Data collection from the Evoke™ System in the treatment of patients with chronic pain of the trunk and/or limbs

ISRCTN ISRCTN27710516
DOI https://doi.org/10.1186/ISRCTN27710516
IRAS number 263446
ClinicalTrials.gov number NCT05272137
Secondary identifying numbers IRAS 263446
Submission date
24/06/2020
Registration date
07/07/2020
Last edited
08/01/2024
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Signs and Symptoms
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English Summary

Background and study aims
Chronic pain is pain that is ongoing and usually lasts longer than six months despite medication or treatment. This pain can be a result of illness or injury, or the cause may be unknown or unclear. Spinal Cord Stimulation (SCS), where a device is implanted beneath the skin using surgery and is then used to deliver an electric current to the nerves of the site of the pain, can be used to relieve chronic pain.

Saluda Medical has developed the Evoke™ SCS System, a new type of SCS system, which can make some nerve recordings from the wires while they are in place close to the nerves. The system measures the electrical response from the nerves and uses these to automatically alter the stimulation strength. By keeping the strength of the stimulation within a narrow range the patient no longer feels abrupt changes in stimulation and can move around without over or under-stimulation.

This study aims to collect data from the Evoke™ Closed-Loop SCS system from Saluda Medical to evaluate this system in a 'real-world' setting.

Who can participate?
Adult patients suffering from chronic pain in the trunk and/or limbs who are routinely scheduled for spinal cord stimulation with Saluda Medical System

What does the study involve?
Participants will receive the Evoke™ Spinal Cord Stimulation System for treatment of chronic pain of the trunk and/or limbs. Participation will not involve additional visits, tests nor the completion of any questionnaires. The data will be downloaded from the battery during routine visits over a period of 2 years when the patients normally visit the hospital for follow-up. Participants will be asked for approval to use the data stored in the battery.

What are the possible benefits and risks of participating?
There are no extra risks in taking part in this data collection. The trial will only use data that will be downloaded from the Evoke™ SCS system.

Where is the study run from?
4 hospitals in the United Kingdom

When is the study starting and how long is it expected to run for?
From June 2019 to June 2023

Who is funding the study?
Saluda Medical Europe Ltd (UK)

Who is the main contact?
Mr Dave Mugan
dave.mugan@saludamedical.com

Contact information

Mr Dave Mugan
Scientific

9 Hornbeam Square South
Hornbeam Park
Harrogate
HG2 8NB
United Kingdom

Phone +44 7557370074
Email dave.mugan@saludamedical.com

Study information

Study designMulticentre prospective observational cohort study
Primary study designObservational
Secondary study designCohort study
Study setting(s)Hospital
Study typeTreatment
Participant information sheet No participant information sheet available
Scientific titleProspective data collection to evaluate the feedback control of the Saluda Medical's Evoke™ Spinal Cord Stimulation System in the treatment of patients with chronic pain of the trunk and/or limbs
Study acronymEvoke™ Data Collection
Study hypothesisTo evaluate the electrophysiological and device data and the programmability of the Evoke™ Closed-Loop SCS system from Saluda Medical in a 'real-world' setting under normal clinical use.
Ethics approval(s)Approved 05/08/2019, Yorkshire & The Humber - South Yorkshire Research Ethics Committee (NHSBT Newcastle Blood Donor Centre, Holland Drive, Newcastle upon Tyne NE2 4NQ UK; +44 (0)207 1048091; nrescommittee.yorkandhumber-southyorks@nhs.net), ref: 19/YH/0253
ConditionChronic pain in the trunk and/or limbs
InterventionThis prospective data collection is purely observational and does not include any intervention. Data collection on the electrophysiological and device data and the programmability of the Saluda Medical EvokeTM Closed-Loop SCS System for the treatment of patients with chronic trunk and/or limb pain followed for 2 years. The data will be automatically downloaded during standard of care visits between baseline and 2 years. The patients will not have any additional visits, questionnaires, or interventions outside the normal standard care.
Intervention typeDevice
Pharmaceutical study type(s)
PhaseNot Applicable
Drug / device / biological / vaccine name(s)Saluda Medical Evoke™ Closed-Loop Spinal Cord Stimulation system
Primary outcome measureCollection of electrophysiological and device data from the EvokeTM ClosedLoop SCS system automatically downloaded during standard of care visits between baseline and 2 years, collected at 2 years
Secondary outcome measuresThere are no secondary outcome measures
Overall study start date17/06/2019
Overall study end date30/06/2023

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit18 Years
SexBoth
Target number of participants500
Total final enrolment148
Participant inclusion criteria1. Aged ≥18 years
2. Suffering from chronic pain in the trunk and/or limbs
3. Routinely scheduled for spinal cord stimulation with Saluda Medical System
4. Consent given for prospective data collection and transfer of de-identified data to Saluda Medical
Participant exclusion criteriaDoes not meet inclusion criteria
Recruitment start date25/06/2020
Recruitment end date22/11/2022

Locations

Countries of recruitment

  • England
  • United Kingdom

Study participating centres

Leeds General Infirmary
B Floor, Brotherton Wing
Great George St
Leeds
LS1 3EX
United Kingdom
Barts Health NHS Trust
St Bartholomew’s Hospital
West Smithfield
London
EC1A 7BE
United Kingdom
North Bristol Trust
Southmead Hospital
Westbury on Trym
Bristol
BS10 5NB
United Kingdom
South Tees Hospitals
The James Cook University Hospital
Marton Rd
Middlesbrough
TS4 3BW
United Kingdom
York and Scarborough Teaching Hospitals NHS Foundation Trust
York Hospital
Wigginton Road
York
YO31 8HE
United Kingdom

Sponsor information

Saluda Medical Europe Ltd
Industry

9 Hornbeam Square South
Hornbeam Park
Harrogate
HG2 8NB
United Kingdom

Phone +44 7557370074
Email dave.mugan@saludamedical.com
Website https://www.saludamedical.com/

Funders

Funder type

Industry

Saluda Medical Europe Ltd

No information available

Results and Publications

Intention to publish date31/01/2024
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot expected to be made available
Publication and dissemination planData will be published at the completion of the study.
IPD sharing planThe datasets generated during and/or analysed during the current study are not expected to be made available due to fact that the device data is collected for sponsor internal use only. The participating sites will be provided with a copy of their data upon request.

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
HRA research summary 26/07/2023 No No

Editorial Notes

08/01/2024: The following changes were made to the trial record:
1. The study participating centre Guys' & St Thomas' Hospital was removed and York and Scarborough Teaching Hospitals NHS Foundation Trust was added.
2. The overall end date was changed from 30/09/2023 to 30/06/2023.
3. The intention to publish date was changed from 31/03/2024 to 31/01/2024.
27/12/2023: The following changes have been made:
1. The total final enrolment has been changed from 33 to 148.
2. The intention to publish date has been changed from 31/12/2023 to 31/03/2024.
20/03/2023: The following changes were made to the trial record:
1. The recruitment end date was changed from 22/12/2023 to 22/11/2022.
2. The overall trial end date was changed from 22/12/2025 to 30/09/2023.
3. The intention to publish date was changed from 01/07/2026 to 31/12/2023.
4. Total final enrolment and ClinicalTrials.gov number added.
01/07/2020: Trial’s existence confirmed by Yorkshire & The Humber - South Yorkshire Research Ethics Committee.