SCS T2P: Spinal Cord Stimulation Trial to Permanent Prediction
Study Details
Study Description
Brief Summary
Spinal Cord Stimulation Trial to Permanent Prediction is a prospective, longitudinal, multi-center, non-randomized, multi-arm, open-label, clinical feasibility study designed to investigate whether objective data collected from chronic pain patients is predictive of subjective patient-reported outcomes and of adjustments to patient programming parameters.
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
|
Detailed Description
The study will enroll up to 60 subjects at 10 sites in the United States. Follow-up will continue for a period of 6 months post-trial for subjects who choose not to receive a permanently-implanted system as well as 6 months post implant for subjects receiving a permanent implant.
Study Design
Outcome Measures
Primary Outcome Measures
- Correlation between app-based pain scores and physiological data from wearable biosensors [6 months]
Ability to use a machine learning algorithm to predict daily pain Numeric Rating Scale (NRS) or weekly average pain NRS by monitoring physiological data from the Apple Watch, Oura ring, and Sibel Anne wearable sensors: Pain NRS scores will be collected multiple days per week throughout the study duration via a mobile application. The Apple Watch, Oura ring, and Sibel Anne wearable biosensors will also be used by participants multiple days per week. The primary endpoint is the ability to successfully predict either daily pain NRS scores or classes of NRS pain scores (e.g., mild, moderate, or severe) or weekly average pain NRS scores or classes of NRS scores with a machine learning algorithm that processes historic information from the bio-wearables. Success is defined as a 60% or higher accuracy in classifying pain via a multi-fold cross-validation routine.
Eligibility Criteria
Criteria
Inclusion Criteria:
-
Subject must provide written informed consent prior to any clinical investigation-related procedure.
-
Subject is at least 18 years of age or older at the time of enrollment.
-
Subject is scheduled to undergo trial of an Abbott neuromodulation system for chronic intractable pain at least 7 days after enrollment and commencement of the baseline data collection period.
-
Subject's scheduled trial duration for the Abbott neuromodulation system is at least 3 days.
-
Subject has a baseline (with no stimulation) pain NRS of ≥ 6.
-
Subject is willing to cooperate with the study requirements including completion of all office visits.
-
Subject agrees to wear the wearable sensing devices (Anne™ patch, Anne™ limb unit, Apple watch®, and Oura™ Ring).
-
Subject agrees to answer questionnaires regularly for the duration of the study.
Exclusion Criteria:
-
Subject is enrolled, or intends to participate, in a competing or confounding clinical study, as determined by Abbott.
-
Pregnant or nursing subjects and those who plan pregnancy during the clinical investigation follow-up period.
-
Subject is part of a vulnerable population.
-
Presence of other anatomic or comorbid conditions, or other medical, social, or psychological conditions that, in the investigator's opinion, could limit the subject's ability to participate in the clinical investigation or to comply with follow-up requirements of the clinical investigation results.
-
Subject has a current diagnosis of a coagulation disorder, bleeding diathesis, progressive peripheral vascular disease, post-herpetic neuralgia or uncontrolled diabetes mellitus.
-
Subject has, or is scheduled to receive, implantation of another neuromodulation system (e.g. DRG or SCS system or intrathecal pump) to address their chronic pain.
-
Subject has already participated in a SCS trial period before enrolling in the study.
-
Subject engages in a profession or other activity that could be damaging to the wearable sensors, as determined by the investigator.
-
Subject has a skin condition that could be exacerbated by use of the adhesive Anne™ sensor or the other wearables (e.g. skin allergy to adhesives, metals, plastics, hydrogels), as determined by the investigator.
-
Subject has a physical condition that makes it difficult to wear the wearable sensors, as determined by the investigator.
-
Subject has tremors (e.g. Parkinson's disease or Familial tremors).
-
Subject has sleep/wake schedule that would present a challenge in completing all clinical site visits or in use of the wearable devices and engagement in the surveys via the mobile device.
-
Subject is bedridden.
-
Subject has evidence of an active disruptive psychological or psychiatric disorder or social condition as determined by the investigator.
-
Subject has a current diagnosis of a progressive neurological disease as determined by the Investigator.
-
Subject is immunocompromised.
-
Subject has history of cancer requiring active treatment in the last 12 months.
-
Subject has a documented history of substance abuse (narcotics, alcohol, etc.) or substance dependency in the 6 months prior to baseline data collection.
-
Subject has life expectancy of less than 6 months.
-
Subject is involved in an injury claim under current litigation.
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | Coastal Pain & Spinal Diagnostics | Carlsbad | California | United States | 92009 |
| 2 | Pacific Research Institute | Santa Rosa | California | United States | 95403 |
| 3 | The Orthopedic Institute | Gainesville | Florida | United States | 32607 |
| 4 | Goodman Campbell Brain & Spine | Carmel | Indiana | United States | 46032 |
| 5 | iSpine Clinics | Burnsville | Minnesota | United States | 55337 |
| 6 | St. Louis Pain Consultants | Chesterfield | Missouri | United States | 63017 |
| 7 | Expert Pain | Houston | Texas | United States | 77079 |
Sponsors and Collaborators
- Abbott Medical Devices
Investigators
- Study Director: David M Page, Abbott Neuromodulation
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- ABT-CIP-10408