Trial Comparing Treatment With SInergy™ System to Conservative Treatment for Chronic Sacroiliac Joint Pain
SI-RCT-Ross
A Randomized Controlled Trial Comparing Cooled Radiofrequency Denervation to Conservative Treatment as a Treatment for Sacroiliac Joint Pain Using the SInergy™ System
1 other identifier
interventional
5
1 country
1
Brief Summary
The purpose of this study is to evaluate the effectiveness of cooled radiofrequency denervation of the sacroiliac region using the SInergy System compared to conservative treatment in the treatment of sacroiliac joint pain.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
July 1, 2010
CompletedFirst Submitted
Initial submission to the registry
July 6, 2010
CompletedFirst Posted
Study publicly available on registry
July 8, 2010
CompletedPrimary Completion
Last participant's last visit for primary outcome
March 1, 2012
CompletedMay 6, 2013
May 1, 2013
1.7 years
July 6, 2010
May 3, 2013
Conditions
Outcome Measures
Primary Outcomes (1)
Pain status change for sacroiliac region pain intensity assessed using visual analogue scale (VAS)
12 months
Secondary Outcomes (4)
Change in bodily pain evaluated using SF-36 Bodily Pain
12 months
Change in physical functioning evaluated using SF-36 Physical Function
12 months
Change in disability evaluated using Oswestry Disability Index 2.0
12 months
Change in quality of life using the Assessment of Quality of Life (AQOL)
12 months
Study Arms (2)
Treatment with SInergy™ System
ACTIVE COMPARATORLateral branch denervation using the SInergy™ System
Conservative Treatment
ACTIVE COMPARATORTreatment with physical therapy, chiropractic care, and medication
Interventions
Lateral branch denervation using the SInergy™ System
Treatment with physical therapy, chiropractic care, and medication
Eligibility Criteria
You may qualify if:
- Predominantly axial pain below the L5 vertebrae
- \>75% pain relief from 2 separate lateral branch blocks done on different days (followed by return to baseline pain)
- Chronic axial pain lasting for longer than six months: 3 day average VAS between 4 and 8.
- Age greater than 18 years.
- Failed to achieve adequate improvement with comprehensive non-operative treatments, including but not limited to: activity alteration, non-steroidal anti-inflammatory, physical and/or manual therapy, and fluoroscopically guided steroid injections in and around the area of pathology.
- All other possible sources of low back pain have been ruled out, including but not limited to: the intervertebral discs, bone fracture, the zygapophyseal joints, the hip joint, symptomatic spondylolisthesis, tumor and other regional soft tissue structures (this is done by physical exam, medical history, and MRI/CT/X-ray as required)
You may not qualify if:
- Beck Depression Score \>20 or irreversible psychological barriers to recovery
- Spinal pathology that may impede recovery such as spina bifida occulta, spondylolisthesis at L5/S1, or scoliosis.
- Moderate or severe foraminal or central canal stenosis
- Systemic infection or localized infection at anticipated introducer entry site.
- Concomitant cervical or thoracic pain greater than 2/10 on a VAS
- Uncontrolled or acute illness
- Chronic severe conditions such as rheumatoid/inflammatory arthritis
- Pregnancy
- Active radicular pain
- Immunosuppression (eg. AIDS, cancer, diabetes, surgery \<3 months ago)
- Worker's compensation, injury litigation, or disability remuneration
- Allergy to injectants or medications used in procedure
- High narcotics use (\>30 mg hydrocodone or equivalent)
- Patients who smoke. Termination for at least 6 months and no smoking during follow up period are acceptable with caution.
- Body Mass Index greater than 29.9 (obese).
- +1 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Brigham and Women's Hospital Pain Trials Center
Chestnut Hill, Massachusetts, 02467, United States
MeSH Terms
Interventions
Study Officials
- PRINCIPAL INVESTIGATOR
Edgar L Ross, M.D.
Brigham and Women's Hospital
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
July 6, 2010
First Posted
July 8, 2010
Study Start
July 1, 2010
Primary Completion
March 1, 2012
Last Updated
May 6, 2013
Record last verified: 2013-05