Clinical trial Recruiting at 1 site Interventional Ages 18 and up

Home or Hospital Intrathecal Pump Refills: A Patient Trial

Official title: Intrathecal Pump Refills at Home or at the Hospital: a Randomized Controlled Crossover Trial

Run by Universitair Ziekenhuis Brussel · NCT07727798 · Data updated 2026-11-12

This study tests whether refilling an implanted intrathecal pump at home is as safe and comfortable as refilling it in the hospital for adults with chronic pain or severe spasticity.

Quick facts

Study typeInterventional
Ages18 Years and up
SexAll
Enrollment82 (estimated)
SponsorUniversitair Ziekenhuis Brussel
Academic / other
Locations1 site (Jette)
StatusRecruiting
StartedOctober 15, 2025
Main results expectedOctober 1, 2028
Study endsOctober 1, 2028
Registry record updatedJuly 27, 2026
Trial IDNCT07727798 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults in Belgium currently using intrathecal drug delivery with stable dosing for at least 3 months and who speak Dutch, French, or English.

Probably not a fit

Patients with concerns about maintaining medical supervision or those who do not have suitable home support may not experience benefit from home refills.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

The IMPROVE study is a randomized, cross-over trial comparing intrathecal pump refills done at home versus at the hospital. Eighty-two adults in Belgium with an implanted intrathecal pump will each have four refill procedures: two at home and two in the hospital, in random order. The aim is to see if home refills can reduce stress and burden for patients and caregivers while maintaining safety and efficacy of therapy. Eligible participants must be actively receiving intrathecal drug delivery, have a stable dose for at least three months, and speak Dutch, French, or English. Exclusion criteria include limited life expectancy, not yet receiving an implant, or not residing in Belgium.

Why it matters

Potential benefit: If home refills prove safe and comfortable, patients may experience less travel burden, reduced stress, and similar clinical outcomes compared with hospital refills.

How similar studies have gone: Preliminary data from early pilots suggest home-based refills can be safe and more comfortable, supporting further evaluation in a randomized cross-over design.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Actively receiving Intrathecal drug delivery
* Stable medication dosage for at least 3 months
* Dutch, French or English speaking adults

Exclusion Criteria:

* Life expectancy \< 6 months
* Patients planned for but not yet received Intrathecal drug delivery implant
* No residence in Belgium

Where it's running

  • UZ Brussel
    Jette, Belgium
    Recruiting

Study contacts

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.