Could spinal cord stimulation help repair nerves in small fiber neuropathy?
NCT ID NCT07704931
First seen Jul 15, 2026 · Last updated Jul 16, 2026 · Updated 1 time
Summary
This pilot study looks at whether spinal cord stimulation can improve nerve health in people with small fiber neuropathy, a condition that causes chronic pain. Researchers will measure changes in nerve fiber density from skin biopsies taken before and after 12 months of routine clinical care with the Evoke spinal cord stimulation system. The study does not assign or change treatment—it simply observes outcomes in up to 10 adults already receiving this therapy.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- ECAP-controlled spinal cord stimulation using the Saluda Evoke system
- What this could lead to
- If it shows that spinal cord stimulation can improve nerve fiber density, this could point toward a new way to treat small fiber neuropathy.
- What could go wrong
- This is a very small pilot study with only 10 people, so results may not apply to everyone. It is observational, so it cannot prove cause and effect.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 10 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Jul 2026
- Expected to finish
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Oct 2027
An estimate. End dates often move.
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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19 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Age 19 years or older. * Clinically diagnosed small fiber neuropathy based on abnormal intra-epidermal nerve fiber density (IENFD) skin biopsy. * Chronic neuropathic pain with Numeric Pain Rating Scale score of at least 6. * Candidate for ECAP-controlled spinal cord stimulation therapy based on the - - - Principal Investigator's medical judgment. * Able and willing to undergo baseline and 12-month skin biopsies. * Able to comply with 12-month quantitative sensory testing. * Able to provide informed consent. Exclusion Criteria: * Confounding factors that may independently contribute to small fiber damage or alter nerve fiber density, including uncontrolled diabetes defined as HbA1c greater than 8.5% within the last 3 months, autoimmune disorders such as lupus, or history of alcohol abuse. * Contraindications to spinal cord stimulation therapy, including active infection, coagulation disorders, allergy to medical device components, or other relevant surgical/device contraindications. * Uncontrolled medical or psychiatric conditions. * Pregnancy or planning to become pregnant during the study period.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
The full official record for this study. This one lists no contact details, but it is the first place any would appear.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Grand Island Pain Relief Center
Grand Island, Nebraska, 68803, United States
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