CClinicalTrials.gg
CompletedNCT04725838Updated Aug 21, 2024

Differential Target Multiplexed Spinal Cord Stimulation (DTM-SCS®) Real World Outcomes

An observational study in Chronic Pain, sponsored by Celéri Health, Inc.. Completed at 34 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2024-08-21.

Sponsored by Celéri Health, Inc. · Observational

Study type
Observational
Model
Other
Time perspective
Prospective
Enrollment
255
Ages
18 Years and older
Sex
All
01

Study summary

The UPGRADE registry will capture long-term, real-world outcomes to understand the effect of Differential Target Multiplexed (DTM®) programming in the Spinal Cord Stimulation (SCS) implanted population on the management of chronic pain, primarily on its use for trunk and/or limb pain. The clinical study is sponsored by Celéri Health and is funded through a financial grant from Medtronic's External Research Program. The registry study will be conducted across approximately 25 centers in the United States with up to 600 participants enrolled.

Read the detailed description

This clinical investigation is a prospective, observational, open-label, non-randomized, multi-center study. It is designed to collect clinical follow-up data on Differential Target Multiplexed (DTM®) programming that is available in Medtronic's Intellis™ and Vanta™ spinal cord stimulators, which has shown superiority to conventional programming parameters in a randomized controlled trial (NCT03606187).

Participants currently implanted with a permanent neurostimulation system, whom are planned for conversion to DTM® programming as well as newly identified participants planned to undergo a trial of neurostimulation using DTM® will be eligible to participate in this study. Data will be collected at baseline prior to DTM® programming exposure.

Participants who continue to meet eligibility criteria and have had their implanted DTM programming activated will enter a follow-up period for up to 24 months, where participant self-reported questionnaires will be assessed each month with study visits to occur at months 12 and 24.

Throughout the study, objective functional data will be collected automatically as part of the Medtronic device interrogation.

02

Conditions studied

  • Chronic Pain

Browse trials for

03

In context

Chronic Pain

2,930 studies on the registry are indexed under Chronic Pain; 701 are open to participants now.

This study's enrollment of 255 is above the median of 126 across 688 observational studies indexed under Chronic Pain.

Browse Chronic Pain studies →

Lead sponsor

This is the only study on the registry with Celéri Health, Inc. as lead sponsor.

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
Sampling method
Non-probability sample

Study population

Participant has a permanent Medtronic Intellis™ neurostimulation system implanted or is planning to be implanted with a Medtronic Intellis™ or Vanta™ neurostimulation system and is a candidate for Differential Target Multiplexed (DTM®) programming for the management of chronic pain, primarily on its use for trunk and/or limb pain.

Inclusion criteria

  1. Participant must provide written informed consent prior to any clinical study-related procedure.
  2. Participant is at least 18 years (or the minimum age required by local law to consent for participation in a clinical investigation) or older at the time of enrollment.
  3. Participant has a permanent Medtronic Intellis™ neurostimulation system implanted or is planning to be implanted with a Medtronic Intellis™ or Vanta™ neurostimulation system.
  4. Participant has access to an iPhone or Android capable device and/or computer with regular internet access for the purposes of electronically completing web-based participant self-reported questionnaires via SMS text or email.

Exclusion criteria

Exclusion Criteria:

  1. Participant is unable to provide written informed consent or to comply with study-related requirements, procedures, and visits.
  2. Participant is a profound responder for all pain areas to existing neurostimulation therapy (≥80% reported relief).
  3. Participant is enrolled, or intends to participate, in a clinical drug and/or device study (investigational device, investigational drug, new indication for a device or drug, or additional testing beyond standard of care procedures) which could confound the results of this trial as determined by the investigator.
  4. Presence of other anatomic or comorbid conditions, or other medical, social, or psychological conditions that, in the investigator's opinion, could limit the participant's ability to participate in the clinical investigation or to comply with follow-up requirements.
  5. Participant is pregnant or nursing.
05

Study design

Observational model
Other
Time perspective
Prospective
Enrollment
255 participants (actual)
Target follow-up
24 Months
Patient registry
Yes

Interventions

  • DeviceMedtronic Intellis™ and Vanta™

    Differential Target Multiplexed (DTM®) programming using Medtronic's Intellis™ or Vanta™ Spinal Cord Stimulation systems

06

What researchers measure

Primary outcomes

  1. To evaluate the Pain Impact Score as measured by the PROMIS-29 before and after introduction of Differential Target Multiplexed (DTM®) stimulation programming in a real-world population.

    Time frame: 24 months

Secondary outcomes

  1. To characterize the responder rate for pain by pain area per Percent Pain Relief for DTM-SCS® compared to participant baseline treatment.

    Time frame: 24 months

  2. To characterize the responder rate for pain by pain area per Numeric Rating Scale for DTM-SCS® compared to participant baseline treatment.

    Time frame: 24 months

  3. To evaluate the longitudinal characterization of objective posture and activity measures.

    Time spent in each activity/position (Intellis™ device data)

    Time frame: 24 months

  4. To characterize Patient Global Impression of Change (PGIC) with neurostimulation.

    Time frame: 24 months

  5. To evaluate the performance of the DTM® pre-programming questionnaire in predicting outcome of DTM-SCS® programming.

    Time frame: 24 months

  6. To characterize the neuropathic pain quality using PROMIS-Neuropathic Pain Quality (PROMIS-PQ-Neuro) before and after treatment.

    Time frame: 24 months

07

Study locations

34 sites
  • Neuroversion
    Anchorage, Alaska 99508, United States
  • Desert Sky Spine & Sports Medicine
    Oro Valley, Arizona 85755, United States
  • Desert Sky Spine & Sports Medicine
    Sierra Vista, Arizona 85635, United States
  • NuVation Pain Group - Buena Park
    Buena Park, California 90621, United States
  • NuVation Pain Group - Los Angeles
    Los Angeles, California 90020, United States
  • Spine and Sports Specialty Medical Group
    Orange, California 92801, United States
  • Spine & Nerve Diagnostic Center - Roseville
    Roseville, California 95661, United States
  • Florida Pain Medicine - Brandon
    Brandon, Florida 33511, United States
  • Jax Spine & Pain Centers - Fleming Island
    Fleming Island, Florida 32003, United States
  • Jax Spine & Pain Centers - UF North
    Jacksonville, Florida 32218, United States
  • Jax Spine & Pain Centers - Jacksonville
    Jacksonville, Florida 32256, United States
  • Florida Spine & Pain Specialists
    Riverview, Florida 33569, United States
  • Jax Spine & Pain Centers -St. Augustine
    Saint Augustine, Florida 32080, United States
  • Florida Pain Medicine - Wesley Chapel
    Wesley Chapel, Florida 33544, United States
  • National Spine and Pain Centers - Winter Park, FL
    Winter Park, Florida 32789, United States
  • Centurion Spine & Pain Centers (Jax Spine)
    Waycross, Georgia 31501, United States
  • Millennium Pain Center (National Spine and Pain Centers - Bloomington, IL)
    Bloomington, Illinois 61704, United States
  • National Spine and Pain Centers - National Harbor (Oxon Hill)
    Oxon Hill, Maryland 20745, United States
  • National Spine and Pain Centers - Pikesville, MD
    Pikesville, Maryland 21208, United States
  • Comprehensive and Interventional Pain Management
    Henderson, Nevada 89052, United States
  • National Spine and Pain Centers - The Pain Management Center - Voorhees
    Voorhees, New Jersey 08043, United States
  • Carolinas Research Institute - Mallard Creek
    Charlotte, North Carolina 28262, United States
  • Carolinas Research Institute - Huntersville
    Huntersville, North Carolina 28078, United States
  • Premier Pain Treatment Institute - Hillsboro
    Hillsboro, Ohio 45133, United States
  • Premier Pain Treatment Institute - Loveland
    Loveland, Ohio 45140, United States
  • Premier Pain Treatment Institute - Mt. Orab
    Mount Orab, Ohio 45154, United States
  • Oklahoma Pain Physicians - Norman
    Norman, Oklahoma 73072, United States
  • Oklahoma Pain Physicians - Oklahoma City
    Oklahoma City, Oklahoma 73120, United States
  • Oklahoma Pain Physicians - Purcell
    Purcell, Oklahoma 73080, United States
  • North Texas Orthopedics & Spine Center- Keller/Alliance
    Fort Worth, Texas 76244, United States
  • North Texas Orthopedics & Spine Center - Grapevine
    Grapevine, Texas 76051, United States
  • Precision Spine Care
    Tyler, Texas 75701, United States
  • Valley Pain Consultants
    Winchester, Virginia 22601, United States
  • Northwest Pain Care
    Spokane, Washington 99201, United States
08

References and documents

Related links

Individual participant data

Plan to share: No

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 21, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04725838
Lead sponsor
Celéri Health, Inc.
Collaborators
Medtronic
Responsible party
Sponsor
First posted
Jan 27, 2021
Start date
Jan 29, 2021
Primary completion
Jul 1, 2023
Completion
Jul 1, 2023
Last update
Aug 21, 2024

Study contacts

Michael Fishman, MD
study director · Chief Medical Officer

Oversight

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

Not currently enrolling

This study is completed, as verified in Aug 2024. 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