Pain medicine

Clinical study of a micro-implantable pulse generator for the treatment of peripheral neuropathic pain: 3-month and 6-month results from the COMFORT-randomised controlled trial

Reg Anesth Pain MedPublished Randomised controlled trial

Authors' conclusion

This study successfully reached its primary endpoint-the active arm achieved a statistically significant superior responder rate as compared with the control arm at 3 months. These RCT results demonstrated that PNS, with this micro-IPG, is efficacious and safe.

Study context

Population
Patients with chronic peripheral (neuropathic) pain of the lower back, shoulder, knee or foot/ankle
Comparison
Peripheral nerve stimulation (PNS) with micro-implantable pulse generator (micro-IPG) plus conventional medical management (CMM) vs CMM alone
Primary endpoint
Responder rate
Follow-up
3 months
Methodological detailspostmarket, multicentre, 2:1 randomisation, Ongoing; subjects followed for 3 years
  • Postmarket
  • Multicentre
  • 2:1 randomisation
  • Ongoing; subjects followed for 3 years

Primary result

As reported in the abstract

Responder rate and average pain reduction

Responder rate and average pain reduction · 3 months

Average pain reduction

  • Active vs Control: P < 0.001 — responder rate and pain reduction both significantly better

Further findings

OutcomeActive
Responder rate and average pain reduction · 6 months88%
Average pain reduction70%

Patient-reported outcomes

A majority reached statistical significance

Comfort of external wearable component

Subjects finding it comfortable
81%

Safety

No reports of pocket pain
No serious adverse device effects

Original publication

Clinical study of a micro-implantable pulse generator for the treatment of peripheral neuropathic pain: 3-month and 6-month results from the COMFORT-randomised controlled trial. Reg Anesth Pain Med. Published 31 May 2024. doi:10.1136/rapm-2023-105264

Composed by AI from the published abstract and checked against it. How Briefs are made →

Get them every week

New studies on this topic in My Week and in your Monday e-mail.

We e-mail you a sign-in link and a code. No password, no spam.