ClinicalTrials.gg
WithdrawnNCT06030284Updated Nov 3, 2023

The True Efficacy of Burst Spinal Cord Stimulation in the Management of Intractable Low Back Pain (TRU-BURST)

An interventional study of BurstDR-SCS and BurstDR-SCS in Chronic Intractable Pain, sponsored by Abbott Medical Devices. Withdrawn at 5 sites in 2 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2023-11-03.

Sponsored by Abbott Medical Devices (part of Abbott) · Not applicable, Interventional, and Treatment

Why this study was withdrawn
Decision was taken to consider other opportunities for collecting sham-controlled data for BurstDR SCS.
Phase
Not applicable
Study type
Interventional
Enrollment
0
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The purpose of this prospective, multi-center, randomized, triple-blind, sham-controlled study with parallel economic evaluation is to test the analgesic superiority of BurstDR-SCS compared to sham stimulation using both traditional patient-reported pain outcome measures and objective physiologic data collected from patient-worn biosensors. The endpoints associated with these objectives will be studied across a follow-up period of 6 months.

02

Conditions studied

  • Chronic Intractable Pain

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Keywords

  • ABT-CIP-10453
  • Spinal Cord Stimulation
  • TRU-BURST
  • BurstDR-SCS
  • FBSS
03

In context

Pain, Intractable

90 studies on the registry are indexed under Pain, Intractable; 16 are open to participants now.

Browse Pain, Intractable studies →

Lead sponsor

Abbott Medical Devices is the lead sponsor of 539 studies on the registry; 33 are open to participants now.

Of its 53 completed or terminated interventional studies of FDA-regulated products, 44 (83%) 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

Eligibility criteria

General Inclusion Criteria:

  1. Subject must provide written prior to any clinical investigation-related procedure.
  2. Subject is at least 18 years of age or older at the time of enrollment.
  3. Subject is a potential candidate for trial of an Abbott neuromodulation SCS system for chronic intractable pain and is able to engage in the use of wearables and surveys at least 9 days before commencing their neuromodulation trial period.
  4. Subject is willing to undergo a temporary trial of the Abbott neuromodulation SCS system lasting at least 7 days.
  5. Subject's average low back pain intensity is ≥ 6 out of 10 on pain numerical rating scale (NRS).
  6. Subject has Failed Back Surgery Syndrome (FBSS with persistent low back pain for ≥ 6 months following lumbar spine surgery). OR Subject has not had spine or back surgery AND subject has chronic (at least 6 months), axial low back pain with a neuropathic component, AND subject is not a candidate for spine surgery (recommended to have an orthopedic surgeon review patient's imaging and confirm this).
  7. Subject's leg pain NRS, if present, is less than or equal to back pain NRS.
  8. Subject is on stable pain medications, as determined by the Investigator, for at least 28 days prior to enrolling in this study and agrees to not change medication dosage without consulting Investigator.
  9. Subject agrees not to introduce or change other therapies related to pain without consulting investigator (e.g., physical therapy, psychotherapy, medical interventions). Rescue analgesic medication for chronic pain or for non-index pain (e.g., ibuprofen for an ankle sprain) will be allowed but must be reported.
  10. Subject agrees to report on any healthcare received during the study period.
  11. Subject is willing to cooperate with all study requirements including completion of office visits, use of the wearable biosensors during daily activities, regular response to electronic surveys via the iPhone, and use of an at-home medication tracking log for tracking analgesic use and at-home healthcare tracking log (according to schedule outlined in section 6.0 of the protocol).
  12. Subject understands that if they are enrolled, they will receive SCS during the trial period before receiving permanent implant. If they continue to a permanent implant, they will be randomly assigned to either sham stimulation or normal stimulation (50% chance) for a period of 6 months.
  13. Subject understands that at study completion the implanted SCS system will not be explanted or removed as part of the study, regardless of study outcomes.

General Exclusion Criteria:

  1. Subject is not willing to receive implant of a primary cell SCS system.
  2. Subject is taking more than 50 morphine equivalents of opioid per day.
  3. Subject has an unstable fusion with FBSS.
  4. Subject's back and/or leg pain is believed to originate from spinal instability/mechanical pain.
  5. Subject's back and/or leg pain is believed to originate from existing metal work.
  6. Subject's low back pain is limited to a single focal pain area that suggests mechanical back pain.
  7. Subject is currently participating, or intends to participate in another clinical investigation investigating pain management or that could present a confound to this study (per the investigator).
  8. Subject is pregnant or nursing or subject plans pregnancy during the clinical investigation follow-up period. This includes female who is sexually active and not using a reliable form of or being not surgically sterile or subject is listed as a female within less than 1 year.
  9. Subject is part of a vulnerable population ( as per section 5.2.2.1 of the study protocol).
  10. Presence of other anatomic or comorbid conditions, or other medical, social, or psychological conditions that, in the investigator's opinion, could limit the subject's ability to participate in the clinical investigation or to comply with follow-up requirements of the clinical investigation.
  11. Subject has chronic widespread pain or confounding pain that will interfere with reporting of low back and leg pain (e.g. consider any chronic pain in the upper back, neck, head, face, shoulders, arms, or chronic headaches)
  12. Subject has previously had permanent implantation of another SCS, DRG stimulation, or intrathecal drug delivery system or is scheduled to receive such system in a timeframe that would overlap with this study.
  13. Subject has already participated in a SCS trial period before enrolling in the study and is now waiting for their permanent implantation.
  14. Subject engages in a profession or other activity that could be damaging to the wearable sensors, as determined by the investigator.
  15. Subject has a skin condition that could be exacerbated by use of the wearable biosensors (e.g., skin allergy to metals, plastics), as determined by the investigator.
  16. Subject has a physical condition that makes it difficult to wear the wearable sensors, as determined by the investigator.
  17. Subject is bedridden.
  18. Subject has of less than 12 months.
  19. Subject has a current diagnosis of a progressive neurological disorder as determined by the investigator. (e.g. multiple sclerosis, Huntington's disease)
  20. Subject has a bleeding diathesis such as coagulopathy or thrombocytopenia
  21. Subject has a current diagnosis of a coagulation disorder or uncontrolled diabetes mellitus.
  22. Subject is and at an increased risk for infection
  23. Subject has a systemic infection or local infection
  24. Subject has regular intake of systemic (except inhaled steroids used to treat asthma)
  25. > 40.
  26. Subject has an active malignant disease or history of cancer requiring treatment in the last 12 months.
  27. Evidence of an active disruptive psychological or psychiatric disorder or social condition as determined by the investigator.
  28. Suspicion or evidence of untreated mental illness, substance abuse, or drug-seeking behavior.
  29. Subject is involved in an injury claim under active litigation that involves back or leg pain/injury or is receiving or planning to receive worker's compensation payments related to back or leg pain.
  30. Subject has a diagnosis of spondylolisthesis or scoliosis

Protocol-Specific Screening Exclusion Criteria:

  1. Urine pregnancy test.
Terms in these criteria, in plain language(8)

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.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Relapsed and refractory

Relapsed: the illness came back after treatment had worked. Refractory: it did not respond to treatment, or stopped responding while still on it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Postmenopausal

Periods have stopped for good: usually no period for 12 months in a row without another medical reason, sometimes confirmed by a blood test (FSH).

Life expectancy

The study doctor’s estimate of how long someone is likely to live. Criteria use it so that people can stay in the study long enough for it to answer its question.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Care provider)
Enrollment
0 participants (actual)

Study arms

  • Experimental
    BurstDR-SCS

    Subjects implanted with BurstDR-SCS will be included in BurstDR-SCS arm.

    Device: BurstDR-SCS

  • Experimental
    Sham control arm

    Subjects implanted with the BurstDR-SCS system will be included in the Sham control arm

    Device: BurstDR-SCS

Interventions

  • DeviceBurstDR-SCS

    Spinal Cord Stimulation with a BurstDR-SCS system.

  • DeviceBurstDR-SCS

    BurstDR-SCS system turned off.

06

What researchers measure

Primary outcomes

  1. Change in overall back pain severity (NRS) at 6 months compared to sham arm

    The pain severity endpoint is based on a review of previous RCTs of SCS and a consideration of IMMPACT (Initiative on Methods, Measurement and Pain Assessment in Clinical Trials) and COMET recommendations

    Time frame: At 6 Months

  2. Change in a composite of physiologic and behavioral features compared to sham arm leading up to 6 months post-permanent implant

    Ability to use composite of physiologic and behavioral features (including data from biosensors) to identify treatment responders and physiological data collected from patient-worn biosensors.

    Time frame: At 6 Months

Secondary outcomes

  1. Change in percentage of patients reporting 50% or more reduction in backpain severity (NRS) at 6 months in treatment vs. sham

    Time frame: At 6 Months

  2. Change in cumulative proportion of responders for back pain (NRS) in treatment vs. sham

    Time frame: At 6 Months

  3. Change in pain-related catastrophizing (Pain Catastrophizing Scale) in treatment vs. sham

    The Pain Catastrophizing Scale questionnaire will be completed during selected clinical site visits via the electronic data acquisition portal. These questionnaires will be used for the assessment of study endpoints. The questionnaire includes thirteen statements describing different thoughts and feelings that may be associated with pain. Using the scale 0-4 (0- not at all; 1- to a slight degree; 2- to a moderate degree; 3- to a great degree; and 4- all the time), the patients are expected to indicate the degree to which they have these thoughts and feelings when they're experiencing pain.

    Time frame: At 6 Months

  4. Change in functional disability (Oswestry Disability Index) in treatment vs. sham

    The Oswestry Disability Index questionnaire will be completed during selected clinical site visits via the electronic data acquisition portal. These questionnaires will be used for the assessment of study endpoints. An interpretation of 0% to 20% means minimal disability; 21% to 40% means moderate disability; 41% to 60% means severe disability; 61% to 80% means crippled; and 81%-100% means bed-bound patients.

    Time frame: At 6 Months

  5. Change in patient satisfaction (Patient Global Impression of Change) in treatment vs. sham

    The Patient Global Impression of Change questionnaire will be completed during selected clinical site visits via the electronic data acquisition portal. These questionnaires will be used for the assessment of study endpoints. The scale ranges include: 1. No change (or condition has gotten worse) 2. Almost the same, hardly any change at all 3. A little better, but no noticeable change 4. Somewhat better, but the change has not made any real difference 5. Moderately better, and a slight but noticeable change 6. Better and a definite improvement that has made a real and worthwhile difference 7. A great deal better and a considerable improvement that has made all the difference

    Time frame: At 6 Months

  6. Change in health-related quality of life (EQ5D-5L) in treatment vs. sham

    The EQ5D-5L questionnaire will be completed during selected clinical site visits via the electronic data acquisition portal. These questionnaires will be used for the assessment of study endpoints and to estimate health-related quality of life and quality-adjusted life years. It is a 5-level version of the EQ5D. The descriptive system comprises five dimensions: mobility, self-care, usual activities, pain/discomfort and anxiety/depression. Each dimension has 5 levels: no problems, slight problems, moderate problems, severe problems and extreme problems.

    Time frame: At 6 Months

  7. Change in health-related quality of life (PROMIS-29+2) in treatment vs. sham

    The PROMIS-29+2 questionnaire will be completed during selected clinical site visits via the electronic data acquisition portal. These questionnaires will be used for the assessment of study endpoints. The patients' answers to the PROMIS-29 are scored from 1-5 (with the exception of the NRS). The sum of the PROMIS results in the raw score, which lies between 4 and 20. There is no total score, but each axis forms its own score.

    Time frame: At 6 Months

  8. Change in emotional functioning improvement (Patient Health Questionnaire-9) in treatment vs. sham

    The Patient Health Questionnaire-9 will be completed during selected clinical site visits via the electronic data acquisition portal. These questionnaires will be used for the assessment of study endpoints. The Patient Health Questionnaire is a self-administered version of the PRIME-MD diagnostic instrument for common mental disorders. It is the depression module, which scores each of the 9 DSM-IV criteria as "0" (not at all) to "3" (nearly every day).

    Time frame: At 6 Months

  9. Change in pain interference PROMIS-29+2 domain in treatment vs. sham

    The PROMIS-29+2 questionnaire will be completed during selected clinical site visits via the electronic data acquisition portal. These questionnaires will be used for the assessment of study endpoints. The patients' answers to the PROMIS-29 are scored from 1-5 (with the exception of the NRS). The sum of the PROMIS results in the raw score, which lies between 4 and 20. There is no total score, but each axis forms its own score.

    Time frame: At 6 Months

  10. Change in social roles and activities PROMIS-29+2 domain in treatment vs. sham

    The PROMIS-29+2 questionnaire will be completed during selected clinical site visits via the electronic data acquisition portal. These questionnaires will be used for the assessment of study endpoints. The patients' answers to the PROMIS-29 are scored from 1-5 (with the exception of the NRS). The sum of the PROMIS results in the raw score, which lies between 4 and 20. There is no total score, but each axis forms its own score.

    Time frame: At 6 Months

  11. Change in sleep disturbance PROMIS-29+2 domain in treatment vs. sham

    The PROMIS-29+2 questionnaire will be completed during selected clinical site visits via the electronic data acquisition portal. These questionnaires will be used for the assessment of study endpoints. The patients' answers to the PROMIS-29 are scored from 1-5 (with the exception of the NRS). The sum of the PROMIS results in the raw score, which lies between 4 and 20. There is no total score, but each axis forms its own score.

    Time frame: At 6 Months

  12. Change in on concomitant pain-related medication usage in treatment vs. sham

    Importance of keeping pain-related treatments stable (per agreement with physician), including medications, physical therapy, psychotherapy, pain-related treatments (invasive or non-invasive) and interventions.

    Time frame: At 6 Months

  13. Change in overall leg pain severity (NRS) at 6 months compared to sham arm in patients who reported baseline chronic leg pain

    Time frame: At 6 Months

  14. Change in percentage of patients reporting 50% or more reduction in leg pain severity (NRS) at 6 months in treatment vs. sham in patients who reported baseline chronic leg pain

    Time frame: At 6 Months

  15. Change in cumulative proportion of responders for leg pain (NRS) in treatment vs. sham in patients who reported baseline chronic leg pain

    Time frame: At 6 Months

07

Study locations

5 sites
  • Comprehensive Integrated Pain Program - Interventional Pain Service (CIPP-IPS) (Toronto Western Hospital)
    Toronto, Canada
  • Seacroft Hospital
    Leeds, United Kingdom
  • The Walton Centre
    Liverpool, United Kingdom
  • Guy's and St. Thomas Hospital
    London, United Kingdom
  • St. Bartholomew Hospital
    London, United Kingdom
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Nov 3, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06030284
Responsible party
Sponsor
First posted
Sep 8, 2023
Start date
Apr 20, 2023 (estimated)
Primary completion
Jun 1, 2023
Completion
Jun 1, 2023
Last update
Nov 3, 2023

Study contacts

Dr. Stefano Palmisani
principal investigator

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 withdrawn, as verified in Aug 2023. You cannot join it, but the record below documents what was studied.

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