- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT07079865
- Original Trial
Effect of 60-day Peripheral Nerve Stimulation (PNS) in Alleviating Pain and Improving Function After Acute Thoracolumbar Compression Fracture
The purpose of this study is to track and investigate the outcomes of female patients with acute thoracolumbar compression fractures, focusing on pain management and functional improvement. The study will investigate patients whose compression fractures are within 3 months or less and measure pain scores, using the Numeric Rating Scale (NRS) and Brief Pain Inventory (BPI) and quality of life using the PROMIS questionnaire at 1-week prior to intervention and then 2 weeks, 3 months and 6 months post PNS implantation.
The primary aim is to assess pain reduction among participants that receive the 60-day PNS intervention. The secondary aim is to analyze functional outcomes and quality of life documented in PROMs (Patient Reported Outcomes Measures) provided by CareSense a digital data collection system.
Study Overview
Status
Conditions
Intervention / Treatment
Study Type
Enrollment (Estimated)
Contacts and Locations
Study Locations
-
-
New Jersey
-
Avenel, New Jersey, United States, 07001
- Recruiting
- University Orthopaedic Associates - Division of OrthoNJ
-
Contact:
- Dr. Tony George Principal Investigator
- Phone Number: 732-283-2663
- Email: drgeorge@uognj.com
-
Morganville, New Jersey, United States, 07751
- Recruiting
- University Orthopaedic Associates - Division of OrthoNJ
-
Contact:
- Dr. Tony George Principal Investigator
- Phone Number: 732-283-2663
- Email: drgeorge@uognj.com
-
Somerset, New Jersey, United States, 08873
- Recruiting
- University Center for Ambulatory Surgery (UCAS)
-
Contact:
- Dr. Tony George Principal Investigator
- Phone Number: 732-283-2663
- Email: drgeorge@uognj.com
-
Somerset, New Jersey, United States, 08873
- Recruiting
- University Orthopaedic Associates - Division of OrthoNJ
-
Contact:
- Dr. Tony George Principal Investigator
- Phone Number: 732-283-2663
- Email: drgeorge@uognj.com
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Sampling Method
Study Population
Description
Inclusion Criteria:
- Adult females ages 18+
- Osteoporosis diagnosis with acute/subacute insufficiency fractures of the thoracic or lumbar spine identified on MRI or X-ray with significant pain and activity limitation.
- Onset of pain from associated fracture should be less than 3 months.
- Minimum pain should be 4 or greater (Moderate) on the NRS scale and/or impairing their daily activity.
- Patients reported pain should be despite OTC medication trials of NSAIDs, Tylenol, lidocaine patches or similar medications.
- Patients may be taking opioids while receiving treatment however as per routine practice, no additional opioids will be prescribed during the PNS intervention.
Exclusion Criteria:
- Patients with pathological fractures, other etiologies of fracture such as pagets disease, multiple myeloma, local or systemic infection, untreated coagulopathy, untreated psychosocial disease.
- Other etiologies of osteoporosis other than primary osteoporosis will be excluded such as hyperparathyroidism, anorexia, malabsorption, hyperthyroidism, or overtreatment of hypothyroidism, chronic renal failure, cushing.
- Patients with diminished mental capacity (mental condition that will inhibit their ability to complete the assessments) as determined by the investigator.
- Patients with an active cardiac implant device such as a pacemaker or defibrillator.
Study Plan
How is the study designed?
Design Details
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Change in Pain
Time Frame: Baseline (pre-SPRINT PNS) to 2 Weeks Post, 3 Months Post and 6 Months Post Implantation
|
Pain as measured using a numeric rating scale (NRS).
A 0 - 10 point scale with 0 representing no pain, 1-3 mild, 4-6 moderate and 7-10 severe.
|
Baseline (pre-SPRINT PNS) to 2 Weeks Post, 3 Months Post and 6 Months Post Implantation
|
|
Change in Pain
Time Frame: Baseline (pre-SPRINT PNS) to 2 Weeks Post, 3 Months Post and 6 Months Post Implantation
|
Pain as measured using a Brief Pain Inventory (BPI).
A 0 - 10 point scale with 0 representing no pain and 10 representing severe pain.
|
Baseline (pre-SPRINT PNS) to 2 Weeks Post, 3 Months Post and 6 Months Post Implantation
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Change in Quality of Life (QOL)
Time Frame: Baseline (pre-SPRINT PNS) to 2 Weeks Post, 3 Months Post and 6 Months Post Implantation
|
QOL as measured by PROMIS (Patient-Reported Outcomes Measurement Information System).
Responses are scored on 20 to 80 point scale.
Scores between 20-55 are within normal limits.
Scores 55+ will fall within mild-moderate-severe.
|
Baseline (pre-SPRINT PNS) to 2 Weeks Post, 3 Months Post and 6 Months Post Implantation
|
Collaborators and Investigators
Sponsor
Collaborators
Publications and helpful links
General Publications
- Johnell O, Kanis J. Epidemiology of osteoporotic fractures. Osteoporos Int. 2005 Mar;16 Suppl 2:S3-7. doi: 10.1007/s00198-004-1702-6. Epub 2004 Sep 8.
- Wright NC, Looker AC, Saag KG, Curtis JR, Delzell ES, Randall S, Dawson-Hughes B. The recent prevalence of osteoporosis and low bone mass in the United States based on bone mineral density at the femoral neck or lumbar spine. J Bone Miner Res. 2014 Nov;29(11):2520-6. doi: 10.1002/jbmr.2269.
- Gautam S, Gopal VG, Khuba S, Agarwal A, V M, Kumar S. Evaluation of the role of vertebral augmentation in chronic vertebral compression fractures: A retrospective study. Interv Pain Med. 2023 Mar 11;2(1):100242. doi: 10.1016/j.inpm.2023.100242. eCollection 2023 Mar.
- Chitneni A, Berger AA, Orhurhu V, Kaye AD, Hasoon J. Peripheral Nerve Stimulation of the Saphenous and Superior Lateral Genicular Nerves for Chronic Pain After Knee Surgery. Orthop Rev (Pavia). 2021 May 31;13(2):24435. doi: 10.52965/001c.24435. eCollection 2021.
- Huntoon MA, Slavin KV, Hagedorn JM, Crosby ND, Boggs JW. A Retrospective Review of Real-world Outcomes Following 60-day Peripheral Nerve Stimulation for the Treatment of Chronic Pain. Pain Physician. 2023 May;26(3):273-281.
- Gabriel RA, Ilfeld BM. Acute postoperative pain management with percutaneous peripheral nerve stimulation: the SPRINT neuromodulation system. Expert Rev Med Devices. 2021 Feb;18(2):145-150. doi: 10.1080/17434440.2021.1877134. Epub 2021 Jan 20.
- Buchbinder R, Johnston RV, Rischin KJ, Homik J, Jones CA, Golmohammadi K, Kallmes DF. Percutaneous vertebroplasty for osteoporotic vertebral compression fracture. Cochrane Database Syst Rev. 2018 Apr 4;4(4):CD006349. doi: 10.1002/14651858.CD006349.pub3.
- Bernhard J, Heini PF, Villiger PM. Asymptomatic diffuse pulmonary embolism caused by acrylic cement: an unusual complication of percutaneous vertebroplasty. Ann Rheum Dis. 2003 Jan;62(1):85-6. doi: 10.1136/ard.62.1.85. No abstract available.
- Prince RL, Lewis JR, Lim WH, Wong G, Wilson KE, Khoo BC, Zhu K, Kiel DP, Schousboe JT. Adding Lateral Spine Imaging for Vertebral Fractures to Densitometric Screening: Improving Ascertainment of Patients at High Risk of Incident Osteoporotic Fractures. J Bone Miner Res. 2019 Feb;34(2):282-289. doi: 10.1002/jbmr.3595. Epub 2018 Nov 5.
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
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
- IRB-FY2024-41
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
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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