ClinicalTrials.gg
CompletedNCT03082261TRIUMPHUpdated Jul 8, 2021Results posted

Multi-center Prospective Study Determining the Sustainability of Pain Relief and Psychosocial and Functional Responses When Utilizing a Multiple Waveform Enabled Neurostimulator

An interventional study of Prodigy, Prodigy MRI or Proclaim Elite IPG in Chronic Pain and Intractable Pain, sponsored by Abbott Medical Devices. Completed at 22 sites in 7 countries. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2021-07-08.

Sponsored by Abbott Medical Devices (part of Abbott) · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
269
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 19 studies in Chronic Pain by Abbott Medical Devices — 2 open to participants now, 2 under way, none of them phase 3. Chronic Pain · Abbott Medical Devices.

Enrollment
Largest of 12
269 · median 43
Started
2017
the only one that year
No phase
12 of 19
1 open now
Registered
13th of 19
by date

Among the 19 studies in Chronic Pain by Abbott Medical Devices, this one has the largest enrollment of the 12 interventional ones that give a count, is the only one that started in 2017, is one of 12 with no phase, and was the 13th registered.

Chronic Pain

3,227 studies on the registry are indexed under Chronic Pain; 729 are open to participants now.

This study's enrollment of 269 is above the median of 60 across 2,388 interventional studies indexed under Chronic Pain.

Browse Chronic Pain studies →

Open to participants now

2 of the 19 studies in Chronic Pain by Abbott Medical Devices are open now, in 9 countries. Each count lists the studies.

All 2 open studies →

Who these studies take

Of the 486 Chronic Pain studies recruiting now, 239 (49%) set no upper age limit and 173 (36%) stop at 75 or younger; 43 take children under 18; 64 take healthy volunteers.

This study: 18 Years and older · all sexes · healthy volunteers too.

The full table on the hub →
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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 19 studies in Chronic Pain by Abbott Medical Devices, or all of them as a file.
02

Study summary

The TRIUMPH study is a post-market, international, multicenter, interventional, prospective, single-arm study intended to evaluate the sustainability of pain control and psychosocial and functional responses utilizing a multiple-waveform enabled neurostimulator in subjects with chronic, intractable pain of the trunk and/or limbs.

Read the detailed description

TRIUMPH study will utilize the multiprogram trial stimulator or invisible trial system with BurstDR for the trial evaluation period and the Prodigy or Proclaim Elite family of neurostimulators with tonic or BurstDR waveform at permanent implant and follow-up for pain control and improvement of psychosocial function. The follow-up visits will be scheduled at 3, 6, 12, 18, and 24 months post permanent implant

03

Conditions studied

  • Chronic Pain
  • Intractable Pain

Keywords

  • Proclaim Elite 5
  • Proclaim Elite 7
  • Prodigy
  • Prodigy MRI
  • BurstDR Stimulation
  • Tonic Stimulation
  • Multiprogram trial stimulator
  • Invisible trial system
04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
Yes

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

  1. Subject has chronic, intractable pain of the trunk and/or limbs, including unilateral or bilateral pain associated with the following: failed back surgery syndrome and intractable low back and leg pain.
  2. Subject has a score of 6 or higher on the numeric rating scale (NRS) for average pain specific to the area(s) of chronic pain being treated over the past 24 hours at the baseline visit.
  3. Subject is considered by the Investigator as a candidate for implantation of a spinal cord stimulator system according to the system Instructions For Use.
  4. Subject is 18 years of age or older at the time of enrollment.
  5. Subject is willing to cooperate with the study requirements including compliance with the regimen and completion of all study visits.
  6. Subject has signed and received a copy of the Ethics Committee/Institutional Review Board (EC/IRB) approved .

Exclusion criteria

Exclusion Criteria:

  1. Subject currently has a spinal cord stimulation system implanted.
  2. Subject has previously failed spinal cord stimulation (SCS) therapy (either trial system evaluation or permanent implant).
  3. Subject has a primary diagnosis of Peripheral Vascular Disease (PVD), Angina Pectoris, or Chronic Migraine.
  4. Subject has or plans to have a Peripheral Nerve Stimulation system (PNS), Peripheral Nerve field Stimulation system (PNfS), Dorsal Root Ganglion system (DRG), or implantable infusion pump.
  5. Subject is currently participating in another clinical investigation with an active treatment arm.
  6. Subject unable to read and/or write.
Terms in these criteria, in plain language(1)

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.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
269 participants (actual)

Study arms

  • Other
    All enrolled subjects

    All subjects enrolled into the study with intent to treat with either a Prodigy, Prodigy MRI, or Proclaim Elite Implantable Pulse Generator (IPG).

    Device: Prodigy, Prodigy MRI or Proclaim Elite IPG

Interventions

  • DeviceProdigy, Prodigy MRI or Proclaim Elite IPG

    Subjects will be permanently implanted with either a Prodigy, Prodigy MRI or Proclaim Elite IPG

06

What researchers measure

Primary outcomes

  1. Mean Change in Pain From Baseline to 6 Months Post-permanent Implant, Assessed by the Numeric Rating Scale (NRS)

    The pain NRS consists of 1 question that will be asked by interviewing the subjects. Patients will be asked to rate, from 0 (no pain) to 10 (worst imaginable pain), their average pain over the past 24 hours specific to the area(s) of chronic pain being treated. A higher score indicates greater pain intensity.

    Time frame: Baseline to 6 Months

Secondary outcomes

  1. Mean Change in Quality of Life From Baseline to 6 Months Post-permanent Implant, Assessed by the EuroQuol-5 Dimensions (EQ5D) Questionnaire

    EQ5D is a standardized instrument for use as a measure of health outcome applicable to a wide range of health conditions and treatments. It provides a simple descriptive profile and a single index value for health status. The EQ5D-3L descriptive system comprises the following 5 dimensions: mobility, self-care, usual activities, pain/discomfort and anxiety/depression. Each dimension has 3 levels: no problems, some problems, extreme problems. A visual analog scale (VAS) for health is also included in the measure as a patient-reported estimate of overall health status. EQ5D Index scores range from - 0.594 (min) to 1 (max). An EQ-5D summary index is derived by applying a formula that attaches values (weights) to each of the levels in each dimension. Higher values represent better outcomes.

    Time frame: Baseline to 6 Months

  2. Mean Change in Pain Catastrophizing From Baseline to 6 Months Post-permanent Implant, Assessed by the Pain Catastrophizing Scale (PCS)

    The PCS is a validated scale that measures the magnitude of catastrophizing (negative thoughts and feelings while a patient is experiencing pain). Subjects answer questions about how they feel and what they think about when they are in pain (i.e., not at the current moment). The scale includes 13 statements concerning pain experiences that are rated on a scale between 0 'not at all' and 4 'always'. The scale is self-administered and takes 5 minutes to complete. A higher score indicated a higher level of catastrophizing. PCS total scores range from 0 (min) to 52 (max). Three sub-scales consists of rumination, magnification, and helplessness. Rumination scores range from 0 (min) to 16 (max), Magnification scores range from 0 (min) to 12 (max), and helplessness scores range from 0 (min) to 24 (max). The total PCS score is the sum of the three subscales.

    Time frame: Baseline to 6 Months

  3. Mean Change in Anxiety From Baseline to 6 Months Post-permanent Implant, Assessed by the State-Trait Anxiety Inventory (STAI)

    The State-Trait Anxiety inventory is a self-administered screening for anxiety. The STAI has 40 items, 20 items allocated to each of the S-Anxiety and T-Anxiety subscales. All items are rated on a 4-point scale from 1 to 4. It clearly differentiates between the temporary condition of "state anxiety" and the more general and long-standing quality of "trait anxiety" by providing a score for each. Higher scores suggest greater levels of anxiety. The range of possible scores for the STAI varies from a minimum score of 20 to a maximum score of 80 on both the trait and state subscales. The total score is the sum of the two subscales. STAI total scores range from 40 to 160.

    Time frame: Baseline to 6 Months

  4. Mean Change in Depression From Baseline to 6 Months Post-permanent Implant, Assessed by the Patient Health Questionnaire-9 (PHQ9)

    The PHQ9 is a multipurpose, validated instrument for screening, diagnosing, monitoring and measuring the severity of depression. The questionnaire consists of 9 questions that rate the frequency of the symptoms of depression. A follow up non-scored question screens and assigns weight to the degree to which depressive problems have affected the patient's level of function. The responses range between 4 choices (0=not at all to 3=nearly every day). Higher scores indicate a higher likelihood of major depression. PHQ-9 scores range from 0 (min) to 27 (max).

    Time frame: Baseline to 6 Months

  5. Mean Change in Fear Avoidance From Baseline to 6 Months Post-permanent Implant, Assessed by the Tampa Scale for Kinesiophobia (TSK)

    The TSK is a 11-item self-report checklist using a 4-point Likert scale that was developed from the original 17-item checklist (Miller, Kopri \& Todd, 1991) as a measure of fear or movement or (re)injury. The scale is based on the model of fear avoidance, fear of work related activities, fear of movement and fear of re-injury. The TSK has also been linked to elements of catastrophic thinking. The scale can be useful in measuring unhelpful thoughts and beliefs about pain in people with chronic pain. Total TSK-11 scores range from 11-44 points. Higher scores represent worse outcomes.

    Time frame: Baseline to 6 Months

  6. Mean Change in Sleep From Baseline to 6 Months Post-permanent Implant, Assessed by the Medical Outcome Study (MOS) Sleep Scale

    The MOS sleep scale is intended to assess the extent of sleep problems and measures 6 dimensions of sleep, including initiation, maintenance, quantity, adequacy, drowsiness and respiratory impairments. It includes 12 questions with the first question assessing how long it takes the subject to fall asleep. The second question asks how many hours each night the subject slept. The remaining 10 questions have a range of 6 responses from 1="all of the time" to 6="none of the time". The scale is self-administered and validated. MOS Sleep scale scores range from 0 (min) to 100 (max). Higher scores represent worse outcomes.

    Time frame: Baseline to 6 Months

  7. Mean Change in Physical Function From Baseline to 6 Months Post-permanent Implant, Assessed by the Patient-Reported Outcome Measure Information System (PROMIS) Physical Function Scale

    The PROMIS Physical Function short form is an 8-item instrument designed to measure physical capability rather than actual performance of physical activities. The scale measures universal physical function rather than disease-specific impairment and assesses current function rather than function over a specified time period. Each question has five potential response options ranging in value from one to five to give a total score ranging from 8 to 40. 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 physical function.

    Time frame: Baseline to 6 Months

Other outcomes

  1. Mean Change in Quality of Life From Baseline to 12 Months Post-permanent Implant, Assessed by the EuroQuol-5 Dimensions (EQ5D) Questionnaire

    EQ5D is a standardized instrument for use as a measure of health outcome applicable to a wide range of health conditions and treatments. It provides a simple descriptive profile and a single index value for health status. The EQ5D-3L descriptive system comprises the following 5 dimensions: mobility, self-care, usual activities, pain/discomfort and anxiety/depression. Each dimension has 3 levels: no problems, some problems, extreme problems. A visual analog scale (VAS) for health is also included in the measure as a patient-reported estimate of overall health status. EQ5D Index scores range from - 0.594 (min) to 1 (max). An EQ-5D summary index is derived by applying a formula that attaches values (weights) to each of the levels in each dimension. Higher values represent better outcomes.

    Time frame: Baseline to 12 Months

  2. Mean Change in Quality of Life From Baseline to 18 Months Post-permanent Implant, Assessed by the EuroQuol-5 Dimensions (EQ5D) Questionnaire

    EQ5D is a standardized instrument for use as a measure of health outcome applicable to a wide range of health conditions and treatments. It provides a simple descriptive profile and a single index value for health status. The EQ5D-3L descriptive system comprises the following 5 dimensions: mobility, self-care, usual activities, pain/discomfort and anxiety/depression. Each dimension has 3 levels: no problems, some problems, extreme problems. A visual analog scale (VAS) for health is also included in the measure as a patient-reported estimate of overall health status. EQ5D Index scores range from - 0.594 (min) to 1 (max). An EQ-5D summary index is derived by applying a formula that attaches values (weights) to each of the levels in each dimension. Higher values represent better outcomes.

    Time frame: Baseline to 18 Months

  3. Mean Change in Quality of Life From Baseline to 24 Months Post-permanent Implant, Assessed by the EuroQuol-5 Dimensions (EQ5D) Questionnaire

    EQ5D is a standardized instrument for use as a measure of health outcome applicable to a wide range of health conditions and treatments. It provides a simple descriptive profile and a single index value for health status. The EQ5D-3L descriptive system comprises the following 5 dimensions: mobility, self-care, usual activities, pain/discomfort and anxiety/depression. Each dimension has 3 levels: no problems, some problems, extreme problems. A visual analog scale (VAS) for health is also included in the measure as a patient-reported estimate of overall health status. EQ5D Index scores range from - 0.594 (min) to 1 (max). An EQ-5D summary index is derived by applying a formula that attaches values (weights) to each of the levels in each dimension. Higher values represent better outcomes.

    Time frame: Baseline to 24 Months

  4. Mean Change in Pain Catastrophizing From Baseline to 3 Months Post-permanent Implant, Assessed by the Pain Catastrophizing Scale (PCS)

    The PCS is a validated scale that measures the magnitude of catastrophizing (negative thoughts and feelings while a patient is experiencing pain). Subjects answer questions about how they feel and what they think about when they are in pain (i.e., not at the current moment). The scale includes 13 statements concerning pain experiences that are rated on a scale between 0 'not at all' and 4 'always'. The scale is self-administered and takes 5 minutes to complete. A higher score indicated a higher level of catastrophizing. PCS total scores range from 0 (min) to 52 (max). Three sub-scales consists of rumination, magnification, and helplessness. Rumination scores range from 0 (min) to 16 (max), Magnification scores range from 0 (min) to 12 (max), and helplessness scores range from 0 (min) to 24 (max). The total PCS score is the sum of the three subscales.

    Time frame: Baseline to 3 Months

  5. Mean Change in Pain Catastrophizing From Baseline to 12 Months Post-permanent Implant, Assessed by the Pain Catastrophizing Scale (PCS)

    The PCS is a validated scale that measures the magnitude of catastrophizing (negative thoughts and feelings while a patient is experiencing pain). Subjects answer questions about how they feel and what they think about when they are in pain (i.e., not at the current moment). The scale includes 13 statements concerning pain experiences that are rated on a scale between 0 'not at all' and 4 'always'. The scale is self-administered and takes 5 minutes to complete. A higher score indicated a higher level of catastrophizing. PCS total scores range from 0 (min) to 52 (max). Three sub-scales consists of rumination, magnification, and helplessness. Rumination scores range from 0 (min) to 16 (max), Magnification scores range from 0 (min) to 12 (max), and helplessness scores range from 0 (min) to 24 (max). The total PCS score is the sum of the three subscales.

    Time frame: Baseline to 12 Months

  6. Mean Change in Pain Catastrophizing From Baseline to 18 Months Post-permanent Implant, Assessed by the Pain Catastrophizing Scale (PCS)

    The PCS is a validated scale that measures the magnitude of catastrophizing (negative thoughts and feelings while a patient is experiencing pain). Subjects answer questions about how they feel and what they think about when they are in pain (i.e., not at the current moment). The scale includes 13 statements concerning pain experiences that are rated on a scale between 0 'not at all' and 4 'always'. The scale is self-administered and takes 5 minutes to complete. A higher score indicated a higher level of catastrophizing. PCS total scores range from 0 (min) to 52 (max). Three sub-scales consists of rumination, magnification, and helplessness. Rumination scores range from 0 (min) to 16 (max), Magnification scores range from 0 (min) to 12 (max), and helplessness scores range from 0 (min) to 24 (max). The total PCS score is the sum of the three subscales.

    Time frame: Baseline to 18 Months

  7. Mean Change in Pain Catastrophizing From Baseline to 24 Months Post-permanent Implant, Assessed by the Pain Catastrophizing Scale (PCS)

    The PCS is a validated scale that measures the magnitude of catastrophizing (negative thoughts and feelings while a patient is experiencing pain). Subjects answer questions about how they feel and what they think about when they are in pain (i.e., not at the current moment). The scale includes 13 statements concerning pain experiences that are rated on a scale between 0 'not at all' and 4 'always'. The scale is self-administered and takes 5 minutes to complete. A higher score indicated a higher level of catastrophizing. PCS total scores range from 0 (min) to 52 (max). Three sub-scales consists of rumination, magnification, and helplessness. Rumination scores range from 0 (min) to 16 (max), Magnification scores range from 0 (min) to 12 (max), and helplessness scores range from 0 (min) to 24 (max). The total PCS score is the sum of the three subscales.

    Time frame: Baseline to 24 Months

  8. Mean Change in Anxiety From Baseline to 12 Months Post-permanent Implant, Assessed by the State-Trait Anxiety Inventory (STAI)

    The State-Trait Anxiety inventory is a self-administered screening for anxiety. The STAI has 40 items, 20 items allocated to each of the S-Anxiety and T-Anxiety subscales. All items are rated on a 4-point scale from 1 to 4. It clearly differentiates between the temporary condition of "state anxiety" and the more general and long-standing quality of "trait anxiety" by providing a score for each. Higher scores suggest greater levels of anxiety. The range of possible scores for the STAI varies from a minimum score of 20 to a maximum score of 80 on both the trait and state subscales. The total score is the sum of the two subscales. STAI total scores range from 40 to 160.

    Time frame: Baseline to 12 Months

  9. Mean Change in Anxiety From Baseline to 18 Months Post-permanent Implant, Assessed by the State-Trait Anxiety Inventory (STAI)

    The State-Trait Anxiety inventory is a self-administered screening for anxiety. The STAI has 40 items, 20 items allocated to each of the S-Anxiety and T-Anxiety subscales. All items are rated on a 4-point scale from 1 to 4. It clearly differentiates between the temporary condition of "state anxiety" and the more general and long-standing quality of "trait anxiety" by providing a score for each. Higher scores suggest greater levels of anxiety. The range of possible scores for the STAI varies from a minimum score of 20 to a maximum score of 80 on both the trait and state subscales. The total score is the sum of the two subscales. STAI total scores range from 40 to 160.

    Time frame: Baseline to 18 Months

  10. Mean Change in Anxiety From Baseline to 24 Months Post-permanent Implant, Assessed by the State-Trait Anxiety Inventory (STAI)

    The State-Trait Anxiety inventory is a self-administered screening for anxiety. The STAI has 40 items, 20 items allocated to each of the S-Anxiety and T-Anxiety subscales. All items are rated on a 4-point scale from 1 to 4. It clearly differentiates between the temporary condition of "state anxiety" and the more general and long-standing quality of "trait anxiety" by providing a score for each. Higher scores suggest greater levels of anxiety. The range of possible scores for the STAI varies from a minimum score of 20 to a maximum score of 80 on both the trait and state subscales. The total score is the sum of the two subscales. STAI total scores range from 40 to 160.

    Time frame: Baseline to 24 Months

  11. Mean Change in Depression From Baseline to 12 Months Post-permanent Implant, Assessed by the Patient Health Questionnaire-9 (PHQ9)

    The PHQ9 is a multipurpose, validated instrument for screening, diagnosing, monitoring and measuring the severity of depression. The questionnaire consists of 9 questions that rate the frequency of the symptoms of depression. A follow up non-scored question screens and assigns weight to the degree to which depressive problems have affected the patient's level of function. The responses range between 4 choices (0=not at all to 3=nearly every day). Higher scores indicate a higher likelihood of major depression. PHQ-9 scores range from 0 (min) to 27 (max).

    Time frame: Baseline to 12 Months

  12. Mean Change in Depression From Baseline to 18 Months Post-permanent Implant, Assessed by the Patient Health Questionnaire-9 (PHQ9)

    The PHQ9 is a multipurpose, validated instrument for screening, diagnosing, monitoring and measuring the severity of depression. The questionnaire consists of 9 questions that rate the frequency of the symptoms of depression. A follow up non-scored question screens and assigns weight to the degree to which depressive problems have affected the patient's level of function. The responses range between 4 choices (0=not at all to 3=nearly every day). Higher scores indicate a higher likelihood of major depression. PHQ-9 scores range from 0 (min) to 27 (max).

    Time frame: Baseline to 18 Months

  13. Mean Change in Depression From Baseline to 24 Months Post-permanent Implant, Assessed by the Patient Health Questionnaire-9 (PHQ9)

    The PHQ9 is a multipurpose, validated instrument for screening, diagnosing, monitoring and measuring the severity of depression. The questionnaire consists of 9 questions that rate the frequency of the symptoms of depression. A follow up non-scored question screens and assigns weight to the degree to which depressive problems have affected the patient's level of function. The responses range between 4 choices (0=not at all to 3=nearly every day). Higher scores indicate a higher likelihood of major depression. PHQ-9 scores range from 0 (min) to 27 (max).

    Time frame: Baseline to 24 Months

  14. Mean Change in Fear Avoidance From Baseline to 3 Months Post-permanent Implant, Assessed by the Tampa Scale for Kinesiophobia (TSK)

    The TSK is a 11-item self-report checklist using a 4-point Likert scale that was developed from the original 17-item checklist (Miller, Kopri \& Todd, 1991) as a measure of fear or movement or (re)injury. The scale is based on the model of fear avoidance, fear of work related activities, fear of movement and fear of re-injury. The TSK has also been linked to elements of catastrophic thinking. The scale can be useful in measuring unhelpful thoughts and beliefs about pain in people with chronic pain. Total TSK-11 scores range from 11-44 points. Higher scores represent worse outcomes.

    Time frame: Baseline to 3 Months

  15. Mean Change in Fear Avoidance From Baseline to 12 Months Post-permanent Implant, Assessed by the Tampa Scale for Kinesiophobia (TSK)

    The TSK is a 11-item self-report checklist using a 4-point Likert scale that was developed from the original 17-item checklist (Miller, Kopri \& Todd, 1991) as a measure of fear or movement or (re)injury. The scale is based on the model of fear avoidance, fear of work related activities, fear of movement and fear of re-injury. The TSK has also been linked to elements of catastrophic thinking. The scale can be useful in measuring unhelpful thoughts and beliefs about pain in people with chronic pain. Total TSK-11 scores range from 11-44 points. Higher scores represent worse outcomes.

    Time frame: Baseline to 12 Months

  16. Mean Change in Fear Avoidance From Baseline to 18 Months Post-permanent Implant, Assessed by the Tampa Scale for Kinesiophobia (TSK)

    The TSK is a 11-item self-report checklist using a 4-point Likert scale that was developed from the original 17-item checklist (Miller, Kopri \& Todd, 1991) as a measure of fear or movement or (re)injury. The scale is based on the model of fear avoidance, fear of work related activities, fear of movement and fear of re-injury. The TSK has also been linked to elements of catastrophic thinking. The scale can be useful in measuring unhelpful thoughts and beliefs about pain in people with chronic pain. Total TSK-11 scores range from 11-44 points. Higher scores represent worse outcomes.

    Time frame: Baseline to 18 Months

  17. Mean Change in Fear Avoidance From Baseline to 24 Months Post-permanent Implant, Assessed by the Tampa Scale for Kinesiophobia (TSK)

    The TSK is a 11-item self-report checklist using a 4-point Likert scale that was developed from the original 17-item checklist (Miller, Kopri \& Todd, 1991) as a measure of fear or movement or (re)injury. The scale is based on the model of fear avoidance, fear of work related activities, fear of movement and fear of re-injury. The TSK has also been linked to elements of catastrophic thinking. The scale can be useful in measuring unhelpful thoughts and beliefs about pain in people with chronic pain. Total TSK-11 scores range from 11-44 points. Higher scores represent worse outcomes.

    Time frame: Baseline to 24 Months

  18. Mean Change in Sleep From Baseline to 12 Months Post-permanent Implant, Assessed by the Medical Outcome Study (MOS) Sleep Scale

    The MOS sleep scale is intended to assess the extent of sleep problems and measures 6 dimensions of sleep, including initiation, maintenance, quantity, adequacy, drowsiness and respiratory impairments. It includes 12 questions with the first question assessing how long it takes the subject to fall asleep. The second question asks how many hours each night the subject slept. The remaining 10 questions have a range of 6 responses from 1="all of the time" to 6="none of the time". The scale is self-administered and validated. MOS Sleep scale scores range from 0 (min) to 100 (max). Higher scores represent worse outcomes.

    Time frame: Baseline to 12 Months

  19. Mean Change in Sleep From Baseline to 18 Months Post-permanent Implant, Assessed by the Medical Outcome Study (MOS) Sleep Scale

    The MOS sleep scale is intended to assess the extent of sleep problems and measures 6 dimensions of sleep, including initiation, maintenance, quantity, adequacy, drowsiness and respiratory impairments. It includes 12 questions with the first question assessing how long it takes the subject to fall asleep. The second question asks how many hours each night the subject slept. The remaining 10 questions have a range of 6 responses from 1="all of the time" to 6="none of the time". The scale is self-administered and validated. MOS Sleep scale scores range from 0 (min) to 100 (max). Higher scores represent worse outcomes.

    Time frame: Baseline to 18 Months

  20. Mean Change in Sleep From Baseline to 24 Months Post-permanent Implant, Assessed by the Medical Outcome Study (MOS) Sleep Scale

    The MOS sleep scale is intended to assess the extent of sleep problems and measures 6 dimensions of sleep, including initiation, maintenance, quantity, adequacy, drowsiness and respiratory impairments. It includes 12 questions with the first question assessing how long it takes the subject to fall asleep. The second question asks how many hours each night the subject slept. The remaining 10 questions have a range of 6 responses from 1="all of the time" to 6="none of the time". The scale is self-administered and validated. MOS Sleep scale scores range from 0 (min) to 100 (max). Higher scores represent worse outcomes.

    Time frame: Baseline to 24 Months

  21. Mean Change in Physical Function From Baseline to 12 Months Post-permanent Implant, Assessed by the Patient-Reported Outcome Measure Information System (PROMIS) Physical Function Scale

    The PROMIS Physical Function short form is an 8-item instrument designed to measure physical capability rather than actual performance of physical activities. The scale measures universal physical function rather than disease-specific impairment and assesses current function rather than function over a specified time period. Each question has five potential response options ranging in value from one to five to give a total score ranging from 8 to 40. 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 physical function.

    Time frame: Baseline to 12 Months

  22. Mean Change in Physical Function From Baseline to 18 Months Post-permanent Implant, Assessed by the Patient-Reported Outcome Measure Information System (PROMIS) Physical Function Scale

    The PROMIS Physical Function short form is an 8-item instrument designed to measure physical capability rather than actual performance of physical activities. The scale measures universal physical function rather than disease-specific impairment and assesses current function rather than function over a specified time period. Each question has five potential response options ranging in value from one to five to give a total score ranging from 8 to 40. 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 physical function.

    Time frame: Baseline to 18 Months

  23. Mean Change in Physical Function From Baseline to 24 Months Post-permanent Implant, Assessed by the Patient-Reported Outcome Measure Information System (PROMIS) Physical Function Scale

    The PROMIS Physical Function short form is an 8-item instrument designed to measure physical capability rather than actual performance of physical activities. The scale measures universal physical function rather than disease-specific impairment and assesses current function rather than function over a specified time period. Each question has five potential response options ranging in value from one to five to give a total score ranging from 8 to 40. 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 physical function.

    Time frame: Baseline to 24 Months

  24. Mean Change in Pain From Baseline to End of Trial System (Post-permanent Implant), Assessed by the Numeric Rating Scale (NRS)

    The pain NRS consists of 1 question that will be asked by interviewing the subjects. Patients will be asked to rate, from 0 (no pain) to 10 (worst imaginable pain), their average pain over the past 24 hours specific to the area(s) of chronic pain being treated. A higher score indicates greater pain intensity.

    Time frame: Baseline to end of trial system evaluation, approximately 5 to 7 days of BurstDR stimulation

  25. Mean Change in Pain From Baseline to 3 Months Post-permanent Implant, Assessed by the Numeric Rating Scale (NRS)

    The pain NRS consists of 1 question that will be asked by interviewing the subjects. Patients will be asked to rate, from 0 (no pain) to 10 (worst imaginable pain), their average pain over the past 24 hours specific to the area(s) of chronic pain being treated. A higher score indicates greater pain intensity.

    Time frame: Baseline to 3 Months

  26. Mean Change in Pain From Baseline to 12 Months Post-permanent Implant, Assessed by the Numeric Rating Scale (NRS)

    The pain NRS consists of 1 question that will be asked by interviewing the subjects. Patients will be asked to rate, from 0 (no pain) to 10 (worst imaginable pain), their average pain over the past 24 hours specific to the area(s) of chronic pain being treated. A higher score indicates greater pain intensity.

    Time frame: Baseline to 12 Months

  27. Mean Change in Pain From Baseline to 18 Months Post-permanent Implant, Assessed by the Numeric Rating Scale (NRS)

    The pain NRS consists of 1 question that will be asked by interviewing the subjects. Patients will be asked to rate, from 0 (no pain) to 10 (worst imaginable pain), their average pain over the past 24 hours specific to the area(s) of chronic pain being treated. A higher score indicates greater pain intensity.

    Time frame: Baseline to 18 Months

  28. Mean Change in Pain From Baseline to 24 Months Post-permanent Implant, Assessed by the Numeric Rating Scale (NRS)

    The pain NRS consists of 1 question that will be asked by interviewing the subjects. Patients will be asked to rate, from 0 (no pain) to 10 (worst imaginable pain), their average pain over the past 24 hours specific to the area(s) of chronic pain being treated. A higher score indicates greater pain intensity.

    Time frame: Baseline to 24 Months

  29. Number of Participants With Patient Satisfaction at End of Trial System Evaluation

    Patient satisfaction will be summarized by count and percentage of participants

    Time frame: End of trial system evaluation, approximately 5 to 7 days of BurstDR stimulation

  30. Number of Participants With Patient Satisfaction at 3 Months

    Patient satisfaction will be summarized by count and percentage of participants

    Time frame: 3 Months

  31. Number of Participants With Patient Satisfaction at 6 Months

    Patient satisfaction will be summarized by count and percentage of participants

    Time frame: 6 Months

  32. Number of Participants With Patient Satisfaction at 12 Months

    Patient satisfaction will be summarized by count and percentage of participants

    Time frame: 12 Months

  33. Number of Participants With Patient Satisfaction at 18 Months

    Patient satisfaction will be summarized by count and percentage of participants

    Time frame: 18 Months

  34. Number of Participants With Patient Satisfaction at 24 Months

    Patient satisfaction will be summarized by count and percentage of participants

    Time frame: 24 Months

  35. Rate of Global Improvement of the Patient by Using the Patient Global Impression of Change (PGIC) at the End of Trial System Evaluation

    The PGIC is a categorical rating scale used to evaluate the subject's impression of change in his/her condition since the beginning of the study treatment. The subject rates their overall change in activity limitations, symptoms, emotions and overall quality of life related to his/her condition on a seven-point categorical scale via an interview technique. The categories are as follows: 1-no change, 2-almost the same, 3-a little better, 4-somewhat better, 5-moderately better, 6-better, and 7-a great deal better. Although this tool does not specify the area of change (e.g., pain, function, quality of life, etc.), it allows for an overall integrated assessment from the prospective of the subject. PGIC values of 6 or 7 are reported to correlate best with actual change.

    Time frame: End of trial system evaluation, approximately 5 to 7 days of BurstDR stimulation

  36. Rate of Global Improvement of the Patient by Using the Patient Global Impression of Change (PGIC) at 3 Months

    The PGIC is a categorical rating scale used to evaluate the subject's impression of change in his/her condition since the beginning of the study treatment. The subject rates their overall change in activity limitations, symptoms, emotions and overall quality of life related to his/her condition on a seven-point categorical scale via an interview technique. The categories are as follows: 1-no change, 2-almost the same, 3-a little better, 4-somewhat better, 5-moderately better, 6-better, and 7-a great deal better. Although this tool does not specify the area of change (e.g., pain, function, quality of life, etc.), it allows for an overall integrated assessment from the prospective of the subject. PGIC values of 6 or 7 are reported to correlate best with actual change.

    Time frame: 3 Months

  37. Rate of Global Improvement of the Patient by Using the Patient Global Impression of Change (PGIC) at 6 Months

    The PGIC is a categorical rating scale used to evaluate the subject's impression of change in his/her condition since the beginning of the study treatment. The subject rates their overall change in activity limitations, symptoms, emotions and overall quality of life related to his/her condition on a seven-point categorical scale via an interview technique. The categories are as follows: 1-no change, 2-almost the same, 3-a little better, 4-somewhat better, 5-moderately better, 6-better, and 7-a great deal better. Although this tool does not specify the area of change (e.g., pain, function, quality of life, etc.), it allows for an overall integrated assessment from the prospective of the subject. PGIC values of 6 or 7 are reported to correlate best with actual change.

    Time frame: 6 Months

  38. Rate of Global Improvement of the Patient by Using the Patient Global Impression of Change (PGIC) at 12 Months

    The PGIC is a categorical rating scale used to evaluate the subject's impression of change in his/her condition since the beginning of the study treatment. The subject rates their overall change in activity limitations, symptoms, emotions and overall quality of life related to his/her condition on a seven-point categorical scale via an interview technique. The categories are as follows: 1-no change, 2-almost the same, 3-a little better, 4-somewhat better, 5-moderately better, 6-better, and 7-a great deal better. Although this tool does not specify the area of change (e.g., pain, function, quality of life, etc.), it allows for an overall integrated assessment from the prospective of the subject. PGIC values of 6 or 7 are reported to correlate best with actual change.

    Time frame: 12 Months

  39. Rate of Global Improvement of the Patient by Using the Patient Global Impression of Change (PGIC) at 18 Months

    The PGIC is a categorical rating scale used to evaluate the subject's impression of change in his/her condition since the beginning of the study treatment. The subject rates their overall change in activity limitations, symptoms, emotions and overall quality of life related to his/her condition on a seven-point categorical scale via an interview technique. The categories are as follows: 1-no change, 2-almost the same, 3-a little better, 4-somewhat better, 5-moderately better, 6-better, and 7-a great deal better. Although this tool does not specify the area of change (e.g., pain, function, quality of life, etc.), it allows for an overall integrated assessment from the prospective of the subject. PGIC values of 6 or 7 are reported to correlate best with actual change.

    Time frame: 18 Months

  40. Rate of Global Improvement of the Patient by Using the Patient Global Impression of Change (PGIC) at 24 Months

    The PGIC is a categorical rating scale used to evaluate the subject's impression of change in his/her condition since the beginning of the study treatment. The subject rates their overall change in activity limitations, symptoms, emotions and overall quality of life related to his/her condition on a seven-point categorical scale via an interview technique. The categories are as follows: 1-no change, 2-almost the same, 3-a little better, 4-somewhat better, 5-moderately better, 6-better, and 7-a great deal better. Although this tool does not specify the area of change (e.g., pain, function, quality of life, etc.), it allows for an overall integrated assessment from the prospective of the subject. PGIC values of 6 or 7 are reported to correlate best with actual change.

    Time frame: 24 Months

  41. Rate of Medication Usage Measured as Number of Participants With Decrease in Chronic Pain Related Medication Intake Since Baseline

    Medication usage measured as decrease in chronic pain related medication intake since baseline

    Time frame: 3 Months

  42. Rate of Medication Usage Measured as Number of Participants With Decrease in Chronic Pain Related Medication Intake Since Baseline

    Medication usage measured as decrease in chronic pain related medication intake since baseline

    Time frame: 6 Months

  43. Rate of Medication Usage Measured as Number of Participants With Decrease in Chronic Pain Related Medication Intake Since Baseline

    Medication usage measured as decrease in chronic pain related medication intake since baseline

    Time frame: 12 Months

  44. Rate of Medication Usage Measured as Number of Participants With Decrease in Chronic Pain Related Medication Intake Since Baseline

    Medication usage measured as decrease in chronic pain related medication intake since baseline

    Time frame: 18 Months

  45. Rate of Medication Usage Measured as Number of Participants With Decrease in Chronic Pain Related Medication Intake Since Baseline

    Medication usage measured as decrease in chronic pain related medication intake since baseline

    Time frame: 24 Months

  46. Number of Participants With Stimulation Sensation Assessed by Stimulation Assessment Form

    The Stimulation Assessment Form includes questions to identify the sensations experienced when stimulation is used.

    Time frame: 3 months

  47. Number of Participants With Stimulation Sensation Assessed by Stimulation Assessment Form

    The Stimulation Assessment Form includes questions to identify the sensations experienced when stimulation is used.

    Time frame: 6 Months

  48. Number of Participants With Stimulation Sensation Assessed by Stimulation Assessment Form

    The Stimulation Assessment Form includes questions to identify the sensations experienced when stimulation is used.

    Time frame: 12 Months

  49. Number of Participants With Stimulation Sensation Assessed by Stimulation Assessment Form

    The Stimulation Assessment Form includes questions to identify the sensations experienced when stimulation is used.

    Time frame: 18 Months

  50. Number of Participants With Stimulation Sensation Assessed by Stimulation Assessment Form

    The Stimulation Assessment Form includes questions to identify the sensations experienced when stimulation is used.

    Time frame: 24 Months

  51. Number of Patient Waveform Preference

    Participants could choose between two waveforms with different amplitude, pulse width and frequency to stimulate the spinal cord (burst or tonic). Patient waveform preference post-permanent implant is summarized by counts and percentages.

    Time frame: 3 months

  52. Number of Patient Waveform Preference

    Participants could choose between two waveforms with different amplitude, pulse width and frequency to stimulate the spinal cord (burst or tonic). Patient waveform preference post-permanent implant is summarized by counts and percentages.

    Time frame: 6 months

  53. Number of Patient Waveform Preference

    Participants could choose between two waveforms with different amplitude, pulse width and frequency to stimulate the spinal cord (burst or tonic). Patient waveform preference post-permanent implant is summarized by counts and percentages.

    Time frame: 12 months

  54. Number of Patient Waveform Preference

    Participants could choose between two waveforms with different amplitude, pulse width and frequency to stimulate the spinal cord (burst or tonic). Patient waveform preference post-permanent implant is summarized by counts and percentages.

    Time frame: 18 months

  55. Number of Patient Waveform Preference

    Participants could choose between two waveforms with different amplitude, pulse width and frequency to stimulate the spinal cord (burst or tonic). Patient waveform preference post-permanent implant is summarized by counts and percentages.

    Time frame: 24 months

  56. Recharging Activities- Number of Participants With Frequency of Recharge

    Recharging activities throughout the follow-up period for subjects who were implanted with a rechargeable device will be summarized by count and percentage of participants.

    Time frame: 3 months

  57. Recharging Activities- Number of Participants With Frequency of Recharge

    Recharging activities throughout the follow-up period for subjects who were implanted with a rechargeable device will be summarized by count and percentage of participants.

    Time frame: 6 months

  58. Recharging Activities- Number of Participants With Frequency of Recharge

    Recharging activities throughout the follow-up period for subjects who were implanted with a rechargeable device will be summarized by count and percentage of participants.

    Time frame: 12 months

  59. Recharging Activities- Number of Participants With Frequency of Recharge

    Recharging activities throughout the follow-up period for subjects who were implanted with a rechargeable device will be summarized by count and percentage of participants

    Time frame: 18 months

  60. Recharging Activities- Number of Participants With Frequency of Recharge

    Recharging activities throughout the follow-up period for subjects who were implanted with a rechargeable device will be summarized by count and percentage of participants.

    Time frame: 24 months

  61. Recharging Activities- Number of Participants With Duration of Recharge

    Recharging activities throughout the follow-up period for subjects who were implanted with a rechargeable device will be summarized by count and percentage of participants.

    Time frame: 3 months

  62. Recharging Activities- Number of Participants With Duration of Recharge

    Recharging activities throughout the follow-up period for subjects who were implanted with a rechargeable device will be summarized by count and percentage of participants.

    Time frame: 6 months

  63. Recharging Activities- Number of Participants With Duration of Recharge

    Recharging activities throughout the follow-up period for subjects who were implanted with a rechargeable device will be summarized by count and percentage of participants.

    Time frame: 12 months

  64. Recharging Activities- Number of Participants With Duration of Recharge

    Recharging activities throughout the follow-up period for subjects who were implanted with a rechargeable device will be summarized by count and percentage of participants.

    Time frame: 18 months

  65. Recharging Activities- Number of Participants With Duration of Recharge

    Recharging activities throughout the follow-up period for subjects who were implanted with a rechargeable device will be summarized by count and percentage of participants.

    Time frame: 24 months

07

Results

Posted Jun 2, 2021

Participant flow

A total of 269 subjects were enrolled at 22 investigational sites. The enrollment of the first subject was on 03 March 2017 and the last subject was on 13 February 2018. The last follow-up visit occurred on 26 August 2020.

Participant flow — Overall Study
MilestoneAll Enrolled Subjects
Started269
Completed149
Not completed120
Withdrew: Death4
Withdrew: Implant of dorsal root ganglion stimulation (drg) device1
Withdrew: Insurance denial1
Withdrew: Peripheral lead added1
Withdrew: Withdrawal by subject40
Withdrew: Subject did not meet screening inclusion/exclusion criteria2
Withdrew: Subject implanted with device other than study device1
Withdrew: Lost to follow-up14
Withdrew: Subject moved to a different state1
Withdrew: Subject non-compliance2
Withdrew: Subject participation terminated by investigator9
Withdrew: Subject participation terminated by sponsor4
Withdrew: System explant19
Withdrew: Unable to place lead(s)2
Withdrew: Unsuccessful trial evaluation period19

Outcome measures

PrimaryMean Change in Pain From Baseline to 6 Months Post-permanent Implant, Assessed by the Numeric Rating Scale (NRS)

The pain NRS consists of 1 question that will be asked by interviewing the subjects. Patients will be asked to rate, from 0 (no pain) to 10 (worst imaginable pain), their average pain over the past 24 hours specific to the area(s) of chronic pain being treated. A higher score indicates greater pain intensity.

Time frame:
Baseline to 6 Months
Reported as:
Mean · score on a scale
Mean Change in Pain From Baseline to 6 Months Post-permanent Implant, Assessed by the Numeric Rating Scale (NRS)
score on a scaleAll Enrolled Subjects
Baseline7.6 ± 1.1
6 months4.6 ± 2.4
Change from baseline to 6 months3.0 ± 2.6
SecondaryMean Change in Quality of Life From Baseline to 6 Months Post-permanent Implant, Assessed by the EuroQuol-5 Dimensions (EQ5D) Questionnaire

EQ5D is a standardized instrument for use as a measure of health outcome applicable to a wide range of health conditions and treatments. It provides a simple descriptive profile and a single index value for health status. The EQ5D-3L descriptive system comprises the following 5 dimensions: mobility, self-care, usual activities, pain/discomfort and anxiety/depression. Each dimension has 3 levels: no problems, some problems, extreme problems. A visual analog scale (VAS) for health is also included in the measure as a patient-reported estimate of overall health status. EQ5D Index scores range from - 0.594 (min) to 1 (max). An EQ-5D summary index is derived by applying a formula that attaches values (weights) to each of the levels in each dimension. Higher values represent better outcomes.

Time frame:
Baseline to 6 Months
Reported as:
Mean · score on a scale
Mean Change in Quality of Life From Baseline to 6 Months Post-permanent Implant, Assessed by the EuroQuol-5 Dimensions (EQ5D) Questionnaire
score on a scaleAll Enrolled Subjects
Baseline0.44 ± 0.22
6 months0.65 ± 0.21
Change from baseline to 6 months0.21 ± 0.22
SecondaryMean Change in Pain Catastrophizing From Baseline to 6 Months Post-permanent Implant, Assessed by the Pain Catastrophizing Scale (PCS)

The PCS is a validated scale that measures the magnitude of catastrophizing (negative thoughts and feelings while a patient is experiencing pain). Subjects answer questions about how they feel and what they think about when they are in pain (i.e., not at the current moment). The scale includes 13 statements concerning pain experiences that are rated on a scale between 0 'not at all' and 4 'always'. The scale is self-administered and takes 5 minutes to complete. A higher score indicated a higher level of catastrophizing. PCS total scores range from 0 (min) to 52 (max). Three sub-scales consists of rumination, magnification, and helplessness. Rumination scores range from 0 (min) to 16 (max), Magnification scores range from 0 (min) to 12 (max), and helplessness scores range from 0 (min) to 24 (max). The total PCS score is the sum of the three subscales.

Time frame:
Baseline to 6 Months
Reported as:
Mean · score on a scale
Mean Change in Pain Catastrophizing From Baseline to 6 Months Post-permanent Implant, Assessed by the Pain Catastrophizing Scale (PCS)
score on a scaleAll Enrolled Subjects
Baseline25.6 ± 12.9
6 months13.7 ± 12.2
Change from baseline to 6 months11.9 ± 11.8
SecondaryMean Change in Anxiety From Baseline to 6 Months Post-permanent Implant, Assessed by the State-Trait Anxiety Inventory (STAI)

The State-Trait Anxiety inventory is a self-administered screening for anxiety. The STAI has 40 items, 20 items allocated to each of the S-Anxiety and T-Anxiety subscales. All items are rated on a 4-point scale from 1 to 4. It clearly differentiates between the temporary condition of "state anxiety" and the more general and long-standing quality of "trait anxiety" by providing a score for each. Higher scores suggest greater levels of anxiety. The range of possible scores for the STAI varies from a minimum score of 20 to a maximum score of 80 on both the trait and state subscales. The total score is the sum of the two subscales. STAI total scores range from 40 to 160.

Time frame:
Baseline to 6 Months
Reported as:
Mean · score on a scale
Mean Change in Anxiety From Baseline to 6 Months Post-permanent Implant, Assessed by the State-Trait Anxiety Inventory (STAI)
score on a scaleAll Enrolled Subjects
Baseline87.1 ± 26.1
6 months77.1 ± 24.7
Change from baseline to 6 months10.0 ± 21.6
SecondaryMean Change in Depression From Baseline to 6 Months Post-permanent Implant, Assessed by the Patient Health Questionnaire-9 (PHQ9)

The PHQ9 is a multipurpose, validated instrument for screening, diagnosing, monitoring and measuring the severity of depression. The questionnaire consists of 9 questions that rate the frequency of the symptoms of depression. A follow up non-scored question screens and assigns weight to the degree to which depressive problems have affected the patient's level of function. The responses range between 4 choices (0=not at all to 3=nearly every day). Higher scores indicate a higher likelihood of major depression. PHQ-9 scores range from 0 (min) to 27 (max).

Time frame:
Baseline to 6 Months
Reported as:
Mean · score on a scale
Mean Change in Depression From Baseline to 6 Months Post-permanent Implant, Assessed by the Patient Health Questionnaire-9 (PHQ9)
score on a scaleAll Enrolled Subjects
Baseline10.5 ± 6.5
6 months7.6 ± 6.5
Change from baseline to 6 months3.0 ± 5.5
SecondaryMean Change in Fear Avoidance From Baseline to 6 Months Post-permanent Implant, Assessed by the Tampa Scale for Kinesiophobia (TSK)

The TSK is a 11-item self-report checklist using a 4-point Likert scale that was developed from the original 17-item checklist (Miller, Kopri \& Todd, 1991) as a measure of fear or movement or (re)injury. The scale is based on the model of fear avoidance, fear of work related activities, fear of movement and fear of re-injury. The TSK has also been linked to elements of catastrophic thinking. The scale can be useful in measuring unhelpful thoughts and beliefs about pain in people with chronic pain. Total TSK-11 scores range from 11-44 points. Higher scores represent worse outcomes.

Time frame:
Baseline to 6 Months
Reported as:
Mean · score on a scale
Mean Change in Fear Avoidance From Baseline to 6 Months Post-permanent Implant, Assessed by the Tampa Scale for Kinesiophobia (TSK)
score on a scaleAll Enrolled Subjects
Baseline28.7 ± 7.8
6 months24.9 ± 7.2
Change from baseline to 6 months3.8 ± 6.7
SecondaryMean Change in Sleep From Baseline to 6 Months Post-permanent Implant, Assessed by the Medical Outcome Study (MOS) Sleep Scale

The MOS sleep scale is intended to assess the extent of sleep problems and measures 6 dimensions of sleep, including initiation, maintenance, quantity, adequacy, drowsiness and respiratory impairments. It includes 12 questions with the first question assessing how long it takes the subject to fall asleep. The second question asks how many hours each night the subject slept. The remaining 10 questions have a range of 6 responses from 1="all of the time" to 6="none of the time". The scale is self-administered and validated. MOS Sleep scale scores range from 0 (min) to 100 (max). Higher scores represent worse outcomes.

Time frame:
Baseline to 6 Months
Reported as:
Mean · score on a scale
Mean Change in Sleep From Baseline to 6 Months Post-permanent Implant, Assessed by the Medical Outcome Study (MOS) Sleep Scale
score on a scaleAll Enrolled Subjects
Baseline52.6 ± 21.8
6 months45.0 ± 23.2
Change from baseline to 6 months7.5 ± 18.8
SecondaryMean Change in Physical Function From Baseline to 6 Months Post-permanent Implant, Assessed by the Patient-Reported Outcome Measure Information System (PROMIS) Physical Function Scale

The PROMIS Physical Function short form is an 8-item instrument designed to measure physical capability rather than actual performance of physical activities. The scale measures universal physical function rather than disease-specific impairment and assesses current function rather than function over a specified time period. Each question has five potential response options ranging in value from one to five to give a total score ranging from 8 to 40. 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 physical function.

Time frame:
Baseline to 6 Months
Reported as:
Mean · T-score
Mean Change in Physical Function From Baseline to 6 Months Post-permanent Implant, Assessed by the Patient-Reported Outcome Measure Information System (PROMIS) Physical Function Scale
T-scoreAll Enrolled Subjects
Baseline32.9 ± 5.0
6 months36.7 ± 6.8
Change from baseline to 6 months3.8 ± 5.4
Other pre-specifiedMean Change in Quality of Life From Baseline to 12 Months Post-permanent Implant, Assessed by the EuroQuol-5 Dimensions (EQ5D) Questionnaire

EQ5D is a standardized instrument for use as a measure of health outcome applicable to a wide range of health conditions and treatments. It provides a simple descriptive profile and a single index value for health status. The EQ5D-3L descriptive system comprises the following 5 dimensions: mobility, self-care, usual activities, pain/discomfort and anxiety/depression. Each dimension has 3 levels: no problems, some problems, extreme problems. A visual analog scale (VAS) for health is also included in the measure as a patient-reported estimate of overall health status. EQ5D Index scores range from - 0.594 (min) to 1 (max). An EQ-5D summary index is derived by applying a formula that attaches values (weights) to each of the levels in each dimension. Higher values represent better outcomes.

Time frame:
Baseline to 12 Months
Reported as:
Mean · score on a scale
Mean Change in Quality of Life From Baseline to 12 Months Post-permanent Implant, Assessed by the EuroQuol-5 Dimensions (EQ5D) Questionnaire
score on a scaleAll Enrolled Subjects
Baseline0.44 ± 0.21
12 months0.63 ± 0.23
Change from baseline to 12 months0.20 ± 0.23
Other pre-specifiedMean Change in Quality of Life From Baseline to 18 Months Post-permanent Implant, Assessed by the EuroQuol-5 Dimensions (EQ5D) Questionnaire

EQ5D is a standardized instrument for use as a measure of health outcome applicable to a wide range of health conditions and treatments. It provides a simple descriptive profile and a single index value for health status. The EQ5D-3L descriptive system comprises the following 5 dimensions: mobility, self-care, usual activities, pain/discomfort and anxiety/depression. Each dimension has 3 levels: no problems, some problems, extreme problems. A visual analog scale (VAS) for health is also included in the measure as a patient-reported estimate of overall health status. EQ5D Index scores range from - 0.594 (min) to 1 (max). An EQ-5D summary index is derived by applying a formula that attaches values (weights) to each of the levels in each dimension. Higher values represent better outcomes.

Time frame:
Baseline to 18 Months
Reported as:
Mean · score on a scale
Mean Change in Quality of Life From Baseline to 18 Months Post-permanent Implant, Assessed by the EuroQuol-5 Dimensions (EQ5D) Questionnaire
score on a scaleAll Enrolled Subjects
Baseline0.44 ± 0.21
18 months0.65 ± 0.20
Change from baseline to 18 months0.22 ± 0.23
Other pre-specifiedMean Change in Quality of Life From Baseline to 24 Months Post-permanent Implant, Assessed by the EuroQuol-5 Dimensions (EQ5D) Questionnaire

EQ5D is a standardized instrument for use as a measure of health outcome applicable to a wide range of health conditions and treatments. It provides a simple descriptive profile and a single index value for health status. The EQ5D-3L descriptive system comprises the following 5 dimensions: mobility, self-care, usual activities, pain/discomfort and anxiety/depression. Each dimension has 3 levels: no problems, some problems, extreme problems. A visual analog scale (VAS) for health is also included in the measure as a patient-reported estimate of overall health status. EQ5D Index scores range from - 0.594 (min) to 1 (max). An EQ-5D summary index is derived by applying a formula that attaches values (weights) to each of the levels in each dimension. Higher values represent better outcomes.

Time frame:
Baseline to 24 Months
Reported as:
Mean · score on a scale
Mean Change in Quality of Life From Baseline to 24 Months Post-permanent Implant, Assessed by the EuroQuol-5 Dimensions (EQ5D) Questionnaire
score on a scaleAll Enrolled Subjects
Baseline0.44 ± 0.21
24 months0.64 ± 0.21
Change from baseline to 24 months0.21 ± 0.23
Other pre-specifiedMean Change in Pain Catastrophizing From Baseline to 3 Months Post-permanent Implant, Assessed by the Pain Catastrophizing Scale (PCS)

The PCS is a validated scale that measures the magnitude of catastrophizing (negative thoughts and feelings while a patient is experiencing pain). Subjects answer questions about how they feel and what they think about when they are in pain (i.e., not at the current moment). The scale includes 13 statements concerning pain experiences that are rated on a scale between 0 'not at all' and 4 'always'. The scale is self-administered and takes 5 minutes to complete. A higher score indicated a higher level of catastrophizing. PCS total scores range from 0 (min) to 52 (max). Three sub-scales consists of rumination, magnification, and helplessness. Rumination scores range from 0 (min) to 16 (max), Magnification scores range from 0 (min) to 12 (max), and helplessness scores range from 0 (min) to 24 (max). The total PCS score is the sum of the three subscales.

Time frame:
Baseline to 3 Months
Reported as:
Mean · score on a scale
Mean Change in Pain Catastrophizing From Baseline to 3 Months Post-permanent Implant, Assessed by the Pain Catastrophizing Scale (PCS)
score on a scaleAll Enrolled Subjects
Baseline25.7 ± 13.1
3 months14.6 ± 12.3
Change from baseline to 3 months10.6 ± 13.4
Other pre-specifiedMean Change in Pain Catastrophizing From Baseline to 12 Months Post-permanent Implant, Assessed by the Pain Catastrophizing Scale (PCS)

The PCS is a validated scale that measures the magnitude of catastrophizing (negative thoughts and feelings while a patient is experiencing pain). Subjects answer questions about how they feel and what they think about when they are in pain (i.e., not at the current moment). The scale includes 13 statements concerning pain experiences that are rated on a scale between 0 'not at all' and 4 'always'. The scale is self-administered and takes 5 minutes to complete. A higher score indicated a higher level of catastrophizing. PCS total scores range from 0 (min) to 52 (max). Three sub-scales consists of rumination, magnification, and helplessness. Rumination scores range from 0 (min) to 16 (max), Magnification scores range from 0 (min) to 12 (max), and helplessness scores range from 0 (min) to 24 (max). The total PCS score is the sum of the three subscales.

Time frame:
Baseline to 12 Months
Reported as:
Mean · score on a scale
Mean Change in Pain Catastrophizing From Baseline to 12 Months Post-permanent Implant, Assessed by the Pain Catastrophizing Scale (PCS)
score on a scaleAll Enrolled Subjects
Baseline25.7 ± 13.1
12 months14.3 ± 13.1
Change from baseline to 12 months11.3 ± 12.1
Other pre-specifiedMean Change in Pain Catastrophizing From Baseline to 18 Months Post-permanent Implant, Assessed by the Pain Catastrophizing Scale (PCS)

The PCS is a validated scale that measures the magnitude of catastrophizing (negative thoughts and feelings while a patient is experiencing pain). Subjects answer questions about how they feel and what they think about when they are in pain (i.e., not at the current moment). The scale includes 13 statements concerning pain experiences that are rated on a scale between 0 'not at all' and 4 'always'. The scale is self-administered and takes 5 minutes to complete. A higher score indicated a higher level of catastrophizing. PCS total scores range from 0 (min) to 52 (max). Three sub-scales consists of rumination, magnification, and helplessness. Rumination scores range from 0 (min) to 16 (max), Magnification scores range from 0 (min) to 12 (max), and helplessness scores range from 0 (min) to 24 (max). The total PCS score is the sum of the three subscales.

Time frame:
Baseline to 18 Months
Reported as:
Mean · score on a scale
Mean Change in Pain Catastrophizing From Baseline to 18 Months Post-permanent Implant, Assessed by the Pain Catastrophizing Scale (PCS)
score on a scaleAll Enrolled Subjects
Baseline25.7 ± 13.1
18 months14.0 ± 11.5
Change from baseline to 18 months12.4 ± 12.8
Other pre-specifiedMean Change in Pain Catastrophizing From Baseline to 24 Months Post-permanent Implant, Assessed by the Pain Catastrophizing Scale (PCS)

The PCS is a validated scale that measures the magnitude of catastrophizing (negative thoughts and feelings while a patient is experiencing pain). Subjects answer questions about how they feel and what they think about when they are in pain (i.e., not at the current moment). The scale includes 13 statements concerning pain experiences that are rated on a scale between 0 'not at all' and 4 'always'. The scale is self-administered and takes 5 minutes to complete. A higher score indicated a higher level of catastrophizing. PCS total scores range from 0 (min) to 52 (max). Three sub-scales consists of rumination, magnification, and helplessness. Rumination scores range from 0 (min) to 16 (max), Magnification scores range from 0 (min) to 12 (max), and helplessness scores range from 0 (min) to 24 (max). The total PCS score is the sum of the three subscales.

Time frame:
Baseline to 24 Months
Reported as:
Mean · score on a scale
Mean Change in Pain Catastrophizing From Baseline to 24 Months Post-permanent Implant, Assessed by the Pain Catastrophizing Scale (PCS)
score on a scaleAll Enrolled Subjects
Baseline25.7 ± 13.1
24 months13.2 ± 12.6
Change from baseline to 24 months12.5 ± 12.8
Other pre-specifiedMean Change in Anxiety From Baseline to 12 Months Post-permanent Implant, Assessed by the State-Trait Anxiety Inventory (STAI)

The State-Trait Anxiety inventory is a self-administered screening for anxiety. The STAI has 40 items, 20 items allocated to each of the S-Anxiety and T-Anxiety subscales. All items are rated on a 4-point scale from 1 to 4. It clearly differentiates between the temporary condition of "state anxiety" and the more general and long-standing quality of "trait anxiety" by providing a score for each. Higher scores suggest greater levels of anxiety. The range of possible scores for the STAI varies from a minimum score of 20 to a maximum score of 80 on both the trait and state subscales. The total score is the sum of the two subscales. STAI total scores range from 40 to 160.

Time frame:
Baseline to 12 Months
Reported as:
Mean · score on a scale
Mean Change in Anxiety From Baseline to 12 Months Post-permanent Implant, Assessed by the State-Trait Anxiety Inventory (STAI)
score on a scaleAll Enrolled Subjects
Baseline87.5 ± 26.2
12 months77.3 ± 26.9
Change from baseline to 12 months9.3 ± 22.2
Other pre-specifiedMean Change in Anxiety From Baseline to 18 Months Post-permanent Implant, Assessed by the State-Trait Anxiety Inventory (STAI)

The State-Trait Anxiety inventory is a self-administered screening for anxiety. The STAI has 40 items, 20 items allocated to each of the S-Anxiety and T-Anxiety subscales. All items are rated on a 4-point scale from 1 to 4. It clearly differentiates between the temporary condition of "state anxiety" and the more general and long-standing quality of "trait anxiety" by providing a score for each. Higher scores suggest greater levels of anxiety. The range of possible scores for the STAI varies from a minimum score of 20 to a maximum score of 80 on both the trait and state subscales. The total score is the sum of the two subscales. STAI total scores range from 40 to 160.

Time frame:
Baseline to 18 Months
Reported as:
Mean · score on a scale
Mean Change in Anxiety From Baseline to 18 Months Post-permanent Implant, Assessed by the State-Trait Anxiety Inventory (STAI)
score on a scaleAll Enrolled Subjects
Baseline87.5 ± 26.2
18 months75.1 ± 24.9
Change from baseline to 18 months11.4 ± 21.4
Other pre-specifiedMean Change in Anxiety From Baseline to 24 Months Post-permanent Implant, Assessed by the State-Trait Anxiety Inventory (STAI)

The State-Trait Anxiety inventory is a self-administered screening for anxiety. The STAI has 40 items, 20 items allocated to each of the S-Anxiety and T-Anxiety subscales. All items are rated on a 4-point scale from 1 to 4. It clearly differentiates between the temporary condition of "state anxiety" and the more general and long-standing quality of "trait anxiety" by providing a score for each. Higher scores suggest greater levels of anxiety. The range of possible scores for the STAI varies from a minimum score of 20 to a maximum score of 80 on both the trait and state subscales. The total score is the sum of the two subscales. STAI total scores range from 40 to 160.

Time frame:
Baseline to 24 Months
Reported as:
Mean · score on a scale
Mean Change in Anxiety From Baseline to 24 Months Post-permanent Implant, Assessed by the State-Trait Anxiety Inventory (STAI)
score on a scaleAll Enrolled Subjects
Baseline87.5 ± 26.2
24 months75.5 ± 26.7
Change from baseline to 24 months10.8 ± 21.7
Other pre-specifiedMean Change in Depression From Baseline to 12 Months Post-permanent Implant, Assessed by the Patient Health Questionnaire-9 (PHQ9)

The PHQ9 is a multipurpose, validated instrument for screening, diagnosing, monitoring and measuring the severity of depression. The questionnaire consists of 9 questions that rate the frequency of the symptoms of depression. A follow up non-scored question screens and assigns weight to the degree to which depressive problems have affected the patient's level of function. The responses range between 4 choices (0=not at all to 3=nearly every day). Higher scores indicate a higher likelihood of major depression. PHQ-9 scores range from 0 (min) to 27 (max).

Time frame:
Baseline to 12 Months
Reported as:
Mean · score on a scale
Mean Change in Depression From Baseline to 12 Months Post-permanent Implant, Assessed by the Patient Health Questionnaire-9 (PHQ9)
score on a scaleAll Enrolled Subjects
Baseline10.2 ± 6.5
12 months7.7 ± 6.6
Change from baseline to 12 months2.8 ± 5.6
Other pre-specifiedMean Change in Depression From Baseline to 18 Months Post-permanent Implant, Assessed by the Patient Health Questionnaire-9 (PHQ9)

The PHQ9 is a multipurpose, validated instrument for screening, diagnosing, monitoring and measuring the severity of depression. The questionnaire consists of 9 questions that rate the frequency of the symptoms of depression. A follow up non-scored question screens and assigns weight to the degree to which depressive problems have affected the patient's level of function. The responses range between 4 choices (0=not at all to 3=nearly every day). Higher scores indicate a higher likelihood of major depression. PHQ-9 scores range from 0 (min) to 27 (max).

Time frame:
Baseline to 18 Months
Reported as:
Mean · score on a scale
Mean Change in Depression From Baseline to 18 Months Post-permanent Implant, Assessed by the Patient Health Questionnaire-9 (PHQ9)
score on a scaleAll Enrolled Subjects
Baseline10.2 ± 6.5
18 months6.9 ± 5.8
Change from baseline to 18 months3.7 ± 6.4
Other pre-specifiedMean Change in Depression From Baseline to 24 Months Post-permanent Implant, Assessed by the Patient Health Questionnaire-9 (PHQ9)

The PHQ9 is a multipurpose, validated instrument for screening, diagnosing, monitoring and measuring the severity of depression. The questionnaire consists of 9 questions that rate the frequency of the symptoms of depression. A follow up non-scored question screens and assigns weight to the degree to which depressive problems have affected the patient's level of function. The responses range between 4 choices (0=not at all to 3=nearly every day). Higher scores indicate a higher likelihood of major depression. PHQ-9 scores range from 0 (min) to 27 (max).

Time frame:
Baseline to 24 Months
Reported as:
Mean · score on a scale
Mean Change in Depression From Baseline to 24 Months Post-permanent Implant, Assessed by the Patient Health Questionnaire-9 (PHQ9)
score on a scaleAll Enrolled Subjects
Baseline10.2 ± 6.5
24 months7.5 ± 6.4
Change from baseline to 24 months3.0 ± 6.1
Other pre-specifiedMean Change in Fear Avoidance From Baseline to 3 Months Post-permanent Implant, Assessed by the Tampa Scale for Kinesiophobia (TSK)

The TSK is a 11-item self-report checklist using a 4-point Likert scale that was developed from the original 17-item checklist (Miller, Kopri \& Todd, 1991) as a measure of fear or movement or (re)injury. The scale is based on the model of fear avoidance, fear of work related activities, fear of movement and fear of re-injury. The TSK has also been linked to elements of catastrophic thinking. The scale can be useful in measuring unhelpful thoughts and beliefs about pain in people with chronic pain. Total TSK-11 scores range from 11-44 points. Higher scores represent worse outcomes.

Time frame:
Baseline to 3 Months
Reported as:
Mean · score on a scale
Mean Change in Fear Avoidance From Baseline to 3 Months Post-permanent Implant, Assessed by the Tampa Scale for Kinesiophobia (TSK)
score on a scaleAll Enrolled Subjects
Baseline28.7 ± 7.7
3 months24.6 ± 7.2
Change from baseline to 3 months3.8 ± 7.5
Other pre-specifiedMean Change in Fear Avoidance From Baseline to 12 Months Post-permanent Implant, Assessed by the Tampa Scale for Kinesiophobia (TSK)

The TSK is a 11-item self-report checklist using a 4-point Likert scale that was developed from the original 17-item checklist (Miller, Kopri \& Todd, 1991) as a measure of fear or movement or (re)injury. The scale is based on the model of fear avoidance, fear of work related activities, fear of movement and fear of re-injury. The TSK has also been linked to elements of catastrophic thinking. The scale can be useful in measuring unhelpful thoughts and beliefs about pain in people with chronic pain. Total TSK-11 scores range from 11-44 points. Higher scores represent worse outcomes.

Time frame:
Baseline to 12 Months
Reported as:
Mean · score on a scale
Mean Change in Fear Avoidance From Baseline to 12 Months Post-permanent Implant, Assessed by the Tampa Scale for Kinesiophobia (TSK)
score on a scaleAll Enrolled Subjects
Baseline28.7 ± 7.7
12 months24.4 ± 7.2
Change from baseline to 12 months4.3 ± 7.1
Other pre-specifiedMean Change in Fear Avoidance From Baseline to 18 Months Post-permanent Implant, Assessed by the Tampa Scale for Kinesiophobia (TSK)

The TSK is a 11-item self-report checklist using a 4-point Likert scale that was developed from the original 17-item checklist (Miller, Kopri \& Todd, 1991) as a measure of fear or movement or (re)injury. The scale is based on the model of fear avoidance, fear of work related activities, fear of movement and fear of re-injury. The TSK has also been linked to elements of catastrophic thinking. The scale can be useful in measuring unhelpful thoughts and beliefs about pain in people with chronic pain. Total TSK-11 scores range from 11-44 points. Higher scores represent worse outcomes.

Time frame:
Baseline to 18 Months
Reported as:
Mean · score on a scale
Mean Change in Fear Avoidance From Baseline to 18 Months Post-permanent Implant, Assessed by the Tampa Scale for Kinesiophobia (TSK)
score on a scaleAll Enrolled Subjects
Baseline28.7 ± 7.7
18 months24.3 ± 7.4
Change from baseline to 18 months4.8 ± 7.5
Other pre-specifiedMean Change in Fear Avoidance From Baseline to 24 Months Post-permanent Implant, Assessed by the Tampa Scale for Kinesiophobia (TSK)

The TSK is a 11-item self-report checklist using a 4-point Likert scale that was developed from the original 17-item checklist (Miller, Kopri \& Todd, 1991) as a measure of fear or movement or (re)injury. The scale is based on the model of fear avoidance, fear of work related activities, fear of movement and fear of re-injury. The TSK has also been linked to elements of catastrophic thinking. The scale can be useful in measuring unhelpful thoughts and beliefs about pain in people with chronic pain. Total TSK-11 scores range from 11-44 points. Higher scores represent worse outcomes.

Time frame:
Baseline to 24 Months
Reported as:
Mean · score on a scale
Mean Change in Fear Avoidance From Baseline to 24 Months Post-permanent Implant, Assessed by the Tampa Scale for Kinesiophobia (TSK)
score on a scaleAll Enrolled Subjects
Baseline28.7 ± 7.7
24 months25.2 ± 7.5
Change from baseline to 24 months4.2 ± 7.6
Other pre-specifiedMean Change in Sleep From Baseline to 12 Months Post-permanent Implant, Assessed by the Medical Outcome Study (MOS) Sleep Scale

The MOS sleep scale is intended to assess the extent of sleep problems and measures 6 dimensions of sleep, including initiation, maintenance, quantity, adequacy, drowsiness and respiratory impairments. It includes 12 questions with the first question assessing how long it takes the subject to fall asleep. The second question asks how many hours each night the subject slept. The remaining 10 questions have a range of 6 responses from 1="all of the time" to 6="none of the time". The scale is self-administered and validated. MOS Sleep scale scores range from 0 (min) to 100 (max). Higher scores represent worse outcomes.

Time frame:
Baseline to 12 Months
Reported as:
Mean · score on a scale
Mean Change in Sleep From Baseline to 12 Months Post-permanent Implant, Assessed by the Medical Outcome Study (MOS) Sleep Scale
score on a scaleAll Enrolled Subjects
Baseline50.3 ± 22.6
12 months45.4 ± 23.5
Change from baseline to 12 months7.6 ± 20.0
Other pre-specifiedMean Change in Sleep From Baseline to 18 Months Post-permanent Implant, Assessed by the Medical Outcome Study (MOS) Sleep Scale

The MOS sleep scale is intended to assess the extent of sleep problems and measures 6 dimensions of sleep, including initiation, maintenance, quantity, adequacy, drowsiness and respiratory impairments. It includes 12 questions with the first question assessing how long it takes the subject to fall asleep. The second question asks how many hours each night the subject slept. The remaining 10 questions have a range of 6 responses from 1="all of the time" to 6="none of the time". The scale is self-administered and validated. MOS Sleep scale scores range from 0 (min) to 100 (max). Higher scores represent worse outcomes.

Time frame:
Baseline to 18 Months
Reported as:
Mean · score on a scale
Mean Change in Sleep From Baseline to 18 Months Post-permanent Implant, Assessed by the Medical Outcome Study (MOS) Sleep Scale
score on a scaleAll Enrolled Subjects
Baseline50.3 ± 22.6
18 months43.8 ± 23.8
Change from baseline to 18 months9.9 ± 20.6
Other pre-specifiedMean Change in Sleep From Baseline to 24 Months Post-permanent Implant, Assessed by the Medical Outcome Study (MOS) Sleep Scale

The MOS sleep scale is intended to assess the extent of sleep problems and measures 6 dimensions of sleep, including initiation, maintenance, quantity, adequacy, drowsiness and respiratory impairments. It includes 12 questions with the first question assessing how long it takes the subject to fall asleep. The second question asks how many hours each night the subject slept. The remaining 10 questions have a range of 6 responses from 1="all of the time" to 6="none of the time". The scale is self-administered and validated. MOS Sleep scale scores range from 0 (min) to 100 (max). Higher scores represent worse outcomes.

Time frame:
Baseline to 24 Months
Reported as:
Mean · score on a scale
Mean Change in Sleep From Baseline to 24 Months Post-permanent Implant, Assessed by the Medical Outcome Study (MOS) Sleep Scale
score on a scaleAll Enrolled Subjects
Baseline50.3 ± 22.6
24 months43.2 ± 22.1
Change from baseline to 24 months10.8 ± 20.7
Other pre-specifiedMean Change in Physical Function From Baseline to 12 Months Post-permanent Implant, Assessed by the Patient-Reported Outcome Measure Information System (PROMIS) Physical Function Scale

The PROMIS Physical Function short form is an 8-item instrument designed to measure physical capability rather than actual performance of physical activities. The scale measures universal physical function rather than disease-specific impairment and assesses current function rather than function over a specified time period. Each question has five potential response options ranging in value from one to five to give a total score ranging from 8 to 40. 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 physical function.

Time frame:
Baseline to 12 Months
Reported as:
Mean · T-score
Mean Change in Physical Function From Baseline to 12 Months Post-permanent Implant, Assessed by the Patient-Reported Outcome Measure Information System (PROMIS) Physical Function Scale
T-scoreAll Enrolled Subjects
Baseline33.0 ± 5.2
12 months36.3 ± 6.6
Change from baseline to 12 months3.2 ± 5.4
Other pre-specifiedMean Change in Physical Function From Baseline to 18 Months Post-permanent Implant, Assessed by the Patient-Reported Outcome Measure Information System (PROMIS) Physical Function Scale

The PROMIS Physical Function short form is an 8-item instrument designed to measure physical capability rather than actual performance of physical activities. The scale measures universal physical function rather than disease-specific impairment and assesses current function rather than function over a specified time period. Each question has five potential response options ranging in value from one to five to give a total score ranging from 8 to 40. 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 physical function.

Time frame:
Baseline to 18 Months
Reported as:
Mean · T-score
Mean Change in Physical Function From Baseline to 18 Months Post-permanent Implant, Assessed by the Patient-Reported Outcome Measure Information System (PROMIS) Physical Function Scale
T-scoreAll Enrolled Subjects
Baseline33.0 ± 5.2
18 months37.1 ± 6.3
Change from baseline to 18 months3.7 ± 6.1
Other pre-specifiedMean Change in Physical Function From Baseline to 24 Months Post-permanent Implant, Assessed by the Patient-Reported Outcome Measure Information System (PROMIS) Physical Function Scale

The PROMIS Physical Function short form is an 8-item instrument designed to measure physical capability rather than actual performance of physical activities. The scale measures universal physical function rather than disease-specific impairment and assesses current function rather than function over a specified time period. Each question has five potential response options ranging in value from one to five to give a total score ranging from 8 to 40. 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 physical function.

Time frame:
Baseline to 24 Months
Reported as:
Mean · T-score
Mean Change in Physical Function From Baseline to 24 Months Post-permanent Implant, Assessed by the Patient-Reported Outcome Measure Information System (PROMIS) Physical Function Scale
T-scoreAll Enrolled Subjects
Baseline33.0 ± 5.2
24 months36.9 ± 7.6
Change from baseline to 24 months3.8 ± 6.8
Other pre-specifiedMean Change in Pain From Baseline to End of Trial System (Post-permanent Implant), Assessed by the Numeric Rating Scale (NRS)

The pain NRS consists of 1 question that will be asked by interviewing the subjects. Patients will be asked to rate, from 0 (no pain) to 10 (worst imaginable pain), their average pain over the past 24 hours specific to the area(s) of chronic pain being treated. A higher score indicates greater pain intensity.

Time frame:
Baseline to end of trial system evaluation, approximately 5 to 7 days of BurstDR stimulation
Reported as:
Mean · score on a scale
Mean Change in Pain From Baseline to End of Trial System (Post-permanent Implant), Assessed by the Numeric Rating Scale (NRS)
score on a scaleAll Enrolled Subjects
Baseline7.7 ± 1.2
End of trial3.5 ± 2.1
Change from baseline to end of trial4.2 ± 2.3
Other pre-specifiedMean Change in Pain From Baseline to 3 Months Post-permanent Implant, Assessed by the Numeric Rating Scale (NRS)

The pain NRS consists of 1 question that will be asked by interviewing the subjects. Patients will be asked to rate, from 0 (no pain) to 10 (worst imaginable pain), their average pain over the past 24 hours specific to the area(s) of chronic pain being treated. A higher score indicates greater pain intensity.

Time frame:
Baseline to 3 Months
Reported as:
Mean · score on a scale
Mean Change in Pain From Baseline to 3 Months Post-permanent Implant, Assessed by the Numeric Rating Scale (NRS)
score on a scaleAll Enrolled Subjects
Baseline7.7 ± 1.2
3 months4.4 ± 2.4
Change from baseline to 3 months3.3 ± 2.5
Other pre-specifiedMean Change in Pain From Baseline to 12 Months Post-permanent Implant, Assessed by the Numeric Rating Scale (NRS)

The pain NRS consists of 1 question that will be asked by interviewing the subjects. Patients will be asked to rate, from 0 (no pain) to 10 (worst imaginable pain), their average pain over the past 24 hours specific to the area(s) of chronic pain being treated. A higher score indicates greater pain intensity.

Time frame:
Baseline to 12 Months
Reported as:
Mean · score on a scale
Mean Change in Pain From Baseline to 12 Months Post-permanent Implant, Assessed by the Numeric Rating Scale (NRS)
score on a scaleAll Enrolled Subjects
Baseline7.7 ± 1.2
12 months4.7 ± 2.5
Change from baseline to 12 months2.9 ± 2.5
Other pre-specifiedMean Change in Pain From Baseline to 18 Months Post-permanent Implant, Assessed by the Numeric Rating Scale (NRS)

The pain NRS consists of 1 question that will be asked by interviewing the subjects. Patients will be asked to rate, from 0 (no pain) to 10 (worst imaginable pain), their average pain over the past 24 hours specific to the area(s) of chronic pain being treated. A higher score indicates greater pain intensity.

Time frame:
Baseline to 18 Months
Reported as:
Mean · score on a scale
Mean Change in Pain From Baseline to 18 Months Post-permanent Implant, Assessed by the Numeric Rating Scale (NRS)
score on a scaleAll Enrolled Subjects
Baseline7.7 ± 1.2
18 months4.5 ± 2.5
Change from baseline to 18 months3.1 ± 2.6
Other pre-specifiedMean Change in Pain From Baseline to 24 Months Post-permanent Implant, Assessed by the Numeric Rating Scale (NRS)

The pain NRS consists of 1 question that will be asked by interviewing the subjects. Patients will be asked to rate, from 0 (no pain) to 10 (worst imaginable pain), their average pain over the past 24 hours specific to the area(s) of chronic pain being treated. A higher score indicates greater pain intensity.

Time frame:
Baseline to 24 Months
Reported as:
Mean · score on a scale
Mean Change in Pain From Baseline to 24 Months Post-permanent Implant, Assessed by the Numeric Rating Scale (NRS)
score on a scaleAll Enrolled Subjects
Baseline7.7 ± 1.2
24 months4.8 ± 2.5
Change from baseline to 24 months2.8 ± 2.6
Other pre-specifiedNumber of Participants With Patient Satisfaction at End of Trial System Evaluation

Patient satisfaction will be summarized by count and percentage of participants

Time frame:
End of trial system evaluation, approximately 5 to 7 days of BurstDR stimulation
Reported as:
Count of participants · Participants
Number of Participants With Patient Satisfaction at End of Trial System Evaluation
ParticipantsAll Enrolled Subjects
Very Satisfied125
Satisfied94
Neither Satisfied or Dissatisfied7
Dissatisfied10
Very Dissatisfied8
Other pre-specifiedNumber of Participants With Patient Satisfaction at 3 Months

Patient satisfaction will be summarized by count and percentage of participants

Time frame:
3 Months
Reported as:
Count of participants · Participants
Number of Participants With Patient Satisfaction at 3 Months
ParticipantsAll Enrolled Subjects
Very Satisfied72
Satisfied75
Neither Satisfied or Dissatisfied31
Dissatisfied14
Very Dissatisfied0
Other pre-specifiedNumber of Participants With Patient Satisfaction at 6 Months

Patient satisfaction will be summarized by count and percentage of participants

Time frame:
6 Months
Reported as:
Count of participants · Participants
Number of Participants With Patient Satisfaction at 6 Months
ParticipantsAll Enrolled Subjects
Very Satisfied67
Satisfied68
Neither Satisfied or Dissatisfied34
Dissatisfied11
Very Dissatisfied1
Other pre-specifiedNumber of Participants With Patient Satisfaction at 12 Months

Patient satisfaction will be summarized by count and percentage of participants

Time frame:
12 Months
Reported as:
Count of participants · Participants
Number of Participants With Patient Satisfaction at 12 Months
ParticipantsAll Enrolled Subjects
Very Satisfied58
Satisfied75
Neither Satisfied or Dissatisfied21
Dissatisfied7
Very Dissatisfied2
Other pre-specifiedNumber of Participants With Patient Satisfaction at 18 Months

Patient satisfaction will be summarized by count and percentage of participants

Time frame:
18 Months
Reported as:
Count of participants · Participants
Number of Participants With Patient Satisfaction at 18 Months
ParticipantsAll Enrolled Subjects
Very Satisfied63
Satisfied57
Neither Satisfied or Dissatisfied17
Dissatisfied7
Very Dissatisfied1
Other pre-specifiedNumber of Participants With Patient Satisfaction at 24 Months

Patient satisfaction will be summarized by count and percentage of participants

Time frame:
24 Months
Reported as:
Count of participants · Participants
Number of Participants With Patient Satisfaction at 24 Months
ParticipantsAll Enrolled Subjects
Very Satisfied55
Satisfied63
Neither Satisfied or Dissatisfied18
Dissatisfied4
Very Dissatisfied0
Other pre-specifiedRate of Global Improvement of the Patient by Using the Patient Global Impression of Change (PGIC) at the End of Trial System Evaluation

The PGIC is a categorical rating scale used to evaluate the subject's impression of change in his/her condition since the beginning of the study treatment. The subject rates their overall change in activity limitations, symptoms, emotions and overall quality of life related to his/her condition on a seven-point categorical scale via an interview technique. The categories are as follows: 1-no change, 2-almost the same, 3-a little better, 4-somewhat better, 5-moderately better, 6-better, and 7-a great deal better. Although this tool does not specify the area of change (e.g., pain, function, quality of life, etc.), it allows for an overall integrated assessment from the prospective of the subject. PGIC values of 6 or 7 are reported to correlate best with actual change.

Time frame:
End of trial system evaluation, approximately 5 to 7 days of BurstDR stimulation
Reported as:
Count of participants · Participants
Rate of Global Improvement of the Patient by Using the Patient Global Impression of Change (PGIC) at the End of Trial System Evaluation
ParticipantsAll Enrolled Subjects
No Change18
Almost the Same7
A little Better6
Somewhat Better12
Moderately Better53
Better103
A Great Deal Better45
Other pre-specifiedRate of Global Improvement of the Patient by Using the Patient Global Impression of Change (PGIC) at 3 Months

The PGIC is a categorical rating scale used to evaluate the subject's impression of change in his/her condition since the beginning of the study treatment. The subject rates their overall change in activity limitations, symptoms, emotions and overall quality of life related to his/her condition on a seven-point categorical scale via an interview technique. The categories are as follows: 1-no change, 2-almost the same, 3-a little better, 4-somewhat better, 5-moderately better, 6-better, and 7-a great deal better. Although this tool does not specify the area of change (e.g., pain, function, quality of life, etc.), it allows for an overall integrated assessment from the prospective of the subject. PGIC values of 6 or 7 are reported to correlate best with actual change.

Time frame:
3 Months
Reported as:
Count of participants · Participants
Rate of Global Improvement of the Patient by Using the Patient Global Impression of Change (PGIC) at 3 Months
ParticipantsAll Enrolled Subjects
No Change13
Almost the Same12
A little Better20
Somewhat Better22
Moderately Better45
Better50
A Great Deal Better30
Other pre-specifiedRate of Global Improvement of the Patient by Using the Patient Global Impression of Change (PGIC) at 6 Months

The PGIC is a categorical rating scale used to evaluate the subject's impression of change in his/her condition since the beginning of the study treatment. The subject rates their overall change in activity limitations, symptoms, emotions and overall quality of life related to his/her condition on a seven-point categorical scale via an interview technique. The categories are as follows: 1-no change, 2-almost the same, 3-a little better, 4-somewhat better, 5-moderately better, 6-better, and 7-a great deal better. Although this tool does not specify the area of change (e.g., pain, function, quality of life, etc.), it allows for an overall integrated assessment from the prospective of the subject. PGIC values of 6 or 7 are reported to correlate best with actual change.

Time frame:
6 Months
Reported as:
Count of participants · Participants
Rate of Global Improvement of the Patient by Using the Patient Global Impression of Change (PGIC) at 6 Months
ParticipantsAll Enrolled Subjects
No Change12
Almost the Same16
A little Better15
Somewhat Better21
Moderately Better39
Better56
A Great Deal Better22
Other pre-specifiedRate of Global Improvement of the Patient by Using the Patient Global Impression of Change (PGIC) at 12 Months

The PGIC is a categorical rating scale used to evaluate the subject's impression of change in his/her condition since the beginning of the study treatment. The subject rates their overall change in activity limitations, symptoms, emotions and overall quality of life related to his/her condition on a seven-point categorical scale via an interview technique. The categories are as follows: 1-no change, 2-almost the same, 3-a little better, 4-somewhat better, 5-moderately better, 6-better, and 7-a great deal better. Although this tool does not specify the area of change (e.g., pain, function, quality of life, etc.), it allows for an overall integrated assessment from the prospective of the subject. PGIC values of 6 or 7 are reported to correlate best with actual change.

Time frame:
12 Months
Reported as:
Count of participants · Participants
Rate of Global Improvement of the Patient by Using the Patient Global Impression of Change (PGIC) at 12 Months
ParticipantsAll Enrolled Subjects
No Change9
Almost the Same8
A little Better15
Somewhat Better22
Moderately Better34
Better48
A Great Deal Better27
Other pre-specifiedRate of Global Improvement of the Patient by Using the Patient Global Impression of Change (PGIC) at 18 Months

The PGIC is a categorical rating scale used to evaluate the subject's impression of change in his/her condition since the beginning of the study treatment. The subject rates their overall change in activity limitations, symptoms, emotions and overall quality of life related to his/her condition on a seven-point categorical scale via an interview technique. The categories are as follows: 1-no change, 2-almost the same, 3-a little better, 4-somewhat better, 5-moderately better, 6-better, and 7-a great deal better. Although this tool does not specify the area of change (e.g., pain, function, quality of life, etc.), it allows for an overall integrated assessment from the prospective of the subject. PGIC values of 6 or 7 are reported to correlate best with actual change.

Time frame:
18 Months
Reported as:
Count of participants · Participants
Rate of Global Improvement of the Patient by Using the Patient Global Impression of Change (PGIC) at 18 Months
ParticipantsAll Enrolled Subjects
No Change7
Almost the Same10
A little Better11
Somewhat Better8
Moderately Better37
Better47
A Great Deal Better25
Other pre-specifiedRate of Global Improvement of the Patient by Using the Patient Global Impression of Change (PGIC) at 24 Months

The PGIC is a categorical rating scale used to evaluate the subject's impression of change in his/her condition since the beginning of the study treatment. The subject rates their overall change in activity limitations, symptoms, emotions and overall quality of life related to his/her condition on a seven-point categorical scale via an interview technique. The categories are as follows: 1-no change, 2-almost the same, 3-a little better, 4-somewhat better, 5-moderately better, 6-better, and 7-a great deal better. Although this tool does not specify the area of change (e.g., pain, function, quality of life, etc.), it allows for an overall integrated assessment from the prospective of the subject. PGIC values of 6 or 7 are reported to correlate best with actual change.

Time frame:
24 Months
Reported as:
Count of participants · Participants
Rate of Global Improvement of the Patient by Using the Patient Global Impression of Change (PGIC) at 24 Months
ParticipantsAll Enrolled Subjects
No Change5
Almost the Same4
A little Better12
Somewhat Better13
Moderately Better39
Better40
A Great Deal Better27
Other pre-specifiedRate of Medication Usage Measured as Number of Participants With Decrease in Chronic Pain Related Medication Intake Since Baseline

Medication usage measured as decrease in chronic pain related medication intake since baseline

Time frame:
3 Months
Reported as:
Count of participants · Participants
Rate of Medication Usage Measured as Number of Participants With Decrease in Chronic Pain Related Medication Intake Since Baseline
ParticipantsAll Enrolled Subjects
Analgesic37
Anti-convulsant25
Muscle Relaxant7
Non-steroidal Anti-inflammatory Drug10
Opioid Medication60
Psychiatric Medication10
Other pre-specifiedRate of Medication Usage Measured as Number of Participants With Decrease in Chronic Pain Related Medication Intake Since Baseline

Medication usage measured as decrease in chronic pain related medication intake since baseline

Time frame:
6 Months
Reported as:
Count of participants · Participants
Rate of Medication Usage Measured as Number of Participants With Decrease in Chronic Pain Related Medication Intake Since Baseline
ParticipantsAll Enrolled Subjects
Analgesic44
Anti-convulsant31
Muscle Relaxant4
Non-steroidal Anti-inflammatory Drug12
Opioid Medication62
Psychiatric Medication11
Other pre-specifiedRate of Medication Usage Measured as Number of Participants With Decrease in Chronic Pain Related Medication Intake Since Baseline

Medication usage measured as decrease in chronic pain related medication intake since baseline

Time frame:
12 Months
Reported as:
Count of participants · Participants
Rate of Medication Usage Measured as Number of Participants With Decrease in Chronic Pain Related Medication Intake Since Baseline
ParticipantsAll Enrolled Subjects
Analgesic45
Anti-convulsant31
Muscle Relaxant6
Non-steroidal Anti-inflammatory Drug13
Opioid Medication61
Psychiatric Medication11
Other pre-specifiedRate of Medication Usage Measured as Number of Participants With Decrease in Chronic Pain Related Medication Intake Since Baseline

Medication usage measured as decrease in chronic pain related medication intake since baseline

Time frame:
18 Months
Reported as:
Count of participants · Participants
Rate of Medication Usage Measured as Number of Participants With Decrease in Chronic Pain Related Medication Intake Since Baseline
ParticipantsAll Enrolled Subjects
Analgesic44
Anti-convulsant31
Muscle Relaxant11
Non-steroidal Anti-inflammatory Drug15
Opioid Medication60
Psychiatric Medication16
Other pre-specifiedRate of Medication Usage Measured as Number of Participants With Decrease in Chronic Pain Related Medication Intake Since Baseline

Medication usage measured as decrease in chronic pain related medication intake since baseline

Time frame:
24 Months
Reported as:
Count of participants · Participants
Rate of Medication Usage Measured as Number of Participants With Decrease in Chronic Pain Related Medication Intake Since Baseline
ParticipantsAll Enrolled Subjects
Analgesic42
Anti-convulsant29
Muscle Relaxant9
Non-steroidal Anti-inflammatory Drug15
Opioid Medication51
Psychiatric Medication14
Other pre-specifiedNumber of Participants With Stimulation Sensation Assessed by Stimulation Assessment Form

The Stimulation Assessment Form includes questions to identify the sensations experienced when stimulation is used.

Time frame:
3 months
Reported as:
Count of participants · Participants
Number of Participants With Stimulation Sensation Assessed by Stimulation Assessment Form
ParticipantsAll Enrolled Subjects
Burning6
Buzzing/vibrating/Pulsing23
Cold2
Heaviness2
Itching5
Massaging/pressure3
Numbness6
Stinging/prickling6
Tickling8
Tingling27
Warm3
Other0
Other pre-specifiedNumber of Participants With Stimulation Sensation Assessed by Stimulation Assessment Form

The Stimulation Assessment Form includes questions to identify the sensations experienced when stimulation is used.

Time frame:
6 Months
Reported as:
Count of participants · Participants
Number of Participants With Stimulation Sensation Assessed by Stimulation Assessment Form
ParticipantsAll Enrolled Subjects
Burning3
Buzzing/vibrating/Pulsing18
Cold2
Heaviness4
Itching2
Massaging/pressure6
Numbness9
Stinging/prickling9
Tickling6
Tingling28
Warm2
Other0
Other pre-specifiedNumber of Participants With Stimulation Sensation Assessed by Stimulation Assessment Form

The Stimulation Assessment Form includes questions to identify the sensations experienced when stimulation is used.

Time frame:
12 Months
Reported as:
Count of participants · Participants
Number of Participants With Stimulation Sensation Assessed by Stimulation Assessment Form
ParticipantsAll Enrolled Subjects
Burning1
Buzzing/vibrating/Pulsing13
Cold1
Heaviness3
Itching1
Massaging/pressure2
Numbness0
Stinging/prickling0
Tickling2
Tingling19
Warm1
Other2
Other pre-specifiedNumber of Participants With Stimulation Sensation Assessed by Stimulation Assessment Form

The Stimulation Assessment Form includes questions to identify the sensations experienced when stimulation is used.

Time frame:
18 Months
Reported as:
Count of participants · Participants
Number of Participants With Stimulation Sensation Assessed by Stimulation Assessment Form
ParticipantsAll Enrolled Subjects
Burning2
Buzzing/vibrating/Pulsing13
Cold2
Heaviness0
Itching1
Massaging/pressure4
Numbness2
Stinging/prickling2
Tickling6
Tingling14
Warm3
Other3
Other pre-specifiedNumber of Participants With Stimulation Sensation Assessed by Stimulation Assessment Form

The Stimulation Assessment Form includes questions to identify the sensations experienced when stimulation is used.

Time frame:
24 Months
Reported as:
Count of participants · Participants
Number of Participants With Stimulation Sensation Assessed by Stimulation Assessment Form
ParticipantsAll Enrolled Subjects
Burning2
Buzzing/vibrating/Pulsing16
Cold1
Heaviness0
Itching2
Massaging/pressure7
Numbness3
Stinging/prickling3
Tickling5
Tingling20
Warm0
Other0
Other pre-specifiedNumber of Patient Waveform Preference

Participants could choose between two waveforms with different amplitude, pulse width and frequency to stimulate the spinal cord (burst or tonic). Patient waveform preference post-permanent implant is summarized by counts and percentages.

Time frame:
3 months
Reported as:
Count of participants · Participants
Number of Patient Waveform Preference
ParticipantsAll Enrolled Subjects
Burst169
Tonic23
Other pre-specifiedNumber of Patient Waveform Preference

Participants could choose between two waveforms with different amplitude, pulse width and frequency to stimulate the spinal cord (burst or tonic). Patient waveform preference post-permanent implant is summarized by counts and percentages.

Time frame:
6 months
Reported as:
Count of participants · Participants
Number of Patient Waveform Preference
ParticipantsAll Enrolled Subjects
Burst158
Tonic23
Other pre-specifiedNumber of Patient Waveform Preference

Participants could choose between two waveforms with different amplitude, pulse width and frequency to stimulate the spinal cord (burst or tonic). Patient waveform preference post-permanent implant is summarized by counts and percentages.

Time frame:
12 months
Reported as:
Count of participants · Participants
Number of Patient Waveform Preference
ParticipantsAll Enrolled Subjects
Burst142
Tonic21
Other pre-specifiedNumber of Patient Waveform Preference

Participants could choose between two waveforms with different amplitude, pulse width and frequency to stimulate the spinal cord (burst or tonic). Patient waveform preference post-permanent implant is summarized by counts and percentages.

Time frame:
18 months
Reported as:
Count of participants · Participants
Number of Patient Waveform Preference
ParticipantsAll Enrolled Subjects
Burst123
Tonic21
Other pre-specifiedNumber of Patient Waveform Preference

Participants could choose between two waveforms with different amplitude, pulse width and frequency to stimulate the spinal cord (burst or tonic). Patient waveform preference post-permanent implant is summarized by counts and percentages.

Time frame:
24 months
Reported as:
Count of participants · Participants
Number of Patient Waveform Preference
ParticipantsAll Enrolled Subjects
Burst116
Tonic23
Other pre-specifiedRecharging Activities- Number of Participants With Frequency of Recharge

Recharging activities throughout the follow-up period for subjects who were implanted with a rechargeable device will be summarized by count and percentage of participants.

Time frame:
3 months
Reported as:
Count of participants · Participants
Recharging Activities- Number of Participants With Frequency of Recharge
ParticipantsAll Enrolled Subjects
2-3 times a week8
Weekly24
Every other week6
Every three week3
Once a month or less often4
Other pre-specifiedRecharging Activities- Number of Participants With Frequency of Recharge

Recharging activities throughout the follow-up period for subjects who were implanted with a rechargeable device will be summarized by count and percentage of participants.

Time frame:
6 months
Reported as:
Count of participants · Participants
Recharging Activities- Number of Participants With Frequency of Recharge
ParticipantsAll Enrolled Subjects
2-3 times a week8
Weekly16
Every other week8
Every three week2
Once a month or less often5
Other pre-specifiedRecharging Activities- Number of Participants With Frequency of Recharge

Recharging activities throughout the follow-up period for subjects who were implanted with a rechargeable device will be summarized by count and percentage of participants.

Time frame:
12 months
Reported as:
Count of participants · Participants
Recharging Activities- Number of Participants With Frequency of Recharge
ParticipantsAll Enrolled Subjects
2-3 times a week4
Weekly15
Every other week7
Every three week4
Once a month or less often2
Other pre-specifiedRecharging Activities- Number of Participants With Frequency of Recharge

Recharging activities throughout the follow-up period for subjects who were implanted with a rechargeable device will be summarized by count and percentage of participants

Time frame:
18 months
Reported as:
Count of participants · Participants
Recharging Activities- Number of Participants With Frequency of Recharge
ParticipantsAll Enrolled Subjects
2-3 times a week3
Weekly13
Every other week5
Every three week1
Once a month or less often2
Other pre-specifiedRecharging Activities- Number of Participants With Frequency of Recharge

Recharging activities throughout the follow-up period for subjects who were implanted with a rechargeable device will be summarized by count and percentage of participants.

Time frame:
24 months
Reported as:
Count of participants · Participants
Recharging Activities- Number of Participants With Frequency of Recharge
ParticipantsAll Enrolled Subjects
2-3 times a week3
Weekly11
Every other week6
Every three week1
Once a month or less often4
Other pre-specifiedRecharging Activities- Number of Participants With Duration of Recharge

Recharging activities throughout the follow-up period for subjects who were implanted with a rechargeable device will be summarized by count and percentage of participants.

Time frame:
3 months
Reported as:
Count of participants · Participants
Recharging Activities- Number of Participants With Duration of Recharge
ParticipantsAll Enrolled Subjects
Less than 30 Min2
30 Min to 1 Hour13
1 to 2 Hours16
2 to 3 Hours9
3 to 4 Hours3
4 to 5 Hours1
More than 5 Hours1
Other pre-specifiedRecharging Activities- Number of Participants With Duration of Recharge

Recharging activities throughout the follow-up period for subjects who were implanted with a rechargeable device will be summarized by count and percentage of participants.

Time frame:
6 months
Reported as:
Count of participants · Participants
Recharging Activities- Number of Participants With Duration of Recharge
ParticipantsAll Enrolled Subjects
Less than 30 Min1
30 Min to 1 Hour6
1 to 2 Hours18
2 to 3 Hours7
3 to 4 Hours5
4 to 5 Hours1
More than 5 Hours1
Other pre-specifiedRecharging Activities- Number of Participants With Duration of Recharge

Recharging activities throughout the follow-up period for subjects who were implanted with a rechargeable device will be summarized by count and percentage of participants.

Time frame:
12 months
Reported as:
Count of participants · Participants
Recharging Activities- Number of Participants With Duration of Recharge
ParticipantsAll Enrolled Subjects
Less than 30 Min0
30 Min to 1 Hour1
1 to 2 Hours18
2 to 3 Hours7
3 to 4 Hours4
4 to 5 Hours2
More than 5 Hours0
Other pre-specifiedRecharging Activities- Number of Participants With Duration of Recharge

Recharging activities throughout the follow-up period for subjects who were implanted with a rechargeable device will be summarized by count and percentage of participants.

Time frame:
18 months
Reported as:
Count of participants · Participants
Recharging Activities- Number of Participants With Duration of Recharge
ParticipantsAll Enrolled Subjects
Less than 30 Min0
30 Min to 1 Hour3
1 to 2 Hours10
2 to 3 Hours7
3 to 4 Hours3
4 to 5 Hours1
More than 5 Hours0
Other pre-specifiedRecharging Activities- Number of Participants With Duration of Recharge

Recharging activities throughout the follow-up period for subjects who were implanted with a rechargeable device will be summarized by count and percentage of participants.

Time frame:
24 months
Reported as:
Count of participants · Participants
Recharging Activities- Number of Participants With Duration of Recharge
ParticipantsAll Enrolled Subjects
Less than 30 Min0
30 Min to 1 Hour4
1 to 2 Hours4
2 to 3 Hours9
3 to 4 Hours4
4 to 5 Hours2
More than 5 Hours2

Adverse events

Collected over 2 years. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
All Enrolled Subjects4/269 (1.5%)18/269 (6.7%)27/269 (10%)
Most frequent serious events
Showing 10 of 32
Most frequent serious events
EventAll Enrolled Subjects
InfectionInjury, poisoning and procedural complications5/269
Changes in Stimulation or Reduced Pain Relief Due to Lead MigrationInjury, poisoning and procedural complications2/269
Pain Below the Level of ImplantInjury, poisoning and procedural complications2/269
Bone FractureMusculoskeletal and connective tissue disorders2/269
Acute Respiratory Failure with Flash Pulmonary EdemaInjury, poisoning and procedural complications1/269
Allergic or Rejection Response to Implant MaterialsInjury, poisoning and procedural complications1/269
HematomaInjury, poisoning and procedural complications1/269
Keloid InfectionInjury, poisoning and procedural complications1/269
Lead FractureInjury, poisoning and procedural complications1/269
OversedationInjury, poisoning and procedural complications1/269
Most frequent other events
Showing 10 of 19
Most frequent other events
EventAll Enrolled Subjects
Changes in Stimulation or Reduced Pain Relief Due to Lead FailureInjury, poisoning and procedural complications4/269
Changes in Stimulation or Reduced Pain Relief Due to Lead MigrationInjury, poisoning and procedural complications4/269
InfectionInjury, poisoning and procedural complications3/269
Persistent Pain at The IPG SiteInjury, poisoning and procedural complications3/269
Cerebrospinal Fluid (CSF) LeakageInjury, poisoning and procedural complications2/269
Changes in Stimulation or Reduced Pain Relief Due to Loose Electrical ConnectionsInjury, poisoning and procedural complications2/269
Damage to Functionality/ Mechanical Integrity of IPG Resulting in Inability to Communicate with IPGInjury, poisoning and procedural complications2/269
Broken Swift Lock AnchorsInjury, poisoning and procedural complications1/269
Burning Pain at The IPG SiteInjury, poisoning and procedural complications1/269
Chronic Pain Exacerbation Due to Battery DepletionInjury, poisoning and procedural complications1/269

Baseline characteristics

Age, Continuous
Age, Continuous(years)All Enrolled Subjects
Mean59.4 ± 13.6
Sex: Female, Male
Sex: Female, Male(Participants)All Enrolled Subjects
Female166
Male103
Race and Ethnicity Not Collected
Race and Ethnicity Not Collected(Participants)All Enrolled Subjects
Region of Enrollment
Region of Enrollment(participants)All Enrolled Subjects
Canada7
United States210
Finland12
Italy8
Switzerland1
Germany5
Spain26
Duration of Experiencing Chronic Pain
Duration of Experiencing Chronic Pain(years)All Enrolled Subjects
Mean9.7 ± 8.6
08

Study locations

22 sites
  • The CORE Institute
    Phoenix, Arizona 85351, United States
  • Tory McJunkin MD
    Scottsdale, Arizona 85255, United States
  • Pain Institute of Southern Arizona
    Tucson, Arizona 85712, United States
  • Chicago Anesthesia Associates, S.C.
    Chicago, Illinois 60657, United States
  • Pacific Sports & Spine
    Eugene, Oregon 97401, United States
  • St. Luke's Hospital & Health Network
    Bethlehem, Pennsylvania 18951, United States
  • Performance Spine and Sports Physicians, P.C.
    Pottstown, Pennsylvania 19403, United States
  • Clinical Trials of South Carolina
    Charleston, South Carolina 29406, United States
  • Carolinas Center for Advanced Management of Pain
    Greenville, South Carolina 29316, United States
  • Azalea Orthopedics
    Tyler, Texas 75701, United States
  • Advanced Pain Management
    Greenfield, Wisconsin 53221, United States
  • Royal University Hospital
    Saskatoon, Saskatchewan S7N 0W8, Canada
  • CHA L'Enfant Jesus
    Quebec, G1J 1Z4, Canada
  • Kuopio University Hospital
    Kuopio, Eastern Finland 70211, Finland
  • Neurochirurgische Praxis Neuss
    Neuss, North Rhine-Westphalia 41460, Germany
  • Fondazione I.R.C.C.S. Instituto Neurologico Carlo Besta
    Milano, Lombardy 20133, Italy
  • Azienda Ospedaliero Univsitaria Pisana
    Pisa, Tuscany 56126, Italy
  • Hospital Virgin de Rocio
    Sevilla, Andalusia 41013, Spain
  • Hospital Clinico Universitario Lozano Blesa
    Zaragoza, Aragon 50009, Spain
  • Hospital Universitario Puerta de Hierro
    Majadahonda, 28222, Spain
  • Hospital Universitari i Politecnic La Fe
    Valencia, 46026, Spain
  • Ensemble Hospitalier de la Cote, Hopital de Morges
    Morges, 1110, Switzerland
09

References and documents

Publications

  • Deer TR, Falowski SM, Moore GA, Hutcheson JK, Pena I, Candido K, Cornidez EG, Fraunberg VUZ, Blomme B, Capobianco RA. Passive Recharge Burst Spinal Cord Stimulation Provides Sustainable Improvements in Pain and Psychosocial Function: 2-year Results From the TRIUMPH Study. Spine (Phila Pa 1976). 2022 Apr 1;47(7):548-556. doi: 10.1097/BRS.0000000000004283. PubMed 34812195 ↗

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: No

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 Mar 2017 to primary completion in Jan 2019, 22 months.

Results were first posted in Jun 2021, 2 years 4 months after primary completion.

Of 83 industry-sponsored interventional studies with no phase under Chronic Pain, half reached primary completion within 21 months of starting (the median), counting those still running; a quarter within 10 and three quarters within 30. This study's 22 months is close to that.

Counting every sponsor, half of 1,378 studies reached it within 20 months; a quarter within 9 and three quarters within 38.

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

Registered
Mar 13, 2017
First posted
Mar 17, 2017
StartActual
Mar 3, 2017
Primary completionActual
Jan 24, 2019
CompletionActual
Aug 26, 2020
Results first posted
Jun 2, 2021
Last update
Jul 8, 2021
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, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03082261
Responsible party
Sponsor
First posted
Mar 17, 2017
Start date
Mar 3, 2017
Primary completion
Jan 24, 2019
Completion
Aug 26, 2020
Results posted
Jun 2, 2021
Last update
Jul 8, 2021

Study contacts

Marie Fahey
study director · Abbott

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
Yes
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Jul 2021. You cannot join it, but the record below documents what was studied.

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