FAST Spinal Cord Stimulation for Chronic Pain

(FAST Trial)

Not currently recruiting at 15 trial locations
AL
DK
Overseen ByDiane Keesey
Age: 18+
Sex: Any
Trial Phase: Academic
Sponsor: Boston Scientific Corporation
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial explores new ways to relieve chronic pain using the Boston Scientific WaveWriter SCS System, which provides various settings for spinal cord stimulation. The goal is to evaluate the effectiveness of fast-acting, paresthesia-free therapy (without tingling or buzzing sensations) compared to other options. It targets individuals who have experienced chronic pain primarily in their back or limbs for over six months, with back pain being more severe than leg pain. Those who can read and complete forms in English and have been dealing with this type of pain might be suitable for this study. As an unphased trial, this study offers a unique opportunity to explore innovative pain relief methods and contribute to advancing chronic pain treatment options.

Will I have to stop taking my current medications?

The trial information does not specify whether you need to stop taking your current medications. It's best to discuss this with the study team or your doctor.

What prior data suggests that the Boston Scientific WaveWriter SCS System is safe for chronic pain patients?

Research has shown that the Boston Scientific WaveWriter Spinal Cord Stimulation (SCS) System is generally safe for people with chronic pain. Studies have found that this system can significantly reduce pain for many patients. Specifically, one study reported that 84% of patients experienced at least a 50% reduction in pain after using the WaveWriter System for a year.

The FDA has approved the SCS System for treating chronic pain in the back and legs, indicating it is well-tolerated. Additionally, it is designed to be safe for patients who need full-body MRI scans, highlighting its safety features.

Overall, while discussing any potential risks with a doctor is important, the WaveWriter SCS System has a strong safety record based on existing studies.12345

Why are researchers excited about this trial?

Researchers are excited about the Boston Scientific WaveWriter SCS System for chronic pain because it offers a unique approach to spinal cord stimulation. Unlike traditional treatments, which often rely on fixed stimulation patterns, the WaveWriter system allows for personalized pain relief by offering multiple waveforms and frequencies. This flexibility enables the system to be tailored to each patient's specific pain needs, potentially providing more effective and longer-lasting relief. Additionally, the WaveWriter's ability to combine different types of stimulation simultaneously could enhance its effectiveness and improve patient outcomes compared to standard spinal cord stimulation devices.

What evidence suggests that the Boston Scientific WaveWriter SCS System is effective for chronic pain?

Research has shown that the Boston Scientific WaveWriter SCS System, used by participants in this trial, effectively manages chronic pain. In studies, 84% of patients using this system reported significant pain relief of 50% or more after one year. Unlike some other treatments, this system provides pain relief without causing a tingling sensation. The WaveWriter SCS System can also combine different therapy modes, potentially improving long-term results for patients. Extensive clinical evidence supports this device, proving its effectiveness in managing chronic pain in the trunk and/or limbs.12467

Who Is on the Research Team?

NB

Natalie Bloom Lyons

Principal Investigator

Boston Scientific Corporation

Are You a Good Fit for This Trial?

This trial is for adults over 22 with chronic pain, specifically neuropathic pain in the trunk or limbs that's lasted at least 6 months. Participants must be able to read and understand English, complete questionnaires, and have signed an informed consent form. It excludes those with conditions that could affect study results, significant cognitive impairments, pregnant or breastfeeding individuals not using contraception, or anyone in another conflicting clinical trial.

Inclusion Criteria

I have had chronic pain in my back or limbs for at least 6 months, with back pain being the most severe.
I am 22 years old or older.
I have had chronic pain in my back or limbs for at least 6 months, with back pain being as bad or worse than leg pain.
See 2 more

Exclusion Criteria

I am not breastfeeding, planning to become pregnant, or not using birth control.
You have any medical or psychological conditions that could make it difficult to accurately report how you are feeling during the study.
Participating, or intends to participate, in another clinical trial that may influence the data that will be collected for this study
See 1 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants receive FAST-SCS and other SCS therapies using WaveWriter systems

3 months

Follow-up

Participants are monitored for safety and effectiveness after treatment

4 weeks

What Are the Treatments Tested in This Trial?

Interventions

  • Boston Scientific WaveWriter SCS System
Trial Overview The effectiveness of a new therapy called FAST-SCS (fast-acting paresthesia-free) is being tested using the Boston Scientific WaveWriter SCS System on patients with chronic pain. The study will also look into additional SCS therapy options provided by this system.
How Is the Trial Designed?
1Treatment groups
Experimental Treatment
Group I: WaveWriter SettingsExperimental Treatment1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

Boston Scientific Corporation

Lead Sponsor

Trials
758
Recruited
867,000+
Michael F. Mahoney profile image

Michael F. Mahoney

Boston Scientific Corporation

Chief Executive Officer since 2016

MBA from Wake Forest University, BBA in Finance from the University of Iowa

Kenneth Stein profile image

Kenneth Stein

Boston Scientific Corporation

Chief Medical Officer since 2020

MD from Harvard Medical School, MMSc in Clinical Investigation from Harvard-MIT Division of Health Sciences and Technology

Published Research Related to This Trial

In a study of 68 patients who had spinal cord stimulation paddle electrodes removed, the most common reason for removal was loss of coverage or effect (75%), indicating that while SCS is effective, it may not always provide lasting relief.
Postoperative complications occurred in 11.75% of patients, with two major complications requiring reoperation, highlighting that while SCS removal is generally safe, it does carry some risks that patients should be aware of.
Rate of Complications Following Spinal Cord Stimulation Paddle Electrode Removal.Maldonado-Naranjo, AL., Frizon, LA., Sabharwal, NC., et al.[2022]
In a study involving 49 patients with resistant deafferentation pain, spinal cord stimulation (SCS) was effective, with 57% of those who received permanent implants reporting over 75% pain relief after an average follow-up of 5.5 years.
The procedure had a low incidence of side effects, with only two cases requiring replacement of the stimulator due to electrode dislodgement and wire extrusion, indicating a relatively safe profile for this intervention.
Spinal cord stimulation in deafferentation pain.Sánchez-Ledesma, MJ., García-March, G., Diaz-Cascajo, P., et al.[2018]
Spinal cord stimulation has become a low-morbidity technique for managing chronic pain, with recent advancements allowing for easier implantation and adjustment of the system in patients.
A new computerized system for patient interaction has been clinically tested in 25 patients, proving to be safe and effective, and allows for quicker adjustments to the stimulator compared to traditional methods, enhancing the overall management of pain relief.
Patient-interactive, computer-controlled neurological stimulation system: clinical efficacy in spinal cord stimulator adjustment.North, RB., Fowler, K., Nigrin, DJ., et al.[2004]

Citations

Spinal Cord Stimulation (SCS) Clinical DataLong-Term Chronic Pain-Relief Outcomes Using an SCS System Capable of Combination Therapy (WaveWriter Outcomes Study] [Abstract]. Twenty-fifth Annual ...
Spinal Cord Stimulation (SCS) Clinical DataBoston Scientific's SCS therapy is backed by years of science and extensive clinical evidence. This includes multiple Level I RCTs and Real-world studies.
Improved Outcomes and Therapy Longevity after Salvage ...Our results suggest that patients who experience LoE over time may benefit from upgrading to a more versatile SCS system.
FDA - Summary of Safety and Effectiveness Data (SSED)The Boston Scientific Spinal Cord Stimulator (SCS) Systems* are indicated as an aid in the management of chronic intractable pain of the trunk and/or limbs ...
Boston Scientific Presents Key Data at the 2024 North ...At one year, 84% of patients treated with the WaveWriter Systems reported significant pain relief of 50% or greater and sustained improvement in ...
WaveWriter Alpha SCS SystemThe WaveWriter Alpha™ SCS System provides safe access to full-body MRI scans when used with specific components and the patient is exposed to the MRI ...
Study Details | NCT03689920 | Combining Mechanisms for ...The Spectra WaveWriter Spinal Cord Stimulator (SCS) System is indicated as an aid in the management of chronic intractable pain of the trunk and/or limbs, ...
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