain relief and 100% being complete pain relief. | Posted | Mean | Standard Deviation | percentage of pain relief | 6 Months |
|
| |||||||||||||||||||||||||||
| Secondary | Pain Relief | Patient reported pain relief. Patients were asked to evaluate their pain relief over the past week in percentage with 0% being no pain and 100% being complete pain relief. | Posted | Mean | Standard Deviation | percentage of pain relief | 12 Months |
|
| |||||||||||||||||||||||||||
| Secondary | Change in Pain Catastrophizing Scale | The pain catastrophizing scale (PCS) is a validated scale containing 13 items to assess thoughts and feelings about pain while a person is experiencing pain. The total of all 13 items results in a minimum of 0 and a maximum of 54; scores above 30 indicate clinically significant pain catastrophizing. The mean change was calculated based on the value at 12 months minus the value at baseline. | 84 patients had available data at baseline and 12 months for pain catastrophizing | Posted | Mean | Standard Deviation | score on a scale | 12 Months |
|
| ||||||||||||||||||||||||||
| Secondary | Number of Participants With Analgesic Reduction | Patient reported analgesic usage during the 4 weeks preceding the 12-month follow-up visit, compared to the baseline visit. The amount of patients who decreased the dose are reported. | 19 patients had data available for analgesic usage at baseline and 12 Months. | Posted | Count of Participants | Participants | 12 Months |
|
| |||||||||||||||||||||||||||
| Secondary | Change in Quality of Life | Subjects were provided with the Euroqol-5 dimensions (EQ-5D) questionnaire at baseline and 12 Months follow-up visit. In that questionnaire, subjects were asked to indicate a score for their health on a scale where 100 would mean 'the best state he/she can imagine' and 0 would be the 'worst state he/she can imagine). | 125 subjects had available data for the EQ-5D questionnaire at baseline and 85 at the 12 Months follow-up visit. | Posted | Mean | Standard Deviation | units on a scale | Baseline and 12 Months |
|
| ||||||||||||||||||||||||||
| Secondary | Rate of Serious Adverse Events and/or Procedure/Device-related Adverse Events | Adverse device effects were defined as adverse events related to the study procedures or the device. Serious events were those that resulted in-patient or prolonged hospitalization or were life-threatening. | All enrolled subjects who were at risk for SAE's and ADE's | Posted | Number | events | from enrollment to 12 months follow up |
|
| |||||||||||||||||||||||||||
| Secondary | Paresthesia Mapping at 3 Months Compared to the Empower Study | Paresthesia mapping is expressed in percent of paresthesia areas as indicated by the patient on a gender specific body diagram. 87 subjects with Burst stimulation at 3 Months (Prodigy-I) were compared to 134 subjects with tonic stimulation at 3 Months (Empower). | 92 patients completed 3 months, but 87 patients had Burst programs only and had available data for Baseline and the 3-month follow-up visit | Posted | Mean | Standard Deviation | percentage of paresthesias | 3 Months |
|
|
1 year
Not provided
Not provided
| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Observational Cohort | All enrolled patients. | 0 | 126 | 39 | 126 | 31 | 126 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Coronary artery disease | Cardiac disorders | Non-systematic Assessment | Need to implant a stent, coronary artery disease |
| |
| acute cardiac decompensation | Cardiac disorders | Non-systematic Assessment |
| ||
| cardiac catherization | Cardiac disorders | Non-systematic Assessment |
| ||
| hypothyriodism | Endocrine disorders | Non-systematic Assessment |
| ||
| Diverticulosis | Gastrointestinal disorders | Non-systematic Assessment | Laparascopic sigmoid resection due to diverticulosis |
| |
| upper abdominal pain | Gastrointestinal disorders | Non-systematic Assessment | acute pancreatitis |
| |
| Lead Breakage/Fracture | General disorders | Non-systematic Assessment | lead breakage due to patients anatomical structure of the spine |
| |
| Lead contacts mostly invalid | General disorders | Non-systematic Assessment |
| ||
| Lead migration | General disorders | Non-systematic Assessment |
| ||
| Pain medication intolerance | General disorders | Non-systematic Assessment |
| ||
| Persistant pain and/or numbness IPG site only | General disorders | Non-systematic Assessment | skinny patient, IPG sat uncomfortably in her abdominal region |
| |
| Undesirable changes in paresthesia | General disorders | Non-systematic Assessment |
| ||
| device uncomfortable | General disorders | Non-systematic Assessment | device not implanted deep enough |
| |
| opiate withdrawal | General disorders | Non-systematic Assessment |
| ||
| Ear infection | Infections and infestations | Non-systematic Assessment |
| ||
| Infection: IPG & Lead site | Infections and infestations | Non-systematic Assessment |
| ||
| Infection: IPG site only | Infections and infestations | Non-systematic Assessment |
| ||
| Infection: Lead site only | Infections and infestations | Non-systematic Assessment |
| ||
| Infection: extension site only | Infections and infestations | Non-systematic Assessment |
| ||
| CSF leakage | Injury, poisoning and procedural complications | Non-systematic Assessment |
| ||
| malignant tumor | Investigations | Non-systematic Assessment | need MRI for diagnose cancer |
| |
| Fall | Musculoskeletal and connective tissue disorders | Non-systematic Assessment |
| ||
| ISG arthrose | Musculoskeletal and connective tissue disorders | Non-systematic Assessment |
| ||
| Osteoarthritis | Musculoskeletal and connective tissue disorders | Non-systematic Assessment |
| ||
| Pain in hip | Musculoskeletal and connective tissue disorders | Non-systematic Assessment |
| ||
| Persistant pain and/or numbness: undetermined | Musculoskeletal and connective tissue disorders | Non-systematic Assessment |
| ||
| iliosacral joint osteoarthritis | Musculoskeletal and connective tissue disorders | Non-systematic Assessment |
| ||
| pain in leg | Musculoskeletal and connective tissue disorders | Non-systematic Assessment |
| ||
| pain in vertrebral region due to fall | Musculoskeletal and connective tissue disorders | Non-systematic Assessment |
| ||
| Bladder cancer diagnosed | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | Non-systematic Assessment | Bladder cancer diagnosed |
| |
| malignant tumor | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | Non-systematic Assessment |
| ||
| ataxic gait disturbance | Nervous system disorders | Non-systematic Assessment |
| ||
| IPG migration | Product Issues | Non-systematic Assessment |
| ||
| Lead breakage/fracture | Product Issues | Non-systematic Assessment |
| ||
| Lead migration | Product Issues | Non-systematic Assessment |
| ||
| Persistant pain and/or numbness: Lead site only | Product Issues | Non-systematic Assessment |
| ||
| Undesirable changes in pain | Product Issues | Non-systematic Assessment |
| ||
| bad connection IPG-extension | Product Issues | Non-systematic Assessment |
| ||
| bad connection between lead and IPG | Product Issues | Non-systematic Assessment |
| ||
| insufficient paresthesia coverage | Product Issues | Non-systematic Assessment |
| ||
| Anxiety disorder | Psychiatric disorders | Non-systematic Assessment |
| ||
| Inability to control urination | Renal and urinary disorders | Non-systematic Assessment |
| ||
| ovarian abcess | Reproductive system and breast disorders | Non-systematic Assessment |
| ||
| Pain at IPG pocket | Skin and subcutaneous tissue disorders | Non-systematic Assessment | normal post implant fat necrosis over IPG |
| |
| microcirculation disturbance right foot | Vascular disorders | Non-systematic Assessment |
| ||
| peripheral artery disease | Vascular disorders | Non-systematic Assessment |
| ||
| varicose vein surgery | Vascular disorders | Non-systematic Assessment |
| ||
| varicose veins | Vascular disorders | Non-systematic Assessment |
|
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Diarrhea and vomitting | Gastrointestinal disorders | Non-systematic Assessment |
| ||
| Gastroenteritis | Gastrointestinal disorders | Non-systematic Assessment |
| ||
| Undesirable changes in pain | General disorders | Non-systematic Assessment |
| ||
| Opiate withdrawal | General disorders | Non-systematic Assessment |
| ||
| Undesirable changes in paraesthesia | General disorders | Non-systematic Assessment |
| ||
| Dental abcess | Infections and infestations | Non-systematic Assessment |
| ||
| Infection: IPG site only | Infections and infestations | Non-systematic Assessment |
| ||
| Infection: Lead site only | Infections and infestations | Non-systematic Assessment |
| ||
| Respiratory infection | Infections and infestations | Non-systematic Assessment |
| ||
| Urinary tract infection | Infections and infestations | Non-systematic Assessment |
| ||
| Fall | Musculoskeletal and connective tissue disorders | Non-systematic Assessment |
| ||
| Joint pain | Musculoskeletal and connective tissue disorders | Non-systematic Assessment |
| ||
| Knee effusion | Musculoskeletal and connective tissue disorders | Non-systematic Assessment |
| ||
| Muscle pain | Musculoskeletal and connective tissue disorders | Non-systematic Assessment |
| ||
| Unintended stimulation effects: muscle spasms or cramping | Musculoskeletal and connective tissue disorders | Non-systematic Assessment |
| ||
| Related to bladder carcinoma | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | Non-systematic Assessment |
| ||
| Headaches- post procedure | Nervous system disorders | Non-systematic Assessment |
| ||
| High impedance | Product Issues | Non-systematic Assessment |
| ||
| Lead breakage/fracture | Product Issues | Non-systematic Assessment |
| ||
| Lead extension retraction | Product Issues | Non-systematic Assessment |
| ||
| Lead migration | Product Issues | Non-systematic Assessment |
| ||
| Persistent pain and/or numbness: undetermined | Product Issues | Non-systematic Assessment |
| ||
| Undesirable changes in pain | Product Issues | Non-systematic Assessment |
| ||
| Undesirable changes in paraesthesia | Product Issues | Non-systematic Assessment |
| ||
| Undesirable changes in stimulation | Product Issues | Non-systematic Assessment |
| ||
| Burning sensation at IPG site | Skin and subcutaneous tissue disorders | Non-systematic Assessment |
| ||
| Subcutaneous tissue changes at implant site | Skin and subcutaneous tissue disorders | Non-systematic Assessment |
| ||
| Wound site complication | Skin and subcutaneous tissue disorders | Non-systematic Assessment |
|
Not provided
Not provided
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Devyani Nanduri | Abbott | +1 510 561 4328 | devyani.nanduri@abbott.com |
| ID | Term |
|---|---|
| D059350 | Chronic Pain |
| ID | Term |
|---|---|
| D010146 | Pain |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
Not provided
Not provided
|
| United Kingdom |
|
|
| Belgium |
|
|
| Australia |
|
|
| Netherlands |
|
|
| Sweden |
|
|
| Spain |
|
|
|
| Other Pain Conditions |
|
| Not Working |
|
| No |
|
| Not applicable |
|
| Title | Denominators | Categories |
|---|
|
| Title | Denominators | Categories |
|---|
|
| Title |
|---|
| Denominators |
|---|
| Categories |
|---|
|
|
|
|
| Title | Denominators | Categories | ||||
|---|---|---|---|---|---|---|
| Serious Adverse Events |
| |||||
| Adverse Device Effects |
|
|