Time‑variant pulse spinal cord stimulation for chronic low back and leg pain
Official title: Managing Pain Using Optimized Sequences by Adjusting Parameters With Independent Current Control (MOSAIC Study)
Run by Boston Scientific Corporation · NCT07190807 · Data updated 2026-11-12
This trial will test whether time‑variant pulse spinal cord stimulation using the Boston Scientific WaveWriter Alpha system can reduce chronic low back or leg pain in adults who have not found relief from other treatments.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 70 (estimated) |
| Sponsor | Boston Scientific Corporation Industry-sponsored |
| Locations | 7 sites (Greenwood, Colorado and 6 other locations) |
| Status | Recruiting |
| Started | November 7, 2025 |
| Main results expected | November 2027 |
| Study ends | May 2029 |
| Registry record updated | October 13, 2026 |
| Trial ID | NCT07190807 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults (18+) with chronic trunk or limb pain for at least six months, diagnosed with PSPS Type I or II (including failed back surgery), who can read English and provide informed consent are the intended candidates.
✕Probably not a fit
Patients with other pain diagnoses likely to confound outcomes (for example vascular or neurogenic claudication, acute herniated disc, malignancy, untreated major depression), significant cognitive impairment, or active injury claims are unlikely to receive benefit or may be excluded.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This interventional study uses commercially approved Boston Scientific WaveWriter Alpha spinal cord stimulation systems, delivered per local instructions for use, to apply a time‑variant pulse (TVP) waveform in patients with chronic trunk and/or limb pain. Eligible adults have persistent spinal pain syndrome (PSPS) Type I or II or non‑surgical refractory back pain and symptoms for at least six months. The study will collect real‑world clinical outcomes and patient‑reported measures at participating sites to characterize pain response to TVP‑SCS. Enrollment and follow‑up involve in‑clinic visits at designated U.S. centers and completion of English questionnaires.
Why it matters
Potential benefit: If successful, this approach could provide better or more durable pain relief and improved daily function for people with chronic low back and/or leg pain.
How similar studies have gone: Spinal cord stimulation is an established therapy for chronic low back and leg pain and prior studies of varied SCS waveforms have shown benefit, though time‑variant pulse (TVP) approaches are relatively newer and less extensively studied.
Who can join: the full rules
Show full inclusion / exclusion criteria
Key Inclusion Criteria: * Persistent spinal pain syndrome (PSPS) Type I (or non-surgical refractory back pain), or PSPS Type II (Failed Back Surgery Syndrome, FBSS) diagnosis. * Diagnosed with chronic pain of the trunk and/or limbs for at least 6 months. * 18 years of age or older when written informed consent is obtained * Able to independently read and complete all questionnaires and assessments provided in English. * Signed a valid, IRB or EC approved informed consent form (ICF) provided in English. Key Exclusion Criteria: * Any pain-related diagnosis, medical or psychological condition that, in the Investigator's judgment might confound reporting of study outcomes (e.g., vascular or neurogenic claudication, osteoarthritis, plantar fasciitis, pelvic pain, anginal pain, chronic migraine, acute herniated disc, malignancy, untreated major depression, injury claim). * Significant cognitive impairment at Screening and Baseline visit that, in the opinion of the Investigator, would reasonably be expected to impair the study candidate's ability to participate in the study * A female who is pregnant, lactating, or is of childbearing potential and planning to get pregnant during the study or not using adequate contraception. * Participating (or intends to participate) in another drug or device clinical trial that may influence the data that will be collected for this study.
Where it's running
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Denver Back Pain Specialists
Greenwood, Colorado, United States Recruiting -
Orlando Health Neuroscience Institute
Clermont, Florida, United States Recruiting -
Ochsner Clinic Foundation
New Orleans, Louisiana, United States Recruiting -
Montefiore Medical Center
The Bronx, New York, United States Recruiting -
Fox Chase Pain Management
Trevose, Pennsylvania, United States Recruiting -
PCPMG Clinical Research Unit, LLC
Greenville, South Carolina, United States Recruiting
Show 1 more location
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Institute of Precision Pain Medicine
Corpus Christi, Texas, United States Recruiting
Study contacts
- Study coordinator: Thanh Hoang
- Email: BSNClinicalTrials@bsci.com
- Phone: 855-213-9890
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.