Evaluation of Medication Tapering on the Sensitivity of the Spinal Cord Using Closed-Loop Spinal Cord Stimulation (Pilot Study)
NCT07502612 · Status: RECRUITING · Type: OBSERVATIONAL · Enrollment: 20
Last updated 2026-03-31
Summary
This pilot study investigates the effects of reducing pain medication including opioids and anticonvulsants, on spinal cord sensitivity during closed-loop spinal cord stimulation (SCS). Patients with Persistent Spinal Pain Syndrome Type 2 (FBSS/FNSS) will undergo a standard 21-day SCS trial with the Evoke closed-loop system, followed by permanent implantation if successful. Neurophysiological responses (activation plots, conduction velocity, chronaxie, rheobase) and patient-reported outcomes (VAS, activity, sleep, medication intake) will be collected during the trial and up to 6 months after implantation. The goal is to evaluate the relationship between medication tapering and spinal cord sensitivity
Conditions
- Failed Back Surgery Syndrome (FBSS)
- Persistent Spinal Pain Syndrome Type 2 (PSPS-T) Lower Spine
- Neurophysiological Sensitivity to Spinal Cord Stimulation
Interventions
- OTHER
-
Spinal Cord Stimulation with Evoke Closed-Loop System
All patients undergo a 21-day trial with Evoke closed-loop SCS. If successful, patients receive a permanent implant. Assessments include activation plots, conduction velocity, chronaxie, rheobase, VAS pain, sleep, activity, and medication intake.
Sponsors & Collaborators
-
Brai²n
lead OTHER
Principal Investigators
-
Tony Van Havenbergh, MD, PhD · Brai²n / Department of Neurosurgery, ZAS Augustinus, Antwerp, Belgium
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2022-06-08
- Primary Completion
- 2026-07-28
- Completion
- 2026-08-28
Countries
- Belgium
Study Locations
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