Prospective Evaluation of Intrathecal Targeted Drug Delivery for Cancer Associated Pain

NCT ID: NCT05674240

Last Updated: 2026-01-21

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

ACTIVE_NOT_RECRUITING

Total Enrollment

30 participants

Study Classification

OBSERVATIONAL

Study Start Date

2022-12-06

Study Completion Date

2026-03-20

Brief Summary

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This Registry study will prospectively evaluate the differences in treatment outcomes in terms of pain intensity, pain interference, concomitant medication use, health-related quality of life, opioid adverse effects, and healthcare utilization between targeted drug delivery and conservative medication management only groups.

Detailed Description

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This is a prospective, open-label, short term patient registry where up to 169 subjects with cancer associated pain will be enrolled. Subjects with cancer associated pain who are receiving conservative medical management (CMM) only and cancer patients receiving Intrathecal Drug Delivery system (IDDs) along with CMM will be followed for up to 3 months. Subjects will be evaluated monthly up to 3 months from the medical care initiation which is the implant day for the IDDs group and start of the new treatment plan for the CMM group. Subjects that decide to cross-over to the IDDs group in a future date, will still be followed for their progress.

Based on routine care, subjects will be seen at day of implant, 1 month post-implant, 2 months post-implant, and 3- and 6- months post-implant.

Conditions

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Cancer Pain Chronic Pain Cancer Associated Pain Neuropathic Pain

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Cancer associated pain treated with conservative medical management (CMM) only

Subjects in this group are patients who opted for conservative medical management for their chronic pain that is cancer associated, including physical therapy, oral or transdermal medications and injections

Conservative medical management

Intervention Type COMBINATION_PRODUCT

Including physical therapy, oral or transdermal medications and injections

Cancer associated pain treated with Intrathecal Drug Delivery system (IDDs) along with CMM

Patients in this group are those that opted for targeted drug delivery along with conservative medical management of their cancer-associated pain

Intrathecal Targeted Drug Delivery

Intervention Type DEVICE

Intrathecal drug delivery systems (IDDs) deliver small doses of analgesics directly to the spinal cord.

Conservative medical management

Intervention Type COMBINATION_PRODUCT

Including physical therapy, oral or transdermal medications and injections

Interventions

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Intrathecal Targeted Drug Delivery

Intrathecal drug delivery systems (IDDs) deliver small doses of analgesics directly to the spinal cord.

Intervention Type DEVICE

Conservative medical management

Including physical therapy, oral or transdermal medications and injections

Intervention Type COMBINATION_PRODUCT

Other Intervention Names

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Medtronic SynchroMed™ II pump

Eligibility Criteria

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Inclusion Criteria

* Age of 21 and older
* Uncontrolled cancer-associated pain (pain score of \>5 on NRS) despite oral use of 60 mg/d morphine equivalent a week prior to screening
* Adverse side effects from long term opioid use defined as limiting or severely affecting patient's day to day function
* Life expectancy of \> 3 months

Exclusion Criteria

* Active infections
* Controlled pain without adverse side effects that are limiting day to day function
* Mechanical barriers
* Obstruction of Cerebrospinal Fluid (CSF)
Minimum Eligible Age

21 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Wake Forest University Health Sciences

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Lauren Littlefield, MD

Role: PRINCIPAL_INVESTIGATOR

Wake Forest University Health Sciences

Locations

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Advocate Aurora Health

Oshkosh, Wisconsin, United States

Site Status

Countries

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United States

Other Identifiers

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IRB00104840

Identifier Type: -

Identifier Source: org_study_id

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