Trial Outcomes & Findings for Expanded Development of a Medical Device Utilizing an EEG-Based Algorithm for the Objective Quantification of Pain (NCT NCT04585451)

NCT ID: NCT04585451

Last Updated: 2023-05-06

Results Overview

This measure is the performance of the classification of pain vs no pain compared to the patient self-report in the form of Numerical Rating Scale (NRS). The primary outcome measure is Area Under the Curve (AUC), derived from the Receiver Operating Characteristic (ROC) curve, a standard metric of performance for binary classifiers. AUC is a numeric quantity ranging from 0 to 1, where the value of 1 indicates perfect separation, while 0.5 represents zero separation. AUC represents a fundamental expression of classifier separation performance without the complexity of threshold selection. (NRS 0 vs 1-10)

Recruitment status

COMPLETED

Target enrollment

334 participants

Primary outcome timeframe

Self-reported pain using average of NRS value at the start and end of EEG collection, and classification based on 15 minutes of EEG collection.

Results posted on

2023-05-06

Participant Flow

Participant milestones

Participant milestones
Measure
Chronic Pain Patients
ALGOS System: A Quantitative Electroencephalography (QEEG) based pain biomarker assessment that scales with patient reported Numeric Rating Scale (NRS)
Healthy Controls
ALGOS System: A Quantitative Electroencephalography (QEEG) based pain biomarker assessment that scales with patient reported Numeric Rating Scale (NRS)
Overall Study
STARTED
280
54
Overall Study
COMPLETED
254
54
Overall Study
NOT COMPLETED
26
0

Reasons for withdrawal

Reasons for withdrawal
Measure
Chronic Pain Patients
ALGOS System: A Quantitative Electroencephalography (QEEG) based pain biomarker assessment that scales with patient reported Numeric Rating Scale (NRS)
Healthy Controls
ALGOS System: A Quantitative Electroencephalography (QEEG) based pain biomarker assessment that scales with patient reported Numeric Rating Scale (NRS)
Overall Study
Withdrawal by Subject
26
0

Baseline Characteristics

Expanded Development of a Medical Device Utilizing an EEG-Based Algorithm for the Objective Quantification of Pain

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Chronic Pain Patients
n=280 Participants
Chronic pain patients who meet the IASP definition of chronic pain for a musculoskeletal pain disorder.
Healthy Controls
n=54 Participants
Healthy control participants with no diagnosis of chronic pain nor other various neurological conditions
Total
n=334 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
179 Participants
n=5 Participants
51 Participants
n=7 Participants
230 Participants
n=5 Participants
Age, Categorical
>=65 years
101 Participants
n=5 Participants
3 Participants
n=7 Participants
104 Participants
n=5 Participants
Sex: Female, Male
Female
145 Participants
n=5 Participants
34 Participants
n=7 Participants
179 Participants
n=5 Participants
Sex: Female, Male
Male
135 Participants
n=5 Participants
20 Participants
n=7 Participants
155 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
2 Participants
n=5 Participants
0 Participants
n=7 Participants
2 Participants
n=5 Participants
Race (NIH/OMB)
Asian
10 Participants
n=5 Participants
15 Participants
n=7 Participants
25 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
80 Participants
n=5 Participants
11 Participants
n=7 Participants
91 Participants
n=5 Participants
Race (NIH/OMB)
White
123 Participants
n=5 Participants
26 Participants
n=7 Participants
149 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
65 Participants
n=5 Participants
2 Participants
n=7 Participants
67 Participants
n=5 Participants
Region of Enrollment
United States
280 participants
n=5 Participants
54 participants
n=7 Participants
334 participants
n=5 Participants

PRIMARY outcome

Timeframe: Self-reported pain using average of NRS value at the start and end of EEG collection, and classification based on 15 minutes of EEG collection.

Population: Analysis was carried out using both arms combined: a control arm (negative class), and a pain arm (positive class). The reason for combining both arms is to assess the classifier's ability to differentiate the two classes and all outcome measures represent the performance of classification.

This measure is the performance of the classification of pain vs no pain compared to the patient self-report in the form of Numerical Rating Scale (NRS). The primary outcome measure is Area Under the Curve (AUC), derived from the Receiver Operating Characteristic (ROC) curve, a standard metric of performance for binary classifiers. AUC is a numeric quantity ranging from 0 to 1, where the value of 1 indicates perfect separation, while 0.5 represents zero separation. AUC represents a fundamental expression of classifier separation performance without the complexity of threshold selection. (NRS 0 vs 1-10)

Outcome measures

Outcome measures
Measure
Study Participants
n=308 Participants
All participants in study, chronic pain patients and controls
Area Under the Curve of Classification Versus Patient Self Report of Pain vs no Pain State
.70 probability

PRIMARY outcome

Timeframe: Self-reported pain using average of NRS value at the start and end of EEG collection, and classification based on 15 minutes of EEG collection.

Population: Analysis was carried out using both arms combined: a control arm (negative class), and a pain arm (positive class). The reason for combining both arms is to assess the classifier's ability to differentiate the two classes and all outcome measures represent the performance of classification.

Sensitivity, or true positive rate is the probability of a positive result in the true chronic pain patients. This measure is calculated by dividing true positives by the summation of true positives and false negatives. (NRS 0 vs 1-10)

Outcome measures

Outcome measures
Measure
Study Participants
n=308 Participants
All participants in study, chronic pain patients and controls
Sensitivity of Classification Versus Patient Self Report of Pain vs no Pain State
.783 probability

PRIMARY outcome

Timeframe: Self-reported pain using average of NRS value at the start and end of EEG collection, and classification based on 15 minutes of EEG collection.

Population: Analysis was carried out using both arms combined: a control arm (negative class), and a pain arm (positive class). The reason for combining both arms is to assess the classifier's ability to differentiate the two classes and all outcome measures represent the performance of classification.

Specificity, or true negative rate is the probability of a negative result in the true healthy control patients. This measure is calculated by dividing true negatives by the summation of true negatives and false positives. (NRS 0 vs 1-10)

Outcome measures

Outcome measures
Measure
Study Participants
n=308 Participants
All participants in study, chronic pain patients and controls
Specificity of Classification Versus Patient Self Report of Pain vs no Pain State
.607 probability

SECONDARY outcome

Timeframe: Self-reported pain using average of NRS value at the start and end of EEG collection, and classification based on 15 minutes of EEG collection.

Population: Analysis was carried out using both arms combined: No/Mild vs Moderate/Severe pain. The reason for combining both arms is to assess the classifier's ability to differentiate the two classes and all outcome measures represent the performance of classification.

This measure is the performance of the classification of No/Mild vs Moderate/Severe pain compared to the patient self-report in the form of Numerical Rating Scale (NRS). The outcome measure is Area Under the Curve (AUC), derived from the Receiver Operating Characteristic (ROC) curve, a standard metric of performance for binary classifiers. AUC is a numeric quantity ranging from 0 to 1, where the value of 1 indicates perfect separation (the classifier is correct on every subject), while 0.5 represents zero separation (no better than guessing). AUC represents a fundamental expression of classifier separation performance without the complexity of threshold selection. (NRS 0-3.5 vs 4-10)

Outcome measures

Outcome measures
Measure
Study Participants
n=308 Participants
All participants in study, chronic pain patients and controls
Area Under the Curve of Classification Versus Patient Self Report of no/Mild Pain vs Moderate/Severe Pain State
.694 probability

SECONDARY outcome

Timeframe: Self-reported pain using average of NRS value at the start and end of EEG collection, and classification based on 15 minutes of EEG collection.

Population: Analysis was carried out using both arms combined: No/Mild/Moderate vs Severe pain. The reason for combining both arms is to assess the classifier's ability to differentiate the two classes and all outcome measures represent the performance of classification.

This measure is the performance of the classification of No/Mild/Moderate vs Severe pain compared to the patient self-report in the form of Numerical Rating Scale (NRS). The outcome measure is Area Under the Curve (AUC), derived from the Receiver Operating Characteristic (ROC) curve, a standard metric of performance for binary classifiers. AUC is a numeric quantity ranging from 0 to 1, where the value of 1 indicates perfect separation (the classifier is correct on every subject), while 0.5 represents zero separation (no better than guessing). AUC represents a fundamental expression of classifier separation performance without the complexity of threshold selection. (NRS 0-6.5 vs 7-10)

Outcome measures

Outcome measures
Measure
Study Participants
n=308 Participants
All participants in study, chronic pain patients and controls
Area Under the Curve of Classification Versus Patient Self Report of no, Mild, or Moderate Pain vs Severe Pain State
.669 probability

Adverse Events

Chronic Pain Patients

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

Healthy Controls

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

VP R&D

PainQx

Phone: 6179817753

Results disclosure agreements

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