Trial Outcomes & Findings for Comparison of DTM™ SCS Therapy Combined With Conventional Medical Management (CMM) to CMM Alone in the Treatment of Intractable Back Pain Subjects Without Previous History of Lumbar Spine Surgery (NCT NCT06442410)

NCT ID: NCT06442410

Last Updated: 2024-11-07

Results Overview

Individual Responders defined as decrease in back pain rating on 10 cm Visual Analog Scale (VAS) by at least 50%. Visual Analog Scale is a scaled psychometric instrument to report pain severity on a 10 cm line, with 0 indicating no pain and 10 indicating the worst pain imaginable.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

115 participants

Primary outcome timeframe

6 months

Results posted on

2024-11-07

Participant Flow

Participant milestones

Participant milestones
Measure
Test Group - DTM™ SCS Programming Approach With Conventional Medical Management (CMM)
Subjects will undergo a Trial Phase with DTM™ SCS programming. Stimulation will be delivered from an external neurostimulator. Those who have a "successful Trial Phase" will proceed to permanent implantation of the Intellis™ SCS system to evaluate DTM™ SCS therapy and will undergo up to 24 months of stimulation delivery. Subjects randomized to either treatment group will have the optional possibility to crossover to the alternative treatment arm after the 6-month visit. If the subject and investigator believe that the DTM™ SCS + CMM treatment has not generated sufficient pain relief to warrant continued treatment, then the subject will be provided with the option to crossover to the CMM group. If all SCS programming attempts fail, then DTM™ SCS therapy will be switched off and the subject will continue with their CMM treatment and will visit the clinic approximately a total of 18 months follow-up in the study (i.e. 6 months DTM™ SCS and 12 months CMM).
Control Group - Conventional Medical Management (CMM) Alone
The choice of appropriate CMM will be made by the Investigator as determined to be the best standard of care for each individual subject i.e. optimized individual conventional therapy. These treatments would be generally consistent with the American College of Physicians and the American Pain Society Guidelines as published in the Annals of Internal Medicine and European/UK guidelines. Subjects in this group will also undergo up to 24 months of CMM. Subjects randomized to either treatment group will have the optional possibility to crossover to the alternative treatment arm after the 6-month visit. If the subject and investigator believe that the CMM treatment has not generated sufficient pain relief to warrant continued treatment, then the subject will be provided with the option to crossover to the DTM™ SCS therapy group. Following their device activation, they will attend visits approximately a total of 18 months follow-up in the study (i.e. 6 months CMM and 12 months DTM™ SCS).
Overall Non-Crossover
STARTED
55
57
Overall Non-Crossover
COMPLETED
40
4
Overall Non-Crossover
NOT COMPLETED
15
53
Optional Crossover at 6 Month
STARTED
0
50
Optional Crossover at 6 Month
COMPLETED
0
39
Optional Crossover at 6 Month
NOT COMPLETED
0
11

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
Test Group - DTM™ SCS Programming Approach With Conventional Medical Management (CMM)
n=51 Participants
Subjects will undergo a Trial Phase with DTM™ SCS programming. Stimulation will be delivered from an external neurostimulator. Those who have a "successful Trial Phase" will proceed to permanent implantation of the Intellis™ SCS system to evaluate DTM™ SCS therapy and will undergo up to 24 months of stimulation delivery. Subjects randomized to either treatment group will have the optional possibility to crossover to the alternative treatment arm after the 6-month visit. If the subject and investigator believe that the DTM™ SCS + CMM treatment has not generated sufficient pain relief to warrant continued treatment, then the subject will be provided with the option to crossover to the CMM group. If all SCS programming attempts fail, then DTM™ SCS therapy will be switched off and the subject will continue with their CMM treatment and will visit the clinic approximately a total of 18 months follow-up in the study (i.e. 6 months DTM™ SCS and 12 months CMM). DTM™ spinal cord stimulation therapy delivered via Intellis™ neurostimulator system: Along with the appropriate Conventional Medical Management treatment made by the Investigator, the subject will be trialed and implanted with an Intellis™ neurostimulator system using DTM™ SCS programming parameters.
Control Group - Conventional Medical Management (CMM) Alone
n=57 Participants
The choice of appropriate CMM will be made by the Investigator as determined to be the best standard of care for each individual subject i.e. optimized individual conventional therapy. These treatments would be generally consistent with the American College of Physicians and the American Pain Society Guidelines as published in the Annals of Internal Medicine and European/UK guidelines. Subjects in this group will also undergo up to 24 months of CMM. Subjects randomized to either treatment group will have the optional possibility to crossover to the alternative treatment arm after the 6-month visit. If the subject and investigator believe that the CMM treatment has not generated sufficient pain relief to warrant continued treatment, then the subject will be provided with the option to crossover to the DTM™ SCS therapy group. Following their device activation, they will attend visits approximately a total of 18 months follow-up in the study (i.e. 6 months CMM and 12 months DTM™ SCS).
Total
n=108 Participants
Total of all reporting groups
Age, Continuous
55.86 years
STANDARD_DEVIATION 13.01 • n=51 Participants
56.86 years
STANDARD_DEVIATION 12.81 • n=57 Participants
56.39 years
STANDARD_DEVIATION 12.86 • n=108 Participants
Sex: Female, Male
Female
29 Participants
n=51 Participants
28 Participants
n=57 Participants
57 Participants
n=108 Participants
Sex: Female, Male
Male
22 Participants
n=51 Participants
29 Participants
n=57 Participants
51 Participants
n=108 Participants
Race and Ethnicity Not Collected
0 Participants
Race and Ethnicity were not collected from any participant.
Region of Enrollment
Netherlands
14 participants
n=51 Participants
16 participants
n=57 Participants
30 participants
n=108 Participants
Region of Enrollment
Belgium
18 participants
n=51 Participants
23 participants
n=57 Participants
41 participants
n=108 Participants
Region of Enrollment
Germany
3 participants
n=51 Participants
3 participants
n=57 Participants
6 participants
n=108 Participants
Region of Enrollment
Spain
16 participants
n=51 Participants
15 participants
n=57 Participants
31 participants
n=108 Participants
Years with Chronic Low Back Pain (CLBP), Continuous
10.4 years
STANDARD_DEVIATION 10.9 • n=51 Participants
11.6 years
STANDARD_DEVIATION 10.8 • n=57 Participants
11.0 years
STANDARD_DEVIATION 10.8 • n=108 Participants
Body Mass Index (BMI), Continuous
27.54 kg/m²
STANDARD_DEVIATION 4.50 • n=51 Participants
27.81 kg/m²
STANDARD_DEVIATION 4.42 • n=57 Participants
27.68 kg/m²
STANDARD_DEVIATION 4.44 • n=108 Participants
Baseline Back Pain Visual Analog Scale (VAS), Continuous
7.91 cm
STANDARD_DEVIATION 0.97 • n=51 Participants
7.76 cm
STANDARD_DEVIATION 1.03 • n=57 Participants
7.83 cm
STANDARD_DEVIATION 1.00 • n=108 Participants
Pain Diagnosis
Chronic intractable back pain
51 Participants
n=51 Participants
57 Participants
n=57 Participants
108 Participants
n=108 Participants
Pain Diagnosis
Chronic intractable leg pain
43 Participants
n=51 Participants
50 Participants
n=57 Participants
93 Participants
n=108 Participants

PRIMARY outcome

Timeframe: 6 months

Population: Modified Intent to Treat (mITT): All successfully randomized subjects to the test arm who completed the Trial Phase and all successfully randomized subjects to the control arm.

Individual Responders defined as decrease in back pain rating on 10 cm Visual Analog Scale (VAS) by at least 50%. Visual Analog Scale is a scaled psychometric instrument to report pain severity on a 10 cm line, with 0 indicating no pain and 10 indicating the worst pain imaginable.

Outcome measures

Outcome measures
Measure
Test Group - DTM™ SCS Programming Approach With Conventional Medical Management (CMM)
n=47 Participants
Subjects will undergo a Trial Phase with DTM™ SCS programming. Stimulation will be delivered from an external neurostimulator. Those who have a "successful Trial Phase" will proceed to permanent implantation of the Intellis™ SCS system to evaluate DTM™ SCS therapy and will undergo up to 24 months of stimulation delivery. Subjects randomized to either treatment group will have the optional possibility to crossover to the alternative treatment arm after the 6-month visit. If the subject and investigator believe that the DTM™ SCS + CMM treatment has not generated sufficient pain relief to warrant continued treatment, then the subject will be provided with the option to crossover to the CMM group. If all SCS programming attempts fail, then DTM™ SCS therapy will be switched off and the subject will continue with their CMM treatment and will visit the clinic approximately a total of 18 months follow-up in the study (i.e. 6 months DTM™ SCS and 12 months CMM). DTM™ spinal cord stimulation therapy delivered via Intellis™ neurostimulator system: Along with the appropriate Conventional Medical Management treatment made by the Investigator, the subject will be trialed and implanted with an Intellis™ neurostimulator system using DTM™ SCS programming parameters.
Control Group - Conventional Medical Management (CMM) Alone
n=56 Participants
The choice of appropriate CMM will be made by the Investigator as determined to be the best standard of care for each individual subject i.e. optimized individual conventional therapy. These treatments would be generally consistent with the American College of Physicians and the American Pain Society Guidelines as published in the Annals of Internal Medicine and European/UK guidelines. Subjects in this group will also undergo up to 24 months of CMM. Subjects randomized to either treatment group will have the optional possibility to crossover to the alternative treatment arm after the 6-month visit. If the subject and investigator believe that the CMM treatment has not generated sufficient pain relief to warrant continued treatment, then the subject will be provided with the option to crossover to the DTM™ SCS therapy group. Following their device activation, they will attend visits approximately a total of 18 months follow-up in the study (i.e. 6 months CMM and 12 months DTM™ SCS).
Percentage of Individual Responders
40 Participants
2 Participants

SECONDARY outcome

Timeframe: 1 month

Population: Modified Intent to Treat (mITT): All successfully randomized subjects to the test arm who completed the Trial Phase and all successfully randomized subjects to the control arm.

Individual Responders defined as decrease in back pain rating on 10 cm Visual Analog Scale (VAS) by at least 50%. Visual Analog Scale is a scaled psychometric instrument to report pain severity on a 10 cm line, with 0 indicating no pain and 10 indicating the worst pain imaginable.

Outcome measures

Outcome measures
Measure
Test Group - DTM™ SCS Programming Approach With Conventional Medical Management (CMM)
n=49 Participants
Subjects will undergo a Trial Phase with DTM™ SCS programming. Stimulation will be delivered from an external neurostimulator. Those who have a "successful Trial Phase" will proceed to permanent implantation of the Intellis™ SCS system to evaluate DTM™ SCS therapy and will undergo up to 24 months of stimulation delivery. Subjects randomized to either treatment group will have the optional possibility to crossover to the alternative treatment arm after the 6-month visit. If the subject and investigator believe that the DTM™ SCS + CMM treatment has not generated sufficient pain relief to warrant continued treatment, then the subject will be provided with the option to crossover to the CMM group. If all SCS programming attempts fail, then DTM™ SCS therapy will be switched off and the subject will continue with their CMM treatment and will visit the clinic approximately a total of 18 months follow-up in the study (i.e. 6 months DTM™ SCS and 12 months CMM). DTM™ spinal cord stimulation therapy delivered via Intellis™ neurostimulator system: Along with the appropriate Conventional Medical Management treatment made by the Investigator, the subject will be trialed and implanted with an Intellis™ neurostimulator system using DTM™ SCS programming parameters.
Control Group - Conventional Medical Management (CMM) Alone
n=57 Participants
The choice of appropriate CMM will be made by the Investigator as determined to be the best standard of care for each individual subject i.e. optimized individual conventional therapy. These treatments would be generally consistent with the American College of Physicians and the American Pain Society Guidelines as published in the Annals of Internal Medicine and European/UK guidelines. Subjects in this group will also undergo up to 24 months of CMM. Subjects randomized to either treatment group will have the optional possibility to crossover to the alternative treatment arm after the 6-month visit. If the subject and investigator believe that the CMM treatment has not generated sufficient pain relief to warrant continued treatment, then the subject will be provided with the option to crossover to the DTM™ SCS therapy group. Following their device activation, they will attend visits approximately a total of 18 months follow-up in the study (i.e. 6 months CMM and 12 months DTM™ SCS).
Percentage of Individual Responders
41 Participants
1 Participants

SECONDARY outcome

Timeframe: 3 months

Population: Modified Intent to Treat (mITT): All successfully randomized subjects to the test arm who completed the Trial Phase and all successfully randomized subjects to the control arm.

Individual Responders defined as decrease in back pain rating on 10 cm Visual Analog Scale (VAS) by at least 50%. Visual Analog Scale is a scaled psychometric instrument to report pain severity on a 10 cm line, with 0 indicating no pain and 10 indicating the worst pain imaginable.

Outcome measures

Outcome measures
Measure
Test Group - DTM™ SCS Programming Approach With Conventional Medical Management (CMM)
n=48 Participants
Subjects will undergo a Trial Phase with DTM™ SCS programming. Stimulation will be delivered from an external neurostimulator. Those who have a "successful Trial Phase" will proceed to permanent implantation of the Intellis™ SCS system to evaluate DTM™ SCS therapy and will undergo up to 24 months of stimulation delivery. Subjects randomized to either treatment group will have the optional possibility to crossover to the alternative treatment arm after the 6-month visit. If the subject and investigator believe that the DTM™ SCS + CMM treatment has not generated sufficient pain relief to warrant continued treatment, then the subject will be provided with the option to crossover to the CMM group. If all SCS programming attempts fail, then DTM™ SCS therapy will be switched off and the subject will continue with their CMM treatment and will visit the clinic approximately a total of 18 months follow-up in the study (i.e. 6 months DTM™ SCS and 12 months CMM). DTM™ spinal cord stimulation therapy delivered via Intellis™ neurostimulator system: Along with the appropriate Conventional Medical Management treatment made by the Investigator, the subject will be trialed and implanted with an Intellis™ neurostimulator system using DTM™ SCS programming parameters.
Control Group - Conventional Medical Management (CMM) Alone
n=56 Participants
The choice of appropriate CMM will be made by the Investigator as determined to be the best standard of care for each individual subject i.e. optimized individual conventional therapy. These treatments would be generally consistent with the American College of Physicians and the American Pain Society Guidelines as published in the Annals of Internal Medicine and European/UK guidelines. Subjects in this group will also undergo up to 24 months of CMM. Subjects randomized to either treatment group will have the optional possibility to crossover to the alternative treatment arm after the 6-month visit. If the subject and investigator believe that the CMM treatment has not generated sufficient pain relief to warrant continued treatment, then the subject will be provided with the option to crossover to the DTM™ SCS therapy group. Following their device activation, they will attend visits approximately a total of 18 months follow-up in the study (i.e. 6 months CMM and 12 months DTM™ SCS).
Percentage of Individual Responders
41 Participants
3 Participants

SECONDARY outcome

Timeframe: 9 months

Population: Modified Intent to Treat (mITT): All successfully randomized subjects to the test arm who completed the Trial Phase and all successfully randomized subjects to the control arm. Crossover subjects were counted as failures (i.e. non-responders) for endpoints defined in terms of responders in their group of original randomization assignment.

Individual Responders defined as decrease in back pain rating on 10 cm Visual Analog Scale (VAS) by at least 50%. Visual Analog Scale is a scaled psychometric instrument to report pain severity on a 10 cm line, with 0 indicating no pain and 10 indicating the worst pain imaginable.

Outcome measures

Outcome measures
Measure
Test Group - DTM™ SCS Programming Approach With Conventional Medical Management (CMM)
n=45 Participants
Subjects will undergo a Trial Phase with DTM™ SCS programming. Stimulation will be delivered from an external neurostimulator. Those who have a "successful Trial Phase" will proceed to permanent implantation of the Intellis™ SCS system to evaluate DTM™ SCS therapy and will undergo up to 24 months of stimulation delivery. Subjects randomized to either treatment group will have the optional possibility to crossover to the alternative treatment arm after the 6-month visit. If the subject and investigator believe that the DTM™ SCS + CMM treatment has not generated sufficient pain relief to warrant continued treatment, then the subject will be provided with the option to crossover to the CMM group. If all SCS programming attempts fail, then DTM™ SCS therapy will be switched off and the subject will continue with their CMM treatment and will visit the clinic approximately a total of 18 months follow-up in the study (i.e. 6 months DTM™ SCS and 12 months CMM). DTM™ spinal cord stimulation therapy delivered via Intellis™ neurostimulator system: Along with the appropriate Conventional Medical Management treatment made by the Investigator, the subject will be trialed and implanted with an Intellis™ neurostimulator system using DTM™ SCS programming parameters.
Control Group - Conventional Medical Management (CMM) Alone
n=56 Participants
The choice of appropriate CMM will be made by the Investigator as determined to be the best standard of care for each individual subject i.e. optimized individual conventional therapy. These treatments would be generally consistent with the American College of Physicians and the American Pain Society Guidelines as published in the Annals of Internal Medicine and European/UK guidelines. Subjects in this group will also undergo up to 24 months of CMM. Subjects randomized to either treatment group will have the optional possibility to crossover to the alternative treatment arm after the 6-month visit. If the subject and investigator believe that the CMM treatment has not generated sufficient pain relief to warrant continued treatment, then the subject will be provided with the option to crossover to the DTM™ SCS therapy group. Following their device activation, they will attend visits approximately a total of 18 months follow-up in the study (i.e. 6 months CMM and 12 months DTM™ SCS).
Percentage of Individual Responders
37 Participants
0 Participants

SECONDARY outcome

Timeframe: 12 months

Population: Modified Intent to Treat (mITT): All successfully randomized subjects to the test arm who completed the Trial Phase and all successfully randomized subjects to the control arm. Crossover subjects were counted as failures (i.e. non-responders) for endpoints defined in terms of responders in their group of original randomization assignment.

Individual Responders defined as decrease in back pain rating on 10 cm Visual Analog Scale (VAS) by at least 50%. Visual Analog Scale is a scaled psychometric instrument to report pain severity on a 10 cm line, with 0 indicating no pain and 10 indicating the worst pain imaginable.

Outcome measures

Outcome measures
Measure
Test Group - DTM™ SCS Programming Approach With Conventional Medical Management (CMM)
n=45 Participants
Subjects will undergo a Trial Phase with DTM™ SCS programming. Stimulation will be delivered from an external neurostimulator. Those who have a "successful Trial Phase" will proceed to permanent implantation of the Intellis™ SCS system to evaluate DTM™ SCS therapy and will undergo up to 24 months of stimulation delivery. Subjects randomized to either treatment group will have the optional possibility to crossover to the alternative treatment arm after the 6-month visit. If the subject and investigator believe that the DTM™ SCS + CMM treatment has not generated sufficient pain relief to warrant continued treatment, then the subject will be provided with the option to crossover to the CMM group. If all SCS programming attempts fail, then DTM™ SCS therapy will be switched off and the subject will continue with their CMM treatment and will visit the clinic approximately a total of 18 months follow-up in the study (i.e. 6 months DTM™ SCS and 12 months CMM). DTM™ spinal cord stimulation therapy delivered via Intellis™ neurostimulator system: Along with the appropriate Conventional Medical Management treatment made by the Investigator, the subject will be trialed and implanted with an Intellis™ neurostimulator system using DTM™ SCS programming parameters.
Control Group - Conventional Medical Management (CMM) Alone
n=55 Participants
The choice of appropriate CMM will be made by the Investigator as determined to be the best standard of care for each individual subject i.e. optimized individual conventional therapy. These treatments would be generally consistent with the American College of Physicians and the American Pain Society Guidelines as published in the Annals of Internal Medicine and European/UK guidelines. Subjects in this group will also undergo up to 24 months of CMM. Subjects randomized to either treatment group will have the optional possibility to crossover to the alternative treatment arm after the 6-month visit. If the subject and investigator believe that the CMM treatment has not generated sufficient pain relief to warrant continued treatment, then the subject will be provided with the option to crossover to the DTM™ SCS therapy group. Following their device activation, they will attend visits approximately a total of 18 months follow-up in the study (i.e. 6 months CMM and 12 months DTM™ SCS).
Percentage of Individual Responders
36 Participants
0 Participants

SECONDARY outcome

Timeframe: 18 months

Population: Modified Intent to Treat (mITT): All successfully randomized subjects to the test arm who completed the Trial Phase and all successfully randomized subjects to the control arm. Crossover subjects were counted as failures (i.e. non-responders) for endpoints defined in terms of responders in their group of original randomization assignment.

Individual Responders defined as decrease in back pain rating on 10 cm Visual Analog Scale (VAS) by at least 50%. Visual Analog Scale is a scaled psychometric instrument to report pain severity on a 10 cm line, with 0 indicating no pain and 10 indicating the worst pain imaginable.

Outcome measures

Outcome measures
Measure
Test Group - DTM™ SCS Programming Approach With Conventional Medical Management (CMM)
n=45 Participants
Subjects will undergo a Trial Phase with DTM™ SCS programming. Stimulation will be delivered from an external neurostimulator. Those who have a "successful Trial Phase" will proceed to permanent implantation of the Intellis™ SCS system to evaluate DTM™ SCS therapy and will undergo up to 24 months of stimulation delivery. Subjects randomized to either treatment group will have the optional possibility to crossover to the alternative treatment arm after the 6-month visit. If the subject and investigator believe that the DTM™ SCS + CMM treatment has not generated sufficient pain relief to warrant continued treatment, then the subject will be provided with the option to crossover to the CMM group. If all SCS programming attempts fail, then DTM™ SCS therapy will be switched off and the subject will continue with their CMM treatment and will visit the clinic approximately a total of 18 months follow-up in the study (i.e. 6 months DTM™ SCS and 12 months CMM). DTM™ spinal cord stimulation therapy delivered via Intellis™ neurostimulator system: Along with the appropriate Conventional Medical Management treatment made by the Investigator, the subject will be trialed and implanted with an Intellis™ neurostimulator system using DTM™ SCS programming parameters.
Control Group - Conventional Medical Management (CMM) Alone
n=55 Participants
The choice of appropriate CMM will be made by the Investigator as determined to be the best standard of care for each individual subject i.e. optimized individual conventional therapy. These treatments would be generally consistent with the American College of Physicians and the American Pain Society Guidelines as published in the Annals of Internal Medicine and European/UK guidelines. Subjects in this group will also undergo up to 24 months of CMM. Subjects randomized to either treatment group will have the optional possibility to crossover to the alternative treatment arm after the 6-month visit. If the subject and investigator believe that the CMM treatment has not generated sufficient pain relief to warrant continued treatment, then the subject will be provided with the option to crossover to the DTM™ SCS therapy group. Following their device activation, they will attend visits approximately a total of 18 months follow-up in the study (i.e. 6 months CMM and 12 months DTM™ SCS).
Percentage of Individual Responders
37 Participants
1 Participants

SECONDARY outcome

Timeframe: 24 months

Population: Modified Intent to Treat (mITT): All successfully randomized subjects to the test arm who completed the Trial Phase and all successfully randomized subjects to the control arm. Crossover subjects were counted as failures (i.e. non-responders) for endpoints defined in terms of responders in their group of original randomization assignment.

Individual Responders defined as decrease in back pain rating on 10 cm Visual Analog Scale (VAS) by at least 50%. Visual Analog Scale is a scaled psychometric instrument to report pain severity on a 10 cm line, with 0 indicating no pain and 10 indicating the worst pain imaginable.

Outcome measures

Outcome measures
Measure
Test Group - DTM™ SCS Programming Approach With Conventional Medical Management (CMM)
n=43 Participants
Subjects will undergo a Trial Phase with DTM™ SCS programming. Stimulation will be delivered from an external neurostimulator. Those who have a "successful Trial Phase" will proceed to permanent implantation of the Intellis™ SCS system to evaluate DTM™ SCS therapy and will undergo up to 24 months of stimulation delivery. Subjects randomized to either treatment group will have the optional possibility to crossover to the alternative treatment arm after the 6-month visit. If the subject and investigator believe that the DTM™ SCS + CMM treatment has not generated sufficient pain relief to warrant continued treatment, then the subject will be provided with the option to crossover to the CMM group. If all SCS programming attempts fail, then DTM™ SCS therapy will be switched off and the subject will continue with their CMM treatment and will visit the clinic approximately a total of 18 months follow-up in the study (i.e. 6 months DTM™ SCS and 12 months CMM). DTM™ spinal cord stimulation therapy delivered via Intellis™ neurostimulator system: Along with the appropriate Conventional Medical Management treatment made by the Investigator, the subject will be trialed and implanted with an Intellis™ neurostimulator system using DTM™ SCS programming parameters.
Control Group - Conventional Medical Management (CMM) Alone
n=55 Participants
The choice of appropriate CMM will be made by the Investigator as determined to be the best standard of care for each individual subject i.e. optimized individual conventional therapy. These treatments would be generally consistent with the American College of Physicians and the American Pain Society Guidelines as published in the Annals of Internal Medicine and European/UK guidelines. Subjects in this group will also undergo up to 24 months of CMM. Subjects randomized to either treatment group will have the optional possibility to crossover to the alternative treatment arm after the 6-month visit. If the subject and investigator believe that the CMM treatment has not generated sufficient pain relief to warrant continued treatment, then the subject will be provided with the option to crossover to the DTM™ SCS therapy group. Following their device activation, they will attend visits approximately a total of 18 months follow-up in the study (i.e. 6 months CMM and 12 months DTM™ SCS).
Percentage of Individual Responders
38 Participants
3 Participants

SECONDARY outcome

Timeframe: 1 month

Population: Modified Intent to Treat (mITT): All successfully randomized subjects to the test arm who completed the Trial Phase and all successfully randomized subjects to the control arm.

Change from Baseline in Back Pain 10 cm VAS = Follow-up Visit Pain VAS - Baseline Pain VAS. A negative result reflects a decrease in the Pain VAS, while a positive result reflects an increase in Pain VAS. Visual Analog Scale is a scaled psychometric instrument to report pain severity on a 10 cm line, with 0 indicating no pain and 10 indicating the worst pain imaginable.

Outcome measures

Outcome measures
Measure
Test Group - DTM™ SCS Programming Approach With Conventional Medical Management (CMM)
n=49 Participants
Subjects will undergo a Trial Phase with DTM™ SCS programming. Stimulation will be delivered from an external neurostimulator. Those who have a "successful Trial Phase" will proceed to permanent implantation of the Intellis™ SCS system to evaluate DTM™ SCS therapy and will undergo up to 24 months of stimulation delivery. Subjects randomized to either treatment group will have the optional possibility to crossover to the alternative treatment arm after the 6-month visit. If the subject and investigator believe that the DTM™ SCS + CMM treatment has not generated sufficient pain relief to warrant continued treatment, then the subject will be provided with the option to crossover to the CMM group. If all SCS programming attempts fail, then DTM™ SCS therapy will be switched off and the subject will continue with their CMM treatment and will visit the clinic approximately a total of 18 months follow-up in the study (i.e. 6 months DTM™ SCS and 12 months CMM). DTM™ spinal cord stimulation therapy delivered via Intellis™ neurostimulator system: Along with the appropriate Conventional Medical Management treatment made by the Investigator, the subject will be trialed and implanted with an Intellis™ neurostimulator system using DTM™ SCS programming parameters.
Control Group - Conventional Medical Management (CMM) Alone
n=57 Participants
The choice of appropriate CMM will be made by the Investigator as determined to be the best standard of care for each individual subject i.e. optimized individual conventional therapy. These treatments would be generally consistent with the American College of Physicians and the American Pain Society Guidelines as published in the Annals of Internal Medicine and European/UK guidelines. Subjects in this group will also undergo up to 24 months of CMM. Subjects randomized to either treatment group will have the optional possibility to crossover to the alternative treatment arm after the 6-month visit. If the subject and investigator believe that the CMM treatment has not generated sufficient pain relief to warrant continued treatment, then the subject will be provided with the option to crossover to the DTM™ SCS therapy group. Following their device activation, they will attend visits approximately a total of 18 months follow-up in the study (i.e. 6 months CMM and 12 months DTM™ SCS).
Change From Baseline in Visual Analog Scale (VAS) Back Pain Score
-5.69 cm
Standard Deviation 2.17
-0.36 cm
Standard Deviation 1.46

SECONDARY outcome

Timeframe: 3 months

Population: Modified Intent to Treat (mITT): All successfully randomized subjects to the test arm who completed the Trial Phase and all successfully randomized subjects to the control arm.

Change from Baseline in Back Pain 10 cm VAS = Follow-up Visit Pain VAS - Baseline Pain VAS. A negative result reflects a decrease in the Pain VAS, while a positive result reflects an increase in Pain VAS. Visual Analog Scale is a scaled psychometric instrument to report pain severity on a 10 cm line, with 0 indicating no pain and 10 indicating the worst pain imaginable.

Outcome measures

Outcome measures
Measure
Test Group - DTM™ SCS Programming Approach With Conventional Medical Management (CMM)
n=48 Participants
Subjects will undergo a Trial Phase with DTM™ SCS programming. Stimulation will be delivered from an external neurostimulator. Those who have a "successful Trial Phase" will proceed to permanent implantation of the Intellis™ SCS system to evaluate DTM™ SCS therapy and will undergo up to 24 months of stimulation delivery. Subjects randomized to either treatment group will have the optional possibility to crossover to the alternative treatment arm after the 6-month visit. If the subject and investigator believe that the DTM™ SCS + CMM treatment has not generated sufficient pain relief to warrant continued treatment, then the subject will be provided with the option to crossover to the CMM group. If all SCS programming attempts fail, then DTM™ SCS therapy will be switched off and the subject will continue with their CMM treatment and will visit the clinic approximately a total of 18 months follow-up in the study (i.e. 6 months DTM™ SCS and 12 months CMM). DTM™ spinal cord stimulation therapy delivered via Intellis™ neurostimulator system: Along with the appropriate Conventional Medical Management treatment made by the Investigator, the subject will be trialed and implanted with an Intellis™ neurostimulator system using DTM™ SCS programming parameters.
Control Group - Conventional Medical Management (CMM) Alone
n=56 Participants
The choice of appropriate CMM will be made by the Investigator as determined to be the best standard of care for each individual subject i.e. optimized individual conventional therapy. These treatments would be generally consistent with the American College of Physicians and the American Pain Society Guidelines as published in the Annals of Internal Medicine and European/UK guidelines. Subjects in this group will also undergo up to 24 months of CMM. Subjects randomized to either treatment group will have the optional possibility to crossover to the alternative treatment arm after the 6-month visit. If the subject and investigator believe that the CMM treatment has not generated sufficient pain relief to warrant continued treatment, then the subject will be provided with the option to crossover to the DTM™ SCS therapy group. Following their device activation, they will attend visits approximately a total of 18 months follow-up in the study (i.e. 6 months CMM and 12 months DTM™ SCS).
Change From Baseline in Visual Analog Scale (VAS) Back Pain Score
-5.77 cm
Standard Deviation 2.04
-0.40 cm
Standard Deviation 1.74

SECONDARY outcome

Timeframe: 6 months

Population: Modified Intent to Treat (mITT): All successfully randomized subjects to the test arm who completed the Trial Phase and all successfully randomized subjects to the control arm.

Change from Baseline in Back Pain 10 cm VAS = Follow-up Visit Pain VAS - Baseline Pain VAS. A negative result reflects a decrease in the Pain VAS, while a positive result reflects an increase in Pain VAS. Visual Analog Scale is a scaled psychometric instrument to report pain severity on a 10 cm line, with 0 indicating no pain and 10 indicating the worst pain imaginable.

Outcome measures

Outcome measures
Measure
Test Group - DTM™ SCS Programming Approach With Conventional Medical Management (CMM)
n=47 Participants
Subjects will undergo a Trial Phase with DTM™ SCS programming. Stimulation will be delivered from an external neurostimulator. Those who have a "successful Trial Phase" will proceed to permanent implantation of the Intellis™ SCS system to evaluate DTM™ SCS therapy and will undergo up to 24 months of stimulation delivery. Subjects randomized to either treatment group will have the optional possibility to crossover to the alternative treatment arm after the 6-month visit. If the subject and investigator believe that the DTM™ SCS + CMM treatment has not generated sufficient pain relief to warrant continued treatment, then the subject will be provided with the option to crossover to the CMM group. If all SCS programming attempts fail, then DTM™ SCS therapy will be switched off and the subject will continue with their CMM treatment and will visit the clinic approximately a total of 18 months follow-up in the study (i.e. 6 months DTM™ SCS and 12 months CMM). DTM™ spinal cord stimulation therapy delivered via Intellis™ neurostimulator system: Along with the appropriate Conventional Medical Management treatment made by the Investigator, the subject will be trialed and implanted with an Intellis™ neurostimulator system using DTM™ SCS programming parameters.
Control Group - Conventional Medical Management (CMM) Alone
n=56 Participants
The choice of appropriate CMM will be made by the Investigator as determined to be the best standard of care for each individual subject i.e. optimized individual conventional therapy. These treatments would be generally consistent with the American College of Physicians and the American Pain Society Guidelines as published in the Annals of Internal Medicine and European/UK guidelines. Subjects in this group will also undergo up to 24 months of CMM. Subjects randomized to either treatment group will have the optional possibility to crossover to the alternative treatment arm after the 6-month visit. If the subject and investigator believe that the CMM treatment has not generated sufficient pain relief to warrant continued treatment, then the subject will be provided with the option to crossover to the DTM™ SCS therapy group. Following their device activation, they will attend visits approximately a total of 18 months follow-up in the study (i.e. 6 months CMM and 12 months DTM™ SCS).
Change From Baseline in Visual Analog Scale (VAS) Back Pain Score
-5.76 cm
Standard Deviation 2.07
0.13 cm
Standard Deviation 1.55

SECONDARY outcome

Timeframe: 9 months

Population: Modified Intent to Treat (mITT): All successfully randomized subjects to the test arm who completed the Trial Phase and all successfully randomized subjects to the control arm. Crossover subjects were counted as failures (i.e. non-responders) for endpoints defined in terms of responders in their group of original randomization assignment, carrying forward the baseline (pre-treatment) scores.

Change from Baseline in Back Pain 10 cm VAS = Follow-up Visit Pain VAS - Baseline Pain VAS. A negative result reflects a decrease in the Pain VAS, while a positive result reflects an increase in Pain VAS. Visual Analog Scale is a scaled psychometric instrument to report pain severity on a 10 cm line, with 0 indicating no pain and 10 indicating the worst pain imaginable.

Outcome measures

Outcome measures
Measure
Test Group - DTM™ SCS Programming Approach With Conventional Medical Management (CMM)
n=45 Participants
Subjects will undergo a Trial Phase with DTM™ SCS programming. Stimulation will be delivered from an external neurostimulator. Those who have a "successful Trial Phase" will proceed to permanent implantation of the Intellis™ SCS system to evaluate DTM™ SCS therapy and will undergo up to 24 months of stimulation delivery. Subjects randomized to either treatment group will have the optional possibility to crossover to the alternative treatment arm after the 6-month visit. If the subject and investigator believe that the DTM™ SCS + CMM treatment has not generated sufficient pain relief to warrant continued treatment, then the subject will be provided with the option to crossover to the CMM group. If all SCS programming attempts fail, then DTM™ SCS therapy will be switched off and the subject will continue with their CMM treatment and will visit the clinic approximately a total of 18 months follow-up in the study (i.e. 6 months DTM™ SCS and 12 months CMM). DTM™ spinal cord stimulation therapy delivered via Intellis™ neurostimulator system: Along with the appropriate Conventional Medical Management treatment made by the Investigator, the subject will be trialed and implanted with an Intellis™ neurostimulator system using DTM™ SCS programming parameters.
Control Group - Conventional Medical Management (CMM) Alone
n=56 Participants
The choice of appropriate CMM will be made by the Investigator as determined to be the best standard of care for each individual subject i.e. optimized individual conventional therapy. These treatments would be generally consistent with the American College of Physicians and the American Pain Society Guidelines as published in the Annals of Internal Medicine and European/UK guidelines. Subjects in this group will also undergo up to 24 months of CMM. Subjects randomized to either treatment group will have the optional possibility to crossover to the alternative treatment arm after the 6-month visit. If the subject and investigator believe that the CMM treatment has not generated sufficient pain relief to warrant continued treatment, then the subject will be provided with the option to crossover to the DTM™ SCS therapy group. Following their device activation, they will attend visits approximately a total of 18 months follow-up in the study (i.e. 6 months CMM and 12 months DTM™ SCS).
Change From Baseline in Visual Analog Scale (VAS) Back Pain Score
-5.43 cm
Standard Deviation 2.13
-0.07 cm
Standard Deviation 0.59

SECONDARY outcome

Timeframe: 12 months

Population: Modified Intent to Treat (mITT): All successfully randomized subjects to the test arm who completed the Trial Phase and all successfully randomized subjects to the control arm. Crossover subjects were counted as failures (i.e. non-responders) for endpoints defined in terms of responders in their group of original randomization assignment, carrying forward the baseline (pre-treatment) scores.

Change from Baseline in Back Pain 10 cm VAS = Follow-up Visit Pain VAS - Baseline Pain VAS. A negative result reflects a decrease in the Pain VAS, while a positive result reflects an increase in Pain VAS. Visual Analog Scale is a scaled psychometric instrument to report pain severity on a 10 cm line, with 0 indicating no pain and 10 indicating the worst pain imaginable.

Outcome measures

Outcome measures
Measure
Test Group - DTM™ SCS Programming Approach With Conventional Medical Management (CMM)
n=45 Participants
Subjects will undergo a Trial Phase with DTM™ SCS programming. Stimulation will be delivered from an external neurostimulator. Those who have a "successful Trial Phase" will proceed to permanent implantation of the Intellis™ SCS system to evaluate DTM™ SCS therapy and will undergo up to 24 months of stimulation delivery. Subjects randomized to either treatment group will have the optional possibility to crossover to the alternative treatment arm after the 6-month visit. If the subject and investigator believe that the DTM™ SCS + CMM treatment has not generated sufficient pain relief to warrant continued treatment, then the subject will be provided with the option to crossover to the CMM group. If all SCS programming attempts fail, then DTM™ SCS therapy will be switched off and the subject will continue with their CMM treatment and will visit the clinic approximately a total of 18 months follow-up in the study (i.e. 6 months DTM™ SCS and 12 months CMM). DTM™ spinal cord stimulation therapy delivered via Intellis™ neurostimulator system: Along with the appropriate Conventional Medical Management treatment made by the Investigator, the subject will be trialed and implanted with an Intellis™ neurostimulator system using DTM™ SCS programming parameters.
Control Group - Conventional Medical Management (CMM) Alone
n=55 Participants
The choice of appropriate CMM will be made by the Investigator as determined to be the best standard of care for each individual subject i.e. optimized individual conventional therapy. These treatments would be generally consistent with the American College of Physicians and the American Pain Society Guidelines as published in the Annals of Internal Medicine and European/UK guidelines. Subjects in this group will also undergo up to 24 months of CMM. Subjects randomized to either treatment group will have the optional possibility to crossover to the alternative treatment arm after the 6-month visit. If the subject and investigator believe that the CMM treatment has not generated sufficient pain relief to warrant continued treatment, then the subject will be provided with the option to crossover to the DTM™ SCS therapy group. Following their device activation, they will attend visits approximately a total of 18 months follow-up in the study (i.e. 6 months CMM and 12 months DTM™ SCS).
Change From Baseline in Visual Analog Scale (VAS) Back Pain Score
-5.42 cm
Standard Deviation 2.23
-0.10 cm
Standard Deviation 0.42

SECONDARY outcome

Timeframe: 18 months

Population: Modified Intent to Treat (mITT): All successfully randomized subjects to the test arm who completed the Trial Phase and all successfully randomized subjects to the control arm. Crossover subjects were counted as failures (i.e. non-responders) for endpoints defined in terms of responders in their group of original randomization assignment, carrying forward the baseline (pre-treatment) scores.

Change from Baseline in Back Pain 10 cm VAS = Follow-up Visit Pain VAS - Baseline Pain VAS. A negative result reflects a decrease in the Pain VAS, while a positive result reflects an increase in Pain VAS. Visual Analog Scale is a scaled psychometric instrument to report pain severity on a 10 cm line, with 0 indicating no pain and 10 indicating the worst pain imaginable.

Outcome measures

Outcome measures
Measure
Test Group - DTM™ SCS Programming Approach With Conventional Medical Management (CMM)
n=45 Participants
Subjects will undergo a Trial Phase with DTM™ SCS programming. Stimulation will be delivered from an external neurostimulator. Those who have a "successful Trial Phase" will proceed to permanent implantation of the Intellis™ SCS system to evaluate DTM™ SCS therapy and will undergo up to 24 months of stimulation delivery. Subjects randomized to either treatment group will have the optional possibility to crossover to the alternative treatment arm after the 6-month visit. If the subject and investigator believe that the DTM™ SCS + CMM treatment has not generated sufficient pain relief to warrant continued treatment, then the subject will be provided with the option to crossover to the CMM group. If all SCS programming attempts fail, then DTM™ SCS therapy will be switched off and the subject will continue with their CMM treatment and will visit the clinic approximately a total of 18 months follow-up in the study (i.e. 6 months DTM™ SCS and 12 months CMM). DTM™ spinal cord stimulation therapy delivered via Intellis™ neurostimulator system: Along with the appropriate Conventional Medical Management treatment made by the Investigator, the subject will be trialed and implanted with an Intellis™ neurostimulator system using DTM™ SCS programming parameters.
Control Group - Conventional Medical Management (CMM) Alone
n=55 Participants
The choice of appropriate CMM will be made by the Investigator as determined to be the best standard of care for each individual subject i.e. optimized individual conventional therapy. These treatments would be generally consistent with the American College of Physicians and the American Pain Society Guidelines as published in the Annals of Internal Medicine and European/UK guidelines. Subjects in this group will also undergo up to 24 months of CMM. Subjects randomized to either treatment group will have the optional possibility to crossover to the alternative treatment arm after the 6-month visit. If the subject and investigator believe that the CMM treatment has not generated sufficient pain relief to warrant continued treatment, then the subject will be provided with the option to crossover to the DTM™ SCS therapy group. Following their device activation, they will attend visits approximately a total of 18 months follow-up in the study (i.e. 6 months CMM and 12 months DTM™ SCS).
Change From Baseline in Visual Analog Scale (VAS) Back Pain Score
-5.52 cm
Standard Deviation 1.93
-0.16 cm
Standard Deviation 0.73

SECONDARY outcome

Timeframe: 24 months

Population: Modified Intent to Treat (mITT): All successfully randomized subjects to the test arm who completed the Trial Phase and all successfully randomized subjects to the control arm. Crossover subjects were counted as failures (i.e. non-responders) for endpoints defined in terms of responders in their group of original randomization assignment, carrying forward the baseline (pre-treatment) scores.

Change from Baseline in Back Pain 10 cm VAS = Follow-up Visit Pain VAS - Baseline Pain VAS. A negative result reflects a decrease in the Pain VAS, while a positive result reflects an increase in Pain VAS. Visual Analog Scale is a scaled psychometric instrument to report pain severity on a 10 cm line, with 0 indicating no pain and 10 indicating the worst pain imaginable.

Outcome measures

Outcome measures
Measure
Test Group - DTM™ SCS Programming Approach With Conventional Medical Management (CMM)
n=43 Participants
Subjects will undergo a Trial Phase with DTM™ SCS programming. Stimulation will be delivered from an external neurostimulator. Those who have a "successful Trial Phase" will proceed to permanent implantation of the Intellis™ SCS system to evaluate DTM™ SCS therapy and will undergo up to 24 months of stimulation delivery. Subjects randomized to either treatment group will have the optional possibility to crossover to the alternative treatment arm after the 6-month visit. If the subject and investigator believe that the DTM™ SCS + CMM treatment has not generated sufficient pain relief to warrant continued treatment, then the subject will be provided with the option to crossover to the CMM group. If all SCS programming attempts fail, then DTM™ SCS therapy will be switched off and the subject will continue with their CMM treatment and will visit the clinic approximately a total of 18 months follow-up in the study (i.e. 6 months DTM™ SCS and 12 months CMM). DTM™ spinal cord stimulation therapy delivered via Intellis™ neurostimulator system: Along with the appropriate Conventional Medical Management treatment made by the Investigator, the subject will be trialed and implanted with an Intellis™ neurostimulator system using DTM™ SCS programming parameters.
Control Group - Conventional Medical Management (CMM) Alone
n=55 Participants
The choice of appropriate CMM will be made by the Investigator as determined to be the best standard of care for each individual subject i.e. optimized individual conventional therapy. These treatments would be generally consistent with the American College of Physicians and the American Pain Society Guidelines as published in the Annals of Internal Medicine and European/UK guidelines. Subjects in this group will also undergo up to 24 months of CMM. Subjects randomized to either treatment group will have the optional possibility to crossover to the alternative treatment arm after the 6-month visit. If the subject and investigator believe that the CMM treatment has not generated sufficient pain relief to warrant continued treatment, then the subject will be provided with the option to crossover to the DTM™ SCS therapy group. Following their device activation, they will attend visits approximately a total of 18 months follow-up in the study (i.e. 6 months CMM and 12 months DTM™ SCS).
Change From Baseline in Visual Analog Scale (VAS) Back Pain Score
-5.98 cm
Standard Deviation 1.68
-0.22 cm
Standard Deviation 0.95

Adverse Events

Test Group - DTM™ SCS Programming Approach With Conventional Medical Management (CMM)

Serious events: 15 serious events
Other events: 29 other events
Deaths: 0 deaths

Control Group - Conventional Medical Management (CMM) Alone

Serious events: 3 serious events
Other events: 6 other events
Deaths: 0 deaths

Optional Crossover at 6 Month

Serious events: 10 serious events
Other events: 21 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Test Group - DTM™ SCS Programming Approach With Conventional Medical Management (CMM)
n=55 participants at risk
Subjects will undergo a Trial Phase with DTM™ SCS programming. Stimulation will be delivered from an external neurostimulator. Those who have a "successful Trial Phase" will proceed to permanent implantation of the Intellis™ SCS system to evaluate DTM™ SCS therapy and will undergo up to 24 months of stimulation delivery. Subjects randomized to either treatment group will have the optional possibility to crossover to the alternative treatment arm after the 6-month visit. If the subject and investigator believe that the DTM™ SCS + CMM treatment has not generated sufficient pain relief to warrant continued treatment, then the subject will be provided with the option to crossover to the CMM group. If all SCS programming attempts fail, then DTM™ SCS therapy will be switched off and the subject will continue with their CMM treatment and will visit the clinic approximately a total of 18 months follow-up in the study (i.e. 6 months DTM™ SCS and 12 months CMM). DTM™ spinal cord stimulation therapy delivered via Intellis™ neurostimulator system: Along with the appropriate Conventional Medical Management treatment made by the Investigator, the subject will be trialed and implanted with an Intellis™ neurostimulator system using DTM™ SCS programming parameters.
Control Group - Conventional Medical Management (CMM) Alone
n=57 participants at risk
The choice of appropriate CMM will be made by the Investigator as determined to be the best standard of care for each individual subject i.e. optimized individual conventional therapy. These treatments would be generally consistent with the American College of Physicians and the American Pain Society Guidelines as published in the Annals of Internal Medicine and European/UK guidelines. Subjects in this group will also undergo up to 24 months of CMM. Subjects randomized to either treatment group will have the optional possibility to crossover to the alternative treatment arm after the 6-month visit. If the subject and investigator believe that the CMM treatment has not generated sufficient pain relief to warrant continued treatment, then the subject will be provided with the option to crossover to the DTM™ SCS therapy group. Following their device activation, they will attend visits approximately a total of 18 months follow-up in the study (i.e. 6 months CMM and 12 months DTM™ SCS).
Optional Crossover at 6 Month
n=50 participants at risk
Subjects randomized to either treatment group will have the optional possibility to crossover to the alternative treatment arm after the 6-month visit.
Cardiac disorders
Arrhythmia
1.8%
1/55 • Number of events 1 • From enrollment through the completion of the study (up to 24 months follow-up)
Adverse events were captured from enrollment through the completion of the study (up to 24 months follow-up). As the primary efficacy measure in this study is pain, back or leg pain does not need to be reported as an adverse event unless it meets the definition of a serious adverse event. However, Investigators may, at their discretion, report any pain-related adverse events during the study.
0.00%
0/57 • From enrollment through the completion of the study (up to 24 months follow-up)
Adverse events were captured from enrollment through the completion of the study (up to 24 months follow-up). As the primary efficacy measure in this study is pain, back or leg pain does not need to be reported as an adverse event unless it meets the definition of a serious adverse event. However, Investigators may, at their discretion, report any pain-related adverse events during the study.
0.00%
0/50 • From enrollment through the completion of the study (up to 24 months follow-up)
Adverse events were captured from enrollment through the completion of the study (up to 24 months follow-up). As the primary efficacy measure in this study is pain, back or leg pain does not need to be reported as an adverse event unless it meets the definition of a serious adverse event. However, Investigators may, at their discretion, report any pain-related adverse events during the study.
Psychiatric disorders
Alcoholism
1.8%
1/55 • Number of events 1 • From enrollment through the completion of the study (up to 24 months follow-up)
Adverse events were captured from enrollment through the completion of the study (up to 24 months follow-up). As the primary efficacy measure in this study is pain, back or leg pain does not need to be reported as an adverse event unless it meets the definition of a serious adverse event. However, Investigators may, at their discretion, report any pain-related adverse events during the study.
0.00%
0/57 • From enrollment through the completion of the study (up to 24 months follow-up)
Adverse events were captured from enrollment through the completion of the study (up to 24 months follow-up). As the primary efficacy measure in this study is pain, back or leg pain does not need to be reported as an adverse event unless it meets the definition of a serious adverse event. However, Investigators may, at their discretion, report any pain-related adverse events during the study.
0.00%
0/50 • From enrollment through the completion of the study (up to 24 months follow-up)
Adverse events were captured from enrollment through the completion of the study (up to 24 months follow-up). As the primary efficacy measure in this study is pain, back or leg pain does not need to be reported as an adverse event unless it meets the definition of a serious adverse event. However, Investigators may, at their discretion, report any pain-related adverse events during the study.
Respiratory, thoracic and mediastinal disorders
Sleep apnoea syndrome
1.8%
1/55 • Number of events 1 • From enrollment through the completion of the study (up to 24 months follow-up)
Adverse events were captured from enrollment through the completion of the study (up to 24 months follow-up). As the primary efficacy measure in this study is pain, back or leg pain does not need to be reported as an adverse event unless it meets the definition of a serious adverse event. However, Investigators may, at their discretion, report any pain-related adverse events during the study.
0.00%
0/57 • From enrollment through the completion of the study (up to 24 months follow-up)
Adverse events were captured from enrollment through the completion of the study (up to 24 months follow-up). As the primary efficacy measure in this study is pain, back or leg pain does not need to be reported as an adverse event unless it meets the definition of a serious adverse event. However, Investigators may, at their discretion, report any pain-related adverse events during the study.
0.00%
0/50 • From enrollment through the completion of the study (up to 24 months follow-up)
Adverse events were captured from enrollment through the completion of the study (up to 24 months follow-up). As the primary efficacy measure in this study is pain, back or leg pain does not need to be reported as an adverse event unless it meets the definition of a serious adverse event. However, Investigators may, at their discretion, report any pain-related adverse events during the study.
Infections and infestations
Postoperative wound infection
3.6%
2/55 • Number of events 2 • From enrollment through the completion of the study (up to 24 months follow-up)
Adverse events were captured from enrollment through the completion of the study (up to 24 months follow-up). As the primary efficacy measure in this study is pain, back or leg pain does not need to be reported as an adverse event unless it meets the definition of a serious adverse event. However, Investigators may, at their discretion, report any pain-related adverse events during the study.
0.00%
0/57 • From enrollment through the completion of the study (up to 24 months follow-up)
Adverse events were captured from enrollment through the completion of the study (up to 24 months follow-up). As the primary efficacy measure in this study is pain, back or leg pain does not need to be reported as an adverse event unless it meets the definition of a serious adverse event. However, Investigators may, at their discretion, report any pain-related adverse events during the study.
2.0%
1/50 • Number of events 1 • From enrollment through the completion of the study (up to 24 months follow-up)
Adverse events were captured from enrollment through the completion of the study (up to 24 months follow-up). As the primary efficacy measure in this study is pain, back or leg pain does not need to be reported as an adverse event unless it meets the definition of a serious adverse event. However, Investigators may, at their discretion, report any pain-related adverse events during the study.
Hepatobiliary disorders
Drug-induced liver inquiry
1.8%
1/55 • Number of events 1 • From enrollment through the completion of the study (up to 24 months follow-up)
Adverse events were captured from enrollment through the completion of the study (up to 24 months follow-up). As the primary efficacy measure in this study is pain, back or leg pain does not need to be reported as an adverse event unless it meets the definition of a serious adverse event. However, Investigators may, at their discretion, report any pain-related adverse events during the study.
0.00%
0/57 • From enrollment through the completion of the study (up to 24 months follow-up)
Adverse events were captured from enrollment through the completion of the study (up to 24 months follow-up). As the primary efficacy measure in this study is pain, back or leg pain does not need to be reported as an adverse event unless it meets the definition of a serious adverse event. However, Investigators may, at their discretion, report any pain-related adverse events during the study.
0.00%
0/50 • From enrollment through the completion of the study (up to 24 months follow-up)
Adverse events were captured from enrollment through the completion of the study (up to 24 months follow-up). As the primary efficacy measure in this study is pain, back or leg pain does not need to be reported as an adverse event unless it meets the definition of a serious adverse event. However, Investigators may, at their discretion, report any pain-related adverse events during the study.
Surgical and medical procedures
Gastric bypass
1.8%
1/55 • Number of events 1 • From enrollment through the completion of the study (up to 24 months follow-up)
Adverse events were captured from enrollment through the completion of the study (up to 24 months follow-up). As the primary efficacy measure in this study is pain, back or leg pain does not need to be reported as an adverse event unless it meets the definition of a serious adverse event. However, Investigators may, at their discretion, report any pain-related adverse events during the study.
0.00%
0/57 • From enrollment through the completion of the study (up to 24 months follow-up)
Adverse events were captured from enrollment through the completion of the study (up to 24 months follow-up). As the primary efficacy measure in this study is pain, back or leg pain does not need to be reported as an adverse event unless it meets the definition of a serious adverse event. However, Investigators may, at their discretion, report any pain-related adverse events during the study.
0.00%
0/50 • From enrollment through the completion of the study (up to 24 months follow-up)
Adverse events were captured from enrollment through the completion of the study (up to 24 months follow-up). As the primary efficacy measure in this study is pain, back or leg pain does not need to be reported as an adverse event unless it meets the definition of a serious adverse event. However, Investigators may, at their discretion, report any pain-related adverse events during the study.
Infections and infestations
Pneumonia
1.8%
1/55 • Number of events 1 • From enrollment through the completion of the study (up to 24 months follow-up)
Adverse events were captured from enrollment through the completion of the study (up to 24 months follow-up). As the primary efficacy measure in this study is pain, back or leg pain does not need to be reported as an adverse event unless it meets the definition of a serious adverse event. However, Investigators may, at their discretion, report any pain-related adverse events during the study.
0.00%
0/57 • From enrollment through the completion of the study (up to 24 months follow-up)
Adverse events were captured from enrollment through the completion of the study (up to 24 months follow-up). As the primary efficacy measure in this study is pain, back or leg pain does not need to be reported as an adverse event unless it meets the definition of a serious adverse event. However, Investigators may, at their discretion, report any pain-related adverse events during the study.
0.00%
0/50 • From enrollment through the completion of the study (up to 24 months follow-up)
Adverse events were captured from enrollment through the completion of the study (up to 24 months follow-up). As the primary efficacy measure in this study is pain, back or leg pain does not need to be reported as an adverse event unless it meets the definition of a serious adverse event. However, Investigators may, at their discretion, report any pain-related adverse events during the study.
Injury, poisoning and procedural complications
Lumbar vertebral fracture
1.8%
1/55 • Number of events 1 • From enrollment through the completion of the study (up to 24 months follow-up)
Adverse events were captured from enrollment through the completion of the study (up to 24 months follow-up). As the primary efficacy measure in this study is pain, back or leg pain does not need to be reported as an adverse event unless it meets the definition of a serious adverse event. However, Investigators may, at their discretion, report any pain-related adverse events during the study.
0.00%
0/57 • From enrollment through the completion of the study (up to 24 months follow-up)
Adverse events were captured from enrollment through the completion of the study (up to 24 months follow-up). As the primary efficacy measure in this study is pain, back or leg pain does not need to be reported as an adverse event unless it meets the definition of a serious adverse event. However, Investigators may, at their discretion, report any pain-related adverse events during the study.
0.00%
0/50 • From enrollment through the completion of the study (up to 24 months follow-up)
Adverse events were captured from enrollment through the completion of the study (up to 24 months follow-up). As the primary efficacy measure in this study is pain, back or leg pain does not need to be reported as an adverse event unless it meets the definition of a serious adverse event. However, Investigators may, at their discretion, report any pain-related adverse events during the study.
Nervous system disorders
Dizziness
1.8%
1/55 • Number of events 1 • From enrollment through the completion of the study (up to 24 months follow-up)
Adverse events were captured from enrollment through the completion of the study (up to 24 months follow-up). As the primary efficacy measure in this study is pain, back or leg pain does not need to be reported as an adverse event unless it meets the definition of a serious adverse event. However, Investigators may, at their discretion, report any pain-related adverse events during the study.
0.00%
0/57 • From enrollment through the completion of the study (up to 24 months follow-up)
Adverse events were captured from enrollment through the completion of the study (up to 24 months follow-up). As the primary efficacy measure in this study is pain, back or leg pain does not need to be reported as an adverse event unless it meets the definition of a serious adverse event. However, Investigators may, at their discretion, report any pain-related adverse events during the study.
0.00%
0/50 • From enrollment through the completion of the study (up to 24 months follow-up)
Adverse events were captured from enrollment through the completion of the study (up to 24 months follow-up). As the primary efficacy measure in this study is pain, back or leg pain does not need to be reported as an adverse event unless it meets the definition of a serious adverse event. However, Investigators may, at their discretion, report any pain-related adverse events during the study.
Injury, poisoning and procedural complications
Meniscus injury
1.8%
1/55 • Number of events 1 • From enrollment through the completion of the study (up to 24 months follow-up)
Adverse events were captured from enrollment through the completion of the study (up to 24 months follow-up). As the primary efficacy measure in this study is pain, back or leg pain does not need to be reported as an adverse event unless it meets the definition of a serious adverse event. However, Investigators may, at their discretion, report any pain-related adverse events during the study.
0.00%
0/57 • From enrollment through the completion of the study (up to 24 months follow-up)
Adverse events were captured from enrollment through the completion of the study (up to 24 months follow-up). As the primary efficacy measure in this study is pain, back or leg pain does not need to be reported as an adverse event unless it meets the definition of a serious adverse event. However, Investigators may, at their discretion, report any pain-related adverse events during the study.
0.00%
0/50 • From enrollment through the completion of the study (up to 24 months follow-up)
Adverse events were captured from enrollment through the completion of the study (up to 24 months follow-up). As the primary efficacy measure in this study is pain, back or leg pain does not need to be reported as an adverse event unless it meets the definition of a serious adverse event. However, Investigators may, at their discretion, report any pain-related adverse events during the study.
Surgical and medical procedures
Hip arthroplasty
1.8%
1/55 • Number of events 1 • From enrollment through the completion of the study (up to 24 months follow-up)
Adverse events were captured from enrollment through the completion of the study (up to 24 months follow-up). As the primary efficacy measure in this study is pain, back or leg pain does not need to be reported as an adverse event unless it meets the definition of a serious adverse event. However, Investigators may, at their discretion, report any pain-related adverse events during the study.
0.00%
0/57 • From enrollment through the completion of the study (up to 24 months follow-up)
Adverse events were captured from enrollment through the completion of the study (up to 24 months follow-up). As the primary efficacy measure in this study is pain, back or leg pain does not need to be reported as an adverse event unless it meets the definition of a serious adverse event. However, Investigators may, at their discretion, report any pain-related adverse events during the study.
0.00%
0/50 • From enrollment through the completion of the study (up to 24 months follow-up)
Adverse events were captured from enrollment through the completion of the study (up to 24 months follow-up). As the primary efficacy measure in this study is pain, back or leg pain does not need to be reported as an adverse event unless it meets the definition of a serious adverse event. However, Investigators may, at their discretion, report any pain-related adverse events during the study.
Injury, poisoning and procedural complications
Upper limb fracture
1.8%
1/55 • Number of events 1 • From enrollment through the completion of the study (up to 24 months follow-up)
Adverse events were captured from enrollment through the completion of the study (up to 24 months follow-up). As the primary efficacy measure in this study is pain, back or leg pain does not need to be reported as an adverse event unless it meets the definition of a serious adverse event. However, Investigators may, at their discretion, report any pain-related adverse events during the study.
0.00%
0/57 • From enrollment through the completion of the study (up to 24 months follow-up)
Adverse events were captured from enrollment through the completion of the study (up to 24 months follow-up). As the primary efficacy measure in this study is pain, back or leg pain does not need to be reported as an adverse event unless it meets the definition of a serious adverse event. However, Investigators may, at their discretion, report any pain-related adverse events during the study.
0.00%
0/50 • From enrollment through the completion of the study (up to 24 months follow-up)
Adverse events were captured from enrollment through the completion of the study (up to 24 months follow-up). As the primary efficacy measure in this study is pain, back or leg pain does not need to be reported as an adverse event unless it meets the definition of a serious adverse event. However, Investigators may, at their discretion, report any pain-related adverse events during the study.
Infections and infestations
Post procedural infection
1.8%
1/55 • Number of events 1 • From enrollment through the completion of the study (up to 24 months follow-up)
Adverse events were captured from enrollment through the completion of the study (up to 24 months follow-up). As the primary efficacy measure in this study is pain, back or leg pain does not need to be reported as an adverse event unless it meets the definition of a serious adverse event. However, Investigators may, at their discretion, report any pain-related adverse events during the study.
0.00%
0/57 • From enrollment through the completion of the study (up to 24 months follow-up)
Adverse events were captured from enrollment through the completion of the study (up to 24 months follow-up). As the primary efficacy measure in this study is pain, back or leg pain does not need to be reported as an adverse event unless it meets the definition of a serious adverse event. However, Investigators may, at their discretion, report any pain-related adverse events during the study.
2.0%
1/50 • Number of events 1 • From enrollment through the completion of the study (up to 24 months follow-up)
Adverse events were captured from enrollment through the completion of the study (up to 24 months follow-up). As the primary efficacy measure in this study is pain, back or leg pain does not need to be reported as an adverse event unless it meets the definition of a serious adverse event. However, Investigators may, at their discretion, report any pain-related adverse events during the study.
Musculoskeletal and connective tissue disorders
Intervertebral disc protrusion
1.8%
1/55 • Number of events 1 • From enrollment through the completion of the study (up to 24 months follow-up)
Adverse events were captured from enrollment through the completion of the study (up to 24 months follow-up). As the primary efficacy measure in this study is pain, back or leg pain does not need to be reported as an adverse event unless it meets the definition of a serious adverse event. However, Investigators may, at their discretion, report any pain-related adverse events during the study.
0.00%
0/57 • From enrollment through the completion of the study (up to 24 months follow-up)
Adverse events were captured from enrollment through the completion of the study (up to 24 months follow-up). As the primary efficacy measure in this study is pain, back or leg pain does not need to be reported as an adverse event unless it meets the definition of a serious adverse event. However, Investigators may, at their discretion, report any pain-related adverse events during the study.
0.00%
0/50 • From enrollment through the completion of the study (up to 24 months follow-up)
Adverse events were captured from enrollment through the completion of the study (up to 24 months follow-up). As the primary efficacy measure in this study is pain, back or leg pain does not need to be reported as an adverse event unless it meets the definition of a serious adverse event. However, Investigators may, at their discretion, report any pain-related adverse events during the study.
Gastrointestinal disorders
Inguinal hernia
1.8%
1/55 • Number of events 1 • From enrollment through the completion of the study (up to 24 months follow-up)
Adverse events were captured from enrollment through the completion of the study (up to 24 months follow-up). As the primary efficacy measure in this study is pain, back or leg pain does not need to be reported as an adverse event unless it meets the definition of a serious adverse event. However, Investigators may, at their discretion, report any pain-related adverse events during the study.
0.00%
0/57 • From enrollment through the completion of the study (up to 24 months follow-up)
Adverse events were captured from enrollment through the completion of the study (up to 24 months follow-up). As the primary efficacy measure in this study is pain, back or leg pain does not need to be reported as an adverse event unless it meets the definition of a serious adverse event. However, Investigators may, at their discretion, report any pain-related adverse events during the study.
0.00%
0/50 • From enrollment through the completion of the study (up to 24 months follow-up)
Adverse events were captured from enrollment through the completion of the study (up to 24 months follow-up). As the primary efficacy measure in this study is pain, back or leg pain does not need to be reported as an adverse event unless it meets the definition of a serious adverse event. However, Investigators may, at their discretion, report any pain-related adverse events during the study.
Surgical and medical procedures
Adhesiolysis
0.00%
0/55 • From enrollment through the completion of the study (up to 24 months follow-up)
Adverse events were captured from enrollment through the completion of the study (up to 24 months follow-up). As the primary efficacy measure in this study is pain, back or leg pain does not need to be reported as an adverse event unless it meets the definition of a serious adverse event. However, Investigators may, at their discretion, report any pain-related adverse events during the study.
1.8%
1/57 • Number of events 1 • From enrollment through the completion of the study (up to 24 months follow-up)
Adverse events were captured from enrollment through the completion of the study (up to 24 months follow-up). As the primary efficacy measure in this study is pain, back or leg pain does not need to be reported as an adverse event unless it meets the definition of a serious adverse event. However, Investigators may, at their discretion, report any pain-related adverse events during the study.
0.00%
0/50 • From enrollment through the completion of the study (up to 24 months follow-up)
Adverse events were captured from enrollment through the completion of the study (up to 24 months follow-up). As the primary efficacy measure in this study is pain, back or leg pain does not need to be reported as an adverse event unless it meets the definition of a serious adverse event. However, Investigators may, at their discretion, report any pain-related adverse events during the study.
Nervous system disorders
Cerebrovascular accident
0.00%
0/55 • From enrollment through the completion of the study (up to 24 months follow-up)
Adverse events were captured from enrollment through the completion of the study (up to 24 months follow-up). As the primary efficacy measure in this study is pain, back or leg pain does not need to be reported as an adverse event unless it meets the definition of a serious adverse event. However, Investigators may, at their discretion, report any pain-related adverse events during the study.
1.8%
1/57 • Number of events 1 • From enrollment through the completion of the study (up to 24 months follow-up)
Adverse events were captured from enrollment through the completion of the study (up to 24 months follow-up). As the primary efficacy measure in this study is pain, back or leg pain does not need to be reported as an adverse event unless it meets the definition of a serious adverse event. However, Investigators may, at their discretion, report any pain-related adverse events during the study.
0.00%
0/50 • From enrollment through the completion of the study (up to 24 months follow-up)
Adverse events were captured from enrollment through the completion of the study (up to 24 months follow-up). As the primary efficacy measure in this study is pain, back or leg pain does not need to be reported as an adverse event unless it meets the definition of a serious adverse event. However, Investigators may, at their discretion, report any pain-related adverse events during the study.
Infections and infestations
COVID-19
0.00%
0/55 • From enrollment through the completion of the study (up to 24 months follow-up)
Adverse events were captured from enrollment through the completion of the study (up to 24 months follow-up). As the primary efficacy measure in this study is pain, back or leg pain does not need to be reported as an adverse event unless it meets the definition of a serious adverse event. However, Investigators may, at their discretion, report any pain-related adverse events during the study.
1.8%
1/57 • Number of events 1 • From enrollment through the completion of the study (up to 24 months follow-up)
Adverse events were captured from enrollment through the completion of the study (up to 24 months follow-up). As the primary efficacy measure in this study is pain, back or leg pain does not need to be reported as an adverse event unless it meets the definition of a serious adverse event. However, Investigators may, at their discretion, report any pain-related adverse events during the study.
0.00%
0/50 • From enrollment through the completion of the study (up to 24 months follow-up)
Adverse events were captured from enrollment through the completion of the study (up to 24 months follow-up). As the primary efficacy measure in this study is pain, back or leg pain does not need to be reported as an adverse event unless it meets the definition of a serious adverse event. However, Investigators may, at their discretion, report any pain-related adverse events during the study.
Injury, poisoning and procedural complications
Jaw fracture
0.00%
0/55 • From enrollment through the completion of the study (up to 24 months follow-up)
Adverse events were captured from enrollment through the completion of the study (up to 24 months follow-up). As the primary efficacy measure in this study is pain, back or leg pain does not need to be reported as an adverse event unless it meets the definition of a serious adverse event. However, Investigators may, at their discretion, report any pain-related adverse events during the study.
0.00%
0/57 • From enrollment through the completion of the study (up to 24 months follow-up)
Adverse events were captured from enrollment through the completion of the study (up to 24 months follow-up). As the primary efficacy measure in this study is pain, back or leg pain does not need to be reported as an adverse event unless it meets the definition of a serious adverse event. However, Investigators may, at their discretion, report any pain-related adverse events during the study.
2.0%
1/50 • Number of events 1 • From enrollment through the completion of the study (up to 24 months follow-up)
Adverse events were captured from enrollment through the completion of the study (up to 24 months follow-up). As the primary efficacy measure in this study is pain, back or leg pain does not need to be reported as an adverse event unless it meets the definition of a serious adverse event. However, Investigators may, at their discretion, report any pain-related adverse events during the study.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Lung neoplasm malignant
0.00%
0/55 • From enrollment through the completion of the study (up to 24 months follow-up)
Adverse events were captured from enrollment through the completion of the study (up to 24 months follow-up). As the primary efficacy measure in this study is pain, back or leg pain does not need to be reported as an adverse event unless it meets the definition of a serious adverse event. However, Investigators may, at their discretion, report any pain-related adverse events during the study.
0.00%
0/57 • From enrollment through the completion of the study (up to 24 months follow-up)
Adverse events were captured from enrollment through the completion of the study (up to 24 months follow-up). As the primary efficacy measure in this study is pain, back or leg pain does not need to be reported as an adverse event unless it meets the definition of a serious adverse event. However, Investigators may, at their discretion, report any pain-related adverse events during the study.
2.0%
1/50 • Number of events 1 • From enrollment through the completion of the study (up to 24 months follow-up)
Adverse events were captured from enrollment through the completion of the study (up to 24 months follow-up). As the primary efficacy measure in this study is pain, back or leg pain does not need to be reported as an adverse event unless it meets the definition of a serious adverse event. However, Investigators may, at their discretion, report any pain-related adverse events during the study.
Infections and infestations
Meningitis viral
0.00%
0/55 • From enrollment through the completion of the study (up to 24 months follow-up)
Adverse events were captured from enrollment through the completion of the study (up to 24 months follow-up). As the primary efficacy measure in this study is pain, back or leg pain does not need to be reported as an adverse event unless it meets the definition of a serious adverse event. However, Investigators may, at their discretion, report any pain-related adverse events during the study.
0.00%
0/57 • From enrollment through the completion of the study (up to 24 months follow-up)
Adverse events were captured from enrollment through the completion of the study (up to 24 months follow-up). As the primary efficacy measure in this study is pain, back or leg pain does not need to be reported as an adverse event unless it meets the definition of a serious adverse event. However, Investigators may, at their discretion, report any pain-related adverse events during the study.
2.0%
1/50 • Number of events 1 • From enrollment through the completion of the study (up to 24 months follow-up)
Adverse events were captured from enrollment through the completion of the study (up to 24 months follow-up). As the primary efficacy measure in this study is pain, back or leg pain does not need to be reported as an adverse event unless it meets the definition of a serious adverse event. However, Investigators may, at their discretion, report any pain-related adverse events during the study.
Nervous system disorders
Motor dysfunction
0.00%
0/55 • From enrollment through the completion of the study (up to 24 months follow-up)
Adverse events were captured from enrollment through the completion of the study (up to 24 months follow-up). As the primary efficacy measure in this study is pain, back or leg pain does not need to be reported as an adverse event unless it meets the definition of a serious adverse event. However, Investigators may, at their discretion, report any pain-related adverse events during the study.
0.00%
0/57 • From enrollment through the completion of the study (up to 24 months follow-up)
Adverse events were captured from enrollment through the completion of the study (up to 24 months follow-up). As the primary efficacy measure in this study is pain, back or leg pain does not need to be reported as an adverse event unless it meets the definition of a serious adverse event. However, Investigators may, at their discretion, report any pain-related adverse events during the study.
2.0%
1/50 • Number of events 1 • From enrollment through the completion of the study (up to 24 months follow-up)
Adverse events were captured from enrollment through the completion of the study (up to 24 months follow-up). As the primary efficacy measure in this study is pain, back or leg pain does not need to be reported as an adverse event unless it meets the definition of a serious adverse event. However, Investigators may, at their discretion, report any pain-related adverse events during the study.
Cardiac disorders
Myocardial infarction
0.00%
0/55 • From enrollment through the completion of the study (up to 24 months follow-up)
Adverse events were captured from enrollment through the completion of the study (up to 24 months follow-up). As the primary efficacy measure in this study is pain, back or leg pain does not need to be reported as an adverse event unless it meets the definition of a serious adverse event. However, Investigators may, at their discretion, report any pain-related adverse events during the study.
0.00%
0/57 • From enrollment through the completion of the study (up to 24 months follow-up)
Adverse events were captured from enrollment through the completion of the study (up to 24 months follow-up). As the primary efficacy measure in this study is pain, back or leg pain does not need to be reported as an adverse event unless it meets the definition of a serious adverse event. However, Investigators may, at their discretion, report any pain-related adverse events during the study.
2.0%
1/50 • Number of events 1 • From enrollment through the completion of the study (up to 24 months follow-up)
Adverse events were captured from enrollment through the completion of the study (up to 24 months follow-up). As the primary efficacy measure in this study is pain, back or leg pain does not need to be reported as an adverse event unless it meets the definition of a serious adverse event. However, Investigators may, at their discretion, report any pain-related adverse events during the study.
Musculoskeletal and connective tissue disorders
Osteoarthritis
0.00%
0/55 • From enrollment through the completion of the study (up to 24 months follow-up)
Adverse events were captured from enrollment through the completion of the study (up to 24 months follow-up). As the primary efficacy measure in this study is pain, back or leg pain does not need to be reported as an adverse event unless it meets the definition of a serious adverse event. However, Investigators may, at their discretion, report any pain-related adverse events during the study.
0.00%
0/57 • From enrollment through the completion of the study (up to 24 months follow-up)
Adverse events were captured from enrollment through the completion of the study (up to 24 months follow-up). As the primary efficacy measure in this study is pain, back or leg pain does not need to be reported as an adverse event unless it meets the definition of a serious adverse event. However, Investigators may, at their discretion, report any pain-related adverse events during the study.
4.0%
2/50 • Number of events 2 • From enrollment through the completion of the study (up to 24 months follow-up)
Adverse events were captured from enrollment through the completion of the study (up to 24 months follow-up). As the primary efficacy measure in this study is pain, back or leg pain does not need to be reported as an adverse event unless it meets the definition of a serious adverse event. However, Investigators may, at their discretion, report any pain-related adverse events during the study.
Infections and infestations
Pneumonia influenzal
0.00%
0/55 • From enrollment through the completion of the study (up to 24 months follow-up)
Adverse events were captured from enrollment through the completion of the study (up to 24 months follow-up). As the primary efficacy measure in this study is pain, back or leg pain does not need to be reported as an adverse event unless it meets the definition of a serious adverse event. However, Investigators may, at their discretion, report any pain-related adverse events during the study.
0.00%
0/57 • From enrollment through the completion of the study (up to 24 months follow-up)
Adverse events were captured from enrollment through the completion of the study (up to 24 months follow-up). As the primary efficacy measure in this study is pain, back or leg pain does not need to be reported as an adverse event unless it meets the definition of a serious adverse event. However, Investigators may, at their discretion, report any pain-related adverse events during the study.
2.0%
1/50 • Number of events 1 • From enrollment through the completion of the study (up to 24 months follow-up)
Adverse events were captured from enrollment through the completion of the study (up to 24 months follow-up). As the primary efficacy measure in this study is pain, back or leg pain does not need to be reported as an adverse event unless it meets the definition of a serious adverse event. However, Investigators may, at their discretion, report any pain-related adverse events during the study.
Injury, poisoning and procedural complications
Procedural headache
0.00%
0/55 • From enrollment through the completion of the study (up to 24 months follow-up)
Adverse events were captured from enrollment through the completion of the study (up to 24 months follow-up). As the primary efficacy measure in this study is pain, back or leg pain does not need to be reported as an adverse event unless it meets the definition of a serious adverse event. However, Investigators may, at their discretion, report any pain-related adverse events during the study.
0.00%
0/57 • From enrollment through the completion of the study (up to 24 months follow-up)
Adverse events were captured from enrollment through the completion of the study (up to 24 months follow-up). As the primary efficacy measure in this study is pain, back or leg pain does not need to be reported as an adverse event unless it meets the definition of a serious adverse event. However, Investigators may, at their discretion, report any pain-related adverse events during the study.
2.0%
1/50 • Number of events 1 • From enrollment through the completion of the study (up to 24 months follow-up)
Adverse events were captured from enrollment through the completion of the study (up to 24 months follow-up). As the primary efficacy measure in this study is pain, back or leg pain does not need to be reported as an adverse event unless it meets the definition of a serious adverse event. However, Investigators may, at their discretion, report any pain-related adverse events during the study.
Infections and infestations
Vestibular neuronitis
0.00%
0/55 • From enrollment through the completion of the study (up to 24 months follow-up)
Adverse events were captured from enrollment through the completion of the study (up to 24 months follow-up). As the primary efficacy measure in this study is pain, back or leg pain does not need to be reported as an adverse event unless it meets the definition of a serious adverse event. However, Investigators may, at their discretion, report any pain-related adverse events during the study.
0.00%
0/57 • From enrollment through the completion of the study (up to 24 months follow-up)
Adverse events were captured from enrollment through the completion of the study (up to 24 months follow-up). As the primary efficacy measure in this study is pain, back or leg pain does not need to be reported as an adverse event unless it meets the definition of a serious adverse event. However, Investigators may, at their discretion, report any pain-related adverse events during the study.
2.0%
1/50 • Number of events 1 • From enrollment through the completion of the study (up to 24 months follow-up)
Adverse events were captured from enrollment through the completion of the study (up to 24 months follow-up). As the primary efficacy measure in this study is pain, back or leg pain does not need to be reported as an adverse event unless it meets the definition of a serious adverse event. However, Investigators may, at their discretion, report any pain-related adverse events during the study.

Other adverse events

Other adverse events
Measure
Test Group - DTM™ SCS Programming Approach With Conventional Medical Management (CMM)
n=55 participants at risk
Subjects will undergo a Trial Phase with DTM™ SCS programming. Stimulation will be delivered from an external neurostimulator. Those who have a "successful Trial Phase" will proceed to permanent implantation of the Intellis™ SCS system to evaluate DTM™ SCS therapy and will undergo up to 24 months of stimulation delivery. Subjects randomized to either treatment group will have the optional possibility to crossover to the alternative treatment arm after the 6-month visit. If the subject and investigator believe that the DTM™ SCS + CMM treatment has not generated sufficient pain relief to warrant continued treatment, then the subject will be provided with the option to crossover to the CMM group. If all SCS programming attempts fail, then DTM™ SCS therapy will be switched off and the subject will continue with their CMM treatment and will visit the clinic approximately a total of 18 months follow-up in the study (i.e. 6 months DTM™ SCS and 12 months CMM). DTM™ spinal cord stimulation therapy delivered via Intellis™ neurostimulator system: Along with the appropriate Conventional Medical Management treatment made by the Investigator, the subject will be trialed and implanted with an Intellis™ neurostimulator system using DTM™ SCS programming parameters.
Control Group - Conventional Medical Management (CMM) Alone
n=57 participants at risk
The choice of appropriate CMM will be made by the Investigator as determined to be the best standard of care for each individual subject i.e. optimized individual conventional therapy. These treatments would be generally consistent with the American College of Physicians and the American Pain Society Guidelines as published in the Annals of Internal Medicine and European/UK guidelines. Subjects in this group will also undergo up to 24 months of CMM. Subjects randomized to either treatment group will have the optional possibility to crossover to the alternative treatment arm after the 6-month visit. If the subject and investigator believe that the CMM treatment has not generated sufficient pain relief to warrant continued treatment, then the subject will be provided with the option to crossover to the DTM™ SCS therapy group. Following their device activation, they will attend visits approximately a total of 18 months follow-up in the study (i.e. 6 months CMM and 12 months DTM™ SCS).
Optional Crossover at 6 Month
n=50 participants at risk
Subjects randomized to either treatment group will have the optional possibility to crossover to the alternative treatment arm after the 6-month visit.
Infections and infestations
COVID-19
25.5%
14/55 • Number of events 14 • From enrollment through the completion of the study (up to 24 months follow-up)
Adverse events were captured from enrollment through the completion of the study (up to 24 months follow-up). As the primary efficacy measure in this study is pain, back or leg pain does not need to be reported as an adverse event unless it meets the definition of a serious adverse event. However, Investigators may, at their discretion, report any pain-related adverse events during the study.
5.3%
3/57 • Number of events 3 • From enrollment through the completion of the study (up to 24 months follow-up)
Adverse events were captured from enrollment through the completion of the study (up to 24 months follow-up). As the primary efficacy measure in this study is pain, back or leg pain does not need to be reported as an adverse event unless it meets the definition of a serious adverse event. However, Investigators may, at their discretion, report any pain-related adverse events during the study.
28.0%
14/50 • Number of events 14 • From enrollment through the completion of the study (up to 24 months follow-up)
Adverse events were captured from enrollment through the completion of the study (up to 24 months follow-up). As the primary efficacy measure in this study is pain, back or leg pain does not need to be reported as an adverse event unless it meets the definition of a serious adverse event. However, Investigators may, at their discretion, report any pain-related adverse events during the study.
Metabolism and nutrition disorders
Hypercholesterolaemia
3.6%
2/55 • Number of events 2 • From enrollment through the completion of the study (up to 24 months follow-up)
Adverse events were captured from enrollment through the completion of the study (up to 24 months follow-up). As the primary efficacy measure in this study is pain, back or leg pain does not need to be reported as an adverse event unless it meets the definition of a serious adverse event. However, Investigators may, at their discretion, report any pain-related adverse events during the study.
0.00%
0/57 • From enrollment through the completion of the study (up to 24 months follow-up)
Adverse events were captured from enrollment through the completion of the study (up to 24 months follow-up). As the primary efficacy measure in this study is pain, back or leg pain does not need to be reported as an adverse event unless it meets the definition of a serious adverse event. However, Investigators may, at their discretion, report any pain-related adverse events during the study.
6.0%
3/50 • Number of events 3 • From enrollment through the completion of the study (up to 24 months follow-up)
Adverse events were captured from enrollment through the completion of the study (up to 24 months follow-up). As the primary efficacy measure in this study is pain, back or leg pain does not need to be reported as an adverse event unless it meets the definition of a serious adverse event. However, Investigators may, at their discretion, report any pain-related adverse events during the study.
Musculoskeletal and connective tissue disorders
Arthralgia
7.3%
4/55 • Number of events 5 • From enrollment through the completion of the study (up to 24 months follow-up)
Adverse events were captured from enrollment through the completion of the study (up to 24 months follow-up). As the primary efficacy measure in this study is pain, back or leg pain does not need to be reported as an adverse event unless it meets the definition of a serious adverse event. However, Investigators may, at their discretion, report any pain-related adverse events during the study.
1.8%
1/57 • Number of events 1 • From enrollment through the completion of the study (up to 24 months follow-up)
Adverse events were captured from enrollment through the completion of the study (up to 24 months follow-up). As the primary efficacy measure in this study is pain, back or leg pain does not need to be reported as an adverse event unless it meets the definition of a serious adverse event. However, Investigators may, at their discretion, report any pain-related adverse events during the study.
8.0%
4/50 • Number of events 4 • From enrollment through the completion of the study (up to 24 months follow-up)
Adverse events were captured from enrollment through the completion of the study (up to 24 months follow-up). As the primary efficacy measure in this study is pain, back or leg pain does not need to be reported as an adverse event unless it meets the definition of a serious adverse event. However, Investigators may, at their discretion, report any pain-related adverse events during the study.
Psychiatric disorders
Depression
5.5%
3/55 • Number of events 3 • From enrollment through the completion of the study (up to 24 months follow-up)
Adverse events were captured from enrollment through the completion of the study (up to 24 months follow-up). As the primary efficacy measure in this study is pain, back or leg pain does not need to be reported as an adverse event unless it meets the definition of a serious adverse event. However, Investigators may, at their discretion, report any pain-related adverse events during the study.
0.00%
0/57 • From enrollment through the completion of the study (up to 24 months follow-up)
Adverse events were captured from enrollment through the completion of the study (up to 24 months follow-up). As the primary efficacy measure in this study is pain, back or leg pain does not need to be reported as an adverse event unless it meets the definition of a serious adverse event. However, Investigators may, at their discretion, report any pain-related adverse events during the study.
0.00%
0/50 • From enrollment through the completion of the study (up to 24 months follow-up)
Adverse events were captured from enrollment through the completion of the study (up to 24 months follow-up). As the primary efficacy measure in this study is pain, back or leg pain does not need to be reported as an adverse event unless it meets the definition of a serious adverse event. However, Investigators may, at their discretion, report any pain-related adverse events during the study.
Musculoskeletal and connective tissue disorders
Back pain
5.5%
3/55 • Number of events 3 • From enrollment through the completion of the study (up to 24 months follow-up)
Adverse events were captured from enrollment through the completion of the study (up to 24 months follow-up). As the primary efficacy measure in this study is pain, back or leg pain does not need to be reported as an adverse event unless it meets the definition of a serious adverse event. However, Investigators may, at their discretion, report any pain-related adverse events during the study.
3.5%
2/57 • Number of events 2 • From enrollment through the completion of the study (up to 24 months follow-up)
Adverse events were captured from enrollment through the completion of the study (up to 24 months follow-up). As the primary efficacy measure in this study is pain, back or leg pain does not need to be reported as an adverse event unless it meets the definition of a serious adverse event. However, Investigators may, at their discretion, report any pain-related adverse events during the study.
4.0%
2/50 • Number of events 2 • From enrollment through the completion of the study (up to 24 months follow-up)
Adverse events were captured from enrollment through the completion of the study (up to 24 months follow-up). As the primary efficacy measure in this study is pain, back or leg pain does not need to be reported as an adverse event unless it meets the definition of a serious adverse event. However, Investigators may, at their discretion, report any pain-related adverse events during the study.
Injury, poisoning and procedural complications
Fall
5.5%
3/55 • Number of events 3 • From enrollment through the completion of the study (up to 24 months follow-up)
Adverse events were captured from enrollment through the completion of the study (up to 24 months follow-up). As the primary efficacy measure in this study is pain, back or leg pain does not need to be reported as an adverse event unless it meets the definition of a serious adverse event. However, Investigators may, at their discretion, report any pain-related adverse events during the study.
0.00%
0/57 • From enrollment through the completion of the study (up to 24 months follow-up)
Adverse events were captured from enrollment through the completion of the study (up to 24 months follow-up). As the primary efficacy measure in this study is pain, back or leg pain does not need to be reported as an adverse event unless it meets the definition of a serious adverse event. However, Investigators may, at their discretion, report any pain-related adverse events during the study.
0.00%
0/50 • From enrollment through the completion of the study (up to 24 months follow-up)
Adverse events were captured from enrollment through the completion of the study (up to 24 months follow-up). As the primary efficacy measure in this study is pain, back or leg pain does not need to be reported as an adverse event unless it meets the definition of a serious adverse event. However, Investigators may, at their discretion, report any pain-related adverse events during the study.
General disorders
Implant site pain
5.5%
3/55 • Number of events 3 • From enrollment through the completion of the study (up to 24 months follow-up)
Adverse events were captured from enrollment through the completion of the study (up to 24 months follow-up). As the primary efficacy measure in this study is pain, back or leg pain does not need to be reported as an adverse event unless it meets the definition of a serious adverse event. However, Investigators may, at their discretion, report any pain-related adverse events during the study.
0.00%
0/57 • From enrollment through the completion of the study (up to 24 months follow-up)
Adverse events were captured from enrollment through the completion of the study (up to 24 months follow-up). As the primary efficacy measure in this study is pain, back or leg pain does not need to be reported as an adverse event unless it meets the definition of a serious adverse event. However, Investigators may, at their discretion, report any pain-related adverse events during the study.
4.0%
2/50 • Number of events 2 • From enrollment through the completion of the study (up to 24 months follow-up)
Adverse events were captured from enrollment through the completion of the study (up to 24 months follow-up). As the primary efficacy measure in this study is pain, back or leg pain does not need to be reported as an adverse event unless it meets the definition of a serious adverse event. However, Investigators may, at their discretion, report any pain-related adverse events during the study.
Musculoskeletal and connective tissue disorders
Osteoarthritis
5.5%
3/55 • Number of events 3 • From enrollment through the completion of the study (up to 24 months follow-up)
Adverse events were captured from enrollment through the completion of the study (up to 24 months follow-up). As the primary efficacy measure in this study is pain, back or leg pain does not need to be reported as an adverse event unless it meets the definition of a serious adverse event. However, Investigators may, at their discretion, report any pain-related adverse events during the study.
0.00%
0/57 • From enrollment through the completion of the study (up to 24 months follow-up)
Adverse events were captured from enrollment through the completion of the study (up to 24 months follow-up). As the primary efficacy measure in this study is pain, back or leg pain does not need to be reported as an adverse event unless it meets the definition of a serious adverse event. However, Investigators may, at their discretion, report any pain-related adverse events during the study.
0.00%
0/50 • From enrollment through the completion of the study (up to 24 months follow-up)
Adverse events were captured from enrollment through the completion of the study (up to 24 months follow-up). As the primary efficacy measure in this study is pain, back or leg pain does not need to be reported as an adverse event unless it meets the definition of a serious adverse event. However, Investigators may, at their discretion, report any pain-related adverse events during the study.
Infections and infestations
Postoperative wound infection
5.5%
3/55 • Number of events 3 • From enrollment through the completion of the study (up to 24 months follow-up)
Adverse events were captured from enrollment through the completion of the study (up to 24 months follow-up). As the primary efficacy measure in this study is pain, back or leg pain does not need to be reported as an adverse event unless it meets the definition of a serious adverse event. However, Investigators may, at their discretion, report any pain-related adverse events during the study.
0.00%
0/57 • From enrollment through the completion of the study (up to 24 months follow-up)
Adverse events were captured from enrollment through the completion of the study (up to 24 months follow-up). As the primary efficacy measure in this study is pain, back or leg pain does not need to be reported as an adverse event unless it meets the definition of a serious adverse event. However, Investigators may, at their discretion, report any pain-related adverse events during the study.
0.00%
0/50 • From enrollment through the completion of the study (up to 24 months follow-up)
Adverse events were captured from enrollment through the completion of the study (up to 24 months follow-up). As the primary efficacy measure in this study is pain, back or leg pain does not need to be reported as an adverse event unless it meets the definition of a serious adverse event. However, Investigators may, at their discretion, report any pain-related adverse events during the study.
Injury, poisoning and procedural complications
Wound complication
7.3%
4/55 • Number of events 4 • From enrollment through the completion of the study (up to 24 months follow-up)
Adverse events were captured from enrollment through the completion of the study (up to 24 months follow-up). As the primary efficacy measure in this study is pain, back or leg pain does not need to be reported as an adverse event unless it meets the definition of a serious adverse event. However, Investigators may, at their discretion, report any pain-related adverse events during the study.
0.00%
0/57 • From enrollment through the completion of the study (up to 24 months follow-up)
Adverse events were captured from enrollment through the completion of the study (up to 24 months follow-up). As the primary efficacy measure in this study is pain, back or leg pain does not need to be reported as an adverse event unless it meets the definition of a serious adverse event. However, Investigators may, at their discretion, report any pain-related adverse events during the study.
4.0%
2/50 • Number of events 2 • From enrollment through the completion of the study (up to 24 months follow-up)
Adverse events were captured from enrollment through the completion of the study (up to 24 months follow-up). As the primary efficacy measure in this study is pain, back or leg pain does not need to be reported as an adverse event unless it meets the definition of a serious adverse event. However, Investigators may, at their discretion, report any pain-related adverse events during the study.

Additional Information

Thanh Tran

Medtronic

Phone: 7278082652

Results disclosure agreements

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

Restriction type: GT60