Status:

RECRUITING

Effects of Active Versus Passive Recharge Burst Spinal Cord Stimulation on Pain Experience in Persistent Spinal Pain Syndrome Type 2: a Multicenter Randomized Trial (BURST-RAP Study)

Lead Sponsor:

Rijnstate Hospital

Conditions:

Persistent Spinal Pain Syndrome Type 2

Failed Back Surgery Syndrome

Eligibility:

All Genders

18-70 years

Phase:

NA

Brief Summary

Spinal cord stimulation (SCS) has shown to be an effective treatment for patients with persistent spinal pain syndrome Type 2 (PSPS Type 2). The method used to deliver electrical charge in SCS is impo...

Detailed Description

This multicenter randomized clinical trial will take place in 6 Dutch hospitals: the Rijnstate Hospital (Arnhem), Bravis Hospital (Roosendaal), Elizabeth TweeSteden Hospital (Tilburg), Diakonessen Hos...

Eligibility Criteria

Inclusion

  • Subjects between 18 and 70 years of age
  • At least moderate level of catastrophizing as measured with the Pain catastrophizing scale (PCS) of at least 20 at first visit of the pain clinic.
  • Chronic pain diagnoses as PSPS Type 2 of at least 6 months
  • Neurologic exam without marked motor deficit.
  • LBP and/or leg pain intensity should be 5 or higher measured with the 11-box NRS 0-10
  • Meets all the inclusion criteria for the implantation of a neurostimulation system as typically utilized in the study center. PM: depression is not an exclusion criteria
  • Subject has been screened by a multi-disciplinary panel including a psychologist and deemed suitable for implantation
  • Subject is able and willing to comply with the follow-up schedule and protocol
  • Subject is able to provide written informed consent

Exclusion

  • Female subject of childbearing potential is pregnant/nursing or plans to become pregnant during the course of the study
  • Escalating or changing pain condition within the past month as evidenced by investigator examination
  • BMI ≥35
  • "Subject has had injection therapy or radiofrequency treatment for their low back pain (LBP) or leg pain within the past 3 months"
  • Subject currently has an active implantable device including ICD, pacemaker, spinal cord stimulator or intrathecal drug pump
  • Subject is unable to operate the device
  • Severe spinal column degeneration likely to cause technical problems with neuromodulation, to be assessed by the treating physician
  • Previous Neurostimulation therapy

Key Trial Info

Start Date :

February 16 2022

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

June 30 2026

Estimated Enrollment :

96 Patients enrolled

Trial Details

Trial ID

NCT05421273

Start Date

February 16 2022

End Date

June 30 2026

Last Update

November 19 2024

Active Locations (6)

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Page 1 of 2 (6 locations)

1

Rijnstate Hospital

Arnhem, Gelderland, Netherlands, 6815 AD

2

Bravis Hospital

Roosendaal, North Brabant, Netherlands, 4708 AE

3

Elizabeth TweeSteden Hospital

Tilburg, North Brabant, Netherlands, 5042 AD

4

Amsterdam University Medical Hospitals A-UMC

Amsterdam, North Holland, Netherlands, 1105 AZ