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TerminatedNCT03093935PSSPUpdated Jan 6, 2021

StimRouter™ for Pain Management in Post-stroke Shoulder Pain

An interventional study of StimRouter Neuromodulation System in Chronic Pain and Hemiplegic Shoulder Pain, sponsored by Bioness Inc. Terminated at 2 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2021-01-06.

Sponsored by Bioness Inc · Not applicable, Interventional, and Treatment

Why this study was terminated
Lack of subject participation

From the registry’s dates

  • Primary completion was Nov 2020, 5 years 10 months ago, and no results have been posted to the registry.
Phase
Not applicable
Study type
Interventional
Enrollment
6
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

StimRouter Neuromodulation System includes an implanted lead which provides peripheral nerve stimulation for chronic pain. Post-stroke shoulder pain patients will be the focus of this study. After meeting inclusion/exclusion criteria, approximately 50 enrolled patients will participate in the study through 6 months of follow-up. Various measures will be used to assess patient response to use of the device.

Read the detailed description

Adults age 18 or over with severe intractable chronic shoulder pain subsequent to stroke will be included. Pain relief will be measured after using StimRouter stimulation therapy targeting the axillary nerve. Existing/pre-study pain medications must be either maintained, reduced throughout the trial.

Study Design is prospective, multi-center and will include 50 subjects The primary endpoint will be a clinically relevant pain reduction (30%) in pain score at 3 months after initiating stimulation in at least 50% of patients with no increase in pain medication.

Primary Outcomes: Reduction of average pain at rest measured by numeric scale (BPI-SF5)

Secondary Outcomes

  1. Change in Worst Pain (BPI-SF3)
  2. Least Pain \& Pain Right Now (BPI - SF 4,6)
  3. Patient Global Impression of Change (PGIC)
  4. Patient Satisfaction questionnaire
  5. Shoulder Q Data Collection Points
  1. Baseline 2) Month 1 post-programming 3) Month 2 post-programming 4) Month 3 post-programming 5) Month 6 post-programming Data Analysis Analyses will be made to evaluate differences in outcomes compared to baseline measures, with primary endpoint at Month 3
  • Standard statistical estimation and inference will be undertaken for the observed treatment effect.
  • All adverse events will be tabulated by their frequencies and proportions.
02

Conditions studied

  • Chronic Pain
  • Hemiplegic Shoulder Pain

Keywords

  • Post-Stroke
  • Neuromodulation
  • Axillary nerve
  • Peripheral Nerve Stimulation
03

In context

Shoulder Pain

707 studies on the registry are indexed under Shoulder Pain; 152 are open to participants now.

This study's enrollment of 6 is below the median of 60 across 561 interventional studies indexed under Shoulder Pain.

Browse Shoulder Pain studies →

Lead sponsor

Bioness Inc is the lead sponsor of 8 studies on the registry; none are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Male or female age ≥18 years and confirmed diagnosis of stroke
  • Competent to provide consent and comply with study requirements
  • Minimum 3 months of severe chronic focal post-stroke shoulder pain
  • Stable regimen of pain medications for >4 weeks prior to implant and willing to maintain equivalent dosage throughout the study
  • A mean score of > 4 on the Brief Pain Inventory short form, question 3 (BPI-SF3)
  • Capable and willing to follow all study-related procedures
  • Able to tolerate surface stimulation as demonstrated by motor level response at shoulder

Exclusion criteria

Exclusion Criteria:

  • Patients who decline to provide written consent or to attend follow-up visits
  • Shoulder pathology (e.g. rotator cuff tear, frozen shoulder etc) at target limb
  • Evidence of a primary central or regional pain pattern inclusive of shoulder
  • Diagnosed/confirmed shoulder dysfunction
  • Botox or other neurolytic agent injections in last 3 months
  • Any confounding neurologic conditions affecting the upper limb
  • Evidence or history of skin infections
  • History of adverse reactions to local anesthetics (e.g. lidocaine) or adhesives
  • Patients who have an active systemic infection or are immunocompromised
  • Patients who are pregnant, intend to become pregnant, are breastfeeding or of child-bearing potential and not practicing a medically-approved method of birth control
  • Currently requiring or likely to require Magnetic Resonance Imaging (MRI) within the MRI exclusion zone defined as within 50cm of the iso-center or 16 cm of the MR coil as measured from the edge of the MRI coil.
  • Any metallic implant in the immediate area intended for implant (e.g. TSR)
  • Has demand-type cardiac pacemaker, defibrillator, or electrical nerve implant
  • Potential need for diathermy at the implant site
  • Potential need for therapeutic ultrasound at the implant site
  • Patients who have already been implanted with StimRouter TM prior to study enrollment
  • Presence of a documented condition or abnormality that could compromise the safety of the patient
  • Life expectancy of less than 1 year
05

Study design

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

Study arms

  • Experimental
    StimRouter Neuromodulation System

    All eligible patients who are enrolled in this study will be treated with StimRouter stimulation therapy as part of standard of care for the entire duration of the study (6 months) and observed for post-market population-specific data. Standard recommended stimulation parameters for post-stroke shoulder pain include settings to elicit sensory response (paresthesia) as well as motor response (muscle contraction).

    Device: StimRouter Neuromodulation System

Interventions

  • DeviceStimRouter Neuromodulation System

    The StimRouter Neuromodulation System is indicated for pain management in adults who have severe intractable chronic pain of peripheral nerve origin, as an adjunct to other modes of therapy (e.g., medications). The StimRouter is not intended to treat pain in the craniofacial region.

    Also known as: StimRouter

06

What researchers measure

Primary outcomes

  1. Brief Pain Inventory (BPI) Change

    The Brief Pain Inventory (BPI) form is a standard pain assessment tool based on a 0 to 10 scale. The Average Pain at Rest (BPI question number 5) score will be assessed at Baseline and approximately 3 months after programming (therapy start) to determine if there is a significant reduction in average pain with the addition of StimRouter TM treatment to standard of care.

    Time frame: Change from Baseline at Month 3

Secondary outcomes

  1. Patient Global Impression of Change (PGIC) Change

    Patient Global Impression of Change (PGIC) survey assesses perceived overall change in a combination of pain and life quality

    Time frame: Change from Baseline at Month 3

  2. Patient Satisfaction

    Patient Satisfaction will be measured by a numeric (i.e., 1-5) rating scale (NRS)

    Time frame: Month 3

  3. Standardized Shoulder Questionnaire (Shoulder Q) Change

    Change in difficulty level (on a scale from 0 to 3) or ability (yes/no) for completing normal day-to-day activities such as combing hair or lifting an 8 pound container to the shoulder level without bending the elbow, as measured by the Shoulder Q standardized questionnaire.

    Time frame: Change from Baseline at Month 3

07

Study locations

2 sites
  • University of Miami
    Miami, Florida 33136, United States
  • University of Utah
    Salt Lake City, Utah 84123, United States
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jan 6, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03093935
Lead sponsor
Bioness Inc
Responsible party
Sponsor
First posted
Mar 28, 2017
Start date
Jul 1, 2018
Primary completion
Nov 20, 2020
Completion
Nov 20, 2020
Last update
Jan 6, 2021

Study contacts

Keith McBride
study chair · Bioness Inc

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 terminated, as verified in Dec 2020. You cannot join it, but the record below documents what was studied.

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