Paresthesia-free Peripheral Nerve Field Stimulation for Trigeminal Neuralgia (FreeST Trial)
Facial Pain | Trigeminal NeuralgiaStudy 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 NetworkToronto, Ontario
Canada
Contact Study Team
Centre hospitalier universitaire de Sherbrooke
Centre hospitalier universitaire de SherbrookeSherbrooke, Quebec
Canada
Contact Study Team
- Study Sponsored By
- University Health Network, Toronto
- Participants Required
- More Information
- Study ID:
NCT05615714