Chronic Pain Clinical Trial
Official title:
Prospective, Multi-Center, Randomized, Double-Blinded, Study to Assess Safety and Efficacy of the Bioness® StimRouter™ Neuromodulation System in Patients With Chronic Pain of Peripheral Nerve Origin
The purpose of this study is to investigate whether the StimRouter (SR) electrical stimulation therapy leads to clinically important pain relief in patients with chronic intractable pain of peripheral nerve origin after three months of treatment. At the same time, this study will gather information on side effects associated with the StimRouter electrical stimulation therapy.
Ninety (minimum) up to one hundred twenty-six (126) adult (≥ 22 years) subjects who have
severe intractable chronic pain of peripheral nerve origin associated with post
traumatic/post surgical neuralgia persisting for 3 months or longer and an average chronic
pain level of at least 5 on a 0-10 numeric rating scale, where such pain is attributable to
a lesion or disease of the somatosensory nervous system, will be recruited from U.S.
outpatient physical medicine and rehabilitation clinics.
After screening, subjects who were confirmed to be eligible for the study and provided
informed consent will have a pain level assessment period for approximately one week then
come back for the Baseline/Implantation visit. Subjects will be trained on and required to
complete a patient diary of pain intensity level for at least 7 consecutive days prior to
baseline. The randomization and programming will take place approximately two weeks after
implantation. Subjects in the treatment group will receive electrical stimulation and pain
medication. In contrast, subjects in the parallel control group will receive control
stimulation and pain medication.
The plan is to have the parallel portion of the study run for approximately 12 weeks (or 3
months) after randomization for efficacy analysis. Subjects in the control group will be
allowed to cross over to the treatment group for nine months of electrical stimulation; the
subjects in the treatment group will have nine additional months of stimulation treatment
such that safety data will be collected throughout a full twelve month period on all
available subjects. While the end of the study is approximately 12 months after
randomization, as previously stated, the efficacy analyses will be based on the data
collected at the end of the 3-month follow-up evaluation.
;
Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Investigator), Primary Purpose: Supportive Care
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