Pituitary Gland Stimulation for Cancer Pain Relief
PGS
1 other identifier
interventional
10
1 country
1
Brief Summary
Patients will undergo an implantation of an extradural pituitary surface electrode in the pituitary fossa. The electrode will be attached to a neurostimulator via which the patient will receive up to 8 (patient requested) stimulations per day.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for not_applicable
Started Oct 2021
Typical duration 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
October 12, 2021
CompletedFirst Submitted
Initial submission to the registry
January 13, 2022
CompletedFirst Posted
Study publicly available on registry
February 8, 2022
CompletedPrimary Completion
Last participant's last visit for primary outcome
January 1, 2024
CompletedStudy Completion
Last participant's last visit for all outcomes
January 1, 2024
CompletedMarch 10, 2023
March 1, 2023
2.2 years
January 13, 2022
March 9, 2023
Conditions
Outcome Measures
Primary Outcomes (2)
Perceived pain
Numeric Rating Scale (0= no pain, 10=most severe pain)
4 months
Pain Medication
Morphine Equivalent Doses for background and escape medication
4 months
Study Arms (1)
pituitary stimulation
EXPERIMENTALPatients will receive pituitary stimulation as oncology pain treatment.
Interventions
Pituitary gland stimulation via an surface electrode connected to an external neurostimulator
Eligibility Criteria
You may qualify if:
- Adult patient
- In palliative phase of metastatic disease, without options for further systemic treatment or radiotherapy
- Inadequately controlled pain with standard care
- Most prominent part of experienced pain is nociceptive
- Karnofsky Performance Score ≥30
You may not qualify if:
- Not fit for general anesthesia
- Pregnancy
- Unfavorable local anatomy for PGS, due to a disease process, or anatomical configuration
- Clinical signs of posterior pituitary gland disfunction
- Recent history of alcohol or drug abuse
- Severe immunodeficiency
- Need for anticoagulation therapy that cannot be abrogated for surgery
- Need for subsequent MRI-imaging
- Cognitive impairments prohibiting full understanding of study and ability to provide informed consent
- Not able to adequately communicate in Dutch or English
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Leiden University Medical Center
Leiden, Netherlands
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Wouter van Furth, MD, PhD
Leiden University Medical Center
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NA
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- neurosurgeon
Study Record Dates
First Submitted
January 13, 2022
First Posted
February 8, 2022
Study Start
October 12, 2021
Primary Completion
January 1, 2024
Study Completion
January 1, 2024
Last Updated
March 10, 2023
Record last verified: 2023-03