Dorsal Root Ganglion Stimulation After Lower Motor Neuron Damage
Pilot Study: Dorsal Root Ganglion Stimulation After Spinal Cord Injury-Related Lower Motor Neuron Damage
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: Peter J. Grahn, Ph.D.
- Phone Number: 507-316-5556
- Email: grahn.peter@mayo.edu
Study Locations
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Minnesota
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Rochester, Minnesota, United States, 55905
- Mayo Clinic
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Contact:
- Peter J. Grahn, Ph.D.
- Phone Number: 507-316-5556
- Email: grahn.peter@mayo.edu
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-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Traumatic and non-traumatic spinal cord injury (SCI)
- ASIA Impairment Scale (AIS) A-D
- SCI below the tenth thoracic vertebral level
- Greater than 1 year post-SCI
- Intact spinal reflexes at or below injury level in 1 or more muscles
Exclusion Criteria:
- Currently a prison inmate, or awaiting trial, related to criminal activity
- Pregnancy at the time of screening for trial enrollment
- Active, untreated urinary tract infection
- Unhealed decubitus ulcer
- Unhealed skeletal fracture
- Spinal abnormality that may impede percutaneous implantation of spinal electrodes
- Untreated clinical diagnosis of psychiatric disorder
- Joint contractures that impede typical range of motion
- Non-MRI-compatible implanted medical devices
- Other implanted stimulation devices (e.g., deep brain stimulator, cardiac pacemaker, diaphragmatic pacer, etc.)
- Active participation in an interventional clinical trial which, based on the research team's assessment, may compromise protocol compliance, safety, and/or validity of data collected during this study
- History of clinically diagnosed cardiopulmonary disorder, such as severe orthostatic hypotension, which may impede participation in rehabilitation activities such as changes in body position such as supine-to-sit-to-stand activities, prolonged standing, or stepping
- History of frequent and/or severe autonomic dysreflexia
- History of seizure disorder
- Any illness or condition which, based on the research team's assessment, will compromise with the patient's ability to comply with the protocol, patient safety, or the validity of the data collected during this study
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Basic Science
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Dorsal Root Ganglion Stimulation
One adult patient with spinal cord injury below T10 will be treated with dorsal root ganglion stimulation.
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After temporary implantation of leads into the dorsal root ganglia of lower spine, the patient will undergo 2-3 hour sessions over 10 days.
Each session will consist of rehabilitation exercises will receiving electrical spinal stimulation.
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Change America Spinal Injury Association (ASIA) Impairment Scale categorization
Time Frame: Baseline, 14 days
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The America Spinal Injury Association Impairment Scale is a provider assessment that categorizes spinal cord injuries into five distinct classifications, each representing different degrees of neurological impairment and functional preservation.
Categories are defined as Grade A: complete impairment; Grade B: sensory but not motor function preserved; Grade C: motor function incomplete (most muscles): Grade D: motor function incomplete (half of key muscles); and Grade E: normal sensory and motor functions.
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Baseline, 14 days
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Change in Neurogenic Bladder Symptom (NBSS) score
Time Frame: Baseline, 14 days
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The Neurogenic Bladder Symptom Score (NBSS) survey a 24-item validated instrument that incorporates questions on bladder management, incontinence, storage, voiding and consequences and the impact on quality of life.
Total scores range from 0 - 74, with higher scores indicating more severe bladder symptoms and dysfunction.
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Baseline, 14 days
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Change in Neurogenic Bowel Dysfunction Survey (NBD) score
Time Frame: Baseline, 14 days
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The Neurogenic Bowel Dysfunction Survey (NBD) a validated questionnaire that incorporates several questions regarding fecal incontinence, constipation, obstruction, and impact on quality of life.
Each of the 10 items on the NBD is weighted according to its importance on quality of life.
Total scores range from 0 -47, with higher scores indicating more severe bowel dysfunction.
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Baseline, 14 days
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Change in sexual function survey score
Time Frame: Baseline, 14 days
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International spinal cord injury female sexual and reproductive function basic data set (version 2.0) or International spinal cord injury male sexual function basic data set (version 2.0) will be used depending on subject enrolled.
The survey asks the participant to answer 4 questions regarding sexual dysfunction as related to spinal cord injury, with answers on a scale of 0 = normal, 1 = reduced or altered, and 2 = absent.
Higher scores indicate a greater level of impairment.
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Baseline, 14 days
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Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Peter J. Grahn, Ph.D., Mayo Clinic
Study record dates
Study Major Dates
Study Start (Estimated)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- 26-003033
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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