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Discovery 6603 Study
SI-6603 (Condoliase) Study for Lumbar Disc Herniation

back painThe Ainsworth Institute of Pain Management has been selected for a new FDA Clinical Trial for low back and sciatica pain. This study will evaluate an experimental medication called “condoliase” for the treatment of sciatica-type pain caused by a disc herniation (aka slipped disc) in the lumbar spine. We are one of several sites throughout the country participating in this truly unique study!

Click here to read more about Lumbar Disc Herniation

Sciatica is a general term used to describe pain radiating or shooting down the leg. When a nerve becomes compressed or “pinched,” we feel a pain that travels down the leg which follows the distribution of the nerve being injured. Sometimes the pain will go away on its own after a few weeks of conservative care (i.e. medication, physical therapy or epidural steroid injection)…in more severe cases, it will require surgery to manually go in and shrink the disc and take pressure off the nerves.  What if there was a way to shrink a disc the way surgery does, but without the cutting and risks that come along with it?  That’s where condoiliase comes in: this experimental medication is injected into a disc through a needle and shrinks the disc by dissolving/metabolizing certain molecules contained inside the material of the disc itself.

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DRG Stimulation (SCS)

DRG stimulation is one of THE most impressive advancements ever seen in the field of pain management. According to the United States FDA clinical trial, patients with CRPS who were treated with the DRG stimulator reported, on average, 81.4% to 86% reduction in pain. In addition, sensitivity, swelling and skin color – all have been have been shown to improve with this amazing therapy

Spinal Cord Stimulation Cartoon Spinal Cord Stimulation SCS

Spinal Cord Stimulation

SCS is an innovative procedure that has yielded results for patients with pain in their back or limbs who have not found relief from any other treatments. In SCS, an electrical pulse is delivered directly to the spine, blocking certain neuron fibers’ access to the brain and consequently the brain’s ability to sense the previously perceived pain. Patients who qualify for this procedure report up to a 70% reduction in pain.

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The purpose of this study is to evaluate the effectiveness (how well the study drug works) of the study drug in people with leg pain due to a lumbar disc herniation and long-term safety. Traditionally, this type of pain is managed by either epidural steroid injections and physical therapy. In those patients where the pain disc injury is much too large to be managed with more conservative means, it will require surgery to manually go in and fix the disc to move it away from the nerves.  The study drug (Condoliase) is being studied to see if it can be used as a potential alternative to surgery.

Participants will be monitored for 1 year after they are either given a single study drug treatment or a placebo. The placebo looks like the study drug treatment but does not contain any active ingredients.

Throughout the study you will have various tests and examinations done and will be asked questions about your overall quality of life, pain level of your leg and lower back, recent medications, injuries, and illnesses. In some circumstances, repeat tests and/or examinations (including laboratory, X-ray, and/or MRI tests) may be necessary.

This study is “double blinded,” which means that neither you nor the study doctor will know if you received the study drug or placebo. The study treatment you are given will be decided randomly, like tossing a coin. About 50% (half) of participants will receive the study drug treatment, and about 50% (half) will receive the placebo.

Why Should I Participate in the Trial?

Currently, there are no FDA-approved medications to treat sciatica from disc herniations, so participants in the trial will be eligible to receive an experimental treatment not yet available to the rest of the public.  Additionally, eligible patients will receive a small stipend for their time as well as reimbursement for qualified parking and travel costs associated with participation in the study.

About the Study

The study drug might help the discomfort associated with lumbar disc herniation. Previous studies with the study drug showed a possible benefit in some patients. A beneficial effect cannot, however, be guaranteed, and you may not receive any direct personal benefits from being in this study. You will be given close attention from the study staff during the time you are involved in the study. You may receive information about your health from physical examinations and medical tests done in this study.

Your participation in this study may benefit the community, scientists, and doctors by providing increased knowledge and information about the treatment of lumbar disc herniation.

The clinical research team will discuss all study risks with you and answer any additional questions you may have.

You are free to leave the study at any time. If you leave the study before it is finished, there will be no penalty to you. You will not lose any benefits to which you may otherwise be entitled. Standard medical treatment you may receive will not be affected by withdrawing from the study.

Can I Participate in the Study?
Must be between 30 and 70 years of age
Subjects with single-level disc herniation(L4-L5 or L5-S1 (or L5-L6)) with clear, demonstrable nerve root impingement seen on magnetic resonance imaging (MRI) and clinical symptoms matching the position of the damaged nerve
Pain going down one leg, not both
Ongoing symptoms for a minimum of 6 weeks, but less than 1 year
Positive Straight Leg Raise on physical exam
Pain that did not improve with at least 6 weeks or more of conservative treatment
Details of the Study

Patients who qualify for the study will be randomized to receive either the experimental treatment (Condoliase) or a sham procedure. Patients will then be followed for 12-months to monitor their progress.

CALL OUR OFFICE TODAY TO SEE IF YOU ARE A CANDIDATE FOR THIS STUDY

Study Enrollment Form
Official Protocol Name: A Multicenter, Randomized, Double-blind, Sham-controlled, Comparative Study of SI-6603 in Subjects With Lumbar Disc Herniation (Phase 3)

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Get Answers to Your Questions at the Ainsworth Institute

The key to finding the proper treatment for any type of pain is getting a proper diagnosis. Not all types of pain respond to the same treatments and the window for improvement can be limited. The experts at Ainsworth Institute offer the most advanced pain management treatments available today, including advanced clinical trials that aren’t yet available to the general public. Call us today for an appointment so we can get you started on your road to recovery.