About this trial
Observational, prospective, single-center to assess neuronal activation accuracy and stimulation sensation in patients with closed-loop spinal cord stimulation therapy.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Subject is deemed a suitable candidate for SCS trial and permanent implant and has been routinely scheduled to undergo an SCS trial phase with the Evoke SCS System.
Subject has a minimum of pain intensity of 5/10 on the numeric rating scale (NRS) at baseline
Subject is ≥ 18 years old.
Subject is not pregnant or nursing.
Disqualifiers
Subject currently has an active implantable device including pacemakers, spinal cord stimulator or intrathecal drug delivery system.
Subject is incapable of understanding or responding to the study questionnaires.
Subject is incapable of understanding or operating the patient programmer handset.
Trial population
Subjects suffering from chronic pain and are eligible for SCS trial and permanent implant.
Trial design
Cohort
Prospective
Treatments tested in this trial
ECAP-controlled, closed-loop SCS
DeviceSpinal cord stimulation that measures and records evoked compound action potentials (ECAPs) and automatically adjusts the stimulation current to maintain a consistent ECAP amplitude
Treatment groups
Trial outcomes
Primary outcomes
Number of participants with change in stimulation sensation
Stimulation sensation will be characterized by study participants as better, worse or same for 5 different closed-loop sensitivity settings.
Secondary outcomes
NRS
The numeric rating scale (NRS) is a pain screening tool. It is used to assess pain severity at that moment in time using a 0-10 scale. Zero meaning "no pain" and 10 meaning "the worst pain imaginable".
Number of participants with reduced pain distribution
Pain distribution will be assessed by showing a visual representation of the body that enables participants to indicate the locations of their pain.
Paraesthesia mapping
Paraesthesia mapping will be assessed by showing a visual representation of the body that enables participants to indicate the locations where they feel paraesthesia.
Sponsors and contacts
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Karel Hanssens
Lead sponsor
AZ Delta
Sponsor institution