ClinicalTrials.gg
CompletedNCT04503109nPower™-USUpdated Nov 4, 2026Results posted

Spinal Cord Stimulation in the Treatment of Chronic, Intractable Pain Using the Nalu™ Neurostimulation System

An interventional study of Nalu Neurostimulation System in Pain, Chronic, Pain, Intractable and Pain, Back, sponsored by Nalu Medical, Inc.. Completed at 8 sites in United States. Open to participants aged 21 Years to 80 Years. Per ClinicalTrials.gov, last updated 2026-11-04.

Sponsored by Nalu Medical, Inc. (part of Boston Scientific Corporation) · Not applicable, Interventional, and Treatment

Updated Nov 4, 2026Results postedStudy documents posted+3 moreGo to Updates ↓
Phase
Not applicable
Study type
Interventional
Enrollment
110
Allocation
Not applicable
Ages
21 Years to 80 Years
Sex
All
01

Study summary

The Nalu Neurostimulation System is capable of delivering multiple therapy options to address patient needs. The study will confirm the efficacy, safety with the Nalu Neurostimulation System in adult subjects with chronic pain in the legs and back. Patients who have been diagnosed with failed back surgery syndrome (FBSS) and meet other study eligibility criteria will be enrolled in the study to receive the Nalu Neurostimulation System.

Read the detailed description

The study is a prospective, multi-center, open-label, single-arm clinical study.

Subjects who meet the protocol specified eligibility criteria and provide documented informed consent will be considered for study participation. On confirmation of eligibility, subjects will undergo a trial with the Nalu Neurostimulation System. Trials will be done per standard clinical practice and per system IFU. Subjects receiving at least 50% reduction in their back pain will receive a permanent implant.

Eligible subjects will receive the Nalu Neurostimulation System per standard surgical and medical practices and will be programmed for stimulation with one or more therapies to optimize pain reduction. All subjects receiving a permanent implant will be followed for 3-months post device activation. They will visit the clinic at 1 month and 3-months follow-up and programming, as required. Visual Analogue Scale (VAS) will be used to capture outcomes for pain, both leg and back. At study completion, subjects will return to standard clinical practice. Adverse Event data will also be collected to support a safety endpoint.

02

Conditions studied

  • Pain, Chronic
  • Pain, Intractable
  • Pain, Back

Keywords

  • Spinal Cord Stimulation
  • Chronic Leg and Back Pain
  • Failed Back Surgery Syndrome (FBSS)
03

In context

Chronic Pain

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

This study's enrollment of 110 is above the median of 60 across 2,388 interventional studies indexed under Chronic Pain.

Browse Chronic Pain studies →

Lead sponsor

Nalu Medical, Inc. is the lead sponsor of 3 studies on the registry; none are open to participants now.

First submitted before Nalu Medical, Inc. became part of Boston Scientific Corporation.

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

04

Who can participate

Ages eligible
21 Years to 80 Years
Sexes eligible
All
Accepts healthy volunteers
No

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 is between 21 and 80 years of age at enrollment.
  2. Subject has chronic (defined as at least 6 months duration), intractable neuropathic pain of legs and/or back; any nociceptive pain must be less prominent than the neuropathic pain.
  3. Subject's pain is unresponsive to conservative treatment options.
  4. Subject has a VAS Score of at least 6 in the back and/or leg at screening.

Exclusion criteria

Exclusion Criteria:

  1. Subject currently has an active implantable medical device such as a drug pump, spinal cord stimulator, sacral nerve stimulator, deep brain stimulator, and/or cardiac pacemaker.
  2. Subject has previously failed SCS therapy (either trial system evaluation or permanent implant).
  3. Subject has had an ablative procedure directed at the spinal cord including the dorsal root entry zone (DREZ) or dorsal root ganglion (DRG).
  4. Subject has pain in another anatomic region besides the leg(s) and back that would interfere with their ability to accurately report pain (e.g. hip joint pain).
  5. Subject has a medical condition that would prevent them from participating in the current study per investigator's or medical monitor's judgment.
05

Study design

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

Study arms

  • Other
    Nalu SCS System

    All eligible subjects will receive the Nalu Neurostimulation System

    Device: Nalu Neurostimulation System

Interventions

  • DeviceNalu Neurostimulation System

    The Nalu Neurostimulation System is a Spinal Cord Stimulation system

06

What researchers measure

Primary outcomes

  1. Responder Rate

    Subjects with 50% or greater pain reduction from baseline on the VAS pain scale for leg and/or back

    Time frame: 3 months post device activation

07

Results

Posted Nov 4, 2026

Participant flow

Participant flow — Overall Study
MilestoneNalu SCS System
Started110
Completed35
Not completed75
Withdrew: Did not meet i/e criteria41
Withdrew: Withdrawal by subject16
Withdrew: Lost to follow-up2
Withdrew: Protocol violation8
Withdrew: Adverse event1
Withdrew: Withdrawn due to drug abuse1
Withdrew: Trial non-responders6

Outcome measures

PrimaryResponder Rate

Subjects with 50% or greater pain reduction from baseline on the VAS pain scale for leg and/or back

Time frame:
3 months post device activation
Reported as:
Count of participants · Participants
Responder Rate
ParticipantsNalu SCS System
Responder Rate30

Adverse events

Collected over From the time a subject signs the study informed consent through study completion or withdrawal (up to 9 months). Non-serious events are listed at a 3% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Nalu SCS System1/110 (0.9%)2/110 (1.8%)21/110 (19.1%)
Most frequent serious events
Most frequent serious events
EventNalu SCS System
COPDRespiratory, thoracic and mediastinal disorders1/110
DrowzinessGeneral disorders1/110
Most frequent other events
Most frequent other events
EventNalu SCS System
Skin irritation including redness, itching and bumpinessMusculoskeletal and connective tissue disorders7/110
migration of lead and/or implantable pulse generatorProduct Issues5/110
Worsening Pain in back/SI Joint/shoulderMusculoskeletal and connective tissue disorders5/110
New pain in legs/thighs/backMusculoskeletal and connective tissue disorders4/110

Baseline characteristics

Subjects who were implanted with a permanent SCS device and completed the 3-month timepoint per protocol

Age, Continuous
Age, Continuous(years)Nalu SCS System
Mean55.9 ± 11.8
Sex: Female, Male
Sex: Female, Male(Participants)Nalu SCS System
Female19
Male16
Race/Ethnicity, Customized
Race/Ethnicity, Customized(Participants)Nalu SCS System
Race — White28
Race — Black/African American6
Race — Not Specified1
Region of Enrollment
Region of Enrollment(participants)Nalu SCS System
United States35
Body Mass Index
Body Mass Index(kg/m^2)Nalu SCS System
Mean31.38 ± 5.08
Years since diagnosis
Years since diagnosis(years)Nalu SCS System
Mean10.46 ± 9.46
Visual Analogue Scale (VAS)- Leg
Visual Analogue Scale (VAS)- Leg(mms)Nalu SCS System
Mean72.1 ± 17.9
Visual Analogue Scale (VAS)- Back
Visual Analogue Scale (VAS)- Back(mms)Nalu SCS System
Mean78 ± 15.4
08

Study locations

8 sites
  • CA Ortho and Spine
    Larkspur, California 94939, United States
  • IPM Medical Group, Inc.
    Walnut Creek, California 94598, United States
  • International Spine, Pain and Performance Center
    Washington D.C., District of Columbia 20006, United States
  • The Orthopaedic Institute
    Gainesville, Florida 32607, United States
  • Southwest Florida Pain Center
    Port Charlotte, Florida 33948, United States
  • Alliance Spine and Pain
    Atlanta, Georgia 30326, United States
  • Neuroscience Research Center
    Overland Park, Kansas 66210, United States
  • SSM Health
    Oklahoma City, Oklahoma 73106, United States
09

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: No

10

Timeline

1 registry update 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 Jul 2020 to primary completion in Sep 2022, 25 months.

Results were first posted in Nov 2026, 4 years 1 month 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 25 months is above 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
Aug 3, 2020
First posted
Aug 7, 2020
StartActual
Jul 16, 2020
Primary completionActual
Sep 13, 2022
CompletionActual
Sep 13, 2022
Results first posted
Nov 4, 2026
Last update
Nov 4, 2026
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.
Results
Results posted
posted Nov 4, 2026
Sites
1 site added, 1 site removed
Show site
  • International Spine, Pain and Performance Center · Washington D.C., United States
Show 1 removed
  • International Spine, Pain and Performance Center · Washington, United States
Nov 4, 2026
Primary outcomes
1 edited
What changed in the outcomes
  • ChangedBefore Responders at 3-monthsNow Responder RateTime frame: 3 months → 3 months post device activation
Nov 4, 2026
Show all 1 update
  1. Nov 4, 2026
    Results posted
    1 site added, 1 site removed
    Show site
    • International Spine, Pain and Performance Center · Washington D.C., United States
    Show 1 removed
    • International Spine, Pain and Performance Center · Washington, United States
    Primary outcomes 1 edited
    What changed in the outcomes
    • ChangedBefore Responders at 3-monthsNow Responder RateTime frame: 3 months → 3 months post device activation
    + 4 other changes: index terms, verification date, description and contact details

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

11

Registry details

Key details

Study ID
NCT04503109
Lead sponsor
Nalu Medical, Inc.
Responsible party
Sponsor
First posted
Aug 7, 2020
Start date
Jul 16, 2020
Primary completion
Sep 13, 2022
Completion
Sep 13, 2022
Results posted
Nov 4, 2026
Last update
Nov 4, 2026

Study contacts

Shilpa Kottalgi
study director · Nalu Medical

Oversight

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

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