Working… Menu

Differential Target Multiplexed Spinal Cord Stimulation (DTM-SCS®) Real World Outcomes

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Know the risks and potential benefits of clinical studies and talk to your health care provider before participating. Read our disclaimer for details. Identifier: NCT04725838
Recruitment Status : Recruiting
First Posted : January 27, 2021
Last Update Posted : July 16, 2021
Information provided by (Responsible Party):
Celéri Health, Inc.

Brief Summary:
The UPGRADE registry will capture long-term, real-world outcomes to understand the effect of Differential Target Multiplexed (DTM®) programming in the Spinal Cord Stimulation (SCS) implanted population on the management of chronic pain, primarily on its use for trunk and/or limb pain. The clinical study is sponsored by Celéri Health and is funded through a financial grant from Medtronic's External Research Program. The registry study will be conducted across approximately 30 centers in the United States with up to 1700 participants enrolled.

Condition or disease Intervention/treatment
Chronic Pain Device: Medtronic Intellis™

Detailed Description:

This clinical investigation is a prospective, observational, open-label, non-randomized, multi-center study. It is designed to collect clinical follow-up data on Differential Target Multiplexed (DTM®) programming that is available in Medtronic's Intellis™ spinal cord stimulator, which has shown superiority to conventional programming parameters in a randomized controlled trial (NCT03606187).

Participants currently implanted with a permanent neurostimulation system, whom are planned for conversion to DTM® programming as well as newly identified participants planned to undergo a trial of neurostimulation using DTM® will be eligible to participate in this study. Data will be collected at baseline prior to DTM® programming exposure.

Participants who continue to meet eligibility criteria and have had their implanted DTM programming activated will enter the 24-month follow-up period, where participant self-reported questionnaires will be assessed each month with study visits to occur at months 3, 6, 12 and 24.

Throughout the study, objective functional data will be collected automatically as part of the Medtronic Intellis™ device interrogation.

Layout table for study information
Study Type : Observational [Patient Registry]
Estimated Enrollment : 1700 participants
Observational Model: Other
Time Perspective: Prospective
Target Follow-Up Duration: 24 Months
Official Title: The UPGRADE Study: Real World Outcomes® of Differential Target Multiplexed (DTM-SCS®) Stimulation in Existing and New Medtronic Intellis™ Implants
Actual Study Start Date : January 29, 2021
Estimated Primary Completion Date : January 29, 2025
Estimated Study Completion Date : January 29, 2025

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Chronic Pain

Intervention Details:
  • Device: Medtronic Intellis™
    Differential Target Multiplexed (DTM®) programming using Medtronic Intellis™ Spinal Cord Stimulation system

Primary Outcome Measures :
  1. To evaluate the Pain Impact Score as measured by the PROMIS-29 before and after introduction of Differential Target Multiplexed (DTM®) stimulation programming in a real-world population. [ Time Frame: 24 months ]

Secondary Outcome Measures :
  1. To characterize the responder rate for pain by pain area per Percent Pain Relief for DTM-SCS® compared to participant baseline treatment. [ Time Frame: 24 months ]
  2. To characterize the responder rate for pain by pain area per Numeric Rating Scale for DTM-SCS® compared to participant baseline treatment. [ Time Frame: 24 months ]
  3. To evaluate the longitudinal characterization of objective posture and activity measures. [ Time Frame: 24 months ]
    Time spent in each activity/position (Intellis™ device data)

  4. To characterize Patient Global Impression of Change (PGIC) with neurostimulation. [ Time Frame: 24 months ]
  5. To evaluate the performance of the DTM® pre-programming questionnaire in predicting outcome of DTM-SCS® programming. [ Time Frame: 24 months ]
  6. To characterize the neuropathic pain quality using PROMIS-Neuropathic Pain Quality (PROMIS-PQ-Neuro) before and after treatment. [ Time Frame: 24 months ]

Information from the National Library of Medicine

Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Learn About Clinical Studies.

Layout table for eligibility information
Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Sampling Method:   Non-Probability Sample
Study Population
Participant has a permanent Medtronic Intellis™ neurostimulation system implanted or is planning for a trial of the Medtronic Intellis™ neurostimulation system and is a candidate for Differential Target Multiplexed (DTM®) programming for the management of chronic pain, primarily on its use for trunk and/or limb pain.

Inclusion Criteria:

  1. Participant must provide written informed consent prior to any clinical study-related procedure.
  2. Participant is at least 18 years (or the minimum age required by local law to consent for participation in a clinical investigation) or older at the time of enrollment.
  3. Participant has a permanent Medtronic Intellis™ neurostimulation system implanted or is planning for a trial of the Medtronic Intellis™ neurostimulation system.
  4. Participant has access to an iPhone or Android capable device and/or computer with regular internet access for the purposes of electronically completing web-based participant self-reported questionnaires via SMS text or email.

Exclusion Criteria:

  1. Participant is unable to provide written informed consent.
  2. Participant is a profound responder for all pain areas to existing neurostimulation therapy (≥80% reported relief).
  3. Participant is enrolled, or intends to participate, in a clinical drug and/or device study (investigational device, investigational drug, new indication for a device or drug, or additional testing beyond standard of care procedures) which could confound the results of this trial as determined by the investigator.
  4. Presence of other anatomic or comorbid conditions, or other medical, social, or psychological conditions that, in the investigator's opinion, could limit the participant's ability to participate in the clinical investigation or to comply with follow-up requirements.
  5. Participant is pregnant or nursing.

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT04725838

Layout table for location contacts
Contact: Jean Myers 215-828-9070

Show Show 26 study locations
Sponsors and Collaborators
Celéri Health, Inc.
Layout table for investigator information
Study Director: Michael Fishman, MD Chief Medical Officer
Additional Information:
Layout table for additonal information
Responsible Party: Celéri Health, Inc. Identifier: NCT04725838    
Other Study ID Numbers: UPGRADE
First Posted: January 27, 2021    Key Record Dates
Last Update Posted: July 16, 2021
Last Verified: April 2021
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: No

Layout table for additional information
Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
Additional relevant MeSH terms:
Layout table for MeSH terms
Chronic Pain
Neurologic Manifestations