ClinicalTrials.gg
CompletedNCT02800863TARGET PASUpdated Jul 8, 2024Results posted

TARGET Post-Approval Study

An observational study in Complex Regional Pain Syndrome (CRPS), sponsored by Abbott Medical Devices. Completed at 44 sites in United States. Open to participants aged 22 Years to 75 Years. Per ClinicalTrials.gov, last updated 2024-07-08.

Sponsored by Abbott Medical Devices (part of Abbott) · Observational

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Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
426
Ages
22 Years to 75 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-14

Among 88 studies in Complex Regional Pain Syndromes with a site in United States — 20 open to participants now, 22 under way, 2 of them phase 3. Complex Regional Pain Syndromes · United States.

Enrollment
Largest of 21
426 · median 60
Started
2016
with 5 others
Observational
21 of 88
6 open now
Registered
40th of 88
by date

Among the 88 studies in Complex Regional Pain Syndromes with a site in United States, this one has the largest enrollment of the 21 observational ones that give a count, is one of 6 that started in 2016, is one of 21 observational ones, and was the 40th registered.

Complex Regional Pain Syndromes

206 studies on the registry are indexed under Complex Regional Pain Syndromes; 54 are open to participants now.

Browse Complex Regional Pain Syndromes studies →

Open to participants now

20 of the 88 studies in Complex Regional Pain Syndromes with a site in United States are open now. Recruiting first, the newest first:

15 more — sign in →

All 20 open studies →

A study can be open while its sites in United States have not opened yet or have stopped. Only those recruiting at a site in United States →

Who these studies take

Of the 39 Complex Regional Pain Syndromes studies recruiting now, 17 (44%) set no upper age limit and 16 (41%) stop at 75 or younger; 3 take children under 18; 5 take healthy volunteers.

This study: 22 Years to 75 Years · all sexes · no healthy volunteers.

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 88 studies in Complex Regional Pain Syndromes with a site in United States, or all of them as a file.
02

Study summary

The purpose of this prospective, multicenter, single arm post-approval study is to demonstrate continued safety of the Axium and Proclaim Neurostimulator System for dorsal root ganglion (DRG) stimulation. The primary endpoint is the 12-month serious adverse event rate for permanent implants.

Read the detailed description

A maximum of 426 adult subjects with moderate to severe chronic, intractable, pain of the lower limbs due to CRPS types I and II will undergo a trial of the Axium or Proclaim Neurostimulator System across up to 45 study sites in the United States. Only subjects who report a 50% or greater reduction in overall pain intensity through direct patient-reported percentage of pain relief will receive the permanent implant. Subjects will then return to the office for follow-up at 1, 3, 6 and 12 months post-permanent implant.

03

Conditions studied

  • Complex Regional Pain Syndrome (CRPS)

Keywords

  • Complex Regional Pain Syndrome (CRPS)
  • Chronic pain
  • SJM-CIP-10113
04

Who can participate

Ages eligible
22 Years to 75 Years
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Adult subjects aged 22 to 75 with moderate to severe chronic, intractable, pain of the lower limbs due to CRPS types I and II with a baseline VAS score of 6 or greater.

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Subject is male or female between ≥ 22 and ≤ 75 years of age.
  • Subject has moderate to severe chronic intractable pain of the lower limbs resulting from Complex Regional Pain Syndrome (CRPS) types I or II.
  • Subject has a baseline Visual Analogue Scale (VAS) of ≥ 60 mm for overall pain at the time of the baseline assessment.
  • Subject is willing and able to comply with the study requirements.
  • Subject is able to provide written .

Exclusion criteria

Exclusion Criteria:

  • Subject has an active implantable medical device including but not limited to cardiac pacemakers and cardiac defibrillators.
  • Subject is currently involved in medically related litigation, including workers compensation.
  • Subject has a of less than one year.
  • Subject is pregnant or of child bearing potential and not using adequate as determined by the investigator.
  • Subject has, or plans to have, a spinal cord stimulation system or infusion pump system implanted.
  • Subject has, or plans to have, a peripheral nerve stimulation system (PNS) or peripheral nerve field stimulation system (PNfS) implanted.
  • Subject is considered to be a poor surgical or study candidate, which may include, but is not limited to the following: any medical, social, or psychological problem that could complicate the implant procedure and/or recovery from the implant procedure or could complicate the required procedures and evaluations of the study in the judgment of the investigator.
Terms in these criteria, in plain language(3)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Life expectancy

The study doctor’s estimate of how long someone is likely to live. Criteria use it so that people can stay in the study long enough for it to answer its question.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
426 participants (actual)
Patient registry
No

Groups and cohorts

  • Dorsal Root Ganglion (DRG) Stimulation

    Device: Dorsal Root Ganglion (DRG) Stimulation (Axium™ Neurostimulator System) · Device: Dorsal Root Ganglion (DRG) Stimulation (Proclaim™ Neurostimulator System)

Interventions

  • DeviceDorsal Root Ganglion (DRG) Stimulation (Axium™ Neurostimulator System)

    Electrical stimulation of the DRG using the Axium™ Neurostimulator System

  • DeviceDorsal Root Ganglion (DRG) Stimulation (Proclaim™ Neurostimulator System)

    Electrical Stimulation of the DRG using the Proclaim™ Neurostimulator System.

06

What researchers measure

Primary outcomes

  1. Rate of Serious Adverse Events (SAEs)

    The serious adverse event rate for subjects receiving the permanent DRG implantable pulse generator (IPG) was analyzed using Kaplan-Meier method on subjects who received the permanent Axium or Proclaim DRG IPG (N = 296). While 426 patients were enrolled, only 296 received the permanent implant. The primary population is 296.

    Time frame: throughout 12 month study

Secondary outcomes

  1. Percent Change From Baseline to 12 Months Post-permanent Implant for Overall Pain Intensity Measured Using the Visual Analog Scale (VAS)

    The VAS is a common, self-administered measure in which subjects rate their pain intensity by marking a vertical line through a 100 mm horizontal line anchored by word descriptors on each end (no pain to worst imaginable pain). The distance between the beginning of the horizontal line and the vertical line is measured to produce a score between 0 and 100 mm (or 0 to 10 cm). A higher score indicates higher pain intensity and a 30% reduction in VAS score from baseline to follow-up is considered clinically relevant.

    Time frame: 12 months

  2. Change From Baseline to 12 Months Post-permanent Implant for Physical Function Measured Using the Patient Reported Outcomes Measurement Information System-29 (PROMIS-29) Physical Function Scale

    The PROMIS-29 Profile is an instrument made up of seven individual short forms (physical function, anxiety, depression, fatigue, sleep disturbance, ability to participate in social roles and activities, pain interference) that are scored individually. The instrument also includes a single pain intensity item which is reported as its raw score (e.g., 0 to 10). Each item has five response options ranging in value from 1 to 5, except for the Pain Intensity item which has eleven response options ranging in value from 0 to 10. A raw score is created from each short form that makes up the Profile. Raw scores are calculated by summing the values of the response to each question within each domain.

    Time frame: 12 months

  3. Change From Baseline to 12 Months Post-permanent Implant for Quality of Life Measured Using the PROMIS Global Health Scale

    The PROMIS Global Health short form is a validated, 10-item instrument designed to assess multiple health domains. The questionnaire yields a total score and sub-scale scores for Global Physical and Mental Health. Each question has potential five response options ranging in value from one to five to give a total score ranging from 10 to 50. All questions must be answered to arrive at a total score as one or more missing responses will render scores unusable. Scores are converted into t-scores where the average for the general US population is 50 and the SD is 10. Higher scores indicate better global health.

    Time frame: 12 months

07

Results

Posted Jul 8, 2024

Participant flow

The study enrolled a total of 426 subjects at 44 investigational sites. The first subject was enrolled in August 2016 and the last subject in December 2019. Completion of enrollment and follow-up in the study occurred in September 2021.

Participant flow — Overall Study
MilestoneDorsal Root Ganglion (DRG) Stimulation
Started426
Completed198
Not completed228
Withdrew: Adverse event14
Withdrew: Another device implanted1
Withdrew: Device explanted1
Withdrew: Device has been turned off since jan 20191
Withdrew: Health issues1
Withdrew: Insurance denial8
Withdrew: No perm implant, active pain pump implanted1
Withdrew: Patient did not obtain at least 50% pain relief1
Withdrew: Screen failure1
Withdrew: Sponsor request6
Withdrew: Death3
Withdrew: Subject implant at another facility1
Withdrew: Lost to follow-up26
Withdrew: Subject participation terminated by investigator17
Withdrew: Subject and/or family request64
Withdrew: Trial failure81
Withdrew: Used different battery not approved for study at time of perm1

Outcome measures

PrimaryRate of Serious Adverse Events (SAEs)

The serious adverse event rate for subjects receiving the permanent DRG implantable pulse generator (IPG) was analyzed using Kaplan-Meier method on subjects who received the permanent Axium or Proclaim DRG IPG (N = 296). While 426 patients were enrolled, only 296 received the permanent implant. The primary population is 296.

Time frame:
throughout 12 month study
Reported as:
Mean · percentage of events
Rate of Serious Adverse Events (SAEs)
percentage of eventsDorsal Root Ganglion (DRG) Stimulation
Rate of Serious Adverse Events (SAEs)8.7 ± 1.7
SecondaryPercent Change From Baseline to 12 Months Post-permanent Implant for Overall Pain Intensity Measured Using the Visual Analog Scale (VAS)

The VAS is a common, self-administered measure in which subjects rate their pain intensity by marking a vertical line through a 100 mm horizontal line anchored by word descriptors on each end (no pain to worst imaginable pain). The distance between the beginning of the horizontal line and the vertical line is measured to produce a score between 0 and 100 mm (or 0 to 10 cm). A higher score indicates higher pain intensity and a 30% reduction in VAS score from baseline to follow-up is considered clinically relevant.

Time frame:
12 months
Reported as:
Mean · percent
Percent Change From Baseline to 12 Months Post-permanent Implant for Overall Pain Intensity Measured Using the Visual Analog Scale (VAS)
percentDorsal Root Ganglion (DRG) Stimulation
Percent Change From Baseline to 12 Months Post-permanent Implant for Overall Pain Intensity Measured Using the Visual Analog Scale (VAS)44.48 ± 34.15
SecondaryChange From Baseline to 12 Months Post-permanent Implant for Physical Function Measured Using the Patient Reported Outcomes Measurement Information System-29 (PROMIS-29) Physical Function Scale

The PROMIS-29 Profile is an instrument made up of seven individual short forms (physical function, anxiety, depression, fatigue, sleep disturbance, ability to participate in social roles and activities, pain interference) that are scored individually. The instrument also includes a single pain intensity item which is reported as its raw score (e.g., 0 to 10). Each item has five response options ranging in value from 1 to 5, except for the Pain Intensity item which has eleven response options ranging in value from 0 to 10. A raw score is created from each short form that makes up the Profile. Raw scores are calculated by summing the values of the response to each question within each domain.

Time frame:
12 months
Reported as:
Mean · percent
Change From Baseline to 12 Months Post-permanent Implant for Physical Function Measured Using the Patient Reported Outcomes Measurement Information System-29 (PROMIS-29) Physical Function Scale
percentDorsal Root Ganglion (DRG) Stimulation
Change From Baseline to 12 Months Post-permanent Implant for Physical Function Measured Using the Patient Reported Outcomes Measurement Information System-29 (PROMIS-29) Physical Function Scale5.13 ± 6.28
SecondaryChange From Baseline to 12 Months Post-permanent Implant for Quality of Life Measured Using the PROMIS Global Health Scale

The PROMIS Global Health short form is a validated, 10-item instrument designed to assess multiple health domains. The questionnaire yields a total score and sub-scale scores for Global Physical and Mental Health. Each question has potential five response options ranging in value from one to five to give a total score ranging from 10 to 50. All questions must be answered to arrive at a total score as one or more missing responses will render scores unusable. Scores are converted into t-scores where the average for the general US population is 50 and the SD is 10. Higher scores indicate better global health.

Time frame:
12 months
Reported as:
Mean · percent
Change From Baseline to 12 Months Post-permanent Implant for Quality of Life Measured Using the PROMIS Global Health Scale
percentDorsal Root Ganglion (DRG) Stimulation
Physical Health6.22 ± 7.25
Mental Health4.42 ± 8.19

Adverse events

Collected over 12 months. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Dorsal Root Ganglion (DRG) Stimulation3/426 (0.7%)26/426 (6.1%)5/426 (1.2%)
Most frequent serious events
Showing 10 of 33
Most frequent serious events
EventDorsal Root Ganglion (DRG) Stimulation
PneumoniaRespiratory, thoracic and mediastinal disorders5/426
DeathGeneral disorders3/426
EmbolismGeneral disorders2/426
Gastrointestinal or Genitourinary CompromiseGastrointestinal disorders2/426
CellulitisInfections and infestations1/426
Acute Community Acquired PneumoniaRespiratory, thoracic and mediastinal disorders1/426
Acute Respiratory FailureRespiratory, thoracic and mediastinal disorders1/426
Altered Mental StatusPsychiatric disorders1/426
Ankle SurgerySurgical and medical procedures1/426
Bone FractureGeneral disorders1/426
Most frequent other events
Most frequent other events
EventDorsal Root Ganglion (DRG) Stimulation
ClumsinessGeneral disorders2/426
DizzinessGeneral disorders1/426
Pain at the Implant SiteInjury, poisoning and procedural complications1/426
Tibial Nerve SurgeryNervous system disorders1/426

Baseline characteristics

Age, Continuous
Age, Continuous(years)Dorsal Root Ganglion (DRG) Stimulation
Mean52.7 ± 13.8
Sex: Female, Male
Sex: Female, Male(Participants)Dorsal Root Ganglion (DRG) Stimulation
Female259
Male167
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Dorsal Root Ganglion (DRG) Stimulation
Hispanic or Latino36
Not Hispanic or Latino375
Unknown or Not Reported15
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Dorsal Root Ganglion (DRG) Stimulation
American Indian or Alaska Native2
Asian4
Native Hawaiian or Other Pacific Islander0
Black or African American32
White361
More than one race17
Unknown or Not Reported10
Region of Enrollment
Region of Enrollment(participants)Dorsal Root Ganglion (DRG) Stimulation
United States426
Complex Regional Pain Syndrome (CRPS)
Complex Regional Pain Syndrome (CRPS)(Participants)Dorsal Root Ganglion (DRG) Stimulation
CRPS I301
CRPS II125
08

Study locations

44 sites
  • Arizona Pain Specialists
    Scottsdale, Arizona 85258, United States
  • Spanish Hills Interventional Pain Specialists
    Camarillo, California 93010, United States
  • California Orthopedics & Spine
    Larkspur, California 94939, United States
  • Loma Linda University Hospital
    Loma Linda, California 92354, United States
  • VA Loma Linda Healthcare System
    Loma Linda, California 92357, United States
  • University of California - San Francisco
    San Francisco, California 94143, United States
  • Orthopedic Pain Specialists
    Santa Monica, California 90403, United States
  • Summit Pain Alliance Inc.
    Santa Rosa, California 95401, United States
  • Pacific Research Institute
    Santa Rosa, California 95403, United States
  • Front Range Pain Medicine
    Fort Collins, Colorado 80525, United States
  • Coastal Orthopedics & Sports Medicine Southwest FL
    Bradenton, Florida 34209, United States
  • Holy Cross Hospital
    Fort Lauderdale, Florida 33308, United States
  • University of Florida - Department of Anesthesia
    Gainesville, Florida 32610, United States
  • Florida Pain Institute
    Merritt Island, Florida 32953, United States
  • Better Health Clinical Research
    Newnan, Georgia 30265, United States
  • Rush University Medical Center
    Chicago, Illinois 60612, United States
  • Goodman Campbell Brain & Spine
    Indianapolis, Indiana 46260, United States
  • Kansas University Medical Center
    Kansas City, Kansas 66160, United States
  • Ochsner Medical Center
    New Orleans, Louisiana 70121, United States
  • Nura
    Edina, Minnesota 55435, United States
  • Twin Cities Pain Clinic
    Edina, Minnesota 55439, United States
  • Advanced Pain Care
    Henderson, Nevada 89052, United States
  • Nevada Advanced Pain Specialists
    Reno, Nevada 89511, United States
  • Ainsworth Institute of Pain Management
    New York, New York 10022, United States
  • The Spine & Pain Institute of New York
    Staten Island, New York 10305, United States
  • Premier Pain Solutions
    Asheville, North Carolina 28803, United States
  • Duke University Medical Center
    Durham, North Carolina 27710, United States
  • Adena Bone and Joint Center
    Chillicothe, Ohio 45601, United States
  • The Cleveland Clinic
    Cleveland, Ohio 44195, United States
  • Pacific Sports and Spine
    Eugene, Oregon 97404, United States
  • Oregon Health & Science University
    Portland, Oregon 97239, United States
  • Spinal Diagnostics
    Tualatin, Oregon 97062, United States
  • Center for Intervetional Pain and Spine
    Exton, Pennsylvania 19341, United States
  • Main Line Spine
    King Of Prussia, Pennsylvania 19406, United States
  • Thomas Jefferson Department of Neurosurgery
    Philadelphia, Pennsylvania 19107, United States
  • Pain Diagnostics and Interventional Care
    Sewickley, Pennsylvania 15143, United States
  • Rhode Island Hospital
    Providence, Rhode Island 02903, United States
  • Carolinas Center for Advanced Management of Pain
    Greenville, South Carolina 29615, United States
  • Vertex Spine and Pain
    Franklin, Tennessee 37067, United States
  • Central Texas Pain Institute
    Killeen, Texas 76542, United States
  • Advanced Pain Solutions
    Mesquite, Texas 75150, United States
  • Shannon Clinic
    San Angelo, Texas 76903, United States
  • The Spine and Nerve Center of St. Francis
    Charleston, West Virginia 25301, United States
  • Advanced Pain Management
    Greenfield, Wisconsin 53221, United States
09

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Aug 2016 to primary completion in Sep 2021, 61 months.

Results were first posted in Jul 2024, 2 years 9 months after primary completion.

Of 18 observational studies under Complex Regional Pain Syndromes, half reached primary completion within 68 months of starting (the median), counting those still running; a quarter within 13 and three quarters within 147. This study's 61 months is below that.

How these figures are worked out, and which studies are left out of them.

Registered
Jun 7, 2016
First posted
Jun 15, 2016
StartActual
Aug 23, 2016
Primary completionActual
Sep 23, 2021
CompletionActual
Sep 23, 2021
Results first posted
Jul 8, 2024
Last update
Jul 8, 2024
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jul 8, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT02800863
Responsible party
Sponsor
First posted
Jun 15, 2016
Start date
Aug 23, 2016
Primary completion
Sep 23, 2021
Completion
Sep 23, 2021
Results posted
Jul 8, 2024
Last update
Jul 8, 2024

Study contacts

Ann Jannu, PhD, CCRP
study director · Abbott Neuromodulation

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Jan 2024. You cannot join it, but the record below documents what was studied.

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