Interventional, Prospective, Multicenter, Randomized, Parallel-arm Study to Compare the Effectiveness of Peripheral Nerve Stimulation (PNS) Utilizing a Subcutaneous Lead Implant Technique (SQS) Plus Optimized Medical Management (OMM) Versus OMM Alone in Patients Suffering From Back Pain Due to Failed Back Surgery Syndrome (FBSS)
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Failed Back Surgery Syndrome
- Sponsor
- MedtronicNeuro
- Enrollment
- 162
- Locations
- 26
- Primary Endpoint
- Effectiveness of Treatment on Reduction of Back Pain Intensity
- Status
- Terminated
- Last Updated
- 7 years ago
Overview
Brief Summary
The purpose of this study is to compare the effectiveness of peripheral nerve stimulation utilizing a subcutaneous lead implant technique (SQS) plus optimized medical management (OMM) versus OMM alone in patients suffering from back pain due to Failed Back Surgery Syndrome (FBSS).
Investigators
Eligibility Criteria
Inclusion Criteria
- •Provides written Patient Informed Consent/Patient Information Sheet prior to study-related activities being conducted
- •≥ 18 years of age at time of informed consent
- •Willing and available to attend visits as scheduled and to comply with the study protocol
- •Willing and able to undergo assessments as part of the evaluation for eligibility and endpoints
- •Willing and able to use the external neurostimulator, recharging equipment (if applicable), and patient programmer per the schedule required by the protocol
- •Diagnosed with FBSS (i.e.):
- •Has had persistent pain for 6 months following most recent anatomically correct, successful surgery AND
- •There are no further therapeutic surgical options available as assessed by appropriate investigation
- •Back pain is considered intractable and has been adequately treated (failed an appropriate trial of at least 3 different classes of back pain treatments (pharmaceutical and/or non-pharmaceutical))
- •Is an appropriate implant candidate for the SQS system
Exclusion Criteria
- •Has been or is currently being treated with spinal cord stimulation, subcutaneous nerve stimulation, peripheral nerve stimulation or an implantable intrathecal drug delivery system
- •Evidence of an active disruptive psychiatric disorder that is significant enough to impact the perception of pain, compliance to intervention and/or ability to evaluate treatment outcome, as determined by the investigator
- •Has a pain condition unrelated to FBSS that is severe enough to overshadow the FBSS pain in the opinion of the investigator
- •Spinal instability or anatomic compression that requires further surgery
- •Spinal fusion at more than 3 vertebral levels
- •Currently enrolled in or plans to enroll in any concurrent drug and/or device study that may confound the results of this study
- •Allergic or has shown hypersensitivity to any materials of the device system which come in contact with the body
- •History of coagulation disorder or lupus erythematosus
- •Involved in current litigation regarding back pain
Outcomes
Primary Outcomes
Effectiveness of Treatment on Reduction of Back Pain Intensity
Time Frame: 9 months
Percentage of participants who responded to the treatment, where response was defined as ≥ 50% reduction in back pain intensity as measured by Visual Analog Scale from baseline to the 9-month follow-up visit. Pain intensity was measured by a 100 mm Visual Analog Scale, with 0 representing no pain and 100 representing the worst pain imaginable.
Secondary Outcomes
- Average Change in Back Pain Intensity(6 and 9 months)
- Back Pain Responder Rate (≥50%) at 6 Months(6 months)
- Back Pain Responder Rate (≥30%) at 9 Months(9 months)