Analysis of Selected Biochemical Parameters in Cerebrospinal Fluid and Peripheral Blood in the Treatment of Neuropathic Pain Using Spinal Cord Stimulation (SCS) Assessment of the Mechanism of Action of SCS and the Potential of Biochemical Studies in Therapy Planning and Monitoring

Status: Recruiting
Location: See location...
Intervention Type: Diagnostic test
Study Type: Interventional
Study Phase: Not Applicable
SUMMARY

This project aims to identify key cells and molecules involved in the development and modulation of neuropathic pain treated with spinal cord stimulation (SCS). By measuring concentrations of selected inflammatory mediators and signaling molecules (e.g., IL-1β, IL-6, IL-17, IL-33, BDNF, VEGF, GABA) in the blood and cerebrospinal fluid (CSF) of patients undergoing SCS, the study seeks to better understand the mechanism of action of SCS. The findings may allow the development of predictive biomarkers, help tailor stimulation parameters, and support complementary pharmacotherapy. The project also explores differences in response to various stimulation types and the role of glial cells in SCS efficacy, with a view to improving patient outcomes through more personalized neuromodulation strategies.

Eligibility
Participation Requirements
Sex: All
Minimum Age: 18
Maximum Age: 80
Healthy Volunteers: f
View:

• Age 18-80

• PSPS or CRPS

• Neuropathic pain for at least 6 months

Locations
Other Locations
Poland
Jan Bizel University Hospital
RECRUITING
Bydgoszcz
Contact Information
Primary
Oskar Puk Mr, MD
oskar.puk@biziel.pl
+48 52 365 5205
Time Frame
Start Date: 2022-11-01
Estimated Completion Date: 2026-12-31
Participants
Target number of participants: 30
Treatments
Experimental: Patients with SCS - tonic stimulation
We plan to include 30-50 patients with PSPS or CRPS undergoing SCS implantation. Blood will be collected before surgery and 2-3 weeks after; CSF during both procedures. Pain (VAS), disability (ODI), neurological status, muscle tone, and analgesic intake will be assessed. Temporary stimulation will last 2-3 weeks before IPG implantation or electrode removal. Samples will be processed and analyzed via ELISA in our Biochemistry Department using established protocols.
Related Therapeutic Areas
Sponsors
Collaborators: Department of Neurosurgery Collegium Medicum Nicolaus Copernicus University, Nicolaus Copernicus University in Toruń, Collegium Medicum in Bydgoszcz
Leads: Pawel Sokal

This content was sourced from clinicaltrials.gov