GASPA: Dorsal Root Ganglion Stimulation as Treatment for Post-surgical Groin Pain
Study Details
Study Description
Brief Summary
25-SMI-2014 is a post market observational, questionnaire based study to assess the effectiveness of the Axium neurostimulator as a treatment for chronic post surgical groin pain. Within is also a nested feasibility study to assess the clinical utility of a Quantitive Sensory Testing (QST) protocol in the management of the described study group.
Condition or Disease | Intervention/Treatment | Phase |
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Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Treated Subjects All subjects recruited into the main study treated with the Axium neurostimulator |
Device: Implantation with the commercially available Axium neurostimulator
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QST Group A sub-set of the main study group who also consent to take part in the Quantitative Sensory Testing based feasibility study |
Device: Implantation with the commercially available Axium neurostimulator
Procedure: QST Testing
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Outcome Measures
Primary Outcome Measures
- Main Study: Pain Relief - Assessed be Change in Pain Intensity from Pre-Treatment Baseline [Post implantation at; 1, 3 and 6 months]
- Feasibility Study: To determine subject acceptance of the described QST methodology and protocol; assessed using a 5 point Likert scale [Baseline then Post implantation at; 1, 3 and 6 months]
Eligibility Criteria
Criteria
Main Study
Inclusion Criteria:
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Male
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Age between >18 and <65 years
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Unilateral post surgical groin pain for >6 months
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Pain localized to the region defined by the anterior superior iliac spine (ASIS), the pubic tubercle, and the groin-gluteal-greater trochanter triangles (3G) point,
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Pain has no surgical indication
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Subjects meet the criteria for SCS implantation as set out in the Dutch Neuromodulation Society Guideline
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Pain characterized by neuropathy and/or allodynia
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Average daily baseline pain intensity baseline VAS greater than or equal to 50 mm on a 100mm VAS scale
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Patient willing and able to give informed consent and to participate in observational study
Exclusion Criteria:
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Inability to speak/read Dutch
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Bilateral and/or recurrent hernia.
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Radiofrequency or injection therapy at or close to a target DRG in the 90 days prior to enrolment
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Current illicit drug use and/or alcohol dependence
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Active infection, or conditions or indwelling devices that pose an increased risk of infection
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Active implantable device including implantable cardiac defibrillator, pacemaker, spinal cord stimulator or intrathecal drug pump
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Participation in another clinical study during the study period.
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Any other disorder, condition, or circumstance that, in the opinion of the principal investigator, represents a risk to successful completion of all study activities.
Additional Criteria for nested feasibility study
Additional Inclusion Criteria
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Participation in the observational study
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Sign off for sub-study on patient informed consent
Additional Exclusion Criteria
- For sub-study participation only: pain conditions [aside from the post surgical groin pain to be treated], extensive scar tissue, skin conditions, or sensorimotor abnormalities in the areas for QST assessments: the painful groin, the contralateral groin, the ipsilateral arm, and the contralateral hand
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | St Antonius Ziekenhuis | Nieuwegein | Netherlands |
Sponsors and Collaborators
- Abbott Medical Devices
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- 25-SMI-2014