PDN Post Market, Multicenter, Prospective, Global Clinical Study

NCT ID: NCT05301816

Last Updated: 2024-11-07

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Clinical Phase

NA

Total Enrollment

497 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-07-05

Study Completion Date

2028-10-31

Brief Summary

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The purpose of this post-market study is to evaluate the real-world experience of Nevro's Spinal Cord Stimulation (SCS) therapy in patients with chronic, intractable leg pain due to painful diabetic neuropathy (PDN). This is a multicenter, prospective, observational global study, that will partner diabetes management teams with pain physicians to provide an interdisciplinary treatment regimen for PDN patients. Outcomes will be assessed via standardized assessments.

Detailed Description

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Conditions

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Diabetic Neuropathy, Painful

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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IPG Activated

The group of participants who have had a successful trial (\>50% pain relief) during the trial phase

Group Type EXPERIMENTAL

Spinal Cord Stimulator (SCS)

Intervention Type DEVICE

Spinal cord stimulation system (SCS) is an approved system to manage chronic intractable pain of the limbs and/or leg by delivering electrical stimulation using implantable leads and rechargeable implantable pulse generator (IPG) with 16 output channels. The IPG is implanted in a subcutaneous pocket and is capable of stimulating the spinal cord nerves when used with one or two 8-contact percutaneous or paddle leads.

Interventions

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Spinal Cord Stimulator (SCS)

Spinal cord stimulation system (SCS) is an approved system to manage chronic intractable pain of the limbs and/or leg by delivering electrical stimulation using implantable leads and rechargeable implantable pulse generator (IPG) with 16 output channels. The IPG is implanted in a subcutaneous pocket and is capable of stimulating the spinal cord nerves when used with one or two 8-contact percutaneous or paddle leads.

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

1. Have been clinically diagnosed with diabetes, according to the local country diabetes association guidelines, as well as painful diabetic neuropathy (PDN) of the lower limbs refractory to conventional medical management.
2. Average pain intensity (over the last 7 days) of ≥5 out of 10 cm on the Visual Analog Scale (VAS) in the lower limbs at enrollment/baseline.
3. The clinical decision has been made to provide treatment using the Nevro Spinal Cord Stimulation that includes 10 kHz therapy prior to enrollment in the study.
4. Be willing and capable of giving written informed consent.
5. Be willing and able to comply with study-related requirements and procedures and attend all scheduled visits.

Exclusion Criteria

1. Have a diagnosis of a lower limb mononeuropathy (e.g., causalgia and tibial or peroneal neuropathies), have had a lower limb amputation other than toes, or have large (≥3 cm) and/or gangrenous ulcers of the lower limbs
2. Have a medical condition or diagnosis that is inconsistent with Nevro's SCS System guidelines in the Physician's Manual for the relevant country, or as per standard clinical practice.
3. Have a medical condition or pain in other areas, not intended to be treated in this study, that could interfere with study procedures, accurate pain reporting, and/or confound the evaluation of study endpoints, as determined by the Investigator (such as primary headache, fibromyalgia, post-herpetic neuralgia, osteoarthritis, peripheral vascular disease, or small vessel disease).
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Nevro Corp

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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David Caraway, MD

Role: STUDY_DIRECTOR

Chief Medical Officer, Nevro Corp

Locations

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Neuroversion, Inc.

Anchorage, Alaska, United States

Site Status ACTIVE_NOT_RECRUITING

Michigan Pain Specialists

Ann Arbor, Michigan, United States

Site Status RECRUITING

Henry Ford Health

West Bloomfield, Michigan, United States

Site Status RECRUITING

Ohio State University Wexner Medical Center

Columbus, Ohio, United States

Site Status RECRUITING

Clinical Investigations, LLC

Edmond, Oklahoma, United States

Site Status ACTIVE_NOT_RECRUITING

Columbia Pain Management

Milwaukie, Oregon, United States

Site Status RECRUITING

WellSpan Interventional Pain Specialists

York, Pennsylvania, United States

Site Status RECRUITING

Virginia Interventional Pain & Spine Centers

Roanoke, Virginia, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Kerry Bradley

Role: CONTACT

1-650-251-0005

Manish Bharara, PhD

Role: CONTACT

1 (650) 785 1061

Facility Contacts

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Cathy Baker

Role: primary

734-373-7246

Rehnuma Newaz

Role: primary

248-325-2064

Alberto Uribe, MD

Role: primary

614-293-0775

Cherie Flory, RN

Role: primary

541-386-9500 ext. 219

Vikas Bansal, MBBS, MPH

Role: primary

Jessica Pickel

Role: primary

540-777-0090

Other Identifiers

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CA2021-03 INT PDN-PM

Identifier Type: -

Identifier Source: org_study_id

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