ClinicalTrials.gg
Active, not recruitingNCT06053255Updated Nov 9, 2026

Use of the Neurolyser XR for the Treatment of Low Back Pain Related to Sacroiliitis

An interventional study of High-intensity focused ultrasound for Sacroiliitis using the Neurolyser XR in Sacroiliitis, sponsored by FUSMobile Inc.. Active, not recruiting at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-11-09.

Sponsored by FUSMobile Inc. · Not applicable, Interventional, and Treatment

Updated Nov 9, 2026Now Active, not recruitingPrimary completion moved+1 moreGo to Updates ↓
Phase
Not applicable
Study type
Interventional
Enrollment
10
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

The Neurolyser XR is a device used to deliver high-intensity focused ultrasound for the ablation of the lateral sacral branch nerve in patients with Sacroiliitis.

Read the detailed description

The sacroiliac joint connects the sacrum (a triangle shaped bone) with the iliac bone on both sides of the lower spine. These joints transmit all the forces from the upper body to the pelvis and their respective legs. Repeated trauma and aging affect this joint resulting in inflammation and arthritic changes. These changes result in misalignment of the joint or limitation to normal motion which can create pain typically very low in the back or in the buttocks,

High-Intensity Focused Ultrasound (HIFU) technology uses sound waves. These sound waves are concentrated into a specific spot in order to raise the local tissue temperature causing a burn, this burn is expected to intentionally damage the nerve causing pain.

The HIFU device used in this study is called, the Neurolyser XR. It focuses sound wave energy directly on the nerve of the painful sacroiliac joint, causing an increase in temperature, which is expected to directly damage the nerve fibers which carry pain signals to the brain.

02

Conditions studied

  • Sacroiliitis

Browse trials for

Keywords

  • neurolysis
  • high-intensity focused ultrasound
  • nerve ablation
  • neurotomy
  • sacral joint pain
03

In context

Sacroiliitis

42 studies on the registry are indexed under Sacroiliitis; 11 are open to participants now.

This study's planned enrollment of 10 is below the median of 48 across 28 interventional studies indexed under Sacroiliitis.

Browse Sacroiliitis studies →

Lead sponsor

FUSMobile Inc. is the lead sponsor of 9 studies on the registry; 2 are open to participants now.

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

  1. Men and women aged 18 and older
  2. BPI \< 40
  3. Patients who are able and willing to give consent and able to attend all study visits.
  4. Patients who are able to communicate with the treating physician.
  5. Patients must have chronic lower back pain (LBP) attributed to degenerative sacroiliitis diagnosed by a pain physician using the following guidelines:
  6. At least 1 positive sacroiliac joint provocation test (Gaeslen's test, FABER (Patrick's test), and pelvic rock)
  7. Back pain predominantly below L5
  8. 50% relief following either sacroiliac joint (SI) joint injection and/or lateral branch blocks corresponding to the expected duration of the medication utilized. (i.e SI joint injection-expected pain relief duration of , lateral branch blocks-expected pain relief duration of local anesthetic utilized).
  9. All other possible sources of low back pain have been ruled out as the primary pain generator, including but not limited to: the intervertebral discs, bone fracture, the zygapophyseal joints, the hip joint, symptomatic spondylolisthesis, tumor, and other regional soft tissue structures (this is done by physical exam, medical history, and MRI/CT/X-ray as required)
  10. Patients with NRS (0-10 scale) LBP average score ≥ 4
  11. Patients with chronic LBP for at least 12 months.
  12. Patients with Oswestry Disability Questionnaire (ODQ) for LBP score > 40%

Exclusion criteria

Exclusion Criteria:

  1. Patients on dialysis
  2. Patients with evidence of lumbosacral radiculopathy on MRI, CT or physical exam findings, including radicular leg pain (symptomatic moderate or severe foraminal or central canal stenosis).
  3. Spinal pathology that may impede recovery such as spina bifida occulta, grade II or higher.
  4. Spondylolisthesis at L5/S1, or scoliosis
  5. Patients with radiofrequency ablation (RF/RFA) treatment for sacroiliitis LBP
  6. Patients with bilateral sacroiliitis LBP
  7. Patients with previous low back surgery
  8. Patients who are pregnant
  9. Patients with existing
  10. Patients with allergies to relevant anesthetics
  11. Patients with motor deficit or any other indication for surgical intervention
  12. Patients with for MRI
  13. Patients with an acute medical condition (e.g., pneumonia, sepsis, systemic infection, uncontrolled -AIDS, cancer, DM) that is expected to hinder them from completing this study.
  14. Patients with unstable cardiac status including:
  15. Unstable angina pectoris on medication
  16. Patients with documented myocardial infarction less than 40 days prior to protocol enrolment
  17. Patients with Severe Congestive Heart Failure, (NYHA) class 4.
  18. Patients on anti-arrhythmic drugs or with uncontrolled and/or untreated arrhythmia status
  19. Patients with severe cerebrovascular disease (CVA within last 6 months)
  20. Patients with severe hypertension (diastolic BP > 100 on medication)
  21. Patient > 45 or \<20
  22. Patients with known intolerance or allergies to the MRI contrast agent (e.g. Gadolinium or Magnevist) including advanced kidney disease
  23. Patients with an active infection or severe hematological, neurological, or other uncontrolled disease.
  24. The patient is unable to communicate with the investigator and staff.
  25. Patients who are not able or willing to tolerate the required prolonged stationary position during treatment (approximately 2 hours)
  26. Patient with acute pelvic inflammatory conditions
  27. Ongoing/ unresolved Worker's compensation, injury litigation, military medical board, or disability remuneration claims
  28. Morphine Milligram Equivalents (MME) > 60 per 24 hrs.
  29. Patients with \< 100.
Terms in these criteria, in plain language(7)

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.

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.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

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.

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.

NYHA class (heart failure)

The New York Heart Association’s four classes of how much heart failure limits physical activity.

I
No limits: ordinary activity causes no undue tiredness or breathlessness.
II
Slight limits: comfortable at rest, ordinary activity causes symptoms.
III
Marked limits: comfortable at rest, less than ordinary activity causes symptoms.
IV
Symptoms even at rest; any activity makes them worse.

Studies set their own limit — many outside heart failure leave out class III–IV, while heart failure studies may ask for a particular class. Check the class this study names.

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.

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

05

Study design

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

Study arms

  • Experimental
    HIFU for Sacroiliitis

    High-intensity focused ultrasound delivered to the lateral sacral branch nerve for neurolysis.

    Device: High-intensity focused ultrasound for Sacroiliitis using the Neurolyser XR

Interventions

  • DeviceHigh-intensity focused ultrasound for Sacroiliitis using the Neurolyser XR

    HIFU is delivered via a non-invasive ultrasonic transducer, through a gel pad for acoustic coupling, into the patients body in a precise manner focused on the lateral sacral branch nerves.

06

What researchers measure

Primary outcomes

  1. The number of participants with treatment-related adverse events as assessed by Common Terminology Criteria for Adverse Events (CTCAE) v6.0.

    Per the CTCAE assessment, each organ or possible adverse event would be categorized on a scale of 1 to 5 where: Grade 1 is Mild; asymptomatic or mild symptoms; clinical or diagnostic observations only; intervention not indicated. Grade 2 is Moderate; minimal, local, or noninvasive intervention indicated; limiting age-appropriate instrumental Activities of Daily Living (ADL). Grade 3 is Severe or medically significant but not immediately life-threatening; hospitalization or prolongation of hospitalization indicated; disabling; limiting self-care ADL. Grade 4 is Life-threatening consequences; urgent intervention indicated. Grade 5 is Death related to AE.

    Time frame: Procedure through 6 month follow-up visit

Secondary outcomes

  1. The participants change in level of pain as assessed by the Numerical Rating Scale (NRS) and any change in analgesic/opiate usage.

    The pain scale is 0 to 10 where 0 is no pain at all and 10 is the worst pain imaginable

    Time frame: Procedure through 6 month follow-up visit

  2. Change in quality of life will be assessed by Oswestry Disability Index (ODI)

    ODI scale includes 10 questions, each can score 0 to 5 for a total score of 0 to 50. scores are interpreted as follows: 0-4: No disability 5-14: Mild disability 15-24: Moderate disability 25-34: Severe disability 35-50: Completely disabled

    Time frame: Procedure through 6 month follow-up visit

  3. Change in quality of life will be assessed also by Brief Pain Inventory (BPI-QOL)

    BPI includes 7 questions on the level the patient pain interferes with their daily activities. Each question can score 0 to 10 for a total score of 0 to 70.

    Time frame: Procedure through 6 month follow-up visit

07

Study locations

1 site
08

References and documents

Publications

  • Perez J, Gofeld M, Leblang S, Hananel A, Aginsky R, Chen J, Aubry JF, Shir Y. Fluoroscopy-Guided High-Intensity Focused Ultrasound Neurotomy of the Lumbar Zygapophyseal Joints: A Clinical Pilot Study. Pain Med. 2022 Jan 3;23(1):67-75. doi: 10.1093/pm/pnab275. PubMed 34534337 ↗

Individual participant data

Plan to share: No

09

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedDate before it movedWhere the date was before it moved

Started Sep 2024 (actual). Primary completion is estimated for May 2027, 32 months after the start.

Since we started tracking on Sep 25, 2026, the dates moved once, on Nov 9, 2026: primary completion Sep 2026 → May 2027 and completion Dec 2026 → Jul 2027.

Earlier changes are on the record history on ClinicalTrials.gov ↗

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

Registered
Sep 6, 2023
First posted
Sep 25, 2023
StartActual
Sep 13, 2024
Primary completionEst.
May 26, 2027was Sep 2026
CompletionEst.
Jul 15, 2027was Dec 2026
Last update
Nov 9, 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.
Status
Recruiting→Active, not recruiting
changed Nov 9, 2026
Primary completion
Sep 15, 2026→May 26, 2027
Nov 9, 2026
Study completion
Dec 15, 2026→Jul 15, 2027
Nov 9, 2026
Show all 1 update
  1. Nov 9, 2026
    Recruiting→Active, not recruiting
    Primary completion Sep 15, 2026→May 26, 2027
    Study completion Dec 15, 2026→Jul 15, 2027
    + 3 other changes: verification date, contact details and site 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 ↗

10

Registry details

Key details

Study ID
NCT06053255
Lead sponsor
FUSMobile Inc.
Collaborators
Focused Ultrasound Foundation
Responsible party
Sponsor
First posted
Sep 25, 2023
Start date
Sep 13, 2024
Primary completion
May 26, 2027 (estimated)
Completion
Jul 15, 2027 (estimated)
Last update
Nov 9, 2026

Study contacts

Lynn Kohan, MD
principal investigator · University of Virginia Pain Medicine Clinic

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 active, not recruiting, as verified in Nov 2026. 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