Closed-Loop Spinal Cord Stimulation for Complex Regional Pain Syndrome

This study is testing a new type of spinal cord stimulation device for Complex Regional Pain Syndrome (CRPS). The device uses a "closed-loop" system, meaning it adjusts its stimulation based on your body's real-time response. Researchers want to see if this device works better when CRPS is diagnosed early (acute or subacute phase) compared to when it's been present for a long time (chronic phase). You may be able to join if you are 18 or older, have CRPS type 1 or 2, and have not had other nerve stimulation treatments before. The study will measure changes in your CRPS severity scores and how the device's settings change over time to see if the treatment is successful. The current status of this study is unclear.

Study design
This study plans to enroll 32 participants. It is an interventional study, meaning participants will receive a specific treatment.
What's involved
You would first have a 7-day trial period with a temporary spinal cord stimulator. If it helps, a permanent device would be implanted. You will complete questionnaires at baseline, after the trial, and at 3 and 6 months, and have blood drawn at baseline, after the trial, and at 3 months.
Compensation
Not stated in the trial record.
Follow-up
Participants will be followed for 6 months after the device is implanted.

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NCT06421350

Closed Loop Spinal Cord Stimulation for Complex Regional Pain Syndrome

Recruiting
NAAges 18+InterventionalTreatment
Scripps Health
~32 participants
Updated 2025-11-03 on ClinicalTrials.gov
What's tested:Spinal Cord Stimulation Device

At a glance

Recruiting sites
1 of 1 listed site is recruiting right now
RecruitingSuspended, closed, or not yet open
What they're measuring
Change in Complex Regional Pain Syndrome Severity Scores
Measured over Baseline, 7 day trial period, 3 months, 6 months
+1 more outcome measured
Complex Regional Pain Syndromes
1 sites across 1 states
California1
  • David B Hiller, MD · PRINCIPAL_INVESTIGATOR · Physician

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Do you actually qualify for this trial?

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Eligibility criteria

Inclusion

18 years or older
neuromodulation naive patients with unilateral CRPS type 1 or type 2 (defined by Budapest Criteria)
pre-procedure psychological clearance

Exclusion

younger than 18 years
prior neuromodulation including spinal cord stimulation
prior dorsal root ganglion stimulation
prior peripheral nervous system stimulation
anatomical obstacles to dorsal column lead placement
  • Change in Complex Regional Pain Syndrome Severity ScoresBaseline, 7 day trial period, 3 months, 6 months

    (CRPS SS) This will be determined at baseline by the provider based on his diagnosis of the patient's condition, being acute and subacute or chronic. This is based on the presence or absence of 16 clinically-assessed signs and symptoms, and complements the diagnostic criteria for CRPS. A higher score indicates greater severity of the condition. This will be followed up at the 7 day trial period, 3 months and 6 months post procedure by evaluation.

  • Change in Target Activation Amplitude Levels by the Spinal Cord Stimulation Device7 day trial period, 3 months, and 6 months.

    Spinal cord stimulation device parameters will be collected to determine if a lower voltage is required to treat acute phase of complex regional pain syndrome as compared to later phases. This will be conducted at follow up visits and analyzed by the medical device representative. The data will be pulled and analyzed to determine the activation point for each patient. This will be captured at the 7 day trial period, 3 months, and 6 months.