Actively Recruiting

Phase Not Applicable
Age: 18Years - 90Years
All Genders
NCT04909138

Intermittent Dosing of Dorsal Root Ganglion Stimulation as an Alternate Paradigm to Continuous Low-Frequency Therapy

Led by Rush University Medical Center · Updated on 2026-01-21

30

Participants Needed

1

Research Sites

241 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

This study seeks to evaluate the use of intermittent dosing as an alternative paradigm for patients with DRG stimulation in place for at least 1 year and minimum 50% pain relief in the targeted area. Patients will be prospectively randomized to one of two stimulation paradigms both of which involve intermittent dosing at 30 seconds ON and 90 seconds OFF. Group 1 will have their frequency set at 20 Hz with amplitude levels adjusted in order to remain in the therapeutic window (subthreshold stimulation). Group 2 will have their frequency set at 5 Hz with amplitude levels adjusted in order to remain in the therapeutic window (subthreshold stimulation) This study will be performed in a crossover fashion, meaning patients will be changed to the alternate dosing regimen at the 13-week time period. Patients will be seen and evaluated prior to randomization and reprogramming, and thereafter evaluated at 4, 8, and 12-weeks. At the 12-week time period, patients will begin a 1-week washout period of continuous stimulation. At the 13-week time period, patients will be evaluated, crossed over to the other study arm and thereafter evaluated at 17, 21, and 25-weeks.

CONDITIONS

Official Title

Intermittent Dosing of Dorsal Root Ganglion Stimulation as an Alternate Paradigm to Continuous Low-Frequency Therapy

Who Can Participate

Age: 18Years - 90Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Age between 18 and 99 years
  • Use of continuous DRG therapy delivered by a permanently implanted Abbott PROCLAIM XR Dorsal Root Ganglion Neurostimulator System for chronic back and/or leg pain for at least 1 year
  • At least 50% pain relief in the targeted area over the last year
  • Seen for routine follow-up within the last 4 months
  • Have been reprogrammed in standard fashion at least once before randomization
  • Willing and able to complete health questionnaires, pain scales, and follow-up visits as specified
  • Able to sign the study-specific informed consent form
Not Eligible

You will not qualify if you...

  • Significant lead migration as determined by the clinician
  • Presence of another concurrent neuromodulation system
  • Corticosteroid injection within 30 days prior to enrollment
  • History of intermittent dosing failure within the last 6 months
  • Changing or unstable pain medications within 30 days

AI-Screening

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Trial Site Locations

Total: 1 location

1

Rush University Medical Center

Chicago, Illinois, United States, 60612

Actively Recruiting

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Research Team

S

Sandeep Amin, MD

CONTACT

D

Daniel Torrez, BS

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

SINGLE

Allocation

RANDOMIZED

Model

CROSSOVER

Primary Purpose

TREATMENT

Number of Arms

2

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