Trial Outcomes & Findings for Evaluation of Clinical Outcomes of Pulse Widths in Spinal Cord Stimulation (NCT NCT03756012)

NCT ID: NCT03756012

Last Updated: 2021-03-08

Results Overview

To evaluate the effect of conventional pulse widths \<500 μsec and pulse widths \>1000 μsec on clinical outcomes during temporary trial as measured by patient defined pain maps.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

15 participants

Primary outcome timeframe

For 7 days following intervention

Results posted on

2021-03-08

Participant Flow

patients received both doses

Participant milestones

Participant milestones
Measure
Total Patient Population
This was a case series and all patients received both algorithms; pulse widths \<500 µsec and \>1000 µsec during a temporary SCS trial with Algovita Trial System. Study ended early and results are only available for total population.
Overall Study
STARTED
15
Overall Study
COMPLETED
15
Overall Study
NOT COMPLETED
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Race and Ethnicity were not collected from any participant.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Total Patient Population
n=15 Participants
This was a case series and all patients received both algorithms; pulse widths \<500 µsec and \>1000 µsec during a temporary SCS trial with Algovita Trial System. Study ended early and results are only available for total population. Algovita Spinal Cord Stimulation System: The Algovita™ SCS system is indicated as an aid in the management of chronic intractable pain of the trunk and/or limbs, including unilateral or bilateral pain associated with failed back surgery syndrome, intractable low back pain and leg pain.
Age, Continuous
52 years
n=15 Participants
Sex: Female, Male
Female
8 Participants
n=15 Participants
Sex: Female, Male
Male
7 Participants
n=15 Participants

PRIMARY outcome

Timeframe: For 7 days following intervention

Population: Full statistical analysis did not occur due to premature termination of study. Results were not reported per group, but rather in total since patients received both intervention arms (both pulse widths).

To evaluate the effect of conventional pulse widths \<500 μsec and pulse widths \>1000 μsec on clinical outcomes during temporary trial as measured by patient defined pain maps.

Outcome measures

Outcome measures
Measure
Total Patient Population
n=15 Participants
This was a case series and all patients received both algorithms; pulse widths \<500 µsec and \>1000 µsec during a temporary SCS trial with Algovita Trial System. Study ended early and results are only available for total population. Algovita Spinal Cord Stimulation System: The Algovita™ SCS system is indicated as an aid in the management of chronic intractable pain of the trunk and/or limbs, including unilateral or bilateral pain associated with failed back surgery syndrome, intractable low back pain and leg pain.
Effect of Pulse Widths on Pain Clinical Outcomes
Patient subjectively felt coverage was larger with wide pulse width program
15 Participants
Effect of Pulse Widths on Pain Clinical Outcomes
Patient subjectively felt coverage was larger with conventional pulse width program
0 Participants

SECONDARY outcome

Timeframe: For 7 days following intervention

Population: Full statistical analysis did not occur due to premature termination of study. Results were not reported per group, but rather in total since patients received both intervention arms (both pulse widths).

To evaluate the effect of conventional pulse widths \<500μsecand pulse widths and \>1000μsecon clinical outcomes during temporary trial as measured by the number of participants that reported significant change in targeted pain compared to baseline using the NRS at the end of the trial period.

Outcome measures

Outcome measures
Measure
Total Patient Population
n=15 Participants
This was a case series and all patients received both algorithms; pulse widths \<500 µsec and \>1000 µsec during a temporary SCS trial with Algovita Trial System. Study ended early and results are only available for total population. Algovita Spinal Cord Stimulation System: The Algovita™ SCS system is indicated as an aid in the management of chronic intractable pain of the trunk and/or limbs, including unilateral or bilateral pain associated with failed back surgery syndrome, intractable low back pain and leg pain.
Change in Targeted Pain
Patient reported no significant change in pain scores/pain relief
15 Participants
Change in Targeted Pain
Patient reported significant change in pain scores/pain relief
0 Participants

SECONDARY outcome

Timeframe: For 7 days following intervention

Population: Full statistical analysis did not occur due to premature termination of study. Results were not reported per group, but rather in total since patients received both intervention arms (both pulse widths).

At end of each arm, subjects will be asked to complete a diagram that shows distribution of paresthesia.

Outcome measures

Outcome measures
Measure
Total Patient Population
n=15 Participants
This was a case series and all patients received both algorithms; pulse widths \<500 µsec and \>1000 µsec during a temporary SCS trial with Algovita Trial System. Study ended early and results are only available for total population. Algovita Spinal Cord Stimulation System: The Algovita™ SCS system is indicated as an aid in the management of chronic intractable pain of the trunk and/or limbs, including unilateral or bilateral pain associated with failed back surgery syndrome, intractable low back pain and leg pain.
Distribution of Paesthesia
Larger coverage area with wide pulse width
15 Participants
Distribution of Paesthesia
Larger coverage area with conventional pulse width
0 Participants

SECONDARY outcome

Timeframe: For 7 days following intervention

Population: Full statistical analysis did not occur due to premature termination of study. Results were not reported per group, but rather in total since patients received both intervention arms (both pulse widths).

At the end of the trial period, subjects will be asked to select their favorite program.

Outcome measures

Outcome measures
Measure
Total Patient Population
n=15 Participants
This was a case series and all patients received both algorithms; pulse widths \<500 µsec and \>1000 µsec during a temporary SCS trial with Algovita Trial System. Study ended early and results are only available for total population. Algovita Spinal Cord Stimulation System: The Algovita™ SCS system is indicated as an aid in the management of chronic intractable pain of the trunk and/or limbs, including unilateral or bilateral pain associated with failed back surgery syndrome, intractable low back pain and leg pain.
Research Participant Program Preference
Preferred wide pulse width
9 Participants
Research Participant Program Preference
preferred conventional pulse width
6 Participants

SECONDARY outcome

Timeframe: For 7 days following intervention

Population: Full statistical analysis did not occur due to premature termination of study. Results were not reported per group, but rather in total since patients received both intervention arms (both pulse widths).

At the end of the trial period, subjects will be asked to rate the quality of the pain relief achieved during the trial (from either arm) using the following ordinal scale; Excellent, Very Good, Good, Fair or Poor

Outcome measures

Outcome measures
Measure
Total Patient Population
n=15 Participants
This was a case series and all patients received both algorithms; pulse widths \<500 µsec and \>1000 µsec during a temporary SCS trial with Algovita Trial System. Study ended early and results are only available for total population. Algovita Spinal Cord Stimulation System: The Algovita™ SCS system is indicated as an aid in the management of chronic intractable pain of the trunk and/or limbs, including unilateral or bilateral pain associated with failed back surgery syndrome, intractable low back pain and leg pain.
Quality of Pain Relief
Poor
0 Participants
Quality of Pain Relief
Excellent
6 Participants
Quality of Pain Relief
Very Good
5 Participants
Quality of Pain Relief
Good
4 Participants
Quality of Pain Relief
Fair
0 Participants

SECONDARY outcome

Timeframe: For 7 days following intervention

Population: Full statistical analysis did not occur due to premature termination of study. Results were not reported per group, but rather in total since patients received both intervention arms (both pulse widths).

At the end of the trial period, subjects will be asked to rate their overall satisfaction with the pain relief achieved during the trial (from either arm) using the following ordinal scale; Very Satisfied, Satisfied, Neither Satisfied nor Unsatisfied, Unsatisfied or Very Unsatisfied

Outcome measures

Outcome measures
Measure
Total Patient Population
n=15 Participants
This was a case series and all patients received both algorithms; pulse widths \<500 µsec and \>1000 µsec during a temporary SCS trial with Algovita Trial System. Study ended early and results are only available for total population. Algovita Spinal Cord Stimulation System: The Algovita™ SCS system is indicated as an aid in the management of chronic intractable pain of the trunk and/or limbs, including unilateral or bilateral pain associated with failed back surgery syndrome, intractable low back pain and leg pain.
Research Participant Pain Relief Satisfaction
Very Satisfied
12 Participants
Research Participant Pain Relief Satisfaction
Satisfied
3 Participants
Research Participant Pain Relief Satisfaction
Neither Satisfied nor Unsatisfied
0 Participants
Research Participant Pain Relief Satisfaction
Unsatisfied
0 Participants
Research Participant Pain Relief Satisfaction
Very Unsatisfied
0 Participants

SECONDARY outcome

Timeframe: For 7 days following intervention

Population: Full statistical analysis did not occur due to premature termination of study. Results were not reported per group, but rather in total since patients received both intervention arms (both pulse widths).

Number of patients who achieved ≥ 50% pain relief during the trial (from either arm)

Outcome measures

Outcome measures
Measure
Total Patient Population
n=15 Participants
This was a case series and all patients received both algorithms; pulse widths \<500 µsec and \>1000 µsec during a temporary SCS trial with Algovita Trial System. Study ended early and results are only available for total population. Algovita Spinal Cord Stimulation System: The Algovita™ SCS system is indicated as an aid in the management of chronic intractable pain of the trunk and/or limbs, including unilateral or bilateral pain associated with failed back surgery syndrome, intractable low back pain and leg pain.
≥ 50% Pain Relief
Achieved >/= 50% pain relief during the trial (from either arm)
15 Participants
≥ 50% Pain Relief
Did not achieve >/= 50% pain relief during the trial (from either arm)
0 Participants

SECONDARY outcome

Timeframe: For 7 days following intervention

Population: was not collected

Rate of device-related and/or procedure-related AEs from SCS implant through study completion or study exit.

Outcome measures

Outcome data not reported

Adverse Events

Total Patient Population

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. Amol Soin

Ohio Pain Clinic

Phone: 937-434-2226

Results disclosure agreements

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