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Clinical Trials/NCT04732325
NCT04732325CompletedNot Applicable

CRCNS: Model-based Characterization of Spinal Cord Stimulation for Pain

University of Michigan1 site in 1 country34 target enrollmentStarted: September 11, 2021Last updated:
Conditions
Interventions

Trial Snapshot

Phase
Not Applicable
Status
Completed
Enrollment
34
Locations
1
Primary Endpoint
Spinal Cord Stimulation (SCS)-Induced Changes in Temporal Summation (TS)

Study Overview

Brief Summary

Doctors sometimes treat chronic pain with devices that send mild electrical currents into the spinal cord. This type of treatment is referred to as neurostimulation. A common form of neurostimulation therapy is spinal cord stimulation (SCS). In this study, how SCS affects pain processing and relieves pain will be studied. Multiple forms of SCS will be examined in chronic pain patients who are receiving SCS from their own doctors as part of their standard of care. During the study, participants will be asked to complete a variety of evaluations at certain time points.

Study Design

Study Type
Interventional
Allocation
Randomized
Intervention Model
Crossover
Primary Purpose
Treatment
Masking
Double (Participant, Outcomes Assessor)

Masking Description

There will be two research teams. One team will be unblinded (e.g., clinical care provider/company representative, study coordinator) and will perform stimulator programming/adjustment, and the other team will be blinded (e.g., research personnel) and will perform clinical testing and collect study outcome measures.

Eligibility Criteria

Ages
18 Years to — (Adult, Older Adult)
Sex
All
Accepts Healthy Volunteers
No

Inclusion Criteria

  • •Chronic intractable pain of the trunk and/or limbs
  • •Undergoing SCS as part of standard clinical care for chronic pain management
  • •Candidates will have been implanted with a commercial SCS device
  • •Candidates who are 18 years or older and can speak, read, and understand English
  • •Able to understand study procedures and to comply with them for the entire length of the study
  • •Must be willing to participate in COVID-19 symptom screening and answer questions about COVID-19 diagnosis 1-3 days before a scheduled visit
  • •Must be willing to wear a face-covering during all study visits

Exclusion Criteria

  • •Subjects who are pregnant or nursing
  • •Subjects with current, habitual, or previous use within the last 12 months of artificial nails, nail enhancements, or nail extensions that cover any portion of either thumbnail
  • •Subjects who are unable or unwilling to cooperate with clinical testing
  • •Subjects having any impairment, activity or situation that in the judgment of study personnel would prevent satisfactory completion of the study protocol
  • •Inability or unwillingness of individual or legal guardian/representative to give written informed consent
  • •Subjects who currently have or tested positive in the last 14 days for COVID-19, or are symptomatic for COVID-19

Arms & Interventions

Burst / kHz / Sham / Tonic

Experimental

Participants will be randomized to one of six treatment arms. Participants will receive burst, kHz, tonic, and sham spinal cord stimulation (SCS). Each treatment will be applied for a duration of seven days. Participants will be blinded during programming.

Intervention: Spinal cord stimulation (Device)

Burst / Sham / kHz / Tonic

Experimental

Participants will be randomized to one of six treatment arms. Participants will receive burst, kHz, tonic, and sham spinal cord stimulation (SCS). Each treatment will be applied for a duration of seven days. Participants will be blinded during programming.

Intervention: Spinal cord stimulation (Device)

kHz / Sham / Burst / Tonic

Experimental

Participants will be randomized to one of six treatment arms. Participants will receive burst, kHz, tonic, and sham spinal cord stimulation (SCS). Each treatment will be applied for a duration of seven days. Participants will be blinded during programming.

Intervention: Spinal cord stimulation (Device)

kHz / Burst / Sham / Tonic

Experimental

Participants will be randomized to one of six treatment arms. Participants will receive burst, kHz, tonic, and sham spinal cord stimulation (SCS). Each treatment will be applied for a duration of seven days. Participants will be blinded during programming.

Intervention: Spinal cord stimulation (Device)

Sham / Burst / kHz / Tonic

Experimental

Participants will be randomized to one of six treatment arms. Participants will receive burst, kHz, tonic, and sham spinal cord stimulation (SCS). Each treatment will be applied for a duration of seven days. Participants will be blinded during programming.

Intervention: Spinal cord stimulation (Device)

Sham / kHz / Burst / Tonic

Experimental

Participants will be randomized to one of six treatment arms. Participants will receive burst, kHz, tonic, and sham spinal cord stimulation (SCS). Each treatment will be applied for a duration of seven days. Participants will be blinded during programming.

Intervention: Spinal cord stimulation (Device)

Outcomes

Primary Outcomes

Spinal Cord Stimulation (SCS)-Induced Changes in Temporal Summation (TS)

Time Frame: Up to 30 days

TS refers to an increased perception of pain in response to sequential stimuli of equal physical strength. At the end of each treatment period, TS scores were calculated by subtracting the average pain rating of the single-stimulus trials from the average pain rating of the ten-stimuli trials. If the difference is a positive number, the researchers will conclude that there was pain summation, where larger numbers will indicate increased pain summation or TS. If the difference is zero or a negative number, the researchers will conclude that there was no pain summation or TS.

Secondary Outcomes

No secondary outcomes reported

Investigators

Sponsor Class
Other
Responsible Party
Principal Investigator
Principal Investigator

Scott Lempka

Associate Professor

University of Michigan

Study Sites (1)

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