Intracept Intraosseous Basivertebral Nerve Ablation

Low Back Pain Clinical Trial

Official title:

A Prospective Single Arm Cohort Study of Intraosseous Basivertebral Nerve Ablation

Clinical Trial Details — Status: Active, not recruiting

Administrative data

• NCT number: NCT05660512
• Other study ID #: 130205
• Status: Active, not recruiting
• Start date: July 27, 2020
• Est. completion date: July 2026

Study information

• Verified date: May 2024
• Source: University of Utah
• Contact: n/a
• Is FDA regulated: No
• Study type: Observational

Clinical Trial Summary

This is an independent prospective, noninterventional, observational post-market data collection of the patient-reported effectiveness, ongoing safety and satisfaction outcomes for patients treated with the Intracept Procedure at a single study site.

Description:

The Investigator Sponsor will initially approach patients planning to undergo the Intracept Procedure to discuss their interest in learning more about the study. With patient permission, contact information will be forwarded to a third-party research organization which will contact the patient to explain more about the study and to gather Verbal Informed Consent. Study data will be collected by the University of Utah research staff via 4 telephone study visits under the direction of the Sponsor Investigator. The study research staff will enter the study data directly into a study database and issue the subject stipend after the completion of each study visit. Data will be analyzed by a statistician under the direction of the Sponsor Investigator for this single-site study.

Recruitment information / eligibility

• Status: Active, not recruiting
• Enrollment: 150
• Est. completion date: July 2026
• Est. primary completion date: October 2025
• Gender: All
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• All patients scheduled for intraosseous basivertebral nerve ablation with the Intracept Procedure
• OR Participant had an Intracept Procedure for their low back pain and completed standard of care questionnaires at their procedure appointment.

Exclusion Criteria:

• Not scheduled for an intraosseous basivertebral nerve ablation with the Intracept Procedure
• Intracept procedure for different location other than low back pain

Related Conditions & MeSH terms

• Low Back Pain

Intervention

Procedure:
• Intracept Procedure
Radiofrequency ablation of the basivertebral nerve for the relief of chronic vertebrogenic low back pain

Locations

Country	Name	City	State
United States	University of Utah Farmington Health Center	Farmington	Utah
United States	University of Utah Orthopaedic Center	Salt Lake City	Utah
United States	University of Utah South Jordan Health Center	South Jordan	Utah

Sponsors (2)

Lead Sponsor	Collaborator
University of Utah	Relievant Medsystems

Country where clinical trial is conducted

United States, 

References & Publications (13)

Bailey JF, Liebenberg E, Degmetich S, Lotz JC. Innervation patterns of PGP 9.5-positive nerve fibers within the human lumbar vertebra. J Anat. 2011 Mar;218(3):263-70. doi: 10.1111/j.1469-7580.2010.01332.x. Epub 2011 Jan 12. — View Citation

Dudli S, Fields AJ, Samartzis D, Karppinen J, Lotz JC. Pathobiology of Modic changes. Eur Spine J. 2016 Nov;25(11):3723-3734. doi: 10.1007/s00586-016-4459-7. Epub 2016 Feb 25. — View Citation

Dudli S, Sing DC, Hu SS, Berven SH, Burch S, Deviren V, Cheng I, Tay BKB, Alamin TF, Ith MAM, Pietras EM, Lotz JC. ISSLS PRIZE IN BASIC SCIENCE 2017: Intervertebral disc/bone marrow cross-talk with Modic changes. Eur Spine J. 2017 May;26(5):1362-1373. doi: 10.1007/s00586-017-4955-4. Epub 2017 Jan 31. — View Citation

Fischgrund JS, Rhyne A, Franke J, Sasso R, Kitchel S, Bae H, Yeung C, Truumees E, Schaufele M, Yuan P, Vajkoczy P, Depalma M, Anderson DG, Thibodeau L, Meyer B. Intraosseous Basivertebral Nerve Ablation for the Treatment of Chronic Low Back Pain: 2-Year Results From a Prospective Randomized Double-Blind Sham-Controlled Multicenter Study. Int J Spine Surg. 2019 Apr 30;13(2):110-119. doi: 10.14444/6015. eCollection 2019 Apr. — View Citation

Fischgrund JS, Rhyne A, Franke J, Sasso R, Kitchel S, Bae H, Yeung C, Truumees E, Schaufele M, Yuan P, Vajkoczy P, DePalma M, Anderson DG, Thibodeau L, Meyer B. Intraosseous basivertebral nerve ablation for the treatment of chronic low back pain: a prospective randomized double-blind sham-controlled multi-center study. Eur Spine J. 2018 May;27(5):1146-1156. doi: 10.1007/s00586-018-5496-1. Epub 2018 Feb 8. — View Citation

Fischgrund JS, Rhyne A, Macadaeg K, Moore G, Kamrava E, Yeung C, Truumees E, Schaufele M, Yuan P, DePalma M, Anderson DG, Buxton D, Reynolds J, Sikorsky M. Long-term outcomes following intraosseous basivertebral nerve ablation for the treatment of chronic low back pain: 5-year treatment arm results from a prospective randomized double-blind sham-controlled multi-center study. Eur Spine J. 2020 Aug;29(8):1925-1934. doi: 10.1007/s00586-020-06448-x. Epub 2020 May 25. — View Citation

Fras C, Kravetz P, Mody DR, Heggeness MH. Substance P-containing nerves within the human vertebral body. an immunohistochemical study of the basivertebral nerve. Spine J. 2003 Jan-Feb;3(1):63-7. doi: 10.1016/s1529-9430(02)00455-2. — View Citation

Hagg O, Fritzell P, Nordwall A; Swedish Lumbar Spine Study Group. The clinical importance of changes in outcome scores after treatment for chronic low back pain. Eur Spine J. 2003 Feb;12(1):12-20. doi: 10.1007/s00586-002-0464-0. Epub 2002 Oct 24. — View Citation

Lotz JC, Fields AJ, Liebenberg EC. The role of the vertebral end plate in low back pain. Global Spine J. 2013 Jun;3(3):153-64. doi: 10.1055/s-0033-1347298. Epub 2013 May 23. — View Citation

Munir S, Freidin MB, Rade M, Maatta J, Livshits G, Williams FMK. Endplate Defect Is Heritable, Associated With Low Back Pain and Triggers Intervertebral Disc Degeneration: A Longitudinal Study From TwinsUK. Spine (Phila Pa 1976). 2018 Nov 1;43(21):1496-1501. doi: 10.1097/BRS.0000000000002721. — View Citation

Ostelo RW, de Vet HC. Clinically important outcomes in low back pain. Best Pract Res Clin Rheumatol. 2005 Aug;19(4):593-607. doi: 10.1016/j.berh.2005.03.003. — View Citation

Price DD, McGrath PA, Rafii A, Buckingham B. The validation of visual analogue scales as ratio scale measures for chronic and experimental pain. Pain. 1983 Sep;17(1):45-56. doi: 10.1016/0304-3959(83)90126-4. — View Citation

Roland M, Fairbank J. The Roland-Morris Disability Questionnaire and the Oswestry Disability Questionnaire. Spine (Phila Pa 1976). 2000 Dec 15;25(24):3115-24. doi: 10.1097/00007632-200012150-00006. No abstract available. Erratum In: Spine 2001 Apr 1;26(7):847. — View Citation

* Note: There are 13 references in all — Click here to view all references

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Oswestry Disability Index (ODI) Change	Validated questionnaire of low back pain related disability. Comprised of 10 questions evaluating the impact of low back pain on activities of daily living. The ODI is scored on a scale of 0 (no disability) to 100 (complete disability), with categories of 0-20 (minimal disability), 21-40 (moderate disability), 41-60 (severe disability), 61-80 (crippling back pain), and 81-100 (bed-bound or exaggerating). Comparison of mean ODI baseline to 3 months.	3 months
Secondary	Oswestry Disability Index (ODI) Change	Mean Improvement in ODI scores from baseline (scale 0 to 100): Validated questionnaire of low back pain related disability. Comprised of 10 questions evaluating the impact of low back pain on activities of daily living. The ODI is scored on a scale of 0 (no disability) to 100 (complete disability), with categories of 0-20 (minimal disability), 21-40 (moderate disability), 41-60 (severe disability), 61-80 (crippling back pain), and 81-100 (bed-bound or exaggerating). Comparison of mean ODI baseline to 3 months.	12 months
Secondary	Oswestry Disability Index (ODI) Change	Mean improvement in ODI scores from baseline (scale 0 to 100): Validated questionnaire of low back pain related disability. Comprised of 10 questions evaluating the impact of low back pain on activities of daily living. The ODI is scored on a scale of 0 (no disability) to 100 (complete disability), with categories of 0-20 (minimal disability), 21-40 (moderate disability), 41-60 (severe disability), 61-80 (crippling back pain), and 81-100 (bed-bound or exaggerating). Comparison of mean ODI baseline to 3 months.	24 months
Secondary	Numeric Pain Rating Scale (NPRS)	Mean change in patient-reported low back pain from baseline. The scale is from 0 (no pain) to 10 (worst pain imaginable).	3 months
Secondary	Numeric Pain Rating Scale (NPRS)	Mean change in patient-reported low back pain from baseline. The scale is from 0 (no pain) to 10 (worst pain imaginable).	12 months
Secondary	Numeric Pain Rating Scale (NPRS)	Mean change in patient-reported low back pain from baseline. The scale is from 0 (no pain) to 10 (worst pain imaginable).	24 months
Secondary	Combined Responder Rates (improvement thresholds of ODI = 15 and NPRS = 2)	Percent of responders meeting both thresholds	3 months
Secondary	Combined Responder Rates (improvement thresholds of ODI = 15 and NPRS = 2)	Percent of responders meeting both thresholds	12 months
Secondary	Combined Responder Rates (improvement thresholds of ODI = 15 and NPRS = 2)	Percent of responders meeting both thresholds	24 months
Secondary	PROMIS 29 Change	Mean change in PROMIS-29 from baseline. (PROMIS-29 includes Numeric Rating Score (NRS) and Seven Health Domains. [NRS 0-10 zero being none and 10 the worst. Seven health domains scaled 1-5: physical function (1 unable to do to 5 without any difficulty), fatigue (1 not at all and 5 very much), pain interference (1 not at all and 5 very much), depressive symptoms (1 never and 5 always), anxiety (1 never and 5 always), ability to participate in social roles and activities (1 never and 5 always), and sleep disturbance(1 not at all and 5 very much)])	3 months
Secondary	PROMIS 29 Change	Mean change in PROMIS-29 from baseline. (PROMIS-29 includes Numeric Rating Score (NRS) and Seven Health Domains. [NRS 0-10 zero being none and 10 the worst. Seven health domains scaled 1-5: physical function (1 unable to do to 5 without any difficulty), fatigue (1 not at all and 5 very much), pain interference (1 not at all and 5 very much), depressive symptoms (1 never and 5 always), anxiety (1 never and 5 always), ability to participate in social roles and activities (1 never and 5 always), and sleep disturbance(1 not at all and 5 very much)])	12 months
Secondary	PROMIS 29 Change	Mean change in PROMIS-29 from baseline. (PROMIS-29 includes Numeric Rating Score (NRS) and Seven Health Domains. [NRS 0-10 zero being none and 10 the worst. Seven health domains scaled 1-5: physical function (1 unable to do to 5 without any difficulty), fatigue (1 not at all and 5 very much), pain interference (1 not at all and 5 very much), depressive symptoms (1 never and 5 always), anxiety (1 never and 5 always), ability to participate in social roles and activities (1 never and 5 always), and sleep disturbance(1 not at all and 5 very much)])	24 months
Secondary	Quadrants of % reduction in low back pain from baseline to each follow-up period.	Review of the % of low back pain reduction in participants	3 months
Secondary	Quadrants of % reduction in low back pain from baseline to each follow-up period.	Review of the % of low back pain reduction in participants	12 months
Secondary	Quadrants of % reduction in low back pain from baseline to each follow-up period.	Review of the % of low back pain reduction in participants	24 months
Secondary	Responder rates for Oswestry Disability Index (ODI)	The proportion of subjects who achieve = 15-point reduction in ODI from baseline to each follow-up period. This would indicate a reduction in how much lower back pain is affecting participants' daily activities following the procedure.; The Oswestry Disability Index (ODI) is a validated questionnaire of low back pain related disability comprised of 10 questions evaluating the impact of low back pain on activities of daily living. The ODI is scored on a scale of 0 (no disability) to 100 (complete disability), with categories of 0-20 (minimal disability), 21-40 (moderate disability), 41-60 (severe disability), 61-80 (crippling back pain), and 81-100 (bed-bound or exaggerating). Comparison of mean ODI baseline to 3 months.	3 months
Secondary	Responder rates for Oswestry Disability Index (ODI)	The proportion of subjects who achieve = 15-point reduction in ODI from baseline to each follow-up period. This would indicate a reduction in how much lower back pain is affecting participants' daily activities following the procedure.; The Oswestry Disability Index (ODI) is a validated questionnaire of low back pain related disability comprised of 10 questions evaluating the impact of low back pain on activities of daily living. The ODI is scored on a scale of 0 (no disability) to 100 (complete disability), with categories of 0-20 (minimal disability), 21-40 (moderate disability), 41-60 (severe disability), 61-80 (crippling back pain), and 81-100 (bed-bound or exaggerating). Comparison of mean ODI baseline to 12 months.	12 months
Secondary	Responder rates for Oswestry Disability Index (ODI)	The proportion of subjects who achieve = 15-point reduction in ODI from baseline to each follow-up period. This would indicate a reduction in how much lower back pain is affecting participants' daily activities following the procedure.; The Oswestry Disability Index (ODI) is a validated questionnaire of low back pain related disability comprised of 10 questions evaluating the impact of low back pain on activities of daily living. The ODI is scored on a scale of 0 (no disability) to 100 (complete disability), with categories of 0-20 (minimal disability), 21-40 (moderate disability), 41-60 (severe disability), 61-80 (crippling back pain), and 81-100 (bed-bound or exaggerating). Comparison of mean ODI baseline to 24 months.	24 months
Secondary	Responder rates for the Numeric Pain Rating Scale (NPRS)	The proportion of subjects who achieve a = 2-point reduction in the NPRS from baseline to each follow-up period. The scale is from 0 (no pain) to 10 (worst pain imaginable).	3 Months
Secondary	Responder rates the Numeric Pain Score	the proportion of subjects who achieve a = 2-point reduction in numeric pain score from baseline to each follow-up period. The scale is from 0 (no pain) to 10 (worst pain imaginable).	12 Months
Secondary	Responder rates for the Numeric Pain Score	the proportion of subjects who achieve a = 2-point reduction in numeric pain score from baseline to each follow-up period. The scale is from 0 (no pain) to 10 (worst pain imaginable).	24 Months
Secondary	Narcotic use	The proportion of patients actively utilizing narcotics for low back pain at each follow-up period.	3 Months
Secondary	Narcotic use	The proportion of patients actively utilizing narcotics for low back pain at each follow-up period.	12 Months
Secondary	Narcotic use	The proportion of patients actively utilizing narcotics for low back pain at each follow-up period.	24 Months
Secondary	Low back pain injections	The proportion of patients utilizing injections for low back pain of the same treatment region at each follow-up period.	3 Months
Secondary	Low back pain injections	The proportion of patients utilizing injections for low back pain of the same treatment region at each follow-up period.	12 Months
Secondary	Low back pain injections	The proportion of patients utilizing injections for low back pain of the same treatment region at each follow-up period.	24 Months
Secondary	Low back pain interventions or surgery	The proportion of patients with pain interventions or surgery for low back pain of the same treatment region at each follow-up period	3 Months
Secondary	Low back pain interventions or surgery	The proportion of patients with pain interventions or surgery for low back pain of the same treatment region at each follow-up period	12 Months
Secondary	Low back pain interventions or surgery	The proportion of patients with pain interventions or surgery for low back pain of the same treatment region at each follow-up period	24 Months
Secondary	Work Impact	Patient work status at 12 months indicated by subject using this scale: No impact to my ability to work; Working with restrictions; Had to get a different job due to low back pain; Unable to work at all/disabled by my low back pain (e.g. retired, unemployed); Not currently working unrelated to low back pain; Other.; If a subject is working with restrictions, they are asked to specify: Reduced hours; Slower pace; Less heavy work; Not regular job.; Subjects are also asked the question: How many workdays have you missed due to low back pain?	12 Months
Secondary	Patient Global Impression of Change (PGIC)	PGIC at each follow-up period. The subject is asked to rate their low back pain progress with the scale: Very Much Improved; Much Improved; Minimally Improved; No Change; Minimally worse; Much Worse; Very Much Worse.	3 Months
Secondary	Patient Global Impression of Change (PGIC)	PGIC at each follow-up period. The subject is asked to rate their low back pain progress with the scale: Very Much Improved; Much Improved; Minimally Improved; No Change; Minimally worse; Much Worse; Very Much Worse.	12 Months
Secondary	Patient Global Impression of Change (PGIC)	PGIC at each follow-up period. The subject is asked to rate their low back pain progress with the scale: Very Much Improved; Much Improved; Minimally Improved; No Change; Minimally worse; Much Worse; Very Much Worse.	24 Months
Secondary	Patient-reported procedure-related adverse events	Patient-reported procedure-related adverse events including new LBP and/or leg pain at each follow-up period	3 Months
Secondary	Patient-reported procedure-related adverse events	Patient-reported procedure-related adverse events including new LBP and/or leg pain at each follow-up period	12 Months
Secondary	Patient-reported procedure-related adverse events	Patient-reported procedure-related adverse events including new LBP and/or leg pain at each follow-up period	24 Months