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Chronic PainPROLONGNCT03908476

PROLONG Prospective, Multi-center, Open-label, Post-market Study

A study testing Burst-capable SCS system and DRG Stimulator in people with Chronic Pain, run by Abbott Medical Devices at 21 sites in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

Spinal cord stimulation (SCS) has been shown to be effective for relieving intractable chronic pain. However, a portion of patients who initially succeed with SCS will eventually lose their therapeutic benefit. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Chronic Pain
What is being tested?
Burst-capable SCS system and DRG Stimulator
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
118 participants
Where
21 sitesUnited States
Study dates
16 Apr 2019to 15 Nov 2021
Phase
Interventional
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Patient must provide written informed consent prior to any clinical investigation related procedure.
  • Patient has a spinal cord stimulator implanted for chronic, intractable pain.
  • Patient has inadequate pain relief from their current SCS system.
  • Patient has a pain NRS ≥ 6.
  • Physician has determined that the patient's original pain is still addressable with neurostimulation.

Who cannot join

  • Patient is enrolled, or intends to participate, in a competing clinical study, as determined by Abbott.
  • Patient is seeking care for a new pain complaint outside of the original indication for SCS.
  • Presence of other anatomic or comorbid conditions, or other medical, social, or psychological conditions that, in the Investigator's opinion, could limit the patient's ability to participate in the clinical investigation or to comply with follow-up requirements.
  • Physician has determined that patient's pain relief is inadequate due to a malfunction or damage to the existing system.
  • Patient requires frequent MRI.
  • Patient is involved in active disability litigation related to their pain or seeking worker's compensation.
  • Patient is part of a vulnerable population.

Trial locations and contacts

21 sites in 1 country.

21 sites in 1 country

United States21 sites
  • Albany Medical College at Albany Medical Center

    Albany, New York, 12208

  • Northwest Brain & Spine

    Bend, Oregon, 97701

  • Boca Raton Regional Hospital

    Boca Raton, Florida, 33486

  • Brigham & Women's Hospital

    Boston, Massachusetts, 02115

  • Spanish Hills Interventional Pain Specialists

    Camarillo, California, 93010

  • Coastal Pain & Spinal Diagnostics Medical Group

    Carlsbad, California, 92009

  • The Spine & Nerve Center of St. Francis Hospital

    Charleston, West Virginia, 25301

  • Garden State Pain Control

    Clifton, New Jersey, 07013

  • Nura

    Edina, Minnesota, 55435

  • Front Range Pain Medicine

    Fort Collins, Colorado, 80528

  • St. Mary's Hospital

    Huntington, West Virginia, 25702

  • UC San Diego Center for Pain Medicine

    La Jolla, California, 92037

  • Center for Interventional Pain and Spine

    Lancaster, Pennsylvania, 17604

  • Napa Valley Orthopedic Medical Group

    Napa, California, 94558

  • Ainsworth Institute of Pain Management

    New York, New York, 10022

  • Newport Beach Headache & Pain

    Newport Beach, California, 92660

  • Allegheny General Hospital Department of Neurosurgery

    Pittsburgh, Pennsylvania, 15212

  • Nevada Advanced Pain Specialists

    Reno, Nevada, 89511

  • Spine & Nerve Diagnostic Center

    Roseville, California, 95661

  • Pacific Research Institute

    San Francisco, California, 94104

  • Pain Care, LLC

    Stockbridge, Georgia, 30281

Other trials in United States

About this study

Spinal cord stimulation (SCS) has been shown to be effective for relieving intractable chronic pain. However, a portion of patients who initially succeed with SCS will eventually lose their therapeutic benefit. Reliable methods have not been identified for restoring neuromodulation benefit to this underserved population, so additional research is required. This study will prospectively observe subjects who utilize Abbott neurostimulation devices after failing to sustain pain relief with their previous SCS system. The effectiveness of Abbott systems in restoring neuromodulation benefit will be evaluated over the course of a two-year follow-up.

Conditions
Chronic Pain
Being tested
Burst-capable SCS system, DRG Stimulator
Keywords
Chronic Pain, Spinal cord stimulation, ABT-CIP-10277, BurstDR, SCS, DRG
Medical subject headings
Chronic Pain

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Burst-capable SCS systemDevice

    Subjects will be given Burst stimulation using a market-released Abbott SCS system. Burst stimulation may be achieved through surgical or non-surgical means.

  • DRG StimulatorDevice

    Subjects will be implanted with a market-released Abbott DRG stimulation system.

Study groups in NCT03908476
Study groupRoleWhat they receive
Subjects using BurstDR SCS systemsExperimentalSpinal cord stimulation with a Burst waveform.
Receives: Device: Burst-capable SCS system
Subjects using DRG systemsExperimentalDorsal root ganglion stimulation.
Receives: Device: DRG Stimulator

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Mean Change in Pain Assessed by Numerical Rating Scale (NRS) From Baseline to 3 Months

    Numerical Rating Scale (NRS) is a scale which measures pain intensity from 0-10, with 0 being no pain and 10 being worst pain.

    Measured: From Baseline to 3 months

  2. Mean Change in Pain Assessed by Numerical Rating Scale (NRS) From Baseline to 6 Months

    Numerical Rating Scale (NRS) is a scale which measures pain intensity from 0-10, with 0 being no pain and 10 being worst pain.

    Measured: From Baseline to 6 months

  3. Mean Change in Pain Assessed by Numerical Rating Scale (NRS) From Baseline to 12 Months

    Numerical Rating Scale (NRS) is a scale which measures pain intensity from 0-10, with 0 being no pain and 10 being worst pain.

    Measured: From Baseline to 12 months

  4. Mean Change in Pain Assessed by Numerical Rating Scale (NRS) From Baseline to 18 Months

    Numerical Rating Scale (NRS) is a scale which measures pain intensity from 0-10, with 0 being no pain and 10 being worst pain.

    Measured: From Baseline to 18 months

  5. Mean Change in Pain Assessed by Numerical Rating Scale (NRS) From Baseline to 24 Months

    Numerical Rating Scale (NRS) is a scale which measures pain intensity from 0-10, with 0 being no pain and 10 being worst pain.

    Measured: From Baseline to 24 months

Secondary outcomes (20)
  1. Mean Change in Health Domains Assessed by PROMIS-29 Scale From Baseline to 3 Months

    Patient Reported Outcomes Measurement Information System Adult Profile The PROMIS-29 is a 29-item profile instrument that covers 7 health domains (depression, anxiety, physical function, pain interference, fatigue, sleep disturbance, and social function) with 4 questions each. The final item is an 11-point pain intensity numerical rating scale (NRS). Subjects should read each item and check the one box that most closely represents their response.

    Each item is scored on a scale from 1-5 with total scores for each domain ranging from 4-20. Greater scores represent more of whatever concept is being measured (e.g., depression or physical function). The scoring tables have been provided in the measure manual. Raw domain scores are converted to t-scores with a mean of 50 and a standard deviation of 10. The t-scores were validated on a sample from the general population and all items must be answered to utilize the scoring tables.

    Measured: From baseline to 3 months

  2. Mean Change in Health Domains Assessed by PROMIS-29 Scale From Baseline to 6 Months

    Patient Reported Outcomes Measurement Information System Adult Profile The PROMIS-29 is a 29-item profile instrument that covers 7 health domains (depression, anxiety, physical function, pain interference, fatigue, sleep disturbance, and social function) with 4 questions each. The final item is an 11-point pain intensity numerical rating scale (NRS). Subjects should read each item and check the one box that most closely represents their response.

    Each item is scored on a scale from 1-5 with total scores for each domain ranging from 4-20. Greater scores represent more of whatever concept is being measured (e.g., depression or physical function). The scoring tables have been provided in the measure manual. Raw domain scores are converted to t-scores with a mean of 50 and a standard deviation of 10. The t-scores were validated on a sample from the general population and all items must be answered to utilize the scoring tables.

    Measured: From baseline to 6 months

  3. Mean Change in Health Domains Assessed by PROMIS-29 Scale From Baseline to 12 Months

    Patient Reported Outcomes Measurement Information System Adult Profile The PROMIS-29 is a 29-item profile instrument that covers 7 health domains (depression, anxiety, physical function, pain interference, fatigue, sleep disturbance, and social function) with 4 questions each. The final item is an 11-point pain intensity numerical rating scale (NRS). Subjects should read each item and check the one box that most closely represents their response.

    Each item is scored on a scale from 1-5 with total scores for each domain ranging from 4-20. Greater scores represent more of whatever concept is being measured (e.g., depression or physical function). The scoring tables have been provided in the measure manual. Raw domain scores are converted to t-scores with a mean of 50 and a standard deviation of 10. The t-scores were validated on a sample from the general population and all items must be answered to utilize the scoring tables.

    Measured: From baseline to 12 months

  4. Mean Change in Health Domains Assessed by PROMIS-29 Scale From Baseline to 18 Months

    Patient Reported Outcomes Measurement Information System Adult Profile The PROMIS-29 is a 29-item profile instrument that covers 7 health domains (depression, anxiety, physical function, pain interference, fatigue, sleep disturbance, and social function) with 4 questions each. The final item is an 11-point pain intensity numerical rating scale (NRS). Subjects should read each item and check the one box that most closely represents their response.

    Each item is scored on a scale from 1-5 with total scores for each domain ranging from 4-20. Greater scores represent more of whatever concept is being measured (e.g., depression or physical function). The scoring tables have been provided in the measure manual. Raw domain scores are converted to t-scores with a mean of 50 and a standard deviation of 10. The t-scores were validated on a sample from the general population and all items must be answered to utilize the scoring tables.

    Measured: From baseline to 18 months

  5. Mean Change in Health Domains Assessed by PROMIS-29 Scale From Baseline to 24 Months

    Patient Reported Outcomes Measurement Information System Adult Profile The PROMIS-29 is a 29-item profile instrument that covers 7 health domains (depression, anxiety, physical function, pain interference, fatigue, sleep disturbance, and social function) with 4 questions each. The final item is an 11-point pain intensity numerical rating scale (NRS). Subjects should read each item and check the one box that most closely represents their response.

    Each item is scored on a scale from 1-5 with total scores for each domain ranging from 4-20. Greater scores represent more of whatever concept is being measured (e.g., depression or physical function). The scoring tables have been provided in the measure manual. Raw domain scores are converted to t-scores with a mean of 50 and a standard deviation of 10. The t-scores were validated on a sample from the general population and all items must be answered to utilize the scoring tables.

    Measured: From baseline to 24 months

  6. Mean Change in Pain Assessed by Pain Catastrophizing Scale (PCS) From Baseline to 3 Months

    The PCS is a validated, 13-item scale that evaluates 3 domains of pain-related negative thoughts (rumination, magnification, and helplessness). Subjects rate how often they have the given thought from 0 "not at all" to 4 "all the time". The total score is a sum of all responses, ranging from 0-52. Each domain has a sub-scale score calculated as a sum of the constituent responses with ranges of 0-16 for rumination, 0-12 for magnification, and 0-24 for helplessness.

    Measured: From baseline to 3 months

  7. Mean Change in Pain Assessed by Pain Catastrophizing Scale (PCS) From Baseline to 6 Months

    The PCS is a validated, 13-item scale that evaluates 3 domains of pain-related negative thoughts (rumination, magnification, and helplessness). Subjects rate how often they have the given thought from 0 "not at all" to 4 "all the time". The total score is a sum of all responses, ranging from 0-52. Each domain has a sub-scale score calculated as a sum of the constituent responses with ranges of 0-16 for rumination, 0-12 for magnification, and 0-24 for helplessness.

    Measured: From baseline to 6 months

  8. Mean Change in Pain Assessed by Pain Catastrophizing Scale (PCS) From Baseline to 12 Months

    The PCS is a validated, 13-item scale that evaluates 3 domains of pain-related negative thoughts (rumination, magnification, and helplessness). Subjects rate how often they have the given thought from 0 "not at all" to 4 "all the time". The total score is a sum of all responses, ranging from 0-52. Each domain has a sub-scale score calculated as a sum of the constituent responses with ranges of 0-16 for rumination, 0-12 for magnification, and 0-24 for helplessness.

    Measured: From baseline to 12 months

  9. Mean Change in Pain Assessed by Pain Catastrophizing Scale (PCS) From Baseline to 18 Months

    The PCS is a validated, 13-item scale that evaluates 3 domains of pain-related negative thoughts (rumination, magnification, and helplessness). Subjects rate how often they have the given thought from 0 "not at all" to 4 "all the time". The total score is a sum of all responses, ranging from 0-52. Each domain has a sub-scale score calculated as a sum of the constituent responses with ranges of 0-16 for rumination, 0-12 for magnification, and 0-24 for helplessness.

    Measured: From baseline to 18 months

  10. Mean Change in Pain Assessed by Pain Catastrophizing Scale (PCS) From Baseline to 24 Months

    The PCS is a validated, 13-item scale that evaluates 3 domains of pain-related negative thoughts (rumination, magnification, and helplessness). Subjects rate how often they have the given thought from 0 "not at all" to 4 "all the time". The total score is a sum of all responses, ranging from 0-52. Each domain has a sub-scale score calculated as a sum of the constituent responses with ranges of 0-16 for rumination, 0-12 for magnification, and 0-24 for helplessness.

    Measured: From baseline to 24 months

  11. Mean Change in Attention to Pain Assessed by Pain Vigilance and Awareness Questionnaire (PVAQ) From Baseline to 3 Months

    'The PVAQ is a validated, 16-item scale that evaluates attention to pain. Subjects rate how frequently each statement represents their experience over the last 2 weeks from 0 "never" to 5 "always". Item scores are summed to produce the total score, which ranges from 0-80 with a higher score indicating greater attention to pain.'

    Measured: From baseline to 3 months

  12. Mean Change in Attention to Pain Assessed by Pain Vigilance and Awareness Questionnaire (PVAQ) From Baseline to 6 Months

    'The PVAQ is a validated, 16-item scale that evaluates attention to pain. Subjects rate how frequently each statement represents their experience over the last 2 weeks from 0 "never" to 5 "always". Item scores are summed to produce the total score, which ranges from 0-80 with a higher score indicating greater attention to pain.'

    Measured: From baseline to 6 months

  13. Mean Change in Attention to Pain Assessed by Pain Vigilance and Awareness Questionnaire (PVAQ) From Baseline to 12 Months

    'The PVAQ is a validated, 16-item scale that evaluates attention to pain. Subjects rate how frequently each statement represents their experience over the last 2 weeks from 0 "never" to 5 "always". Item scores are summed to produce the total score, which ranges from 0-80 with a higher score indicating greater attention to pain.'

    Measured: From baseline to 12 months

  14. Mean Change in Attention to Pain Assessed by Pain Vigilance and Awareness Questionnaire (PVAQ) From Baseline to 18 Months

    'The PVAQ is a validated, 16-item scale that evaluates attention to pain. Subjects rate how frequently each statement represents their experience over the last 2 weeks from 0 "never" to 5 "always". Item scores are summed to produce the total score, which ranges from 0-80 with a higher score indicating greater attention to pain.'

    Measured: From baseline to 18 months

  15. Mean Change in Attention to Pain Assessed by Pain Vigilance and Awareness Questionnaire (PVAQ) From Baseline to 24 Months

    'The PVAQ is a validated, 16-item scale that evaluates attention to pain. Subjects rate how frequently each statement represents their experience over the last 2 weeks from 0 "never" to 5 "always". Item scores are summed to produce the total score, which ranges from 0-80 with a higher score indicating greater attention to pain.'

    Measured: From baseline to 24 months

  16. Change in Pain Condition-related Medication Use From Baseline to 3 Months

    Details will be collected regarding dosages and categories of pain-related medication.

    Measured: From baseline to 3 months

  17. Change in Pain Condition-related Medication Use From Baseline to 6 Months

    Details will be collected regarding dosages and categories of pain-related medication.

    Measured: From baseline to 6 months

  18. Change in Pain Condition-related Medication Use From Baseline to 12 Months

    Details will be collected regarding dosages and categories of pain-related medication.

    Measured: From baseline to 12 months

  19. Change in Pain Condition-related Medication Use From Baseline to 18 Months

    Details will be collected regarding dosages and categories of pain-related medication.

    Measured: From baseline to 18 months

  20. Change in Pain Condition-related Medication Use From Baseline to 24 Months

    Details will be collected regarding dosages and categories of pain-related medication.

    Measured: From baseline to 24 months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted9 Apr 2019
  2. Study start16 Apr 2019
  3. Primary completion15 Nov 2021
  4. Study completion15 Nov 2021

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Non-randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
118 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03908476
Sponsor's protocol ID
ABT-CIP-10277
Acronym
PROLONG
Status last verified
Jul 2023
First submitted
13 Mar 2019
Last updated
1 Aug 2023
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
Yes
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A study testing Burst-capable SCS system and DRG Stimulator in people with Chronic Pain, run by Abbott Medical Devices at 21 sites in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 5 inclusion and 7 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 1 Aug 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 21 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

Yes. Results are posted in the registry (first posted 25 Jan 2023). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Mean Change in Pain Assessed by Numerical Rating Scale (NRS) From Baseline to 3 Months (time frame: From Baseline to 3 months). The study lists 5 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 1 Aug 2023.

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PROLONG Clinical Trial NCT03908476 | AzTrials