CClinicalTrials.gg
CompletedNCT03255200ReActiv8-CUpdated Oct 16, 2024Results posted

ReActiv8 Post Market Surveillance Registry

An observational study in Chronic Low Back Pain, sponsored by Mainstay Medical. Completed at 5 sites in Germany. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2024-10-16.

Sponsored by Mainstay Medical · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
87
Ages
18 Years and older
Sex
All
01

Study summary

To gather data on the long-term safety of ReActiv8 and identify any residual risks by reporting all Serious Adverse Device Effects as well as performance and health care utilization through two years post-implant.

02

Conditions studied

  • Chronic Low Back Pain
03

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

The study population for this registry is persons with chronic low back pain who are indicated for ReActiv8.

Inclusion criteria

  1. Meet the Indications for ReActiv8
  2. Willing to sign the Informed Consent for the Registry
  3. Age ≥ 18 years

Exclusion criteria

Exclusion Criteria:

  1. Subjects will be excluded from the Registry if they are contraindicated for ReActiv8.
04

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
87 participants (actual)
Target follow-up
2 Years
Patient registry
Yes

Interventions

  • DeviceReActiv8 Implantable Stimulation System

    Implantable electrical stimulation system.

05

What researchers measure

Primary outcomes

  1. Low Back Pain - Numeric Pain Rating (NRS) Scale

    Change in low back pain Numerical Rating Scale (NRS) compared to Baseline. The NRS is an 11-point scale where 0 means no pain at all and 10 means worst imaginable pain. Patients were asked to rate their average low back pain in the last 24 hours. Lower scores or reduction in score means an improvement or reduction in pain.

    Time frame: 90 days, 180 days, 1 year, 2 years post Activation

Secondary outcomes

  1. Serious Adverse Device Effects

    All serious device- or procedure-related adverse events.

    Time frame: Through 2 years post Activation

06

Results

Posted Oct 16, 2024
Limitations and caveats
This study was an open-label registry with no formal statistical hypotheses. The sample size was based on the desire to gain a sufficient amount of representative data with the device in the post-market setting. It provides real-world data on the safety and performance of the device but is not a robust clinical trial, and thus, has the potential for bias.

Participant flow

Participant flow — Overall Study
MilestoneReActiv8
Started87
Implanted87
Month 385
Month 685
Year 180
Year 274
Completed74
Not completed13

Outcome measures

PrimaryLow Back Pain - Numeric Pain Rating (NRS) Scale

Change in low back pain Numerical Rating Scale (NRS) compared to Baseline. The NRS is an 11-point scale where 0 means no pain at all and 10 means worst imaginable pain. Patients were asked to rate their average low back pain in the last 24 hours. Lower scores or reduction in score means an improvement or reduction in pain.

Time frame:
90 days, 180 days, 1 year, 2 years post Activation
Reported as:
Mean · units on a scale
Low Back Pain - Numeric Pain Rating (NRS) Scale
units on a scaleReActiv8
Month 34.5 ± 2.3
Month 64.3 ± 2.6
Year 13.8 ± 2.5
Year 23.4 ± 2.7
SecondarySerious Adverse Device Effects

All serious device- or procedure-related adverse events.

Time frame:
Through 2 years post Activation
Reported as:
Count of participants · Participants
Serious Adverse Device Effects
ParticipantsReActiv8
Serious Adverse Device Effects0

Adverse events

Collected over 2 years. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
ReActiv81/87 (1.1%)21/87 (24.1%)6/87 (6.9%)
Most frequent serious events
Showing 10 of 19
Most frequent serious events
EventReActiv8
Myocardial infarctionCardiac disorders2/87
DyspneaRespiratory, thoracic and mediastinal disorders2/87
Allergic UrticariaSkin and subcutaneous tissue disorders1/87
Stomach painGastrointestinal disorders1/87
Upper back painMusculoskeletal and connective tissue disorders1/87
Urinary Tract InfectionInfections and infestations1/87
Lung CancerNeoplasms benign, malignant and unspecified (incl cysts and polyps)1/87
Herniated discMusculoskeletal and connective tissue disorders1/87
RadiculopathyNervous system disorders1/87
Vocal cord paresisNervous system disorders1/87
Most frequent other events
Most frequent other events
EventReActiv8
Pain SacroiliacMusculoskeletal and connective tissue disorders6/87

Baseline characteristics

Age, Continuous
Age, Continuous(years)ReActiv8
Mean52.9 ± 13.0
Sex: Female, Male
Sex: Female, Male(Participants)ReActiv8
Female53
Male34
Race and Ethnicity Not Collected
Race and Ethnicity Not Collected(Participants)ReActiv8
Region of Enrollment
Region of Enrollment(participants)ReActiv8
Germany87
Numeric Pain Rating (NRS) Scale
Numeric Pain Rating (NRS) Scale(units on a scale)ReActiv8
Mean7.6 ± 1.2
Oswestry Disability Index (ODI)
Oswestry Disability Index (ODI)(units on a scale)ReActiv8
Mean42.4 ± 15.6
European Quality of Life - Five Dimensions (EQ-5D)
European Quality of Life - Five Dimensions (EQ-5D)(units on a scale)ReActiv8
Mean0.5 ± 0.2
Opioid Use
Opioid Use(Participants)ReActiv8
Count of participants26

2 further baseline measures are reported on the registry.

07

Study locations

5 sites
  • Orthopadisches Krankenhaus Schloss Werneck
    Werneck, Balthasar-Neumann 97440, Germany
  • BG Klinikum Bergmannstrost
    Halle, Germany
  • Medizinisches Versorgungszentrum Steinburg gGmbH
    Itzehoe, Germany
  • Katholisches Klinikum Koblenz
    Koblenz, Germany
  • Klinikum Magdeburg
    Magdeburg, Germany
08

References and documents

Study documents

  • Study protocol · May 27, 2020

Documents are hosted by the registry — open the source record to download them.

09

Registry details

Key details

Study ID
NCT03255200
Lead sponsor
Mainstay Medical
Responsible party
Sponsor
First posted
Aug 21, 2017
Start date
Oct 9, 2017
Primary completion
Mar 20, 2023
Completion
Dec 8, 2023
Results posted
Oct 16, 2024
Last update
Oct 16, 2024

Study contacts

Stefan Schu, MD
principal investigator · SANA Klinikum Duisburg

Oversight

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

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