Trial Outcomes & Findings for Effect of the Temperature Used in Thermal Radiofrequency Ablation (NCT NCT02148003)

NCT ID: NCT02148003

Last Updated: 2024-03-19

Results Overview

The primary outcome was the Visual Analog Scale (VAS) pain score at 30-day follow-up visit, which was collected by patients marking a position on a strip to indicate the intensity of their pain. The locations patients marked are translated into a score from 0-100, with 0 being no pain and 100 corresponding to the worst imaginable pain.

Recruitment status

TERMINATED

Study phase

NA

Target enrollment

199 participants

Primary outcome timeframe

30 days after the procedure

Results posted on

2024-03-19

Participant Flow

Participant milestones

Participant milestones
Measure
RFA at 90 Degrees Celsius
Radiofrequency ablation (RFA) of the lumbar facets nerve supply will be performed at 90 degrees Celsius RFA at 90 degrees Celsius: Ablation at 90 degrees Celsius is defined as radiofrequency ablation of the lumbar facets nerve supply will be performed at 90 degrees Celsius C-arm guided 20-gauge radiofrequency needle: Needles will be adjusted to optimize sensory and motor stimulation.
RFA at 80 Degrees Celsius
Radiofrequency ablation (RFA) of the lumbar facets nerve supply will be performed at 80 degrees Celsius RFA at 80 degrees Celsius: Ablation at 80 degrees Celsius is defined as radiofrequency ablation of the lumbar facets nerve supply will be performed at 80 degrees Celsius C-arm guided 20-gauge radiofrequency needle: Needles will be adjusted to optimize sensory and motor stimulation.
Overall Study
STARTED
60
60
Overall Study
COMPLETED
59
58
Overall Study
NOT COMPLETED
1
2

Reasons for withdrawal

Reasons for withdrawal
Measure
RFA at 90 Degrees Celsius
Radiofrequency ablation (RFA) of the lumbar facets nerve supply will be performed at 90 degrees Celsius RFA at 90 degrees Celsius: Ablation at 90 degrees Celsius is defined as radiofrequency ablation of the lumbar facets nerve supply will be performed at 90 degrees Celsius C-arm guided 20-gauge radiofrequency needle: Needles will be adjusted to optimize sensory and motor stimulation.
RFA at 80 Degrees Celsius
Radiofrequency ablation (RFA) of the lumbar facets nerve supply will be performed at 80 degrees Celsius RFA at 80 degrees Celsius: Ablation at 80 degrees Celsius is defined as radiofrequency ablation of the lumbar facets nerve supply will be performed at 80 degrees Celsius C-arm guided 20-gauge radiofrequency needle: Needles will be adjusted to optimize sensory and motor stimulation.
Overall Study
Failed inclusion criteria
1
0
Overall Study
Met exclusion criteria
0
1
Overall Study
Withdrawal by Subject
0
1

Baseline Characteristics

Race data was not collected..

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
RFA at 90 Degrees Celsius
n=59 Participants
Radiofrequency ablation (RFA) of the lumbar facets nerve supply will be performed at 90 degrees Celsius RFA at 90 degrees Celsius: Ablation at 90 degrees Celsius is defined as radiofrequency ablation of the lumbar facets nerve supply will be performed at 90 degrees Celsius C-arm guided 20-gauge radiofrequency needle: Needles will be adjusted to optimize sensory and motor stimulation.
RFA at 80 Degrees Celsius
n=58 Participants
Radiofrequency ablation (RFA) of the lumbar facets nerve supply will be performed at 80 degrees Celsius RFA at 80 degrees Celsius: Ablation at 80 degrees Celsius is defined as radiofrequency ablation of the lumbar facets nerve supply will be performed at 80 degrees Celsius C-arm guided 20-gauge radiofrequency needle: Needles will be adjusted to optimize sensory and motor stimulation.
Total
n=117 Participants
Total of all reporting groups
Age, Continuous
57 year
STANDARD_DEVIATION 13 • n=59 Participants
61 year
STANDARD_DEVIATION 14 • n=58 Participants
58 year
STANDARD_DEVIATION 13 • n=117 Participants
Sex: Female, Male
Female
34 Participants
n=59 Participants
34 Participants
n=58 Participants
68 Participants
n=117 Participants
Sex: Female, Male
Male
25 Participants
n=59 Participants
24 Participants
n=58 Participants
49 Participants
n=117 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
Race data was not collected..
0 Participants
Race data was not collected..
0 Participants
Race data was not collected..
Race (NIH/OMB)
Asian
0 Participants
Race data was not collected..
0 Participants
Race data was not collected..
0 Participants
Race data was not collected..
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
Race data was not collected..
0 Participants
Race data was not collected..
0 Participants
Race data was not collected..
Race (NIH/OMB)
Black or African American
0 Participants
Race data was not collected..
0 Participants
Race data was not collected..
0 Participants
Race data was not collected..
Race (NIH/OMB)
White
0 Participants
Race data was not collected..
0 Participants
Race data was not collected..
0 Participants
Race data was not collected..
Race (NIH/OMB)
More than one race
0 Participants
Race data was not collected..
0 Participants
Race data was not collected..
0 Participants
Race data was not collected..
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
Race data was not collected..
0 Participants
Race data was not collected..
0 Participants
Race data was not collected..
Body mass index
28 kg/m^2
STANDARD_DEVIATION 4 • n=59 Participants
28 kg/m^2
STANDARD_DEVIATION 4 • n=58 Participants
28 kg/m^2
STANDARD_DEVIATION 4 • n=117 Participants
Smoking history
Yes
19 Participants
n=59 Participants
15 Participants
n=58 Participants
34 Participants
n=117 Participants
Smoking history
No
40 Participants
n=59 Participants
43 Participants
n=58 Participants
83 Participants
n=117 Participants
Diabetes history
Yes
6 Participants
n=59 Participants
12 Participants
n=58 Participants
18 Participants
n=117 Participants
Diabetes history
No
53 Participants
n=59 Participants
46 Participants
n=58 Participants
99 Participants
n=117 Participants

PRIMARY outcome

Timeframe: 30 days after the procedure

The primary outcome was the Visual Analog Scale (VAS) pain score at 30-day follow-up visit, which was collected by patients marking a position on a strip to indicate the intensity of their pain. The locations patients marked are translated into a score from 0-100, with 0 being no pain and 100 corresponding to the worst imaginable pain.

Outcome measures

Outcome measures
Measure
RFA at 90 Degrees Celsius
n=59 Participants
Radiofrequency ablation (RFA) of the lumbar facets nerve supply will be performed at 90 degrees Celsius RFA at 90 degrees Celsius: Ablation at 90 degrees Celsius is defined as radiofrequency ablation of the lumbar facets nerve supply will be performed at 90 degrees Celsius C-arm guided 20-gauge radiofrequency needle: Needles will be adjusted to optimize sensory and motor stimulation.
RFA at 80 Degrees Celsius
n=58 Participants
Radiofrequency ablation (RFA) of the lumbar facets nerve supply will be performed at 80 degrees Celsius RFA at 80 degrees Celsius: Ablation at 80 degrees Celsius is defined as radiofrequency ablation of the lumbar facets nerve supply will be performed at 80 degrees Celsius C-arm guided 20-gauge radiofrequency needle: Needles will be adjusted to optimize sensory and motor stimulation.
Visual Analog Scale (VAS) Pain Score 30-day After Procedure
50.4 units on a scale
Standard Deviation 31.4
47.2 units on a scale
Standard Deviation 30.5

Adverse Events

RFA at 90 Degrees Celsius

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

RFA at 80 Degrees Celsius

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

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
RFA at 90 Degrees Celsius
n=59 participants at risk
Radiofrequency ablation (RFA) of the lumbar facets nerve supply will be performed at 90 degrees Celsius RFA at 90 degrees Celsius: Ablation at 90 degrees Celsius is defined as radiofrequency ablation of the lumbar facets nerve supply will be performed at 90 degrees Celsius C-arm guided 20-gauge radiofrequency needle: Needles will be adjusted to optimize sensory and motor stimulation.
RFA at 80 Degrees Celsius
n=58 participants at risk
Radiofrequency ablation (RFA) of the lumbar facets nerve supply will be performed at 80 degrees Celsius RFA at 80 degrees Celsius: Ablation at 80 degrees Celsius is defined as radiofrequency ablation of the lumbar facets nerve supply will be performed at 80 degrees Celsius C-arm guided 20-gauge radiofrequency needle: Needles will be adjusted to optimize sensory and motor stimulation.
Surgical and medical procedures
Persistent Parethesia
0.00%
0/59 • Adverse events data were collected from the end of procedure to the 1-year follow-up.
0.00%
0/58 • Adverse events data were collected from the end of procedure to the 1-year follow-up.
Surgical and medical procedures
Nerve injuries
0.00%
0/59 • Adverse events data were collected from the end of procedure to the 1-year follow-up.
0.00%
0/58 • Adverse events data were collected from the end of procedure to the 1-year follow-up.
Surgical and medical procedures
Bleeding
0.00%
0/59 • Adverse events data were collected from the end of procedure to the 1-year follow-up.
0.00%
0/58 • Adverse events data were collected from the end of procedure to the 1-year follow-up.
Surgical and medical procedures
Infection
0.00%
0/59 • Adverse events data were collected from the end of procedure to the 1-year follow-up.
0.00%
0/58 • Adverse events data were collected from the end of procedure to the 1-year follow-up.

Additional Information

Nagy Mekhail, MD

Cleveland Clinic

Phone: 216 444-9114

Results disclosure agreements

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