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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT01711619
Registration number
NCT01711619
Ethics application status
Date submitted
12/07/2012
Date registered
22/10/2012
Date last updated
22/10/2018
Titles & IDs
Public title
SubQStim: A Post-market Study of Subcutaneous Nerve Stimulation in Failed Back Surgery Syndrome (FBSS) Patients
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Scientific title
Interventional, Prospective, Multicenter, Randomized, Parallel-arm Study to Compare the Effectiveness of Peripheral Nerve Stimulation (PNS) Utilizing a Subcutaneous Lead Implant Technique (SQS) Plus Optimized Medical Management (OMM) Versus OMM Alone in Patients Suffering From Back Pain Due to Failed Back Surgery Syndrome (FBSS)
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Secondary ID [1]
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1.02.7007
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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:
Failed Back Surgery Syndrome
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Condition category
Condition code
Other
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Research that is not of generic health relevance and not applicable to specific health categories listed above
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Musculoskeletal
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Other muscular and skeletal disorders
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Neurological
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Other neurological disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Devices - subcutaneous nerve stimulation
Other interventions - Optimized Medical Management
Experimental: SQS plus OMM - subcutaneous nerve stimulation plus optimized medical management
Active comparator: OMM - optimized medical management
Treatment: Devices: subcutaneous nerve stimulation
subcutaneous nerve stimulation plus optimized medical management
Other interventions: Optimized Medical Management
Optimized medical management
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Intervention code [1]
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Treatment: Devices
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Intervention code [2]
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Other interventions
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Effectiveness of Treatment on Reduction of Back Pain Intensity
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Assessment method [1]
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Percentage of participants who responded to the treatment, where response was defined as = 50% reduction in back pain intensity as measured by Visual Analog Scale from baseline to the 9-month follow-up visit. Pain intensity was measured by a 100 mm Visual Analog Scale, with 0 representing no pain and 100 representing the worst pain imaginable.
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Timepoint [1]
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9 months
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Secondary outcome [1]
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Average Change in Back Pain Intensity
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Assessment method [1]
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Average change in back pain intensity from baseline to the 6 and 9-month follow-up visits. Pain intensity was measured by a 100 mm Visual Analog Scale, with 0 representing no pain and 100 representing the worst pain imaginable. A reduction in average pain score is indicated by a negative number.
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Timepoint [1]
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6 and 9 months
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Secondary outcome [2]
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Back Pain Responder Rate (=50%) at 6 Months
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Assessment method [2]
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Percentage of participants who responded to the treatment, where response was defined as = 50% reduction in back pain intensity as measured by Visual Analog Scale from baseline to the 6-month follow-up visit. Pain intensity was measured by a 100 mm Visual Analog Scale, with 0 representing no pain and 100 representing the worst pain imaginable.
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Timepoint [2]
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6 months
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Secondary outcome [3]
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Back Pain Responder Rate (=30%) at 9 Months
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Assessment method [3]
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Percentage of participants who responded to the treatment, where response was defined as = 30% reduction in back pain intensity as measured by Visual Analog Scale from baseline to the 9-month follow-up visit. Pain intensity was measured by a 100 mm Visual Analog Scale, with 0 representing no pain and 100 representing the worst pain imaginable.
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Timepoint [3]
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9 months
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Eligibility
Key inclusion criteria
1. Provides written Patient Informed Consent/Patient Information Sheet prior to study-related activities being conducted
2. = 18 years of age at time of informed consent
3. Willing and available to attend visits as scheduled and to comply with the study protocol
4. Willing and able to undergo assessments as part of the evaluation for eligibility and endpoints
5. Willing and able to use the external neurostimulator, recharging equipment (if applicable), and patient programmer per the schedule required by the protocol
6. Diagnosed with FBSS (i.e.):
* Has had persistent pain for 6 months following most recent anatomically correct, successful surgery AND
* There are no further therapeutic surgical options available as assessed by appropriate investigation
7. Back pain is considered intractable and has been adequately treated (failed an appropriate trial of at least 3 different classes of back pain treatments (pharmaceutical and/or non-pharmaceutical))
8. Is an appropriate implant candidate for the SQS system
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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. Has been or is currently being treated with spinal cord stimulation, subcutaneous nerve stimulation, peripheral nerve stimulation or an implantable intrathecal drug delivery system
2. Evidence of an active disruptive psychiatric disorder that is significant enough to impact the perception of pain, compliance to intervention and/or ability to evaluate treatment outcome, as determined by the investigator
3. Has a pain condition unrelated to FBSS that is severe enough to overshadow the FBSS pain in the opinion of the investigator
4. Spinal instability or anatomic compression that requires further surgery
5. Spinal fusion at more than 3 vertebral levels
6. Currently enrolled in or plans to enroll in any concurrent drug and/or device study that may confound the results of this study
7. Allergic or has shown hypersensitivity to any materials of the device system which come in contact with the body
8. History of coagulation disorder or lupus erythematosus
9. Involved in current litigation regarding back pain
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
NA
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Stopped early
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
1/11/2012
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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
1/02/2016
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Sample size
Target
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Accrual to date
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Final
162
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Recruitment in Australia
Recruitment state(s)
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Recruitment hospital [1]
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Hunter Pain Clinic - Broadmeadow
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Recruitment hospital [2]
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Greenslopes Private Hospital - Greenslopes
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Recruitment hospital [3]
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Royal North Shore Hospital - St. Leonards
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Recruitment postcode(s) [1]
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2292 - Broadmeadow
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Recruitment postcode(s) [2]
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4120 - Greenslopes
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Recruitment postcode(s) [3]
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2065 - St. Leonards
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Recruitment outside Australia
Country [1]
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Austria
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State/province [1]
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Graz
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Austria
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Klagenfurt am Wörthersee
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Austria
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Vienna
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Belgium
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Antwerp
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Belgium
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Brugge
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Belgium
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La Louviere
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Belgium
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Roselare
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France
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Lorient
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France
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Lyon
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France
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Nantes
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France
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Paris
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France
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Toulouse
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Germany
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Iserlohn-Letmathe
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Germany
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Jena
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Germany
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Köln
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Israel
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Tel Aviv
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Netherlands
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Alphen aan den Rijn
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Netherlands
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Dordrecht
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Netherlands
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Oosterhout-Breda
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Netherlands
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Rotterdam
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Spain
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State/province [21]
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Valladolid
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Switzerland
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Morges
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United Kingdom
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State/province [23]
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Middlesbrough
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
MedtronicNeuro
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Address
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Ethics approval
Ethics application status
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Summary
Brief summary
The purpose of this study is to compare the effectiveness of peripheral nerve stimulation utilizing a subcutaneous lead implant technique (SQS) plus optimized medical management (OMM) versus OMM alone in patients suffering from back pain due to Failed Back Surgery Syndrome (FBSS).
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Trial website
https://clinicaltrials.gov/study/NCT01711619
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Trial related presentations / publications
Eldabe S, Kern M, Peul W, Green C, Winterfeldt K, Taylor RS. Assessing the effectiveness and cost effectiveness of subcutaneous nerve stimulation in patients with predominant back pain due to failed back surgery syndrome (SubQStim study): study protocol for a multicenter randomized controlled trial. Trials. 2013 Jun 25;14:189. doi: 10.1186/1745-6215-14-189.
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Public notes
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Contacts
Principal investigator
Name
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Sam Eldabe, MD
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Address
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The James Cook Hospital
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Phone
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Fax
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Email
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Contact person for public queries
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Contact person for scientific queries
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
No documents have been uploaded by study researchers.
Results are available at
https://clinicaltrials.gov/study/NCT01711619
Download to PDF