Neck PainNCT04152954
Comparison of a Multi-tined Cannula Versus a Conventional Cannula for Cervical Medial Branch Radiofrequency Ablation in Chronic Neck Pain
A study testing Radiofrequency ablation of cervical medial branches in people with Neck Pain and Radiofrequency Ablation, run by Centre hospitalier de l'Université de Montréal (CHUM) at 1 site in Canada.
Trial summary
Chronic neck pain is a common disorder for spine specialists. Radiofrequency ablation of medial branches has been proven effective in selected patients for relieving pain. A newer radiofrequency ablation cannula has been developed (multi-tined), allowing perpendicular access. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Neck Pain, Radiofrequency Ablation, Facet Joint Pain
- What is being tested?
- Radiofrequency ablation of cervical medial branches
- Type of treatment
- Medical device
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 50 participants
- Where
- 1 siteCanada
- Study dates
- 4 Dec 2019to 20 Feb 2023
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- 18 years or older
- Cervical neck pain at least 4/10 at rest or with activity
- Neck pain lasting at least 6 months and refractory to conservative treatments
- Neck pain is primarily axial (more than upper extremity)
- Success to medial branch block protocol
Who cannot join
- failure to medial branch block protocol (pain relief less than 75% on 2 occasions)
- Cervical neck pain less than 4/10
- Neurological deficits of upper extremity
- neuropathic pain of upper extremity
- pregnancy or breastfeeding
- inflammatory or neoplastic lesion on x-ray
- neck cortisone injection in last 3 months
- any medical or psychiatric condition contra-indicated for radiofrequency ablation
Trial locations and contacts
1 site in 1 country.
About this study
Chronic neck pain is a common disorder for spine specialists. Radiofrequency ablation of medial branches has been proven effective in selected patients for relieving pain. A newer radiofrequency ablation cannula has been developed (multi-tined), allowing perpendicular access. It is proposed as an alternative to the more technically challenging traditional approach. This study aims to compared the technical and clinical aspects of both techniques.
- Conditions
- Neck Pain, Radiofrequency Ablation, Facet Joint Pain
- Being tested
- Radiofrequency ablation of cervical medial branches
- Medical subject headings
- Neck Pain
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Radiofrequency ablation of cervical medial branchesDevice
Radiofrequency ablation of cervical medial branches
| Study group | Role | What they receive |
|---|---|---|
| Traditional cannula | Active comparator | Cervical Medial Branch Radiofrequency Neurotomy using a conventional cannula, the patient lying prone with a posterior approach. Receives: Device: Radiofrequency ablation of cervical medial branches |
| Multi-tined cannula | Experimental | Cervical Medial Branch Radiofrequency Neurotomy using a Multi-Tined cannula, the patient lying in lateral decubitus with a lateral approach Receives: Device: Radiofrequency ablation of cervical medial branches |
What is being measured
The primary outcome is the main question the study is designed to answer.
Numerical Pain Rating scale for patient's pain during the procedure
pain during radiofrequency procedure will be compared between the 2 groups as a principal hypothesis is that the new multi-tined cannula is better tolerated by patients Scale is from 0-10, 0/10 is no pain which is better than pain of 10/10
Measured: 1 day of the intervention
Secondary outcomes (5)
Fluoroscopy time
Calculated time of fluoroscopy in seconds
Measured: 1 day of the intervention
Radiation dosage
Calculated dose of radiation measure by the C-arm
Measured: 1 day of the intervention
time of procedure
Total time of procedure in minutes/seconds
Measured: 1 day of the intervention
Patient pain (Numerical Rating Scale - NRS score)
therapeutic effect on pain Scale is from 0-10, 0/10 is no pain which is better than pain of 10/10
Measured: 0, 3, 6 12 months
Patient function (Neck disability Index - NDI)
therapeutic effect on function scale is from 0-100%, where 0% is better than 100% in terms of the effect of pain on function
Measured: 0, 3, 6, 12 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted6 Nov 2019
- Study start4 Dec 2019
- Primary completion16 Feb 2022
- Study completion20 Feb 2023
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Neck PainStudies of the same condition, open and under way.
- More trials run by Centre hospitalier de l'Université de Montréal (CHUM)The sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Model description
- randomized controlled trial
- Masking
- Triple blind
- Who is masked
- Participant, Investigator, Outcomes assessor
- Enrolment
- 50 participants (actual)
Sponsor and investigators
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04152954
- Sponsor's protocol ID
- 19.101
- Status last verified
- Mar 2023
- First submitted
- 1 Nov 2019
- Last updated
- 13 Mar 2023
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 13 Mar 2023. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Comparison of a Multi-tined Cannula Versus a Conventional Cannula for Cervical Medial Branch Radiofrequency Ablation in Chronic Neck Pain
- ClinicalTrials.gov ID
- NCT04152954
- Acronym / sponsor ID
- 19.101
- Conditions
- Neck Pain, Radiofrequency Ablation, Facet Joint Pain
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 50 participants (actual)
- Lead sponsor
- Centre hospitalier de l'Université de Montréal (CHUM)University, hospital or other
- Study start
- 4 Dec 2019 (actual)
- Primary completion
- 16 Feb 2022 (actual)
- Study completion
- 20 Feb 2023 (actual)
- First posted
- 6 Nov 2019 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Chronic neck pain is a common disorder for spine specialists. Radiofrequency ablation of medial branches has been proven effective in selected patients for relieving pain. A newer radiofrequency ablation cannula has been developed (multi-tined), allowing perpendicular access. It is proposed as an alternative to the more technically challenging traditional approach. This study aims to compared the technical and clinical aspects of both techniques.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind (participant, investigator, outcomes assessor)
- Number of arms
- 2
- Model description
- randomized controlled trial
| Arm | Type | Receives |
|---|---|---|
| Traditional cannula | Active comparator | Device: Radiofrequency ablation of cervical medial branchesCervical Medial Branch Radiofrequency Neurotomy using a conventional cannula, the patient lying prone with a posterior approach. |
| Multi-tined cannula | Experimental | Device: Radiofrequency ablation of cervical medial branchesCervical Medial Branch Radiofrequency Neurotomy using a Multi-Tined cannula, the patient lying in lateral decubitus with a lateral approach |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (5 listed)
- 18 years or older
- Cervical neck pain at least 4/10 at rest or with activity
- Neck pain lasting at least 6 months and refractory to conservative treatments
- Neck pain is primarily axial (more than upper extremity)
- Success to medial branch block protocol
Key exclusion criteria (8 listed)
- failure to medial branch block protocol (pain relief less than 75% on 2 occasions)
- Cervical neck pain less than 4/10
- Neurological deficits of upper extremity
- neuropathic pain of upper extremity
- pregnancy or breastfeeding
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Radiofrequency ablation of cervical medial branchesRadiofrequency ablation of cervical medial branches | Device | Multi-tined cannula, Traditional cannula |
Primary outcome
Numerical Pain Rating scale for patient's pain during the procedure
Time frame: 1 day of the intervention
pain during radiofrequency procedure will be compared between the 2 groups as a principal hypothesis is that the new multi-tined cannula is better tolerated by patients Scale is from 0-10, 0/10 is no pain which is better than pain of 10/10
5 secondary outcomes
Fluoroscopy time
Time frame: 1 day of the intervention
Radiation dosage
Time frame: 1 day of the intervention
time of procedure
Time frame: 1 day of the intervention
Patient pain (Numerical Rating Scale - NRS score)
Time frame: 0, 3, 6 12 months
Patient function (Neck disability Index - NDI)
Time frame: 0, 3, 6, 12 months
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 13 Mar 2023.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Radiofrequency ablation of cervical medial branches in people with Neck Pain and Radiofrequency Ablation, run by Centre hospitalier de l'Université de Montréal (CHUM) at 1 site in Canada.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 5 inclusion and 8 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 13 Mar 2023. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Canada. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Numerical Pain Rating scale for patient's pain during the procedure (time frame: 1 day of the intervention). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 13 Mar 2023.