Skip to main content
OpenTrials
Completed

NCT Number: NCT01726608

RFN for SIJ Disease Study

The purpose of the study is to investigate if a technique called Simplicity III® Radiofrequency Neurotomy is effective in improving the management of sacroiliac joint pain. Currently there are a variety of treatments for managing this pain but there is still some doubt as to which treatments are the most effective. Simplicity III® is one such treatment for sacroiliac joint pain and has been used in the NHS for many years. It uses electrical current to generate heat around the tip of the needle placed close to the nerves that supply the sacro-iliac joint. This heat ablates the specific nerves supplying the joint and improves pain.

The traditional method used to treat this type of pain uses multiple injections to target the nerves supplying the joint. This method is however both time consuming and the results are variable depending upon the number of injections. Therefore a new electrode, called the Simplicity III®, was developed to allow the treatment to be undertaken using fewer injections. Although this treatment has received formal approval, undergone conformity assessment and is available in certain specialist NHS centres for clinical use, there is presently limited evidence with regards to its clinical efficacy. We wish to test the effectiveness of this new device in treating sacroiliac joint pain. The best way to prove the clinical effectiveness is to compare Simplicity III® against an identical procedure where the electrode is not switched on and neither the patient nor the doctor is aware whether it was switched on. Once pain has been assessed at 3 months, those patients not receiving active treatment and remaining in pain will be offered the active treatment.

Completed

Looking for future studies?

Notify Me

Key information

Conditions

Sacro Iliac Joint Pain

Age range

18 year–80 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 4

Primary location

Barts Health NHS Trust

London, EC1A 7BE, United Kingdom

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Written, informed consent
  • Age: 18 - 80 years old
  • Low back pain of more than 6 months duration with a minimum pain intensity of greater than 5 out of 10 on an 11-point numerical rating scale in the 7 days preceding study entry.
  • Subjects must achieve greater than 80% reduction in pain following each diagnostic, intra-articular block. Subjects must undergo 2 blocks in total prior to randomisation.
  • Female subjects of potential childbearing age must be using adequate contraception (i.e. using oral or intramuscular contraception or an IUCD) and must have a negative urine test.
  • No vulnerable patient groups shall be recruited into this study

Exclusion criteria

  • Subjects who do not fulfill inclusion criteria
  • Subjects who have previously been treated by any sacroiliac joint radiofrequency neurotomy
  • Subjects who are breastfeeding
  • Contraindications to local anaesthetics and radiofrequency neurotomy as listed in their respective summary of product characteristics
  • Subjects with documented or suspected alcohol or drug abuse, or who are suspected of having an addictive personality
  • Subjects to whom any of the following apply: Major trauma to the lumbar spine in the six months preceding study entry. Infection in the lumbar spine in the six months preceding study entry
  • Subjects' known to have a condition that, in the investigator's judgment precludes entry into the study.
  • Subjects with a significant psychiatric disorder (including depression) or subjects receiving anti-psychotic medication.
  • Subjects who have received an investigational drug or have used an investigational device in the 30 days preceding study entry.
  • Subjects unable to comply with the study assessments or unable to complete the questionnaires.

Treatment and study plan

Comparison of active versus sham radiofrequency neurotomy with Simplicity III

Procedure

Primary outcomes

  1. Pain Intensity

    Time frame: 3 months

Secondary outcomes

  1. Pain Intensity

    Time frame: 6 months

  2. Quality of pain

    Time frame: 3 and 6 months

    Short Form Mcgill Pain Questionnaire

  3. Health related Quality of life

    Time frame: 3 and 6 months

    Short form health survey

  4. Anxiety and Depression

    Time frame: 3 and 6 months

    Hospital and Depression Scale

  5. Functional Disability

    Time frame: 3 and 6 months

    Oswestry Low Back Pain Disability Questionnaire

  6. Health related quality of life and quality-adjusted life years

    Time frame: 3 and 6 months

    Euro Quol EQ-5D scale

  7. Portion of patients randomised to sham requiring rescue therapy with RFN

    Time frame: 3 and 6 months

Sponsors and collaborators

Lead sponsor

Barts & The London NHS Trust

Other

Registry information

Official study title

A Sham, Controlled, Randomised Trial to Investigate the Effects of Radiofrequency Neurotomy Using Simplicity III® on Patients With Sacroiliac Joint Pain.

Important dates

Study start
2012
Primary completion
2012
Study completion
2012
First posted
Nov 15, 2012
Registry last updated
Nov 5, 2024

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

Related clinical trials

Published trials that share one or more normalized conditions with this study.