Actively Recruiting

Phase Not Applicable
Age: 18Years +
All Genders
NCT04039633

Spinal Cord Stimulation for Refractory Pain in Erythromelalgia

Led by St. Olavs Hospital · Updated on 2025-07-08

24

Participants Needed

4

Research Sites

331 weeks

Total Duration

On this page

Sponsors

S

St. Olavs Hospital

Lead Sponsor

N

Norwegian University of Science and Technology

Collaborating Sponsor

AI-Summary

What this Trial Is About

Erythromelalgia is a rare disorder characterized by red, warm, and painful extremities, which is often precipitated by warm conditions. The pathophysiology is incompletely understood. The management of pain in erythromelalgia is challenging as no single therapy has been found to be effective. Response to pharmacotherapy varies, meaning that the physician has to take a stepwise trial and error approach with each patient. Consequently, this disorder is often associated with poorer health-related quality of life. There is currently no consensus or guideline on management of pain in erythromelalgia. Spinal cord stimulation is a widely applied therapy to treat severe chronic pain of various origin. Case reports and anecdotal evidence suggest that this therapy might alleviate refractory pain in patients with erythromelalgia. The aim of this trial is to evaluate the efficacy of spinal cord stimulation for refractory pain in erythromelalgia.

CONDITIONS

Official Title

Spinal Cord Stimulation for Refractory Pain in Erythromelalgia

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Diagnosis of primary or idiopathic erythromelalgia
  • Age 18 years or older
  • Chronic pain lasting 6 months or more that has not improved with medical treatment
  • Minimum pain intensity of 5 out of 10 on a numeric rating scale at baseline
  • Successful two-week spinal cord stimulation trial with tonic stimulation showing at least 2 points reduction in pain
Not Eligible

You will not qualify if you...

  • Conditions increasing procedural risk such as sepsis or coagulopathy
  • History of laminectomy or posterior fusion at the thoracolumbar junction
  • Abnormal pain behavior or unresolved psychiatric illness
  • Unresolved secondary gain issues or inappropriate medication use
  • Deemed unfit for participation by the study physician for any other reason

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 4 locations

1

Halden Dermatology Center

Halden, Norway

Actively Recruiting

2

Aleris

Strømmen, Norway

Actively Recruiting

3

Universitetssykehuset nord-norge hf

Tromsø, Norway

Actively Recruiting

4

St Olavs Hospital

Trondheim, Norway

Actively Recruiting

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Research Team

S

Sasha Gulati, md prof

CONTACT

S

Sven M Carlsen, md prof

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

QUADRUPLE

Allocation

RANDOMIZED

Model

CROSSOVER

Primary Purpose

TREATMENT

Number of Arms

2

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Spinal Cord Stimulation for Refractory Pain in Erythromelalgia | DecenTrialz