The Clinical Evaluation of Implantable Pump System For Safety And Delivery Accuracy In Patients Requiring Intrathecal Administration Of Morphine Sulfate For Chronic Pain

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

Get a concise snapshot of the trial, including recruitment status, study phase, enrollment targets, and key timeline milestones.

Recruitment Status

COMPLETED

Clinical Phase

PHASE2/PHASE3

Total Enrollment

75 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-02-28

Study Completion Date

2016-07-31

Brief Summary

Review the sponsor-provided synopsis that highlights what the study is about and why it is being conducted.

• The objectives of this study are to confirm the medication delivery accuracy of the Infusion System, LLC Implantable Drug Delivery System (IDDS) with Patient Controlled Analgesia for intrathecal delivery of morphine sulfate for pain control, and to determine the safety profile of the system with PCA for intrathecal delivery of morphine sulfate for pain control.

Related Clinical Trials

Explore similar clinical trials based on study characteristics and research focus.

Intrathecal Morphine Compared to Conventional Medical Management for Pain Control and Opioid-related Side Effects

NCT01924182

Chronic Pain

TERMINATED NA

Embrace TDD: Post-Market Study to Evaluate Intrathecal Morphine as an Alternative to Systemic Opioids for Chronic Pain

NCT03761277

Chronic Non-malignant Pain Chronic Pain Pain, Back +1 more

COMPLETED PHASE4

Prometra's Utilization in Mitigating Pain (PUMP)

NCT00817596

Intractable Pain

COMPLETED NA

Prometra's Utilization in Mitigating Pain II

NCT00866164

Intractable Pain Back Pain Leg Pain +2 more

APPROVED_FOR_MARKETING

Prospective Evaluation of Intrathecal Targeted Drug Delivery for Cancer Associated Pain

NCT05674240

Cancer Pain Chronic Pain Cancer Associated Pain +1 more

ACTIVE_NOT_RECRUITING

Detailed Description

Dive into the extended narrative that explains the scientific background, objectives, and procedures in greater depth.

Conditions

See the medical conditions and disease areas that this research is targeting or investigating.

Cancers Chronic Pain

Study Design

Understand how the trial is structured, including allocation methods, masking strategies, primary purpose, and other design elements.

Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

Review each arm or cohort in the study, along with the interventions and objectives associated with them.

Subjects with Implantable pump

Patients with chronic pain responsive to intrathecal opioid analgesia as demonstrated in a morphine trial or patients with a previous successful intrathecal opioid therapy with an implantable pump will undergo study device implantation .

Group Type EXPERIMENTAL

Implantation of Morphine Sulfate delivering programmable pump

Intervention Type DEVICE

Patients with chronic pain responsive to intrathecal opioid analgesia as demonstrated in a morphine trial or patients with a previous successful intrathecal opioid therapy with an implantable pump will undergo implantation of pump for intrathecal delivery of Morphine Sulfate.

Interventions

Learn about the drugs, procedures, or behavioral strategies being tested and how they are applied within this trial.

Implantation of Morphine Sulfate delivering programmable pump

Patients with chronic pain responsive to intrathecal opioid analgesia as demonstrated in a morphine trial or patients with a previous successful intrathecal opioid therapy with an implantable pump will undergo implantation of pump for intrathecal delivery of Morphine Sulfate.

Intervention Type DEVICE

Eligibility Criteria

Check the participation requirements, including inclusion and exclusion rules, age limits, and whether healthy volunteers are accepted.

Inclusion Criteria

1. Subject must be at least 21 years of age.
2. Subject must have experienced chronic pain for at least 6 months.
3. Subject must not presently be on intrathecal therapy but must be considered a candidate for intrathecal analgesia by his pain specialist; or, a subject already on intrathecal therapy must be in need of a replacement intrathecal pump and catheter.
4. Subject must be capable of giving informed consent.
5. Subjects who agree to sign a Pain Treatment Agreement (Narcotic Contract) limiting narcotic prescriptions to the study physician.
6. Subjects who agree to periodic drug testing.
7. Subject must be capable and willing to follow all study-related procedures, including returning for monthly refills.
8. Subject must be cognitively intact and, in the opinion of the Investigator, capable of using the Patient Remote.
9. Subject who is not already successfully treated with intrathecal analgesic therapy must be responsive to a trial of intrathecal or epidural morphine.
10. Female subjects of child-bearing potential must agree to use a medically acceptable and effective double-barrier method of birth control.
11. Documented failure to respond to less invasive methods of pain control (such as physical or behavioral modifications).
12. Ineffective pain control with single or multiple systemic analgesic treatments (oral, rectal, IV or transdermal) or had intolerable side effects.
13. Cancer pain requiring strong opioids or non-malignant pain with average Visual Analog Scale (VAS) score of ≥ 4/10.
14. Subjects who can receive an MRI.
15. Subjects must be able to hear and respond to audible alarms or agree to have a support person available who is able to hear and respond to audible alarms.

Exclusion Criteria

1. Subject is a female who is pregnant or is planning a pregnancy.
2. Subject is a nursing mother.
3. Subject has at the site chosen for implantation a skin condition that would prevent the implantation procedure.
4. Subject has participated in an investigational drug or device trial within 4 weeks prior to enrollment.
5. Subject has any known or suspected allergy to morphine or to the materials of the infusion pump or intrathecal catheter.
6. Subject shows signs of active, systemic infection.
7. Subject has a known central nervous system contraindication to intrathecal therapy, including but not limited to severe spinal canal stenosis or spinal cord compression.
8. Subject has a body size that is insufficient to accept the bulk and weight of the pump.
9. Subject is allergic to morphine sulfate, or for whom morphine sulfate is contraindicated.
10. Subject has a condition requiring diathermy procedures.
11. Subject has a life expectancy of less than 9 months.
12. Subject cannot independently comprehend and participate in the required assessments, including responding to the QOL, BPI, ODI and PGIC measurement tools.
13. Subject is not considered to be medically or psychologically appropriate for pump implantation.
14. Subject has a urine drug screen result which indicates the use of prescription drugs or controlled substances not on the order of a physician.
15. Subjects with an ASA Physical Status \>IV.
16. Subjects with a history of spinal instability, or grade II spondylolisthesis or greater.
17. Previously implanted subjects with spinal MRI findings of inflammatory mass prior to the implantation procedures.
18. Subjects who are unable or unwilling to return to all of the required follow-up visits.
19. Subjects who are unwilling to sign the informed consent.
20. Subjects who are exposed to high-current industrial equipment (i.e. electricians or electrical engineers) or regularly exposed to MRI equipment (i.e. MRI technicians, MRI engineers and MRI clinicians).
21. Subjects with active implanted devices such as pacemakers, defibrillators, cochlear implants and neurostimulators or other medical device use that can interfere with the function of the implanted intrathecal pump.

Minimum Eligible Age

21 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No