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Trial registered on ANZCTR
Registration number
ACTRN12614000665639
Ethics application status
Approved
Date submitted
16/06/2014
Date registered
25/06/2014
Date last updated
25/06/2014
Type of registration
Retrospectively registered
Titles & IDs
Public title
High-Frequency Spinal Cord Stimulation at 10kHz (HF10 SCS) for the Treatment of Post-Surgery Back Pain Patients
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Scientific title
A prospective, single-center, observational data collection study of high-frequency spinal cord stimulation at 10kHz (HF10 SCS) for the Treatment of Post-Surgery Back Pain Patients
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Secondary ID [1]
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Nil
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
High-frequency spinal cord stimulation in patients with chronic back pain +/- leg pain following spine surgery
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Condition category
Condition code
Musculoskeletal
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0
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Other muscular and skeletal disorders
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Neurological
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0
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Other neurological disorders
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Physical Medicine / Rehabilitation
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0
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Other physical medicine / rehabilitation
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Intervention/exposure
Study type
Observational
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Patient registry
False
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
Twelve month observation of patients implanted with the Senza System for management of chronic back pain +/- leg pain following spinal surgery via spinal cord stimulation.
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Intervention code [1]
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Not applicable
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Comparator / control treatment
This is an observational study of all patients meeting criteria and inserted with the Senza System SCS.
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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The primary outcome measure will be degree of pain relief as determined by the patient via numerical rating scales for pain, as well as physician assessments.
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Assessment method [1]
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Timepoint [1]
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A baseline assessment will be made prior to undergoing trial SCS implantation, followed by daily assessments during the temporary trial phase (6-14 days). Following permanent implantation, follow up assessments will be scheduled at 3, 6 and 12 months.
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Secondary outcome [1]
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The secondary outcome measure will assess the impact of HF10 SCS on quality of life. This will be assessed via questionnaires addressing levels of depression, anxiety, stress, affected daily activities and daily analgesic use. Questionnaires will include medication use, DASS21, LANSS, ODI, GIC, SF-36 and Subject Satisfaction.
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Assessment method [1]
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Timepoint [1]
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A Baseline assessment will be made prior to undergoing trial SCS implantation, followed by an assessment at the end of the temporary trial phase (in 6-14 days). Following permanent implantation, assessments will be scheduled at 3, 6 and 12 months.
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Eligibility
Key inclusion criteria
1. undergone spine surgery that resulted in back pain.
2. => 18 years of age
3. Diagnosed with back pain or back pain plus leg pain for at least 6 months
4. Back pain intensity is at least 5 out of 10
5. Undergoing treatment for back pain or back pain plus leg pain
6. Meet the requirements for being an HF10 SCS trial candidate as per the center practice
7. Willing and able to complete protocol requirements including:
a) Willing and able to complete health questionnaires and pain scales as specified in the protocol
b) Willing and able to sign the study-specific Informed Consent form
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
1. plans to enroll in another clinical study during their participation in this study, or are currently enrolled in a clinical study that could interfere in participation in the trial or affect the scientific soundness of this study
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Study design
Purpose
Screening
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Duration
Longitudinal
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Selection
Defined population
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Timing
Prospective
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Statistical methods / analysis
This study is statistically not powered for a specific efficacy hypothesis test so no formal sample size has been calculated. Target size has been set on 100 successfully trialed subjects.
Qualitative and quantitative data will be collected and analysed using PASW Statistics 18.0. Non-parametric 2-tailed cross-sectional and pair-wise comparisons will be undertaken to assess changes in daily pain scores and daily analgesics use. Simple linear and non-linear regression will be used to calculate possible outcome predictor values from the baseline demographic, pain, daily activity and psychometric data collected. Significance will be set at the 0.05 level.
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Recruitment
Recruitment status
Recruiting
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Date of first participant enrolment
Anticipated
5/11/2013
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Actual
5/11/2013
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
100
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
VIC
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Funding & Sponsors
Funding source category [1]
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Commercial sector/Industry
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Name [1]
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Nevro Corporation
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Address [1]
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4040 Campbell Avenue, Suite 210, Menlo Park, CA, 94025 USA
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Country [1]
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United States of America
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Primary sponsor type
Individual
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Name
Dr. Paul Verrills
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Address
Metro Spinal Clinic
Level 1 544 Hawthorn Road,
Caulfield South Victoria 3162
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Country
Australia
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Secondary sponsor category [1]
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Individual
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Name [1]
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Dr. Bruce Mitchell
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Address [1]
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Metro Spinal Clinic
Level 1 544 Hawthorn Road,
Caulfield South Victoria 3162
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Country [1]
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Australia
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Secondary sponsor category [2]
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Individual
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Name [2]
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Dr. David Vivian
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Address [2]
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Metro Spinal Clinic
Level 1 544 Hawthorn Road,
Caulfield South Victoria 3162
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Country [2]
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Bellberry Ltd
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Ethics committee address [1]
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129 Glen Osmond Road Eastwood South Australia 5063
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
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28/08/2013
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Approval date [1]
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05/11/2013
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Ethics approval number [1]
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2013-08-466
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Summary
Brief summary
Patients with persistent back pain and suspected mechanical instability are referred to spine surgeons for spine stability assessment and, if need be, stabilization surgery. A significant proportion of these patients fail however to derive adequate benefits from the surgery and these chronic pain patients are often left with few options. Traditional spinal cord stimulation (SCS) is a widely accepted, cost-effective therapy for patients with chronic pain, especially in patients with post-surgery back and leg pain. High-Frequency Spinal Cord Stimulation at 10 kHz (HF10 SCS) has established itself as a key treatment in treating patients with chronic back pain: data from European pain centers has shown that HF10 SCS is safe and effective at reducing pain, improving function and sleep, and reducing opioid in patients with predominant back pain. HF10 SCS has been used in Australia to treat chronic pain ever since its TGA approval, especially back and leg pain patients. The purpose of this non-interventional data collection study is to collect data on the improvement in pain relief and quality of life associated with HF10 SCS, as used in the clinic routine practice in patients with chronic back pain following back surgery.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Dr Paul Verrills
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Address
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Metro Spinal Clinic
Level 1 544 Hawthorn Road, Caulfield South Victoria 3162
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Country
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Australia
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Phone
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+61 3 9595 6111
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Adele Barnard
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Address
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Metro Spinal Clinic
Level 1 544 Hawthorn Road, Caulfield South Victoria 3162
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Country
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Australia
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Phone
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+61 3 9595 6111
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Adele Barnard
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Address
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Metro Spinal Clinic
Level 1 544 Hawthorn Road, Caulfield South Victoria 3162
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Country
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Australia
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Phone
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+61 3 9595 6111
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Fax
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
Download to PDF