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Paresthesia-free Peripheral Nerve Field Stimulation for Trigeminal Neuralgia (FreeST Trial)

Facial Pain | Trigeminal Neuralgia

Study type: Prospective, double-blinded, double arm, cross-over, randomized controlled clinical trial.

Brief protocol:

Postoperative week 0-2 -\> Conventional parameters (parameters tested during trial period)

Postoperative week 2-6 -\> Sham stimulation (2 weeks) and paresthesia-free stimulation (2 weeks) double-blind crossover design

Postoperative week 6 - month 12 -\> Parameters that patients feel more benefit from

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Participation Requirements

  • Sex:

    ALL
  • Eligible Ages:

    18 and up

Participation Criteria

Inclusion Criteria:

* Diagnosis of a medically-refractory unilateral facial pain syndrome as defined by the Burchiel classification but excluding atypical facial pain (somatoform pain disorder)
* Recent successful PNFS trial and permanent implantation surgery
* Average preoperative episodic/constant pain intensity of 5 or greater out of 10 cm on the VAS
* Capable of providing informed consent and complying with study procedures
* Patients may or may not use a pain medication at the time of recruitment. Medications allowed during the study are long-acting/modulatory analgesics (anticonvulsants such as carbamezapine, oxcarbazepine, pregabalin, gabapentin, lamotrigine; baclofen, botox injections) and short-acting analgesics (non-steroid anti-inflammatory drugs, short-acting opioids, lidocaine or sumatriptan injections)

Exclusion Criteria:

* Currently in a clinical trial involving an investigational product or non-approved use of a drug or device.
* Active psychiatric disorder or other known condition that can significantly impact pain perception
* Patients with a revision surgery of a PNFS system by any reason (history of trigeminal pain surgery of other types (i.e., microvascular decompression, gamma knife, percutaneous rhizotomies) are not exclusion criteria)
* Pregnant and lactating women

Study Location

Toronto Western Hospital, University Health Network
Toronto Western Hospital, University Health Network
Toronto, Ontario
Canada

Contact Study Team

Primary Contact

Jakob Kim

[email protected]
(416) 603-5800
Centre hospitalier universitaire de Sherbrooke
Centre hospitalier universitaire de Sherbrooke
Sherbrooke, Quebec
Canada

Contact Study Team

Primary Contact

Andréanne Hamel

[email protected]
(819) 346-1110
Study Sponsored By
University Health Network, Toronto
Participants Required
More Information
Study ID: NCT05615714