Peripheral Nerve Stimulation for Amputees

JH
AG
Overseen ByAnne Genzelev
Age: 18+
Sex: Any
Trial Phase: Academic
Sponsor: NYU Langone Health
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial tests a new treatment called Altius Peripheral Nerve Stimulation, a device-based therapy, for individuals who have lost a leg and continue to experience severe nerve pain unrelieved by surgeries like TMR or RPNI. The trial aims to determine if this treatment can reduce pain and improve quality of life. Eligible participants should have undergone nerve-related surgeries at least 9 months ago but still suffer from significant, chronic pain. Those who have tried a lidocaine injection and experienced at least a 50% reduction in pain may be well-suited for this study. As an unphased trial, it offers a unique opportunity to explore a promising new treatment option for managing chronic nerve pain.

Do I have to stop taking my current medications for the trial?

The trial information does not specify whether you need to stop taking your current medications. It's best to discuss your specific medications with the study team to get a clear answer.

What prior data suggests that the Altius Peripheral Nerve Stimulation is safe for amputees?

Research has shown that the Altius Peripheral Nerve Stimulation system is safe and effective for individuals experiencing pain after amputation. This FDA-approved device reduces pain and decreases the need for opioid painkillers. Participants in these studies reported significant improvements in their quality of life over time.

Many users have tolerated the device well, and studies have reported no major safety issues. For instance, one study found that after 12 months, patients continued to benefit from the treatment without serious side effects. This suggests that the Altius system is a promising option for managing long-term pain after amputation.12345

Why are researchers excited about this trial?

Most treatments for chronic pain in amputees, like medications or nerve surgeries, aim to manage symptoms rather than directly influence nerve activity. However, Altius Peripheral Nerve Stimulation is unique because it targets the nerves directly involved in pain transmission, offering a potentially more effective solution. Researchers are excited about this treatment because it uses a novel method to modulate nerve activity, which could provide relief where other treatments have failed. Additionally, this approach is less invasive and might offer faster pain relief compared to traditional surgical options.

What evidence suggests that Altius Peripheral Nerve Stimulation is effective for amputees?

Research has shown that the Altius Peripheral Nerve Stimulation system reduces long-term pain for individuals with lower-limb amputations. Participants in this trial will receive the Altius system, which studies have found to decrease pain, reduce the need for painkillers, and improve quality of life. One study demonstrated that the Altius system provided lasting pain relief and enhanced patient function after three months. Another study found these benefits persisted for at least a year. The FDA has approved the Altius system, confirming it meets safety and effectiveness standards for treating post-amputation pain.23567

Who Is on the Research Team?

JH

Jacques Hacquebord, MD

Principal Investigator

NYU Langone Health

Are You a Good Fit for This Trial?

This trial is for adults who have had a leg amputation and nerve-targeted surgery (like TMR or RPNI) at least 9 months ago, still have moderate to severe nerve pain that hasn't gone away, and experienced significant pain relief from a lidocaine injection.

Inclusion Criteria

* Able and willing to provide consent
I am 18 years old or older.
I had at least 50% less pain after a lidocaine injection guided by ultrasound.
See 2 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Surgical Implantation

Participants undergo surgical implantation of the FDA-approved Altius® system

1 week
1 visit (in-person)

Follow-up

Participants are monitored longitudinally and complete a series of patient-reported outcome measure questionnaires

6 months
Monthly visits (in-person or virtual)

What Are the Treatments Tested in This Trial?

Interventions

  • Altius Peripheral Nerve Stimulation

Trial Overview

The study tests the Altius® peripheral nerve stimulation system, which is surgically implanted to help manage chronic pain after leg amputation. All participants receive the device and are monitored over time with questionnaires.

How Is the Trial Designed?

1

Treatment groups

Experimental Treatment

Group I: Adult Lower Extremity (LE) AmputeesExperimental Treatment1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

NYU Langone Health

Lead Sponsor

Trials
1,431
Recruited
838,000+

Citations

Primary 3-Month Outcomes of a Double-Blind Randomized ...

These data indicate that Altius treatment represents a significant therapeutic advancement for lower-limb amputees suffering from chronic PAP.

QUEST STUDY 12-MONTH DATA SUMMARY1

Designed to assess the effectiveness and safety of the Altius® System in lower limb amputees with chronic post-amputation pain. • Study subjects suffered from ...

Altius Peripheral Nerve Stimulation in Amputees After TMR ...

Subjects will be followed longitudinally and will complete a series of patient-reported outcome measure questionnaires, a study intake ...

4.

pubmed.ncbi.nlm.nih.gov

pubmed.ncbi.nlm.nih.gov/40022501/

Altius electrical nerve stimulation for post-amputation pain ...

The findings suggest that the Altius system addresses a critical gap in PAP treatment, offering sustained pain relief, reduced opioid dependency ...

Landmark Study of a Revolutionary Device for the ...

3-month results show the Altius® System significantly reduces pain, decreases opioid use, and improves patient quality of life.

Altius® Direct Electrical Nerve Stimulation System

The Altius® Direct Electrical Nerve Stimulation System is indicated as an aid in the management of chronic intractable phantom and residual ...

Altius electrical nerve stimulation for post-amputation pain ...

This review explains how the device works, its benefits, and its safety profile. The long-term improvements in pain control and reduced reliance on medications ...