SCS as an Option for Chronic Low Back and/or Leg Pain Instead of Surgery

NCT ID: NCT04676022

Last Updated: 2025-03-06

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

241 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-03-26

Study Completion Date

2025-02-21

Brief Summary

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To evaluate the safety and effectiveness of Spinal Cord Stimulation (SCS) with multiple modalities compared to Conventional Medical Management (CMM) in patients with chronic low back and/or leg pain who have not undergone spinal surgery when using the Boston Scientific WaveWriter SCS Systems.

Detailed Description

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Conditions

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Chronic Pain

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Spinal Cord Stimulation

To receive Spinal Cord Stimulation programming

Group Type EXPERIMENTAL

WaveWriter

Intervention Type DEVICE

To receive Spinal Cord Stimulation programming

Conventional Medical Management

To receive conventional medical management

Group Type OTHER

Conventional Medical Managament

Intervention Type OTHER

To receive conventional medical management

Interventions

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WaveWriter

To receive Spinal Cord Stimulation programming

Intervention Type DEVICE

Conventional Medical Managament

To receive conventional medical management

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Chronic low back pain, with or without leg pain, for at least 6 months
* Received at least 90 days of documented pain management care to address the primary pain complaint, prior to Screening (e.g. medication, physical therapy)
* If female of childbearing potential: not pregnant, as evidenced by a negative pregnancy test at Screening
* Subject signed a valid, IRB-approved informed consent form (ICF) provided in English

Exclusion Criteria

* Primary pain complaint of vascular origin (e.g. peripheral vascular disease)
* Require implantation of lead(s) in the cervical epidural space
* Significant cognitive impairment at Screening that, in the opinion of the Investigator, would reasonably be expected to impair the study candidate's ability to assess pain intensity
* Previous failed spinal cord stimulation trial or is already implanted with an active implantable device(s) (e.g. pacemaker, drug pump, implantable pulse generator)
Minimum Eligible Age

22 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Boston Scientific Corporation

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Natalie Bloom Lyons

Role: STUDY_DIRECTOR

Boston Scientific Corporation

Locations

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Vitamed Research

Palm Desert, California, United States

Site Status

Summit Pain Alliance

Santa Rosa, California, United States

Site Status

Denver Back Pain Specialists

Greenwood Village, Colorado, United States

Site Status

South Lake Pain Institute, Inc

Clermont, Florida, United States

Site Status

University of Chicago Hospital

Chicago, Illinois, United States

Site Status

Goodman Campbell Brain and Spine

Carmel, Indiana, United States

Site Status

Crimson Pain Management

Overland Park, Kansas, United States

Site Status

MedPharmics, LLC

Metairie, Louisiana, United States

Site Status

Ochsner Clinic Foundation

New Orleans, Louisiana, United States

Site Status

Willis-Knighton River Cities Clinical Research Center

Shreveport, Louisiana, United States

Site Status

Forest Health Medical Center

Ypsilanti, Michigan, United States

Site Status

Saint Louis Pain Consultants

Chesterfield, Missouri, United States

Site Status

Weill Cornell Medical University

New York, New York, United States

Site Status

Carolinas Research Institute, PLLC

Huntersville, North Carolina, United States

Site Status

Novant Health-Hawthorne

Winston-Salem, North Carolina, United States

Site Status

The Center for Clinical Research

Winston-Salem, North Carolina, United States

Site Status

The Toledo Clinic

Toledo, Ohio, United States

Site Status

Pacific Sports and Spine, LLC

Eugene, Oregon, United States

Site Status

Delaware Valley Pain and Spine Institute

Trevose, Pennsylvania, United States

Site Status

PCPMG Clinical Research Unit, LLC

Greenville, South Carolina, United States

Site Status

Institute of Precision Pain Medicine

Corpus Christi, Texas, United States

Site Status

Precision Spine Care

Tyler, Texas, United States

Site Status

University of Utah Orthopaedic Center

Salt Lake City, Utah, United States

Site Status

Countries

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United States

References

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North J, Calodney A, Trainor D, McCormick ZL, Paez J, Loudermilk E, Christopher A, Noles J, Phillips G, Jolly S, Yang MI, Guirguis M, Kloster D, Pak DJ, Peacock J, Engle M, Shah B, Wilson D, Anitescu M, Atallah J, Chatas J, Leier T, Rosen S, Goldberg E. Spinal cord stimulation plus conventional medical management versus conventional medical management alone for severe, non-surgical, refractory back pain: a randomized clinical trial followed by crossover. Reg Anesth Pain Med. 2025 Oct 5:rapm-2024-106335. doi: 10.1136/rapm-2024-106335. Online ahead of print.

Reference Type DERIVED
PMID: 41047246 (View on PubMed)

O'Connell NE, Ferraro MC, Gibson W, Rice AS, Vase L, Coyle D, Eccleston C. Implanted spinal neuromodulation interventions for chronic pain in adults. Cochrane Database Syst Rev. 2021 Dec 2;12(12):CD013756. doi: 10.1002/14651858.CD013756.pub2.

Reference Type DERIVED
PMID: 34854473 (View on PubMed)

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Other Identifiers

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A4077

Identifier Type: -

Identifier Source: org_study_id

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