Spinal Cord Stimulation Efficacy Measures

July 11, 2006 updated by: New York Neurosurgery & Neuroscience Associates, PLLC

The Efficacy of Spinal Cord Stimulation at Varying Stimulation Frequencies and Pulse-Widths

The purpose of the study is to measure the efficacy of varying spinal cord stimulation frequencies and pulse-width settings on chronic pain management. The spinal cord stimulator settings that are most effective in chronic pain management hope to be revealed for the purposes of this study. In this double-blind study, both the patient and the staff will not be aware of the spinal cord stimulator settings for each patient each week. The representative that will set the settings each week will be blinded to the identity of each patient and will set the spinal cord stimulator from another room. While there are few papers that show the efficacy of spinal cord stimulation in treating chronic pain, there has yet to be a study performed that measures the role of stimulation frequency and pulse-widths. This study hopes to be the first.

Study Overview

Status

Unknown

Conditions

Intervention / Treatment

Detailed Description

For a total of 9 weeks, patients will be randomized to 9 stimulation frequency and pulse-width setting combinations. The patient will stay with these settings for a week at a time. Prior to the patient's first office visit, he/she will be asked to take a chest x-ray. The patient will also repeat this chest x-ray at the end of the study. Each patient will be asked to provide daily information regarding pain medication usage, spinal cord stimulation usage, amplitude settings, and pain ratings. Additionally, patients will fill out the Multidimensional Pain Inventory (MPI) and the McGill Pain Questionnaire (MPQ) every Monday when they come to the office, before he/she is randomized to the new settings for the week. The patient will also receive a call from the research assistant to see how he/she is doing that week and the patient will be provided with all the pertinent contact information to call at any time to ask questions. The patient can withdraw from the study completely at any point or drop out of the settings for the week. The patient will have a follow-up visit a month from the study's end date to discuss how the patient has been managing his/her pain at his/her spinal cord stimulator settings. Each patient will be compensated for completing the study. Efficacy will be measured based on the patient's answers to the pain probes, device usage, and medication usage.

Study Type

Interventional

Enrollment

20

Phase

  • Phase 1

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

  • United States
    • New York
      • Brooklyn, New York, United States, 11212
        • Recruiting
        • The Brookdale University Hospital and Medical Center
        • Contact:
        • Contact:
        • Principal Investigator:
          • Louis G Cornacchia, MD
      • Rockville Center, New York, United States, 11570
        • Recruiting
        • New York Neurosurgery & Neuroscience Associates, PLLC
        • Contact:
        • Principal Investigator:
          • Louis G Cornacchia, MD
        • Contact:

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

18 years and older (Adult, Older Adult)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Description

Inclusion Criteria:

  • The patient must have SCS implanted for at least 2 months before study start date
  • The patient must be at least 18 years old
  • The patient must currently be receiving pain relief from SCS usage
  • The patient must be willing to participate in a 9-week study
  • The patient must have at least 20% of battery life remaining in his/her spinal cord stimulator
  • The patient must be able to tolerate Vicodin-Extra Strength as well as Tylenol, but can also take their own pain medication if it is not one of the two mentioned

Exclusion Criteria:

  • The patient is pregnant or intends to become pregnant during the course of the study.
  • The patient by report, and/or by physician assessment, exhibits any or all of the following, which might bias reporting of treatment outcome:

A strong untreated dependency on prescription medication such as benzodiazepines and narcotic analgesics.

A strong potential for secondary gain issues.

A significant, untreated psychiatric comorbidity.

  • The patient possesses a coexisting clinically relevant or disabling chronic pain problem not treated by SCS
  • The patient has been diagnosed with unstable angina
  • The patient receives a Karnofsky's performance score of <60

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Treatment
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: Double

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Percent pain relief obtained during the one-month follow-up compared to baseline
The magnitude of change in other indexes of function, such as MPI, during the one-month follow-up period

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

New York Neurosurgery & Neuroscience Associates, PLLC

Collaborators

MedtronicNeuro

Investigators

  • Principal Investigator: Louis G Cornacchia, MD, New York Neurosurgery & Neuroscience Associates, PLLC

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

General Publications

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start

May 1, 2006

Study Completion

August 1, 2006

Study Registration Dates

First Submitted

July 11, 2006

First Submitted That Met QC Criteria

July 11, 2006

First Posted (Estimate)

July 12, 2006

Study Record Updates

Last Update Posted (Estimate)

July 12, 2006

Last Update Submitted That Met QC Criteria

July 11, 2006

Last Verified

June 1, 2006

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • 05-20-

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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