Trial Outcomes & Findings for An Implantable Spinal Cord Stimulation Pain Management System (NCT NCT00205855)

NCT ID: NCT00205855

Last Updated: 2012-10-26

Results Overview

The VAS score is rated by the patient for the average pain level within the past 7 days where on a scale of 0 to 10, 0 is equal to"no pain" and 10 is equal to "worst pain imaginable." This measurement is captured at baseline and again at 2 weeks post intitial fitting. The measurement is the percent difference between the VAS at 2 weeks post intital fitting from the baseline VAS.

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

65 participants

Primary outcome timeframe

2 weeks post initial fitting

Results posted on

2012-10-26

Participant Flow

Participant milestones

Participant milestones
Measure
Spinal Cord Stimulation (SCS) Group
Upon meeting entry criteria and a baselineline evaluation all eligible subjects then receive either a temporary lead or a permanent lead (both leads are considered "trial" durign this phase) attached to an external stimulator for a minimum period of 48 hours. Patients who are determined to have 50% improvement in the VAS score from baseline after the trial phase were implanted with the Precision Spinal Cord Stimulation System.
Overall Study
STARTED
65
Overall Study
COMPLETED
44
Overall Study
NOT COMPLETED
21

Reasons for withdrawal

Reasons for withdrawal
Measure
Spinal Cord Stimulation (SCS) Group
Upon meeting entry criteria and a baselineline evaluation all eligible subjects then receive either a temporary lead or a permanent lead (both leads are considered "trial" durign this phase) attached to an external stimulator for a minimum period of 48 hours. Patients who are determined to have 50% improvement in the VAS score from baseline after the trial phase were implanted with the Precision Spinal Cord Stimulation System.
Overall Study
Only received temporary implants
16
Overall Study
Withdrawal by Subject
5

Baseline Characteristics

An Implantable Spinal Cord Stimulation Pain Management System

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Spinal Cord Stimulation (SCS) Group
n=65 Participants
Precision Spinal Cord Stimulation therapy group
Age, Categorical
<=18 years
0 Participants
n=93 Participants
Age, Categorical
Between 18 and 65 years
54 Participants
n=93 Participants
Age, Categorical
>=65 years
11 Participants
n=93 Participants
Age Continuous
52 years
STANDARD_DEVIATION 14 • n=93 Participants
Sex: Female, Male
Female
26 Participants
n=93 Participants
Sex: Female, Male
Male
39 Participants
n=93 Participants
Region of Enrollment
United States
65 participants
n=93 Participants

PRIMARY outcome

Timeframe: 2 weeks post initial fitting

The VAS score is rated by the patient for the average pain level within the past 7 days where on a scale of 0 to 10, 0 is equal to"no pain" and 10 is equal to "worst pain imaginable." This measurement is captured at baseline and again at 2 weeks post intitial fitting. The measurement is the percent difference between the VAS at 2 weeks post intital fitting from the baseline VAS.

Outcome measures

Outcome measures
Measure
Spinal Cord Stimulation (SCS) Group
n=46 Participants
Precision Spinal Cord Stimulation therapy group
Change in Visual Analog Scale (VAS) Score From Baseline to 2 Week Post Initial Fitting.
35 participants with > 50% VAS improvement

Adverse Events

Spinal Cord Stimulation (SCS) Group

Serious events: 12 serious events
Other events: 20 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Spinal Cord Stimulation (SCS) Group
n=65 participants at risk
Precision Spinal Cord Stimulation therapy group
Surgical and medical procedures
Lead Migration
7.7%
5/65 • Number of events 5
Surgical and medical procedures
Loss of Therapy
1.5%
1/65 • Number of events 1
Surgical and medical procedures
New Lead Placement
3.1%
2/65 • Number of events 2
Infections and infestations
Infection
3.1%
2/65 • Number of events 2
Surgical and medical procedures
Implantable Pulse Generator Movement
1.5%
1/65 • Number of events 1
Surgical and medical procedures
Pain
1.5%
1/65 • Number of events 1
Surgical and medical procedures
Device Malfunction
1.5%
1/65 • Number of events 1
Musculoskeletal and connective tissue disorders
Death
1.5%
1/65 • Number of events 1

Other adverse events

Other adverse events
Measure
Spinal Cord Stimulation (SCS) Group
n=65 participants at risk
Precision Spinal Cord Stimulation therapy group
Nervous system disorders
Abstinence syndrome
1.5%
1/65 • Number of events 1
Injury, poisoning and procedural complications
CSF leak
4.6%
3/65 • Number of events 3
Infections and infestations
Infection
1.5%
1/65 • Number of events 1
Surgical and medical procedures
Lead Migration
6.2%
4/65 • Number of events 4
Injury, poisoning and procedural complications
Device Malfunction
12.3%
8/65 • Number of events 8
Nervous system disorders
Grand-Mal Seizure
1.5%
1/65 • Number of events 1
Gastrointestinal disorders
Nausea & Vomiting
1.5%
1/65 • Number of events 1
Injury, poisoning and procedural complications
Reduced Telemetry Range
1.5%
1/65 • Number of events 1
Skin and subcutaneous tissue disorders
Seroma
1.5%
1/65 • Number of events 1
Skin and subcutaneous tissue disorders
Skin Irritation
1.5%
1/65 • Number of events 1
Injury, poisoning and procedural complications
Pain during SCS Trial
1.5%
1/65 • Number of events 1
Injury, poisoning and procedural complications
Over and Under stimulation during SCS Trial
6.2%
4/65 • Number of events 4
Injury, poisoning and procedural complications
Unpleasant Stimulation
3.1%
2/65 • Number of events 2

Additional Information

Natalie Bloom Lyons

Boston Scientific Corporation

Phone: 763-228-9040

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place

Restriction type: LTE60