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Stiff-Person SyndromeNCT06242678

Evaluating Spinal Cord Stimulation for Stiff Person Syndrome

A study testing SCS trial lead in people with Stiff-Person Syndrome, run by Wake Forest University Health Sciences at 1 site in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The purpose of this prospective pilot study is to gather preliminary evidence evaluating spinal cord stimulation (SCS) as a potential therapy for the treatment of rigidity and painful spasms in patients with stiff person syndrome (SPS), a rare autoimmune neurological condition. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Stiff-Person Syndrome
What is being tested?
SCS trial lead
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
2 participants
Where
1 siteUnited States
Study dates
1 Nov 2024to 27 Oct 2025
Phase
Interventional
Are there results?
Yes, posted in the registrySummary in the doctors' view

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

  • Is 18 years of age or older at the time that the Informed Consent Form (ICF) is signed.
  • Has been clinically diagnosed with stiff person syndrome
  • Has clinical symptoms of muscle rigidity and spasms in the truncal (including abdominal, thoracic paraspinal, and pectoral) or proximal lower limb musculature
  • Has Cerebrospinal fluid (CSF) Anti-glutamic acid decarboxylase 65 (anti-GAD65) antibodies or serum anti-GAD65 antibodies present at any titer
  • Is currently trying or has tried in the past at least two conventional therapies with insufficient symptomatic relief or intolerable side effects (such as nonsteroidal anti- inflammatory drugs, topical patches/creams/gels/ointments, physical therapy, acupuncture, bracing, assistive devices, and lifestyle modification).
  • If taking oral medications, is willing to maintain a stable regimen for the duration of the study period.
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  • Is cleared for an implantable medical device by licensed mental health provider.
  • Is an appropriate candidate for the surgical procedures required in this study based on clinical judgement of the study physician.
  • Is willing to and capable of giving written informed consent.
  • Is willing and able to comply with study-related requirements and procedures and attend scheduled visits.

Who cannot join

  • Is less than 18 years of age at the time at the time that the Informed Consent Form (ICF) is signed.
  • Has a Body Mass Index (BMI) > 45.
  • Has a history of spine surgery or is planning to receive a spinal injection or procedure while participating in the study, unless this procedure can be postponed until after study completion.
  • Has radiological findings or evidence of moderate to severe central spinal canal stenosis or neuroforaminal stenosis at any thoracic level or laterality.
  • Has radiological findings or evidence of moderate/severe central spinal canal stenosis at any cervical or lumbar level.
  • Has had an epidural steroid injection within 6 weeks of enrollment.
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  • Has a history of infection of the spine within 6 months of enrollment.
  • Has received intravenous immunoglobulin therapy within 30 days or is unwilling to maintain a stable regimen (no change in dosage or frequency) during the study period.
  • Has a history of opioid misuse or current chronic opioid therapy.
  • Has evidence of a coagulation abnormality or low platelet count (<120,000) indicated on Complete Blood Count test at screening, or has a history of abnormal bleeding, or if unable to pause anticoagulation therapy in accordance with accepted guidelines for a spinal cord stimulator trial.
  • Has a current local infection at the anticipated surgical entry site, active systemic infection, or active malignancy.
  • Has a medical condition or pain in other area(s) not intended to be treated in this study, that could interfere with study procedures, accurate pain reporting, and/or confound evaluation of study endpoints, as determined by the Investigator (such as radicular pain, post-herpetic neuralgia, central canal stenosis of the cervical, thoracic or lumbar spine, critical limb ischemia due to peripheral vascular disease, or small vessel disease).
  • Has a history of untreated major depressive disorder, or history of any mental health disorder with psychotic features, such as schizophrenia.
  • Is pregnant (confirmed via pregnancy test) or plans on becoming pregnant during the study period.
  • Has had, within six months of enrollment, a significant untreated addiction to dependency producing medications, alcohol or illicit drugs.
  • Is concomitantly participating in another interventional clinical trial.
  • Is involved in an injury claim for a study-related chronic pain that is under current litigation.
  • Is a recipient of temporary Social Security Disability Insurance (SSDI) benefits due to study related chronic pain.
  • Has a pending or approved worker's compensation claim for study-related chronic pain.
  • Has low English language literacy interfering with the ability to complete study requirements.

Trial locations and contacts

1 site in 1 country.

United States1 site
  • Atrium Health Wake Forest Baptist

    Winston-Salem, North Carolina, 27157

Other trials in United States

About this study

The purpose of this prospective pilot study is to gather preliminary evidence evaluating spinal cord stimulation (SCS) as a potential therapy for the treatment of rigidity and painful spasms in patients with stiff person syndrome (SPS), a rare autoimmune neurological condition. The hypothesis is that SCS-mediated clinical improvement occurs through multi-modal mechanisms of action targeting several components of neuronal inhibitory signaling pathways in the spinal cord.

Read the detailed description

The hypothesis is that SCS-mediated clinical improvement occurs through multi-modal mechanisms of action targeting several components of neuronal inhibitory signaling pathways in the spinal cord.

Being tested
SCS trial lead
Medical subject headings
Stiff-Person Syndrome

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • SCS trial leadDevice

    placement of spinal cord stimulator trial leads to see if effective in the management of symptoms associated with stiff person syndrome

Study groups in NCT06242678
Study groupRoleWhat they receive
SCS trial leadExperimentalplacement of spinal cord stimulator trial leads
Receives: Device: SCS trial lead

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Pain Scores

    baseline pain will be measured on a 0-100 scale, with 100 being the worse level of pain, with improvement in pain level measured immediately prior to removal (kept in up to 10 days), with pain level reassessed at 14 days after trial leads removed to see if returned to baseline

    Measured: Baseline

  2. Pain Scores

    baseline pain will be measured on a 0-100 scale, with 100 being the worse level of pain, with improvement in pain level measured immediately prior to removal (kept in up to 10 days), with pain level reassessed at 14 days after trial leads removed to see if returned to baseline

    Measured: Day 24

  3. Michigan Body Map

    The Michigan Body Map (MBM) is a self-report measure to assess body areas of chronic pain with each area of pain marked is scored 1 point. Scores range from 0 to 35, with higher scores indicating more widespread body pain - Maximum score is 35. Higher score denotes more painful areas. It identifies the exact location of the area of recurrent or persistent pain. This map allows for accurate assessment of localized pain and widespread body pain to individualize pain management and track pain progress.

    Measured: baseline

  4. Michigan Body Map

    The Michigan Body Map (MBM) is a self-report measure to assess body areas of chronic pain with each area of pain marked is scored 1 point. Scores range from 0 to 35, with higher scores indicating more widespread body pain - Maximum score is 35. Higher score denotes more painful areas. It allows a patient to identify the exact location of the area(s) of recurrent or persistent pain. This map allows for accurate assessment of localized pain and widespread body pain to individualize pain management and track pain progress.

    Measured: up to day 10

  5. Penn Spasm Frequency and Severity Scale

    The first component is a 5 point scale assessing the frequency with which spasms occur ranging from "0 = No spasms" to "4 = Spontaneous spasms occurring more than ten times per hour". The second component is a 3 point scale assessing the severity of spasms ranging from "1 = Mild" to "3 = Severe"

    Measured: Baseline

  6. Penn Spasm Frequency and Severity Scale

    The first component is a 5 point scale assessing the frequency with which spasms occur ranging from "0 = No spasms" to "4 = Spontaneous spasms occurring more than ten times per hour". The second component is a 3 point scale assessing the severity of spasms ranging from "1 = Mild" to "3 = Severe"

    Measured: up to day 10

  7. Pain Disability Index

    The Pain Disability Index (PDI) is a self-report questionnaire that measures the impact of pain on a person's life. The PDI is scored on a scale of 0 to 70, with higher scores indicating a greater degree of disability:

    0: No disability 10: Total disability

    The PDI is made up of seven items, each rated on a scale of 0 to 10:

    Family/home, Recreation, Social activity, Occupation, Sexual behavior, Self-care, and Life-support activity.

    Measured: Baseline

  8. Pain Disability Index

    The Pain Disability Index (PDI) is a self-report questionnaire that measures the impact of pain on a person's life. The PDI is scored on a scale of 0 to 70, with higher scores indicating a greater degree of disability:

    0: No disability 10: Total disability

    The PDI is made up of seven items, each rated on a scale of 0 to 10:

    Family/home, Recreation, Social activity, Occupation, Sexual behavior, Self-care, and Life-support activity.

    Measured: up to Day 10

  9. Pittsburgh Sleep Quality Index (PSQI)

    The PSQI is used to evaluate the overall subjective sleep quality, sleep latency (i.e., how long it takes to fall asleep), sleep duration, habitual sleep efficiency (i.e., the percentage of time in bed that one is asleep), sleep disturbances, use of sleeping medication, and daytime dysfunction. Seven components, each of which has a range of 0-3 points. In all cases, a score of "0" indicates no difficulty, while a score of "3" indicates severe difficulty. Maximum score is 21, indicative of poor sleep quality. Higher scoring denotes more difficulty in sleep - The global Pittsburgh Sleep Quality Index (PSQI) score ranges from 0 to 21

    Measured: Baseline

  10. Pittsburgh Sleep Quality Index (PSQI)

    The PSQI is used to evaluate the overall subjective sleep quality, sleep latency (i.e., how long it takes to fall asleep), sleep duration, habitual sleep efficiency (i.e., the percentage of time in bed that one is asleep), sleep disturbances, use of sleeping medication, and daytime dysfunction. Seven components, each of which has a range of 0-3 points. In all cases, a score of "0" indicates no difficulty, while a score of "3" indicates severe difficulty. Maximum score is 21, indicative of poor sleep quality. Higher scoring denotes more difficulty in sleep - The global Pittsburgh Sleep Quality Index (PSQI) score ranges from 0 to 21

    Measured: up to Day 10

  11. Fatigue Severity Scale (FSS) Scores

    The FSS is a nine-item questionnaire that uses a seven-point Likert scale to score responses. The scale ranges from 1, which means "strongly disagree," to 7, which means "strongly agree". The minimum score is 9 and the maximum score is 63. A higher score indicates more severe fatigue.

    Measured: baseline

  12. Fatigue Severity Scale (FSS) Scores

    The FSS is a nine-item questionnaire that uses a seven-point Likert scale to score responses. The scale ranges from 1, which means "strongly disagree," to 7, which means "strongly agree". The minimum score is 9 and the maximum score is 63. A higher score indicates more severe fatigue.

    Measured: up to day 10

  13. Patient Health Questionnaire-Depression

    The Patient Health Questionnaire-8 (PHQ-8) is a self-reported scale that measures depressive symptoms over the previous two weeks. The PHQ-8 is scored by adding up the scores for each of the eight items, which range from 0 to 3. The response options for each item are:

    0: Not at all

    1. Several days
    2. More than half the days
    3. Nearly every day

    The total score ranges from 0 to 24, with higher scores indicating more severe depressive symptoms. The PHQ-8's scoring categories are:

    0-4: No significant depressive symptoms 5-9: Mild symptoms 10-14: Moderate symptoms 15-19: Moderately severe symptoms 20-24: Severe symptoms A score of 10 or higher is considered major depression, and a score of 20 or higher is considered severe major depression

    Measured: baseline

  14. Patient Health Questionnaire-Depression

    The Patient Health Questionnaire-8 (PHQ-8) is a self-reported scale that measures depressive symptoms over the previous two weeks. The PHQ-8 is scored by adding up the scores for each of the eight items, which range from 0 to 3. The response options for each item are:

    0: Not at all

    1. Several days
    2. More than half the days
    3. Nearly every day

    The total score ranges from 0 to 24, with higher scores indicating more severe depressive symptoms. The PHQ-8's scoring categories are:

    0-4: No significant depressive symptoms 5-9: Mild symptoms 10-14: Moderate symptoms 15-19: Moderately severe symptoms 20-24: Severe symptoms A score of 10 or higher is considered major depression, and a score of 20 or higher is considered severe major depression

    Measured: up to day 10

  15. Generalized Anxiety Disorder

    The GAD-7 is a screening tool that measures the severity of anxiety. It's scored by assigning points to the response categories of "not at all", "several days", "more than half the days", and "nearly every day". The total score ranges from 0 to 21.

    0-4: Minimal anxiety, no intervention required 5-9: Mild anxiety, monitoring and follow-up recommended 10-14: Moderate anxiety, education about symptoms and therapy services recommended 15-21: Severe anxiety, therapy and medication recommended

    Measured: baseline

  16. Generalized Anxiety Disorder

    The GAD-7 is a screening tool that measures the severity of anxiety. It's scored by assigning points to the response categories of "not at all", "several days", "more than half the days", and "nearly every day". The total score ranges from 0 to 21.

    0-4: Minimal anxiety, no intervention required 5-9: Mild anxiety, monitoring and follow-up recommended 10-14: Moderate anxiety, education about symptoms and therapy services recommended 15-21: Severe anxiety, therapy and medication recommended

    Measured: up to day 10

  17. EuroQOL (EQ-5D-5L)

    An index value of 1 represents the best possible health state, while an index value of <0 (variable) represents the worst possible health state.

    Measured: Baseline

  18. EuroQOL (EQ-5D-5L)

    An index value of 1 represents the best possible health state, while an index value of <0 (variable) represents the worst possible health state.

    Measured: up to Day 10

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted5 Feb 2024
  2. Study start1 Nov 2024
  3. Primary completion21 Aug 2025
  4. Study completion27 Oct 2025

Resources

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
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
2 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06242678
Sponsor's protocol ID
IRB00098231
Status last verified
Jun 2025
First submitted
24 Jan 2024
Last updated
31 Aug 2026
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
Yes
Individual data sharing
Yes: study results will be shared via publication

Questions about this trial

What is this clinical trial studying?

A study testing SCS trial lead in people with Stiff-Person Syndrome, run by Wake Forest University Health Sciences at 1 site in United States.

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 10 inclusion and 20 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 31 Aug 2026. 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 United States. 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?

Yes. Results are posted in the registry (first posted 31 Aug 2026). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

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?

Pain Scores (time frame: Baseline). The study lists 18 primary outcomes in all. 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 31 Aug 2026.

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