- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02964130
Study on Failed Back Surgery Syndrome Pathway Optimization: A Focus on Patient Identification, Chronicization Factors and Outcome Predictors (PREDIBACK)
A Multicenter Prospective Study on Failed Back Surgery Syndrome Pathway Optimization: A Focus on Patient Identification, Chronicization Factors and Outcome Predictors
This pilot study is part of a global project that aims to better define and understand features of FBSS/POPS "post-operative persistent syndrome patients (shortened as "FBSS" in the following project). FBSS is the acronym for Failed Back Surgery Syndrome, which has been defined as a chronic condition resulting from spinal interventions. Despite anatomically successful spine surgery, a significant proportion of patients is experiencing chronic refractory back and leg pain. In a recent multicentre study conducted on more than 100 refractory FBSS patients, (ESTIMET Study), the mean delay between pain occurrence and FBSS diagnosis was 5 years. Therefore, FBSS pattern and potential responder stratification might guide us to eventually develop a decision tool for identifying FBSS patients. Easing and helping diagnosis of FBSS should improve referral yield to specialists and accelerate patient flow through the care pathway. Hence, FBSS patients, who usually present a long standing history of pain, would have access to "appropriate" therapies earlier. This could lead to better outcomes. The aim of this multicentre, prospective study is to collect specific data that are not collected in routine in order to better define and understand the potential FBSS population and to accelerate the diagnostic and optimize the choice of appropriate treatment.
A multidisciplinary approach through a pain management clinical network, as it has been structured in Poitiers, will ensure that an exhaustive characterization of FBSS patients and their care pathway will be collected. In addition, since the cooperation between orthopaedic and neuro spine surgeons is not a common relationship found all over Europe (as it is observed in Poitiers), this study also aims to better understand the development of interactions between physicians/professionals and the substantial advantage which would result from bridging this gap. The N3MT (NeuroMapping Tools) software developed in Poitiers to collect data and assess objectively pain surface and intensity changes, before/after any treatment, with quantitative measurements, will be used as the central key of this project.
Study Overview
Status
Conditions
Intervention / Treatment
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
-
Poitiers, France
- Poitiers Hospital University
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Patient has signed and dated the Informed Consent Form.
- Patient is ≥ 18 years of age at time of "Informed Consent Form" signature.
- Patient had most recent back surgery more than 6 months ago.
- Patient has developed post-operative Chronic Back with or without Leg Pain (potential FBSS).
- Patient has persistent back pain for more than 6 months.
- Average low back or leg pain is ≥ 4 as assessed by the baseline NPRS.
Exclusion Criteria:
- Patient has already a confirmed FBSS diagnosis.
- Patient is or has been treated with SCS, subcutaneous or peripheral nerve stimulation, an intrathecal drug delivery system.
- Investigator suspects substance abuse that might confound the study results.
- Patient has a life expectancy of less than 12 months beyond study enrollment.
- Patient is less than 18 years of age.
- Patient is pregnant or planning to become pregnant during the course of the study.
- Patient is unable to undergo study assessments or complete questionnaires independently (e.g., is illiterate).
- Patient is a member of a vulnerable population.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Diagnostic
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Other: Follow-up patient
Medical follow-up visit
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Incidence of clinical diagnosis of FBSS
Time Frame: 12 month-follow up visit
|
Incidence of clinical diagnosis of FBSS in the broad population of post-surgical pain syndrome, identified by multidisciplinary team of independent experts (1 pain physician, 1 neurosurgeon and 1 psychiatric), with morphological and clinical characterization of the syndrome.
|
12 month-follow up visit
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Pain intensity (NRPS)
Time Frame: Initial visit and 3 month, 6 month, 9 month and 12 month-follow up Visits
|
|
Initial visit and 3 month, 6 month, 9 month and 12 month-follow up Visits
|
Pain surface and intensity (Mapping Tool)
Time Frame: Initial visit and 3 month, 6 month, 9 month and 12 month-follow up Visits
|
|
Initial visit and 3 month, 6 month, 9 month and 12 month-follow up Visits
|
Functional capacity (ODI)
Time Frame: Initial visit and 3 month, 6 month, 9 month and 12 month-follow up Visits
|
Initial visit and 3 month, 6 month, 9 month and 12 month-follow up Visits
|
|
Quality of life (EQ5D)
Time Frame: Initial visit and 3 month, 6 month, 9 month and 12 month-follow up Visits
|
Initial visit and 3 month, 6 month, 9 month and 12 month-follow up Visits
|
|
Psychological State (HADS)
Time Frame: Initial visit and 3 month, 6 month, 9 month and 12 month-follow up Visits
|
Initial visit and 3 month, 6 month, 9 month and 12 month-follow up Visits
|
|
Pain Catastrophizing Scale (PCS CF)
Time Frame: Initial visit and 3 month, 6 month, 9 month and 12 month-follow up Visits
|
Initial visit and 3 month, 6 month, 9 month and 12 month-follow up Visits
|
|
Adverse Events/ Serious Adverse Events
Time Frame: Initial visit and 3 month, 6 month, 9 month and 12 month-follow up Visits
|
Initial visit and 3 month, 6 month, 9 month and 12 month-follow up Visits
|
Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Philippe RIGOARD, PU-PH, Poitiers Hospital University
Study record dates
Study Major Dates
Study Start (Actual)
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
Additional Relevant MeSH Terms
Other Study ID Numbers
- 2016-A01144-47
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 Chronic Pain
-
Pain ConcernThe Thistle Foundation; Health and Social Care Alliance Scotland (the ALLIANCE) and other collaboratorsCompletedChronic Pain | Chronic Pain Syndrome | Chronic Pain, Widespread | Chronic Pain Due to Trauma | Chronic Pain Due to Malignancy (Finding) | Chronic Pain Due to Injury | Chronic Pain Post-Procedural | Chronic Pain HipUnited Kingdom
-
Consorci Sanitari de l'Alt Penedès i GarrafRecruitingChronic Post Operative Pain | Chronic Post-surgical Pain | Chronic Knee PainSpain
-
Dow University of Health SciencesRecruitingLow Back Pain | Chronic Low-back Pain | Low Back Pain, Mechanical | Mechanical Low Back Pain | Pain, Chronic | Pain, Back | Lower Back Pain Chronic | CLBP - Chronic Low Back PainPakistan
-
University of Alabama, TuscaloosaPatient-Centered Outcomes Research Institute; East Carolina University; Whatley...CompletedPain | Chronic Pain | Chronic Pain Syndrome | Widespread Chronic Pain | Chronic Pain Due to InjuryUnited States
-
University of UtahRecruitingChronic Pain | Chronic Pain Syndrome | Widespread Chronic PainUnited States
-
Evolve Restorative CenterFlowonix Medical; Celéri Health, Inc.; Advanced Infusion SolutionsCompletedPain, Chronic | Pain, Intractable | Chronic Nonmalignant PainUnited States
-
Assiut UniversityNot yet recruiting
-
Atatürk Chest Diseases and Chest Surgery Training...RecruitingPostoperative Pain | Thoracotomy | Postoperative Pain, Acute | Postoperative Pain, ChronicTurkey
-
Istanbul UniversityCompletedLow Back Pain, Mechanical, Biofeedback, Pain, Chronic
-
Vastra Gotaland RegionActive, not recruitingPain, Chronic | Widespread Chronic PainSweden
Clinical Trials on No name
-
Centre Leon BerardPHRC 2007: financial supportCompleted
-
RenJi HospitalNot yet recruitingApplication of Artificial Intelligence Deep Learning Technology in Magnetic Resonance Lumbar ImagingDeep Learning,Lumbar Magnetic Resonance Imaging
-
Maastricht University Medical CenterNovartisNot yet recruitingNon Small Cell Lung Cancer Metastatic | Brain Metastases, Adult | KRAS G12C
-
National Taiwan University HospitalNational Science Council, TaiwanCompleted
-
University of California, Los AngelesCompletedHypoxia | Bradycardia | Apnea of PrematurityUnited States
-
Tehran University of Medical SciencesCompletedNose Deformities, AcquiredIran, Islamic Republic of
-
Mclean HospitalRecruitingMajor Depression in RemissionUnited States
-
Wuhan Createrna Science and Technology Co., LtdCompleted
-
Assiut UniversityUnknown
-
Wuhan Createrna Science and Technology Co., LtdCompletedParoxysmal Nocturnal HemoglobinuriaChina