Trial Outcomes & Findings for Peripheral Nerve Stimulation for Shoulder Pain: Dose Response (NCT NCT02928055)

NCT ID: NCT02928055

Last Updated: 2021-06-18

Results Overview

Brief Pain Inventory(BPI) Short Form 3: The BPI has excellent psychometrics and is recommended for the assessment of pain in clinical trials. The developers of the BPI recommend BPI SF-3, the "pain worst" rating, as the primary response metric. The question asks participants to rate their worst pain in the prior 7-d on a 0 to 10 numeric rating scale, where "0" indicates "No pain" and "10" indicates "Pain as bad as you can imagine." A lower score is better.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

23 participants

Primary outcome timeframe

End of Treatment (EOT), EOT + 3 mo

Results posted on

2021-06-18

Participant Flow

Participant milestones

Participant milestones
Measure
PNS (3 hr/Day)
The PNS (3 hr/day) Group will receive peripheral nerve stimulation treatment for three weeks (3 hours daily) with an Intramuscular Electrical Stimulator following a one week electrode stabilization period.
PNS (6 hr/Day)
The PNS (6 hr/day) Group will receive peripheral nerve stimulation treatment for three weeks (6 hours daily) with an Intramuscular Electrical Stimulator following a one week electrode stabilization period.
PNS (9 hr/Day)
The PNS (9 hr/day) Group will receive peripheral nerve stimulation treatment for three weeks (9 hours daily) with an Intramuscular Electrical Stimulator following a one week electrode stabilization period.
Overall Study
STARTED
8
8
7
Overall Study
End of Treatment
8
8
6
Overall Study
1 Month Follow up
7
7
6
Overall Study
2 Month Follow up
6
7
5
Overall Study
3 Month Follow up
5
6
5
Overall Study
COMPLETED
5
6
5
Overall Study
NOT COMPLETED
3
2
2

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Peripheral Nerve Stimulation for Shoulder Pain: Dose Response

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
PNS (3 hr/Day)
n=8 Participants
The PNS (3 hr/day) Group will receive peripheral nerve stimulation treatment for three weeks (3 hours daily) with an Intramuscular Electrical Stimulator following a one week electrode stabilization period.
PNS (6 hr/Day)
n=8 Participants
The PNS (6 hr/day) Group will receive peripheral nerve stimulation treatment for three weeks (6 hours daily) with an Intramuscular Electrical Stimulator following a one week electrode stabilization period.
PNS (9 hr/Day)
n=7 Participants
The PNS (9 hr/day) Group will receive peripheral nerve stimulation treatment for three weeks (9 hours daily) with an Intramuscular Electrical Stimulator following a one week electrode stabilization period.
Total
n=23 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
0 Participants
n=4 Participants
Age, Categorical
Between 18 and 65 years
8 Participants
n=5 Participants
7 Participants
n=7 Participants
4 Participants
n=5 Participants
19 Participants
n=4 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
1 Participants
n=7 Participants
3 Participants
n=5 Participants
4 Participants
n=4 Participants
Age, Continuous
55.75 years
STANDARD_DEVIATION 6.25 • n=5 Participants
57.5 years
STANDARD_DEVIATION 8.64 • n=7 Participants
62.86 years
STANDARD_DEVIATION 5.64 • n=5 Participants
58.52 years
STANDARD_DEVIATION 7.35 • n=4 Participants
Sex: Female, Male
Female
5 Participants
n=5 Participants
4 Participants
n=7 Participants
3 Participants
n=5 Participants
12 Participants
n=4 Participants
Sex: Female, Male
Male
3 Participants
n=5 Participants
4 Participants
n=7 Participants
4 Participants
n=5 Participants
11 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
1 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
8 Participants
n=5 Participants
8 Participants
n=7 Participants
6 Participants
n=5 Participants
22 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
1 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
1 Participants
n=4 Participants
Race (NIH/OMB)
Black or African American
4 Participants
n=5 Participants
4 Participants
n=7 Participants
2 Participants
n=5 Participants
10 Participants
n=4 Participants
Race (NIH/OMB)
White
3 Participants
n=5 Participants
4 Participants
n=7 Participants
5 Participants
n=5 Participants
12 Participants
n=4 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Region of Enrollment
United States
8 participants
n=5 Participants
8 participants
n=7 Participants
7 participants
n=5 Participants
23 participants
n=4 Participants

PRIMARY outcome

Timeframe: End of Treatment (EOT), EOT + 3 mo

Population: numbers analyzed differ at 3 month follow up due to study drop out of some subjects at 3 month follow up

Brief Pain Inventory(BPI) Short Form 3: The BPI has excellent psychometrics and is recommended for the assessment of pain in clinical trials. The developers of the BPI recommend BPI SF-3, the "pain worst" rating, as the primary response metric. The question asks participants to rate their worst pain in the prior 7-d on a 0 to 10 numeric rating scale, where "0" indicates "No pain" and "10" indicates "Pain as bad as you can imagine." A lower score is better.

Outcome measures

Outcome measures
Measure
PNS (3 hr/Day)
n=8 Participants
The PNS (3 hr/day) Group will receive peripheral nerve stimulation treatment for three weeks (3 hours daily) with an Intramuscular Electrical Stimulator following a one week electrode stabilization period.
PNS (6 hr/Day)
n=8 Participants
The PNS (6 hr/day) Group will receive peripheral nerve stimulation treatment for three weeks (6 hours daily) with an Intramuscular Electrical Stimulator following a one week electrode stabilization period.
PNS (9 hr/Day)
n=7 Participants
The PNS (9 hr/day) Group will receive peripheral nerve stimulation treatment for three weeks (9 hours daily) with an Intramuscular Electrical Stimulator following a one week electrode stabilization period.
Brief Pain Inventory (BPI)- Short Form (SF) Question 3 (BPI-SF3)
End of Treatment Score
5.6 score on a scale
Interval 2.0 to 9.0
6 score on a scale
Interval 3.0 to 10.0
5.67 score on a scale
Interval 2.0 to 9.0
Brief Pain Inventory (BPI)- Short Form (SF) Question 3 (BPI-SF3)
3 month follow up score
6.5 score on a scale
Interval 5.0 to 8.0
5.2 score on a scale
Interval 0.0 to 10.0
4.4 score on a scale
Interval 3.0 to 8.0

OTHER_PRE_SPECIFIED outcome

Timeframe: Electrode Implant, Start of Stimulation, 1 week after start of stimulation, 2 weeks after start of stimulation, end of treatment (EOT), EOT + 1mo, EOT + 2 mo, EOT + 3 mo

Related adverse events are documented as Safety data.

Outcome measures

Outcome data not reported

Adverse Events

PNS (3 hr/Day)

Serious events: 3 serious events
Other events: 6 other events
Deaths: 0 deaths

PNS (6 hr/Day)

Serious events: 2 serious events
Other events: 6 other events
Deaths: 0 deaths

PNS (9 hr/Day)

Serious events: 0 serious events
Other events: 7 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
PNS (3 hr/Day)
n=8 participants at risk
The PNS (3 hr/day) Group will receive peripheral nerve stimulation treatment for three weeks (3 hours daily) with an Intramuscular Electrical Stimulator following a one week electrode stabilization period.
PNS (6 hr/Day)
n=8 participants at risk
The PNS (6 hr/day) Group will receive peripheral nerve stimulation treatment for three weeks (6 hours daily) with an Intramuscular Electrical Stimulator following a one week electrode stabilization period.
PNS (9 hr/Day)
n=7 participants at risk
The PNS (9 hr/day) Group will receive peripheral nerve stimulation treatment for three weeks (9 hours daily) with an Intramuscular Electrical Stimulator following a one week electrode stabilization period.
Musculoskeletal and connective tissue disorders
Fall with injury
0.00%
0/8 • adverse Event were collected for the time frame subject was enrolled in the study. Eligibility through EOT +3 months, an average of 4 months per participant
12.5%
1/8 • Number of events 1 • adverse Event were collected for the time frame subject was enrolled in the study. Eligibility through EOT +3 months, an average of 4 months per participant
0.00%
0/7 • adverse Event were collected for the time frame subject was enrolled in the study. Eligibility through EOT +3 months, an average of 4 months per participant
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
other medical condition: Cancer
25.0%
2/8 • Number of events 2 • adverse Event were collected for the time frame subject was enrolled in the study. Eligibility through EOT +3 months, an average of 4 months per participant
0.00%
0/8 • adverse Event were collected for the time frame subject was enrolled in the study. Eligibility through EOT +3 months, an average of 4 months per participant
0.00%
0/7 • adverse Event were collected for the time frame subject was enrolled in the study. Eligibility through EOT +3 months, an average of 4 months per participant
Musculoskeletal and connective tissue disorders
Orthopedic surgery
0.00%
0/8 • adverse Event were collected for the time frame subject was enrolled in the study. Eligibility through EOT +3 months, an average of 4 months per participant
12.5%
1/8 • Number of events 1 • adverse Event were collected for the time frame subject was enrolled in the study. Eligibility through EOT +3 months, an average of 4 months per participant
0.00%
0/7 • adverse Event were collected for the time frame subject was enrolled in the study. Eligibility through EOT +3 months, an average of 4 months per participant
Psychiatric disorders
Anxiety(psychosocial)
12.5%
1/8 • Number of events 1 • adverse Event were collected for the time frame subject was enrolled in the study. Eligibility through EOT +3 months, an average of 4 months per participant
0.00%
0/8 • adverse Event were collected for the time frame subject was enrolled in the study. Eligibility through EOT +3 months, an average of 4 months per participant
0.00%
0/7 • adverse Event were collected for the time frame subject was enrolled in the study. Eligibility through EOT +3 months, an average of 4 months per participant

Other adverse events

Other adverse events
Measure
PNS (3 hr/Day)
n=8 participants at risk
The PNS (3 hr/day) Group will receive peripheral nerve stimulation treatment for three weeks (3 hours daily) with an Intramuscular Electrical Stimulator following a one week electrode stabilization period.
PNS (6 hr/Day)
n=8 participants at risk
The PNS (6 hr/day) Group will receive peripheral nerve stimulation treatment for three weeks (6 hours daily) with an Intramuscular Electrical Stimulator following a one week electrode stabilization period.
PNS (9 hr/Day)
n=7 participants at risk
The PNS (9 hr/day) Group will receive peripheral nerve stimulation treatment for three weeks (9 hours daily) with an Intramuscular Electrical Stimulator following a one week electrode stabilization period.
Skin and subcutaneous tissue disorders
Skin Irritation at Bandage site
62.5%
5/8 • Number of events 5 • adverse Event were collected for the time frame subject was enrolled in the study. Eligibility through EOT +3 months, an average of 4 months per participant
25.0%
2/8 • Number of events 3 • adverse Event were collected for the time frame subject was enrolled in the study. Eligibility through EOT +3 months, an average of 4 months per participant
57.1%
4/7 • Number of events 4 • adverse Event were collected for the time frame subject was enrolled in the study. Eligibility through EOT +3 months, an average of 4 months per participant
Skin and subcutaneous tissue disorders
Skin Irritation under Sprint Pad
12.5%
1/8 • Number of events 1 • adverse Event were collected for the time frame subject was enrolled in the study. Eligibility through EOT +3 months, an average of 4 months per participant
12.5%
1/8 • Number of events 1 • adverse Event were collected for the time frame subject was enrolled in the study. Eligibility through EOT +3 months, an average of 4 months per participant
0.00%
0/7 • adverse Event were collected for the time frame subject was enrolled in the study. Eligibility through EOT +3 months, an average of 4 months per participant
Skin and subcutaneous tissue disorders
Retained Lead Fragment
12.5%
1/8 • Number of events 1 • adverse Event were collected for the time frame subject was enrolled in the study. Eligibility through EOT +3 months, an average of 4 months per participant
12.5%
1/8 • Number of events 1 • adverse Event were collected for the time frame subject was enrolled in the study. Eligibility through EOT +3 months, an average of 4 months per participant
0.00%
0/7 • adverse Event were collected for the time frame subject was enrolled in the study. Eligibility through EOT +3 months, an average of 4 months per participant
Skin and subcutaneous tissue disorders
Accidental dislodgment of Lead
25.0%
2/8 • Number of events 2 • adverse Event were collected for the time frame subject was enrolled in the study. Eligibility through EOT +3 months, an average of 4 months per participant
25.0%
2/8 • Number of events 3 • adverse Event were collected for the time frame subject was enrolled in the study. Eligibility through EOT +3 months, an average of 4 months per participant
14.3%
1/7 • Number of events 1 • adverse Event were collected for the time frame subject was enrolled in the study. Eligibility through EOT +3 months, an average of 4 months per participant
Musculoskeletal and connective tissue disorders
Fall with injury
12.5%
1/8 • Number of events 1 • adverse Event were collected for the time frame subject was enrolled in the study. Eligibility through EOT +3 months, an average of 4 months per participant
25.0%
2/8 • Number of events 2 • adverse Event were collected for the time frame subject was enrolled in the study. Eligibility through EOT +3 months, an average of 4 months per participant
14.3%
1/7 • Number of events 1 • adverse Event were collected for the time frame subject was enrolled in the study. Eligibility through EOT +3 months, an average of 4 months per participant
Skin and subcutaneous tissue disorders
Skin Irritation at electrode site
12.5%
1/8 • Number of events 1 • adverse Event were collected for the time frame subject was enrolled in the study. Eligibility through EOT +3 months, an average of 4 months per participant
25.0%
2/8 • Number of events 2 • adverse Event were collected for the time frame subject was enrolled in the study. Eligibility through EOT +3 months, an average of 4 months per participant
28.6%
2/7 • Number of events 2 • adverse Event were collected for the time frame subject was enrolled in the study. Eligibility through EOT +3 months, an average of 4 months per participant
Musculoskeletal and connective tissue disorders
Arm fatigue/weakness/pain
0.00%
0/8 • adverse Event were collected for the time frame subject was enrolled in the study. Eligibility through EOT +3 months, an average of 4 months per participant
0.00%
0/8 • adverse Event were collected for the time frame subject was enrolled in the study. Eligibility through EOT +3 months, an average of 4 months per participant
28.6%
2/7 • Number of events 2 • adverse Event were collected for the time frame subject was enrolled in the study. Eligibility through EOT +3 months, an average of 4 months per participant

Additional Information

Richard Wilson, MD

MetroHealth Medical Center

Phone: 216-778-4414

Results disclosure agreements

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