Status:

UNKNOWN

Safety and Initial Feasibility of Using the Neurolyser XR Device for the Treatment of Axial Chronic Low Back Pain

Lead Sponsor:

FUSMobile Inc.

Conditions:

Facet Syndrome of Lumbar Spine

Eligibility:

All Genders

55-85 years

Phase:

NA

Brief Summary

Single arm pilot study to evaluate the safety and initial feasibility of the Neurolyser XR, a high intensity focused ultrasound device, for non-invasive treatment of axial chronic low back pain

Detailed Description

Study design: Prospective, single arm Timeline: six month enrollment period and 6 months follow-up period. Sites: The study will be conducted at five sites in Canada: McGill University, Toronto West...

Eligibility Criteria

Inclusion

  • Adult male and females \>55 years of age legally able and willing to participate in the study and come for follow-up visits
  • Able and willing to fill the research questionnaires and to communicate with investigator and research team
  • Patient with bilateral or unilateral low back pain of \> 6 months duration
  • Patients whose back pain is alleviated by recumbency or comfortable sitting position
  • Patients presenting with a) a positive (\>70% pain relief) to a previous, single or double, L1 to L5 lumbar medial branch block (within the last 12 months) and / or b) with a positive (\>70% pain relief lasting more than 6 months) to a previous lumbar facet thermal radiofrequency denervation.
  • Average pain score of 6 or higher in the last month, (on 0-10 scale).

Exclusion

  • Pregnant or breastfeeding patient
  • Patients younger than 55 or older than 85 years
  • Patients presenting with neurological deficits (including lumbosacral radiculopathy but not solitary radicular pain).
  • Patients with history of lumbosacral spine surgery excluding previous lumbar radiofrequency neurotomy
  • Patients who have had lumbar radiofrequency neurotomy in the past 6 months
  • Patients with the presence of metal hardware or other foreign objects at the lumbosacral spine
  • Patients with history of lumbar spine pathology that may increase procedural risk and / or influence symptoms and / or generate unrelated adverse event, (per the discretion of the study PI)
  • Patients unable to understand and complete the research questionnaires in the official language used within the particular sites' location.
  • Patients presenting with any severe medical condition preventing the patient from safely and effectively being treated in the study or reporting study outcome per PI decision.
  • Patient with extensive scarring of the skin and tissue overlying the treatment area.
  • Patients enrolled in or planned to be enrolled in another clinical trial during the duration of this research project
  • Any patients with an uncontrolled coagulopathy
  • Patients with known osteoporosis with absolute risk of spinal fracture of \>10% over 10 years will be excluded
  • Any patients with a history of malignant disease in the past five years
  • Patients with rheumatologic diseases causing spine pain that are currently receiving active treatment including steroids, disease modifying drugs, biological agents or immunosuppressants.
  • Patients known for concomitant psychiatric disorders, excluding mood disorders.
  • Patients presenting with concomitant mood disorders (deemed severe by the research physician).
  • Patients with a first-degree family member already enrolled in this study.
  • Patient who is scheduled for any interventional/surgical procedure within 3 months from screening date
  • Patients diagnosed with co-morbid multifocal chronic pain (e.g., fibromyalgia)

Key Trial Info

Start Date :

September 24 2019

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

March 26 2023

Estimated Enrollment :

30 Patients enrolled

Trial Details

Trial ID

NCT04129034

Start Date

September 24 2019

End Date

March 26 2023

Last Update

December 1 2022

Active Locations (5)

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Page 1 of 2 (5 locations)

1

Kinetix Medicine

Vancouver, British Columbia, Canada, BC V6K 2E4

2

Precision Sport & Spine

Oakville, Ontario, Canada, L6L 1H5

3

Silver Medical Group

Toronto, Ontario, Canada, M3H 5S4

4

Toronto Western

Toronto, Ontario, Canada, M5T 2S8

Safety and Initial Feasibility of Using the Neurolyser XR Device for the Treatment of Axial Chronic Low Back Pain | DecenTrialz