NCT02011893

Brief Summary

The purpose of the study is to demonstrate the safety and efficacy of the Prodigy system for the treatment of chronic intractable pain of the trunk and/or limbs.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
173

participants targeted

Target at P75+ for not_applicable chronic-pain

Timeline
Completed

Started Dec 2013

Longer than P75 for not_applicable chronic-pain

Geographic Reach
1 country

20 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

December 1, 2013

Completed
9 days until next milestone

First Submitted

Initial submission to the registry

December 10, 2013

Completed
3 days until next milestone

First Posted

Study publicly available on registry

December 13, 2013

Completed
2.1 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

January 1, 2016

Completed
1 year until next milestone

Study Completion

Last participant's last visit for all outcomes

January 1, 2017

Completed
5 months until next milestone

Results Posted

Study results publicly available

May 18, 2017

Completed
Last Updated

January 30, 2019

Status Verified

January 1, 2019

Enrollment Period

2.1 years

First QC Date

December 10, 2013

Results QC Date

February 1, 2017

Last Update Submit

January 28, 2019

Conditions

Outcome Measures

Primary Outcomes (1)

  • Visual Analog Scale (VAS) Pain Diary Scores for Average Overall Pain

    Differences for average daily overall pain using the Visual Analog Scale (VAS) pain diary between Burst and Tonic Stimulation. Visual Analog Scale (VAS) scores were averaged using a 7 day diary where the subject rates his/her pain on a horizontal line, from 0 mm to 100mm in length, anchored by word descriptors on each end (no pain to worst imaginable pain). A higher score indicates a higher level of pain.

    Over 7 days after 3 months of treatment of burst or tonic stimulation

Secondary Outcomes (3)

  • Number of Subjects With Response as Measured by Overall Daily Visual Analog Scale (VAS)

    Over 7 days at baseline and after 3 months of treatment of burst or tonic stimulation

  • Percentage of Paresthesia Coverage

    During in-office visit after 3 months of treatment while utilizing burst or tonic stimulation

  • Test for Superiority of Overall Daily Visual Analog Scale (VAS) Score With Burst Stimulation

    Over 7 days after 3 months of treatment of burst or tonic stimulation

Study Arms (2)

Burst Stimulation

EXPERIMENTAL

Burst Stimulation using the Prodigy system

Device: Burst Stimulation

Tonic Stimulation

ACTIVE COMPARATOR

Tonic Stimulation using the Prodigy system

Device: Tonic Stimulation

Interventions

Prodigy Neurostimulation System with associated components

Tonic Stimulation

Prodigy Neurostimulation System with associated components

Burst Stimulation

Eligibility Criteria

Age22 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Subject is 22 years of age or older
  • Subject has chronic intractable pain of the trunk and/or limbs
  • Subject has a average score of 60 or higher for average daily overall pain on the Visual Analog Scale (VAS) 7 day pain diary
  • Subject has attempted "best" medical therapy and has tried and failed at least three documented medically supervised treatments (including, but not limited to physical therapy, acupuncture, etc.) and has failed medication treatment from at least two different classes
  • Subject's pain-related medication regimen is stable 4 weeks prior to the baseline evaluation
  • Subject agrees not to add or increase pain-related medication from activation through the 24 week follow-up visit

You may not qualify if:

  • Subject is currently participating in a clinical investigation that includes an active treatment arm
  • Subject has been implanted with a previous neurostimulation system or participated in a trial period for a neurostimulation system
  • Subject's overall Beck Depression Inventory II Score is \>24 or has a score of 3 on question 9 relating to suicidal thoughts or wishes at the screening visit
  • Subject has an infusion pump or any implantable neurostimulator device
  • Subjects with concurrent clinically significant or disabling chronic pain problem that requires additional treatment
  • Subject has an existing medical condition that is likely to require repetitive Magnetic Resonance Imaging (MRI) evaluation in the future (i.e. epilepsy, stroke, multiple sclerosis, acoustic neuroma, tumor)
  • Subject has an existing medical condition that is likely to require the use of diathermy in the future
  • Subject's pain originates from peripheral vascular disease
  • Subject is immunocompromised
  • Subject has documented history of allergic response to titanium or silicone
  • Subject has a documented history of substance abuse (narcotics, alcohol, etc.) or substance dependency in the 6 months prior to baseline data collection
  • Female candidates of child bearing potential that are pregnant (confirmed by positive urine/blood pregnancy test)

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (20)

Newport Beach Headache and Pain

Mission Viejo, California, 92691, United States

Location

Napa Biomedical Services

Napa, California, 94558, United States

Location

Eisenhower Desert Orthopedic Center

Rancho Mirage, California, 92270, United States

Location

IPM Medical Group

Walnut Creek, California, 94598, United States

Location

Goodman Campbell Brain and Spine

Indianapolis, Indiana, 46202, United States

Location

Bronson Neuroscience Center

Kalamazoo, Michigan, 49007, United States

Location

The Neuroscience Center

Biloxi, Mississippi, 39531, United States

Location

Jackson Pain Center

Jackson, Mississippi, 39202, United States

Location

Comprehensive Pain & Rehabilitation

Pascagoula, Mississippi, 39581, United States

Location

Midwest Neurosurgery Associates

Kansas City, Missouri, 64132, United States

Location

The Montana Center for Wellness & Pain Management

Kalispell, Montana, 25301, United States

Location

Albany Medical Center

Albany, New York, 12208, United States

Location

New York Spine & Wellness Center

North Syracuse, New York, 13212, United States

Location

Oklahoma Pain Physicians

Oklahoma City, Oklahoma, 73120, United States

Location

NeuroSpine Institute

Eugene, Oregon, 97401, United States

Location

St. Luke's Hospital

Bethlehem, Pennsylvania, 18015, United States

Location

Clinical Trials of South Carolina

North Charleston, South Carolina, 29406, United States

Location

Houston Pain Centers

Houston, Texas, 77030, United States

Location

Utah Spine Care

Ogden, Utah, 84403, United States

Location

The Center for Pain Relief

Charleston, West Virginia, 25301, United States

Location

Related Publications (1)

  • Slavin KV, North RB, Deer TR, Staats P, Davis K, Diaz R. Tonic and burst spinal cord stimulation waveforms for the treatment of chronic, intractable pain: study protocol for a randomized controlled trial. Trials. 2016 Dec 1;17(1):569. doi: 10.1186/s13063-016-1706-5.

MeSH Terms

Conditions

Chronic Pain

Condition Hierarchy (Ancestors)

PainNeurologic ManifestationsSigns and SymptomsPathological Conditions, Signs and Symptoms

Results Point of Contact

Title
Roni Diaz, Director Clinical Studies
Organization
St. Jude Medical

Study Officials

  • Timothy Deer, MD

    The Center for Pain Relief

    STUDY CHAIR

Publication Agreements

PI is Sponsor Employee
No
Restriction Type
OTHER
Restrictive Agreement
Yes

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
CROSSOVER
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

December 10, 2013

First Posted

December 13, 2013

Study Start

December 1, 2013

Primary Completion

January 1, 2016

Study Completion

January 1, 2017

Last Updated

January 30, 2019

Results First Posted

May 18, 2017

Record last verified: 2019-01

Locations