ClinicalTrials.gg
CompletedNCT04601454Updated Feb 24, 2023Results posted

DTM (TM) Spinal Cord Stimulation (SCS) Study

An interventional study of Spinal Cord Stimulation System in Chronic Pain, sponsored by MedtronicNeuro. Completed at 13 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2023-02-24.

Sponsored by MedtronicNeuro (part of Medtronic) · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
57
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

Prospective, multi-center, open-label, post-market study to evaluate the efficacy and energy use of a low energy DTM™ (DTM-LE) SCS therapy for pain relief.

Read the detailed description

This post market study will measure the following:

  • Visual Analog Scale
  • Programming Parameters
02

Conditions studied

  • Chronic Pain

Browse trials for

03

In context

Chronic Pain

2,998 studies on the registry are indexed under Chronic Pain; 706 are open to participants now.

This study's enrollment of 57 is close to the median of 60 across 2,209 interventional studies indexed under Chronic Pain.

Browse Chronic Pain studies →

Lead sponsor

MedtronicNeuro is the lead sponsor of 74 studies on the registry; 2 are open to participants now.

Of its 21 completed or terminated interventional studies of FDA-regulated products, 17 (81%) have results posted.

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

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

  • 18 years of age or older
  • Willing and able to provide signed and dated informed consent
  • Capable of comprehending and consenting in English
  • Candidate per labeling for an SCS system as an aid in the management of chronic, intractable pain of the trunk and/or limbs
  • Has moderate to severe back and leg pain
  • Stable pain medications for back and leg pain for at least 28 days prior to enrollment
  • Willing and able to comply with all study procedures and visits
  • Willing and able to not increase their pain medications through the 3-Month visit
  • Able to differentiate between pain associated with the indication for SCS implant and other types of pain

Exclusion criteria

Exclusion Criteria:

  • Previously trialed or implanted with a stimulator or intrathecal drug delivery system
  • Expected to be inaccessible for follow-up
  • Current diagnosis of moderate to severe central lumbar spinal stenosis with symptomatic neurogenic claudication
  • Currently enrolled or planning to enroll in an interventional clinical study that could potentially confound the study results
  • If female, is pregnant or is of child-bearing potential and unwilling to use a medically acceptable form of birth control during the study
  • Has untreated major psychiatric comorbidity
  • Serious drug-related behavioral issues
  • Unable to achieve supine or prone position
  • Classified as vulnerable or requires a legally authorized representative (LAR)
05

Study design

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

Study arms

  • Experimental
    Spinal Cord Stimulation

    Enrolled subjects are implanted with a rechargeable spinal cord stimulation system that is activated and programmed to on-label parameters.

    Device: Spinal Cord Stimulation System

Interventions

  • DeviceSpinal Cord Stimulation System

    Rechargeable Implanted neurostimulation system (neurostimulator and leads) with on-label stimulation parameters.

    Also known as: Medtronic Intellis AdaptiveStim Neurostimulation System

06

What researchers measure

Primary outcomes

  1. Visual Analog Scale (VAS)

    To characterize changes in overall (back and leg) pain intensity. Pain will be assessed using a VAS (0-10 cm) with 0 cm meaning "no pain" and 10 cm meaning "worst pain imaginable". Overall pain is defined as a combination of back and leg pain, but not pain from other body parts. Subjects will be asked to report their average pain intensity that is related to their SCS device treatment "in the last 24 hours" by marking a line perpendicular to the VAS line at the point that represents their pain intensity.

    Time frame: Baseline to 3 Months

Secondary outcomes

  1. Programming Parameters: Frequency in Hertz (Hz)

    To characterize programming parameters associated with energy use. Subject's programmed frequency settings will be summarized using the minimum and maximum frequency across all subjects. Programming methodology for this study included up to four active program frequencies for each subject.

    Time frame: 12 Month

  2. Programming Parameters: Pulse Width in Microseconds (µs)

    To characterize programming parameters associated with energy use. Subject's programmed Pulse Width settings will be summarized using the minimum and maximum Pulse Width across all subjects. Programming methodology for this study included up to four active program frequencies for each subject.

    Time frame: 12 Month

  3. Programming Parameters: Amplitude (Intensity) in Milliamp (mA)

    To characterize programming parameters associated with energy use. Subject's programmed Amplitude settings will be summarized using the minimum and maximum Amplitude across all subjects. Programming methodology for this study included up to four active program frequencies for each subject.

    Time frame: 12 Month

  4. Programming Parameters: Impedance Range in Ohms

    To characterize programming parameters associated with energy use. Subject's programmed Impedance settings will be summarized using the minimum and maximum Impedance across all subjects. Programming methodology for this study included up to four active program frequencies for each subject.

    Time frame: 12 Month

07

Results

Posted Feb 24, 2023

Participant flow

Participant flow — Overall Study
MilestoneSpinal Cord Stimulation
Started57
Completed per protocol at the 12 month visit27
Completed32
Not completed25

Outcome measures

PrimaryVisual Analog Scale (VAS)

To characterize changes in overall (back and leg) pain intensity. Pain will be assessed using a VAS (0-10 cm) with 0 cm meaning "no pain" and 10 cm meaning "worst pain imaginable". Overall pain is defined as a combination of back and leg pain, but not pain from other body parts. Subjects will be asked to report their average pain intensity that is related to their SCS device treatment "in the last 24 hours" by marking a line perpendicular to the VAS line at the point that represents their pain intensity.

Time frame:
Baseline to 3 Months
Reported as:
Mean · Centimeter
Visual Analog Scale (VAS)
CentimeterSpinal Cord Stimulation
Visual Analog Scale (VAS)-3.9 ± 2.45
SecondaryProgramming Parameters: Frequency in Hertz (Hz)

To characterize programming parameters associated with energy use. Subject's programmed frequency settings will be summarized using the minimum and maximum frequency across all subjects. Programming methodology for this study included up to four active program frequencies for each subject.

Time frame:
12 Month
Reported as:
Number · Hertz (Hz)
Programming Parameters: Frequency in Hertz (Hz)
Hertz (Hz)Spinal Cord Stimulation
Range Minimum250.0
Range Maximum300.0
SecondaryProgramming Parameters: Pulse Width in Microseconds (µs)

To characterize programming parameters associated with energy use. Subject's programmed Pulse Width settings will be summarized using the minimum and maximum Pulse Width across all subjects. Programming methodology for this study included up to four active program frequencies for each subject.

Time frame:
12 Month
Reported as:
Number · microseconds (µs)
Programming Parameters: Pulse Width in Microseconds (µs)
microseconds (µs)Spinal Cord Stimulation
Range Minimum200.0
Range Maximum200.0
SecondaryProgramming Parameters: Amplitude (Intensity) in Milliamp (mA)

To characterize programming parameters associated with energy use. Subject's programmed Amplitude settings will be summarized using the minimum and maximum Amplitude across all subjects. Programming methodology for this study included up to four active program frequencies for each subject.

Time frame:
12 Month
Reported as:
Number · milliamp (mA)
Programming Parameters: Amplitude (Intensity) in Milliamp (mA)
milliamp (mA)Spinal Cord Stimulation
Range Minimum0.70
Range Maximum7.3
SecondaryProgramming Parameters: Impedance Range in Ohms

To characterize programming parameters associated with energy use. Subject's programmed Impedance settings will be summarized using the minimum and maximum Impedance across all subjects. Programming methodology for this study included up to four active program frequencies for each subject.

Time frame:
12 Month
Reported as:
Number · ohms
Programming Parameters: Impedance Range in Ohms
ohmsSpinal Cord Stimulation
Range Minimum670.0
Range Maximum2,020.0

Adverse events

Collected over Adverse events will be collected throughout the study duration, starting at the time of signing the informed consent through the subjects12 month visit, or study completion.. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Spinal Cord Stimulation0/57 (0%)1/57 (1.8%)12/57 (21.1%)
Most frequent serious events
Most frequent serious events
EventSpinal Cord Stimulation
Implant site infectionInfections and infestations1/57
Most frequent other events
Most frequent other events
EventSpinal Cord Stimulation
Medical device site painGeneral disorders2/57
Lead dislodgementProduct Issues2/57
Back PainMusculoskeletal and connective tissue disorders2/57
Medical device site oedemaGeneral disorders1/57
Incision site complicationInjury, poisoning and procedural complications1/57
Incision site swellingInjury, poisoning and procedural complications1/57
Groin painMusculoskeletal and connective tissue disorders1/57
Musculoskeletal PainMusculoskeletal and connective tissue disorders1/57
ParesthesiaNervous system disorders1/57

Baseline characteristics

Age, Continuous
Age, Continuous(years)Spinal Cord Stimulation
Mean63.2 ± 11.93
Sex: Female, Male
Sex: Female, Male(Participants)Spinal Cord Stimulation
Female33
Male24
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Spinal Cord Stimulation
Hispanic or Latino53
Not Hispanic or Latino3
Unknown or Not Reported1
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Spinal Cord Stimulation
American Indian or Alaska Native0
Asian1
Native Hawaiian or Other Pacific Islander0
Black or African American1
White54
More than one race0
Unknown or Not Reported1
Region of Enrollment
Region of Enrollment(participants)Spinal Cord Stimulation
United States57
08

Study locations

13 sites
  • IPM Medical Group
    Walnut Creek, California 94598, United States
  • Goodman Campbell Brain and Spine
    Carmel, Indiana 46032, United States
  • Drez One LLC
    Somerset, Kentucky 42503, United States
  • Carolinas Pain Center
    Huntersville, North Carolina 28078, United States
  • Novant Health
    Winston-Salem, North Carolina 27103, United States
  • Oklahoma Pain Physicians
    Oklahoma City, Oklahoma 73120, United States
  • Center for Interventional Pain and Spine
    Lancaster, Pennsylvania 17604, United States
  • Pain Diagnostics and Interventional Care
    Sewickley, Pennsylvania 15143, United States
  • Delaware Valley Pain and Spine Institute
    Trevose, Pennsylvania 19053, United States
  • The Woodlands Pain Institute
    Conroe, Texas 77384, United States
  • The Burkhart Research Institute for Orthopaedics
    San Antonio, Texas 78216, United States
  • Sprintz Center for Pain
    Shenandoah, Texas 77384, United States
  • Precision Spine Care
    Tyler, Texas 75701, United States
09

References and documents

Study documents

  • Study protocol · Feb 25, 2021
  • Statistical analysis plan · Nov 28, 2022

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

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 Nov 2020 to primary completion in Nov 2021, 12 months.

Results were first posted in Feb 2023, 1 year 2 months after primary completion.

Of 87 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 11 and three quarters within 30. This study's 12 months is below that.

Counting every sponsor, half of 1,296 studies reached it within 21 months; a quarter within 9 and three quarters within 39.

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

Registered
Oct 5, 2020
First posted
Oct 23, 2020
StartActual
Nov 5, 2020
Primary completionActual
Nov 29, 2021
CompletionActual
Aug 25, 2022
Results first posted
Feb 24, 2023
Last update
Feb 24, 2023
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 Feb 24, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT04601454
Lead sponsor
MedtronicNeuro
Responsible party
Sponsor
First posted
Oct 23, 2020
Start date
Nov 5, 2020
Primary completion
Nov 29, 2021
Completion
Aug 25, 2022
Results posted
Feb 24, 2023
Last update
Feb 24, 2023

Study contacts

Restorative Therapies Group Restorative Therapies Group
study director · Medtronic

Oversight

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

Not currently enrolling

This study is completed, as verified in Feb 2023. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion