Trial Outcomes & Findings for Pulsed Radiofrequency Energy to Treat Post-Bunionectomy Pain (NCT NCT01694199)

NCT ID: NCT01694199

Last Updated: 2017-05-02

Results Overview

Sum of time-weighted Pain Intensity Differences (SPID). Pain relief was assessed at completion of first treatment, 45min,60min,90min,2hrs,3hrs,4hrs,6hrs following T0 and every 2hrs between 6AM to 10PM. After 10 PM and before 6AM, pain relief assessments were done every 4hrs. Subjects rated pain relief relative to baseline using a categorical scale: 0=none; 1=a little; 2=some; 3= a lot; 4 = complete. SPIDt = ∑PID x (time(t) - time(t-1)) x PID(i). A more negative SPID value means less pain. Total score of SPID ranged from a min value of -1091550.00 in the active arm and -2120130.00 in the sham arm and a max value of 603060.00 in the active arm and 1077630.00 in the sham arm. No absolute min and max scores were calculated.

Recruitment status

TERMINATED

Study phase

NA

Target enrollment

139 participants

Primary outcome timeframe

Treatment with the test device twice per day, over 3 days (7 total treatments)

Results posted on

2017-05-02

Participant Flow

Participant milestones

Participant milestones
Measure
Active Study Device With PRFE
This study arm receives pulsed radiofrequency energy (PRFE) from an active test device. Pulsed Radiofrequency Energy (PRFE): The intervention is pulsed radiofrequencyenergy (PRFE).
Sham Study Device With no PRFE
This study arm receives no pulsed radiofrequency energy (PRFE) from a sham test device. No Pulsed Radiofrequency Energy (PRFE): Sham (placebo) with no therapeutic device activity
Overall Study
STARTED
71
68
Overall Study
COMPLETED
71
68
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Pulsed Radiofrequency Energy to Treat Post-Bunionectomy Pain

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Active Study Device With PRFE
n=71 Participants
This study arm receives pulsed radiofrequency energy (PRFE) from an active test device. Pulsed Radiofrequency Energy (PRFE): The intervention is pulsed radiofrequencyenergy (PRFE).
Sham Study Device With no PRFE
n=68 Participants
This study arm receives no pulsed radiofrequency energy (PRFE) from a sham test device. No Pulsed Radiofrequency Energy (PRFE): Sham (placebo) with no therapeutic device activity
Total
n=139 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
68 Participants
n=5 Participants
67 Participants
n=7 Participants
135 Participants
n=5 Participants
Age, Categorical
>=65 years
3 Participants
n=5 Participants
1 Participants
n=7 Participants
4 Participants
n=5 Participants
Age, Continuous
46.2 years
STANDARD_DEVIATION 13.61 • n=5 Participants
44.7 years
STANDARD_DEVIATION 13.35 • n=7 Participants
45 years
STANDARD_DEVIATION 13.5 • n=5 Participants
Sex: Female, Male
Female
57 Participants
n=5 Participants
55 Participants
n=7 Participants
112 Participants
n=5 Participants
Sex: Female, Male
Male
14 Participants
n=5 Participants
13 Participants
n=7 Participants
27 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
22 Participants
n=5 Participants
15 Participants
n=7 Participants
37 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
49 Participants
n=5 Participants
53 Participants
n=7 Participants
102 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
1 Participants
n=5 Participants
3 Participants
n=7 Participants
4 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
32 Participants
n=5 Participants
33 Participants
n=7 Participants
65 Participants
n=5 Participants
Race (NIH/OMB)
White
38 Participants
n=5 Participants
28 Participants
n=7 Participants
66 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
4 Participants
n=7 Participants
4 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Region of Enrollment
United States
71 participants
n=5 Participants
68 participants
n=7 Participants
139 participants
n=5 Participants

PRIMARY outcome

Timeframe: Treatment with the test device twice per day, over 3 days (7 total treatments)

Population: P=0.3529

Sum of time-weighted Pain Intensity Differences (SPID). Pain relief was assessed at completion of first treatment, 45min,60min,90min,2hrs,3hrs,4hrs,6hrs following T0 and every 2hrs between 6AM to 10PM. After 10 PM and before 6AM, pain relief assessments were done every 4hrs. Subjects rated pain relief relative to baseline using a categorical scale: 0=none; 1=a little; 2=some; 3= a lot; 4 = complete. SPIDt = ∑PID x (time(t) - time(t-1)) x PID(i). A more negative SPID value means less pain. Total score of SPID ranged from a min value of -1091550.00 in the active arm and -2120130.00 in the sham arm and a max value of 603060.00 in the active arm and 1077630.00 in the sham arm. No absolute min and max scores were calculated.

Outcome measures

Outcome measures
Measure
Active Study Device With PRFE
n=71 Participants
This study arm receives pulsed radiofrequency energy (PRFE) from an active test device. Pulsed Radiofrequency Energy (PRFE): The intervention is pulsed radiofrequencyenergy (PRFE).
Sham Study Device With no PRFE
n=68 Participants
This study arm receives no pulsed radiofrequency energy (PRFE) from a sham test device. No Pulsed Radiofrequency Energy (PRFE): Sham (placebo) with no therapeutic device activity
Overall Analgesic Efficacy (Via SPID 0-72 Hrs)
-244890.0 units on a scale
Interval -348835.75 to -141359.18
-258030.00 units on a scale
Interval -432672.7 to -172230.54

SECONDARY outcome

Timeframe: Treatment with the test device twice per day, over 3 days (7 total treatments)

Pain relief was assessed at completion of first study device treatment, 45 minutes, 60 minutes, 90 minutes, 2 hours, 3 hours, 4 hours, 6 hours following T0 (±5 mins). Thereafter, pain relief was assessed every 2 hours (±5 mins) between 6AM to 10PM throughout the in-patient treatment period. After 10 PM and before 6AM, pain relief assessments were done every 4 hours. Subjects rated pain relief relative to baseline pain intensity using a categorical scale: 0=none; 1=a little; 2=some; 3= a lot; 4 = complete. Based on these scores, a time weighted pain relief score was calculated, Total Pain Relief (TOTPAR). TOTPAR-Pain Relief = ∑PID x (time(t) - time(t-1)) x PID(i)."

Outcome measures

Outcome measures
Measure
Active Study Device With PRFE
n=71 Participants
This study arm receives pulsed radiofrequency energy (PRFE) from an active test device. Pulsed Radiofrequency Energy (PRFE): The intervention is pulsed radiofrequencyenergy (PRFE).
Sham Study Device With no PRFE
n=68 Participants
This study arm receives no pulsed radiofrequency energy (PRFE) from a sham test device. No Pulsed Radiofrequency Energy (PRFE): Sham (placebo) with no therapeutic device activity
TOTPAR-Pain Relief Experienced by Patients T0-72 Hours
327974.79 units on a scale
Interval 280555.32 to 375394.26
364873.24 units on a scale
Interval 317014.18 to 412732.29

SECONDARY outcome

Timeframe: Treatment with the test device twice per day, over 3 days (7 total treatments)

The total quantity of Supplemental Opioid analgesic administered throughout the study was recorded for each Subject. Opioid consumption prior to (T0) was not considered when calculating opioid consumption endpoints.

Outcome measures

Outcome measures
Measure
Active Study Device With PRFE
n=71 Participants
This study arm receives pulsed radiofrequency energy (PRFE) from an active test device. Pulsed Radiofrequency Energy (PRFE): The intervention is pulsed radiofrequencyenergy (PRFE).
Sham Study Device With no PRFE
n=68 Participants
This study arm receives no pulsed radiofrequency energy (PRFE) from a sham test device. No Pulsed Radiofrequency Energy (PRFE): Sham (placebo) with no therapeutic device activity
Opioid Consumption Measured in Morphine Equivalents T0-72 Hours
23.30 Morphine Equivalents
Interval 23.23 to 33.87
20.30 Morphine Equivalents
Interval 19.21 to 27.83

SECONDARY outcome

Timeframe: After 3 days of treatment (T0-72 hours)

Number of participants who assessed pain control at 72 hours as good, very good, or excellent.

Outcome measures

Outcome measures
Measure
Active Study Device With PRFE
n=71 Participants
This study arm receives pulsed radiofrequency energy (PRFE) from an active test device. Pulsed Radiofrequency Energy (PRFE): The intervention is pulsed radiofrequencyenergy (PRFE).
Sham Study Device With no PRFE
n=68 Participants
This study arm receives no pulsed radiofrequency energy (PRFE) from a sham test device. No Pulsed Radiofrequency Energy (PRFE): Sham (placebo) with no therapeutic device activity
Number of Participants Who Assessed Pain Control at 72 Hours as Good, Very Good, or Excellent
48 Participants
57 Participants

SECONDARY outcome

Timeframe: Treatment with the test device twice per day, over 3 days (7 total treatments)

The time to first supplemental analgesic use was recorded. This was defined as the time from the initiation of the first study device treatment session (T0) to the time of administration of the first dose of post-T0 supplemental medication.

Outcome measures

Outcome measures
Measure
Active Study Device With PRFE
n=71 Participants
This study arm receives pulsed radiofrequency energy (PRFE) from an active test device. Pulsed Radiofrequency Energy (PRFE): The intervention is pulsed radiofrequencyenergy (PRFE).
Sham Study Device With no PRFE
n=68 Participants
This study arm receives no pulsed radiofrequency energy (PRFE) from a sham test device. No Pulsed Radiofrequency Energy (PRFE): Sham (placebo) with no therapeutic device activity
Time to First Use of Supplemental Analgesic Medication
89 Minutes
Interval 70.0 to 99.0
87 Minutes
Interval 70.0 to 101.0

Adverse Events

Active Study Device With PRFE

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

Sham Study Device With no PRFE

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

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Dr. Rick Isenberg

Regenesis Biomedical, Inc.

Phone: 877-970-4970

Results disclosure agreements

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