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Limited Enrollment
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This is a multi-center study where patients who meet the eligibility criteria will be treated with HF10 therapy for their chronic knee pain post-orthopedic surgery. The primary endpoint will be assessed at 3 months, but observational assessments will continue until study completion at 12 months following implant.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| HF10 | SCS stimulation with HF10 therapy |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Senza HF10 Therapy | Device | Senza 10kHz Spinal Cord Stimulation |
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| Measure | Description | Time Frame |
|---|---|---|
| Responders and Improvement in Oxford Knee Score (OKS) | The OKS is a patient self-completion patient reported outcome containing 12 questions on activities of daily living with a recall period of 4 weeks. The OKS has been developed and validated specifically to assess function and pain after total knee replacement. The higher the score indicates improvement. The proportion of implanted subjects who are responders (achieved ≥ 50% pain relief) to HF10 therapy for treatment of their chronic, post-surgical knee pain or reporting at least a 4-point improvement in their Oxford Knee Score (OKS). | 3 months |
| Measure | Description | Time Frame |
|---|---|---|
| Change in Disability and Functioning | Percentage and average change from Baseline in Oxford Knee Score | 3, 6, and 12 months |
| Change in Functioning | Average change in walking distance assessed by 6-minute Walk Test |
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Key Inclusion Criteria:
Key Exclusion Criteria:
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Patients who meet the eligibility criteria will be treated with HF10 therapy for their chronic knee pain post-orthopedic surgery.
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| Name | Affiliation | Role |
|---|---|---|
| David Caraway, MD | Chief Medical Officer | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Pain Management | Greenfield | Wisconsin | 53221 | United States |
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| 3 and 12 months |
| Change in Functioning | Change in Global Assessment of Functioning | 3 and 12 months |
| Change in pain relief as measured by the Visual Analog Scale (VAS) | Percentage and average change from Baseline in knee pain intensity | 3 and 12 months |
| Change from baseline in pain experience: Short-Form McGill Pain Questionnaire (SF-MPQ-2) scores | The Short Form McGill Pain Questionnaire version 2 (SF-MPQ-2, hereafter referred to as MPQ) is a well validated and widely used questionnaire used to measure the major symptoms of pain. Subjects will be asked to rate the intensity of each of 22 pain descriptors from 0 (do not experience, or none) to 10 (worst possible) at follow-up visits outlined in the schedule of events. Four subscale scores (continuous pain, intermittent pain, predominantly neuropathic pain, and affective descriptors) and a total score will be calculated. The lower the score indicates improvement (less interference from pain). Each subject's baseline scores will be compared to the scores at study visits. Mean change from baseline will be calculated for the entire cohort. Percentage and average change from Baseline in Short-Form McGill Pain Questionnaire (SF-MPQ-2) scores | 3 and 12 months |
| Global Impression of Change | Subject's impression of change in overall health condition as measured by the Patient and Clinician Global Impression of Change | 3 and 12 months |
| Change in Quality of Life as measured by the EuroQol five-dimensional questionnaire (EQ-5D-5L) | The 5-level EQ-5D version (EQ-5D-5L) uses a 2-part assessment: a descriptive one and a visual analog scale. The descriptive system comprises five dimensions: mobility, self-care, usual activities, pain/discomfort and anxiety/depression. Each dimension has 5 levels: no problems, slight problems, moderate problems, severe problems and extreme problems. The patient is asked to indicate his/her health state by ticking the box next to the most appropriate statement in each of the five dimensions. This decision results in a 1-digit number that expresses the level selected for that dimension. The digits for the five dimensions can be combined into a 5-digit number that describes the patient's health state. The higher the score indicates an improved in quality of life. Change from Baseline in health-related quality of life evaluation | 3 and 12 months |
| Change in Sleep as measured by the Pain and sleep Questionnaire (PSQ) | PSQ is an eight-item questionnaire developed to assess the impact of pain on sleep. PSQ-3 is a subset of PSQ, consisting of questions 1, 4 and 5 and has been validated to assess impact of chronic pain on sleep. The lower the score indicates improvement by less interference of sleep from pain. Change from baseline in 3-item pain and sleep questionnaire | 3 and 12 months |
| Medication | Change from baseline in opioid equivalent medication usage | 3 and 12 months |
| Safety profile: Incidence of AEs over time | Incidence of AEs over time | 3, 6 and 12 months |
| Safety profile: Neurological assessment over time by a physician and exam | Neurologic status includes testing for gross motor, sensory and appropriate reflex functions, which will be characterized as improved, maintained, or a deficit as compared with baseline status as follows: A clinically meaningful neurological improvement is defined as a significant persistent improvement in neurological function that impacts subject's well-being is attributable to a neurological finding; and is new or improved as compared with the baseline assessment. A clinically meaningful neurological deficit is defined as a stimulation-related significant persistent abnormality in neurological function that impacts subject's well-being is attributable to a neurological finding; and is new or worsened as compared with the baseline assessment. If neither a clinically meaningful neurological improvement nor a clinically meaningful neurological deficit is observed, then neurologic status is maintained. | 3, 6 and 12 months |