- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02506608
Use of Hand Prosthesis With Direct Nerve Stimulation for Treatment of Phantom Limb Pain (EPIONE)
Natural Sensory Feedback for Phantom Limb Modulation and Therapy
Study Overview
Status
Conditions
Intervention / Treatment
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
IT
-
Roma, IT, Italy, 00168
- Paolo Maria Rossini
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Uni-lateral amputation below the shoulder level
- Other treatments for phantom limb pain should have been tried with poor results
- The subject should experience phantom limb pain at a level of 6 or higher measured on on a visual analog scale (VAS) ranging from 0-10
- Phantom limb pain should be experienced at leaste once a week
- The subject should be in a chronica and stable phase, and the stump should have healed
- The subject should otherwise be healthy and able to carry out the experiment
- If pain medication is used it will be acceptable that the person continues to use the medication
Exclusion Criteria:
- Cognitive impairment
- Pregnancy
- Prior or current psychological diseases such as borderline, schizophrenia, depression or maniodepression
- Acquired brain injury with residual impairment
- Prior neurological or muscoloskeletal diseases
- History of or active substance abuse disorder
- Excessive sensitivity to electrical stimulation with surface electrodes
- Persons with fear for electrical stimulation, pain cannot participate
- Persons that are hypersensitive to electrical stimulation and experience the stimulation as unpleasent cannot participate
- Since the protocol includes MRI scanning of the brain, persons that may feel claustrophobic cannot participate
- Since the protocol includes MRI scanning of the brain, persons that have metal parts in the body (such as pacemakers or bone-screws) cannot participate
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Operation of sensorized hand prosthesis
A system composed by the integration of the following non-CE marked medical devices specifically designed for the study will be used in amputees:
|
Four TIME-4H electrodes will be implanted in the median and ulnar of the amputees. The electrodes will be connected with the STIMEP electrical multichannel stimulator. The stimulator will be connected with one of the sensorized prostheses. Afferent and efferent signals will be elaborated and integrated by the ODROID software. The amputees will be able to control the prostheses movement and receive a sensory feedback from the prosthesis sensors. The use of the prosthesis during different tasks will be considered the intervention. |
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Phantom limb pain
Time Frame: Change in Phantom Limb Pain daily during the whole study (maximum 1 year per patient)
|
Questionnaires (Visual Analogic Scale, Neuropathic Pain Symptom Inventory )
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Change in Phantom Limb Pain daily during the whole study (maximum 1 year per patient)
|
Cortical reorganization
Time Frame: Change in Cortical reorganization before and at the end of 1 year of treatment
|
Electroencephalography; Transcranial Magnetic Stimulation and electroencephalography; functional Magnetic Resonance Imaging; Transcranial Magnetic Stimulation ; Somatosensory Evoked Potentials
|
Change in Cortical reorganization before and at the end of 1 year of treatment
|
Collaborators and Investigators
Sponsor
Study record dates
Study Major Dates
Study Start
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- EPIONE-602547-6
- no. 602547 (Other Grant/Funding Number: FP7-HEALTH-2013-INNOVATION)
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.
Clinical Trials on Phantom Limb Pain
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Shirley Ryan AbilityLabCoapt, LLCRecruitingLower Limb Amputation Below Knee (Injury) | Lower Limb Amputation Above Knee (Injury) | Amputation | Phantom Limb Pain | Phantom Pain | Phantom Sensation | Lower Limb Amputation Knee | Lower Limb Amputation at Ankle (Injury) | Upper Limb Amputation at the Hand | Upper Limb Amputation at the Wrist | Upper... and other conditionsUnited States
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Artur BiktimirovEnrolling by invitationAmputation | Phantom Limb Pain | Lower Limb Amputation | Phantom PainRussian Federation
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United States Naval Medical Center, San DiegoUnknownPhantom Limb Pain | Phantom Pain | Phantom Sensation | PseudomeliaUnited States
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VA Office of Research and DevelopmentRecruitingChronic Pain | Lower Limb Amputation | Phantom Pain | Upper Limb Amputation | Phantom Limb Pain After AmputationUnited States
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Artur BiktimirovEnrolling by invitationAmputation | Phantom Limb Pain | Phantom PainRussian Federation
-
Centre d'Investigation Clinique et Technologique...CompletedAmputation | Phantom Pain Following Amputation of Lower LimbFrance
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University of California, San DiegoCompletedPhantom Limb Pain | Residual Limb PainUnited States
-
University of California, San DiegoVarian Medical Systems; Epimed InternationalRecruitingAmputation, Traumatic | Phantom Limb Pain | Phantom Pain Following Amputation of Lower Limb | Amputation, SurgicalUnited States
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Cairo UniversityActive, not recruitingPhantom Pain Following Amputation of Lower LimbEgypt
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University of Alabama at BirminghamCompletedAmputation | Phantom Limb Pain | Residual Limb PainUnited States
Clinical Trials on Operation of sensorized hand prosthesis
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Prof. Wassim RaffoulLund University; Catholic University of the Sacred Heart; Universitat Autonoma... and other collaboratorsWithdrawnPhantom Limb PainSwitzerland
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Liberating Technologies, Inc.Össur EhfCompletedAmputation | Prosthesis User | Amputation; Traumatic, Hand | Upper Limb Amputation at the Hand | Limb; Absence, Congenital, UpperUnited States
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University of PaviaCompletedTotal Hip Replacement | Visual Biofeedback | Weight BearingItaly
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Istituto Auxologico ItalianoASST Gaetano Pini-CTORecruiting
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Kocaeli UniversityCompletedAbdominal HysterectomyTurkey
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University Hospital, GhentGroupe SEBBINRecruitingGender Dysphoria | Orchitis | Testicular Cancer | Prosthesis Durability | Testicular Torsion | Undescended Testes | Testicular Agenesis | Testicular AtrophyBelgium
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Chillicothe VA Medical CenterCompletedPain | Low Back Pain | Musculoskeletal Pain | Chronic Pain | Fibromyalgia | Neuropathic Pain | Chronic Pain Syndrome | Neuropathy, PainfulUnited States
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Edwards LifesciencesPacific Clinical Research GroupCompleted
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Translational Research Center for Medical Innovation...Nagoya University; ArBlast Co.,Ltd.Completed
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Haraldsplass Deaconess HospitalUniversity of BergenCompleted