ClinicalTrials.gg
RecruitingNCT05877612STIMBURSTUpdated Oct 11, 2023

Efficacy of Spinal Cord Stimulation in Burst Mode in the Treatment of Complex Regional Pain Syndromes Type 1 of the Upper Limbs

An observational study in Complex Regional Pain Syndrome Type I, sponsored by Elsan. Recruiting at 1 site in France. Open to participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2023-10-11.

Sponsored by Elsan · Observational

From the registry’s dates

  • Primary completion was expected by Dec 2024, 1 year 11 months ago, but the record still lists the study as recruiting.
  • Started Sep 2023; still recruiting 3 years 2 months later.

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Study type
Observational
Model
Case-only
Time perspective
Prospective
Enrollment
30
Ages
18 Years to 75 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-13

Among 17 studies in Complex Regional Pain Syndromes with a site in France — 6 open to participants now, 6 under way, none of them phase 3. Complex Regional Pain Syndromes · France.

Started
2023
with 1 other
Observational
4 of 17
2 open now
Registered
14th of 17
by date
Lead sponsor
1 of 17
Elsan

Among the 17 studies in Complex Regional Pain Syndromes with a site in France, this one is one of 2 that started in 2023, is one of 4 observational ones, and was the 14th registered.

Complex Regional Pain Syndromes

206 studies on the registry are indexed under Complex Regional Pain Syndromes; 55 are open to participants now.

Browse Complex Regional Pain Syndromes studies →

Open to participants now

6 of the 17 studies in Complex Regional Pain Syndromes with a site in France are open now. Recruiting first, the newest first:

All 6 open studies →

A study can be open while its sites in France have not opened yet or have stopped. Only those recruiting at a site in France →

Who these studies take

Of the 39 Complex Regional Pain Syndromes studies recruiting now, 17 (44%) set no upper age limit and 16 (41%) stop at 75 or younger; 3 take children under 18; 5 take healthy volunteers.

This study: 18 Years to 75 Years · all sexes · no healthy volunteers.

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02

Study summary

In this study, it is the procedure of spinal cord stimulation in Burst mode, its results and the experience of the patients that are evaluated.

Read the detailed description

There is 1 "classic" spinal cord stimulation setting that can be problematic in the case of cervical spinal cord stimulation because neck movements tend to trigger paresthesias. It is therefore possible, in a certain number of cases, that these side effects prevent the treatment from being effective. Thus, the development of new modes of spinal cord stimulation, mainly aiming at eliminating these side effects, has proven to be particularly interesting.

There are 3 new modes of stimulation: high frequency stimulation which uses very short pulse durations and a stimulation frequency of the order of 1000 Hz, high density stimulation which uses long duration pulses and an intermediate stimulation frequency, and "Burst" stimulation which uses stimulation trains repeated 40 times per second.

The Burst stimulation mode preferentially activates pathways in the medial part of the pain matrix, leading mainly to the cingulate cortex involved in modulating the affective, emotional and attentional side of pain. This result should theoretically be felt positively by the patient and his entourage, and the benefit should persist, or even improve with time, contrary to what is often observed with other stimulation modes.

In addition, the Burst mode consumes little energy, theoretically less than conventional stimulation. It is therefore not necessary to use rechargeable stimulators, which provides greater comfort for the patient.

03

Conditions studied

  • Complex Regional Pain Syndrome Type I
04

Who can participate

Ages eligible
18 Years to 75 Years
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Patient with Complex Regional Pain Syndromes (CRPS) Type 1 of the Upper Limbs, eligible for implantation of a medullary stimulator

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

  • Patients between 18 and 75 years of age
  • Patient with CRPS of at least one upper limb
  • Patient affiliated to a Social Security plan
  • Patient who has signed and dated the no-objection form
  • Patient with the cognitive ability to understand the treatment and complete the questionnaires
  • Patient who can be followed for a minimum of 1 year

Exclusion criteria

Exclusion Criteria:

  • Patient with an uncontrolled infection
  • Pregnant or breastfeeding patient
  • Patient who has already undergone treatment by spinal cord stimulation
  • Patient with a to the percutaneous technique (cervical spine surgery, infection...)
  • Patient who cannot be followed regularly for psychological, social, family or geographical reasons
  • Protected participant: adult under guardianship, curatorship or other legal protection, deprived of freedom by judicial or administrative decision.
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

05

Study design

Observational model
Case-only
Time perspective
Prospective
Enrollment
30 participants (estimated)
Patient registry
No

Groups and cohorts

  • Burst stimulation

    Patients treated by Spinal Cord Stimulation in Burst Mode for their Complex Regional Pain Syndromes (CRPS) Type 1 of the Upper Limbs

    Device: Implantable spinal cord stimulator

Interventions

  • DeviceImplantable spinal cord stimulator

    Spinal cord stimulation is possible thanks to implantable spinal cord neurostimulators. These are medical devices, which include a stimulation electrode and an implantable box, designed to deliver electrical stimulation for pain relief. The electrode is implanted in the epidural space in order to stimulate the posterior cords of the spinal cord through the dura mater, at the dorsal or cervical level.

06

What researchers measure

Primary outcomes

  1. Pain assessment at 3 months after implant

    The analgesic outcome of spinal cord stimulation will be assessed by comparing the preoperative visual analogue pain scales (VAS) (ranging from 0: "No pain" to 100: "Maximum pain imaginable") to those performed at the 3rd month visit (3 months). Patients with a VAS score of 50% or more improvement will be considered "improved". The VAS value retained corresponds to the average of 3 values taken during the day (morning, noon and evening).

    Time frame: 3 months

Secondary outcomes

  1. procedure assesment

    By using: - VAS (ranging from 0: "No pain" to 100: "Maximum pain imaginable")

    Time frame: 1 month, 3 months, 6 months and 12 months

  2. Assessing attention and working memory

    By using: - Trail Making Test (Reitan RM 1958) (2 parts A and B measured in seconds: The maximum score for part A is 100", 101" indicating that the test was not completed. The maximum score for Part B is 300", 301" indicating that the test was not completed)

    Time frame: 3 months and 12 months

  3. qualitatively evaluate the effectiveness of the procedure

    Semi-structured interviews with patients and their families oriented towards the evaluation of attention, affectivity and emotions.

    Time frame: 3 months

  4. Medication use

    Medication quantification scale (MQS) (Harden RN 2005): ranging from 0 (no antalgic medication used) to 126 (maximum antalgic medication used)

    Time frame: 1 month, 3 months, 6 months and 12 months

  5. procedure assesment

    By using: - Hospital Anxiety and Depression scale (HAD) (Mykletun A 2001) (2 columns ranging from 0 " no or few anxiety" to 21 "high anxiety"

    Time frame: 1 month, 3 months, 6 months and 12 months

  6. procedure assesment

    By using: - Global Perceived Effect scale (GPE, Kamper SJ 2010) (ranging from 1 "very bad" to 7 "very good")

    Time frame: 1 month, 3 months, 6 months and 12 months

  7. Assessing attention and working memory

    By using: - WAIS-IV (Benson N 2010) ( 4 subtests submited with 10 items in all (ranging 0 to 19 each), to calculate intelligence quotient with a minimum at 0 and a maximum at 190)

    Time frame: 3 months and 12 months

07

Study locations

1 of 1 sites recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

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

Started Sep 2023 (actual). Primary completion is estimated for Dec 2024, 15 months after the start.

Of 18 observational studies under Complex Regional Pain Syndromes, half reached primary completion within 68 months of starting (the median), counting those still running; a quarter within 13 and three quarters within 147. This study's planned 15 months is below that.

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

Registered
May 5, 2023
First posted
May 26, 2023
StartActual
Sep 12, 2023
Primary completionEst.
Dec 2024
CompletionEst.
Sep 2025
Last update
Oct 11, 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 Oct 11, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05877612
Lead sponsor
Elsan
Collaborators
Abbott
Responsible party
Sponsor
First posted
May 26, 2023
Start date
Sep 12, 2023
Primary completion
Dec 2024 (estimated)
Completion
Sep 2025 (estimated)
Last update
Oct 11, 2023

Study contacts

Vincent WYART, MSc
Contact
vincent.wyart@elsan.care
0240958176
Jean-Paul NGUYEN, Prof
study director · Clinique Bretéché ELSAN
Sylvain DURAND, Dr
principal investigator · Clinique Bretéché ELSAN

Oversight

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

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