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出境医 / 临床实验 / Five-Plus Year Follow-Up of SMART Randomized Controlled Trial (SMART)

Five-Plus Year Follow-Up of SMART Randomized Controlled Trial (SMART)

Study Description
Brief Summary:
The objective of this study is to evaluate long-term ongoing effectiveness of the Intracept Intraosseous Nerve Ablation System for the treatment of chronic low back pain.

Condition or disease Intervention/treatment
Chronic Low Back Pain Device: Basivertebral Nerve (BVN) Ablation

Detailed Description:
This is a prospective multi-center, nonintervention, observational, single arm post market data collection of the 5+ year effectiveness and satisfaction outcome for the SMART trial population.
Study Design
Layout table for study information
Study Type : Observational
Actual Enrollment : 117 participants
Observational Model: Other
Time Perspective: Prospective
Official Title: Five-Plus Year Follow-Up of SMART (Surgical Multicenter Assessment of RF Ablation for the Treatment of Vertebrogenic Back Pain) Trial
Actual Study Start Date : June 13, 2019
Actual Primary Completion Date : November 8, 2019
Actual Study Completion Date : November 8, 2019
Arms and Interventions
Outcome Measures
Primary Outcome Measures :
  1. LS Mean Reduction in Oswestry Disability Index (ODI) From Baseline [ Time Frame: Difference between baseline and 5 year post treatment measurements ]
    Validated questionnaire of low back pain related disability. Comprised of 10 questions evaluating the impact of low back pain on activities of daily living. The ODI is scored on a scale of 0 (no disability) to 100 (complete disability), with categories of 0-20 (minimal disability), 21-40 (moderate disability), 41-60 (severe disability), 61-80 (crippling back pain), and 81-100 (bed-bound or exaggerating). Difference in mean ODI at baseline and 5 years post treatment measurements.


Secondary Outcome Measures :
  1. LS Mean Reduction in VAS From Baseline [ Time Frame: Difference between baseline and 5 year post treatment measurements ]
    Numeric pain scale with minimum of 0 to maximum of 10; with 0 being no pain and 10 being worst imaginable pain. Difference in mean VAS at baseline and at 5 years post treatment.

  2. Responder Rates [ Time Frame: At 5 year post treatment ]
    Proportion of participants that achieve a threshold of > 15 point reduction in ODI and > 2 point reduction in VAS calculated as the difference between the baseline measurements and the 5 year post treatment measurements.

  3. Narcotics Use [ Time Frame: Difference between baseline and 5 years post treatment. ]
    Proportion of participants using a narcotic more than once per week in the 30 days prior to the study visit. Difference in baseline to 5 year post treatment percentage measurements.

  4. Injections [ Time Frame: Difference from baseline percentage measurement to 5 years post treatment measurement ]
    Proportion of participants receiving an injection for low back pain (adjudicated as same location and etiology as BVN ablation treatment) compared to baseline. Difference in percentage of participants at baseline and 5 years post treatment measurements.

  5. Interventions [ Time Frame: Measured form treatment data to 5 years post treatment visit date ]
    Proportion of participants receiving a pain intervention or surgery for low back pain (adjudicated as the same location and etiology as BVN ablation treatment) from procedure date to 5 year visit date.


Eligibility Criteria
Contacts and Locations
Tracking Information
First Submitted Date May 7, 2019
First Posted Date June 25, 2019
Results First Submitted Date October 12, 2020
Results First Posted Date November 4, 2020
Last Update Posted Date January 13, 2021
Actual Study Start Date June 13, 2019
Actual Primary Completion Date November 8, 2019   (Final data collection date for primary outcome measure)
Current Primary Outcome Measures
 (submitted: November 3, 2020)
LS Mean Reduction in Oswestry Disability Index (ODI) From Baseline [ Time Frame: Difference between baseline and 5 year post treatment measurements ]
Validated questionnaire of low back pain related disability. Comprised of 10 questions evaluating the impact of low back pain on activities of daily living. The ODI is scored on a scale of 0 (no disability) to 100 (complete disability), with categories of 0-20 (minimal disability), 21-40 (moderate disability), 41-60 (severe disability), 61-80 (crippling back pain), and 81-100 (bed-bound or exaggerating). Difference in mean ODI at baseline and 5 years post treatment measurements.
Original Primary Outcome Measures
 (submitted: June 23, 2019)
  • Oswestry Disability Index (ODI) [ Time Frame: 5 year ]
    10 question Questionnaire
  • Low back pain numeric rating scale (0-10) [ Time Frame: 5 year ]
    VAS
  • Narcotics taken in last 30 days [ Time Frame: 5 year ]
    Prescribed narcotics taken
  • Lumbar surgery [ Time Frame: 5 year ]
    surgery on back since Intracept procedure
Change History
Current Secondary Outcome Measures
 (submitted: November 3, 2020)
  • LS Mean Reduction in VAS From Baseline [ Time Frame: Difference between baseline and 5 year post treatment measurements ]
    Numeric pain scale with minimum of 0 to maximum of 10; with 0 being no pain and 10 being worst imaginable pain. Difference in mean VAS at baseline and at 5 years post treatment.
  • Responder Rates [ Time Frame: At 5 year post treatment ]
    Proportion of participants that achieve a threshold of > 15 point reduction in ODI and > 2 point reduction in VAS calculated as the difference between the baseline measurements and the 5 year post treatment measurements.
  • Narcotics Use [ Time Frame: Difference between baseline and 5 years post treatment. ]
    Proportion of participants using a narcotic more than once per week in the 30 days prior to the study visit. Difference in baseline to 5 year post treatment percentage measurements.
  • Injections [ Time Frame: Difference from baseline percentage measurement to 5 years post treatment measurement ]
    Proportion of participants receiving an injection for low back pain (adjudicated as same location and etiology as BVN ablation treatment) compared to baseline. Difference in percentage of participants at baseline and 5 years post treatment measurements.
  • Interventions [ Time Frame: Measured form treatment data to 5 years post treatment visit date ]
    Proportion of participants receiving a pain intervention or surgery for low back pain (adjudicated as the same location and etiology as BVN ablation treatment) from procedure date to 5 year visit date.
Original Secondary Outcome Measures Not Provided
Current Other Pre-specified Outcome Measures Not Provided
Original Other Pre-specified Outcome Measures Not Provided
 
Descriptive Information
Brief Title Five-Plus Year Follow-Up of SMART Randomized Controlled Trial
Official Title Five-Plus Year Follow-Up of SMART (Surgical Multicenter Assessment of RF Ablation for the Treatment of Vertebrogenic Back Pain) Trial
Brief Summary The objective of this study is to evaluate long-term ongoing effectiveness of the Intracept Intraosseous Nerve Ablation System for the treatment of chronic low back pain.
Detailed Description This is a prospective multi-center, nonintervention, observational, single arm post market data collection of the 5+ year effectiveness and satisfaction outcome for the SMART trial population.
Study Type Observational
Study Design Observational Model: Other
Time Perspective: Prospective
Target Follow-Up Duration Not Provided
Biospecimen Not Provided
Sampling Method Non-Probability Sample
Study Population 117 U.S. subjects treated per protocol in the treatment arm of the original SMART trial in the U.S.
Condition Chronic Low Back Pain
Intervention Device: Basivertebral Nerve (BVN) Ablation
Single follow-up visit of previously treated participants from the SMART trial.
Study Groups/Cohorts Not Provided
Publications * Not Provided

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Recruitment Information
Recruitment Status Completed
Actual Enrollment
 (submitted: October 12, 2020)
117
Original Estimated Enrollment
 (submitted: June 23, 2019)
133
Actual Study Completion Date November 8, 2019
Actual Primary Completion Date November 8, 2019   (Final data collection date for primary outcome measure)
Eligibility Criteria

Inclusion Criteria:

  • LBP at least 6 months from original SMART Trial
  • RF Ablation Arm from SMART Trial

Exclusion Criteria:

-Control Arm Subjects from SMART Trial

Sex/Gender
Sexes Eligible for Study: All
Ages Child, Adult, Older Adult
Accepts Healthy Volunteers No
Contacts Contact information is only displayed when the study is recruiting subjects
Listed Location Countries United States
Removed Location Countries  
 
Administrative Information
NCT Number NCT03997825
Other Study ID Numbers CIP 0011
Has Data Monitoring Committee No
U.S. FDA-regulated Product
Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: Yes
Product Manufactured in and Exported from the U.S.: Yes
IPD Sharing Statement
Plan to Share IPD: Undecided
Responsible Party Relievant Medsystems, Inc.
Study Sponsor Relievant Medsystems, Inc.
Collaborators Not Provided
Investigators
Principal Investigator: Jeff Fischgrund, MD William Beaumont Hospitals
PRS Account Relievant Medsystems, Inc.
Verification Date December 2020

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