Status:
WITHDRAWN
Transition From Acute to Chronic Back Pain : Effect of L-dopa,Gender,and Associated Brain Plasticity
Lead Sponsor:
Second Affiliated Hospital of Wenzhou Medical University
Collaborating Sponsors:
Northwestern University
Conditions:
Chronic Back Pain
Eligibility:
All Genders
18+ years
Phase:
PHASE2
Brief Summary
This is a 6-month double-blinded, randomized, placebo-controlled clinical trial of pharmacological treatment (carbidopa/levodopa and celecoxib) for acute/subacute back pain. All eligible patients will...
Detailed Description
This is a 6-month double-blinded, randomized, placebo-controlled clinical trial of pharmacological treatment for acute/subacute back pain (carbidopa/levodopa and celecoxib).The dosage of carbidopa/lev...
Eligibility Criteria
Inclusion
- Age ≥ 18 years
- New onset subacute or acute back pain (\< 6 months' duration, no back pain for 3 months before the new onset)
- Signs and symptoms: positive straight leg raising test with dermatomal radiation and/or myotomal weakness and/or reflex asymmetry, pain must radiate into buttock or below
- Average reported pain intensity from App greater than 4/10 during the first week
- MUST be able to undergo MRI procedures (no pacemaker, any metal implants)
Exclusion
- Previous (distinct) episodes of back pain onset (more than 3 distinct episodes of back pain lasting for a total of more than 4 weeks) in the previous year;
- Evidence of acute vertebral fracture;
- Low back pain associated with any systemic signs or symptoms, e.g., fever, chills;
- Symptoms of neuropathy due to diabetes Type I or Type II;
- Chronic neurologic conditions, including Parkinson's disease, Alzheimer's disease, and other conditions associated with dementia;
- Significant other medical diseases such as congestive heart failure, coronary or peripheral vascular disease, chronic obstructive lung disease, or malignancy;
- History of glaucoma or narrow angle glaucoma;
- Presence of undiagnosed skin lesions or history of melanoma;
- Presence of severe cardiovascular or pulmonary disease, bronchial asthma, renal, hepatic or endocrine disease;
- History of myocardial infarction with residual cardiac arrhythmia;
- History of gastrointestinal bleeding or peptic ulcer;
- Diagnosis of current depression (assessed via BDI, total \> 28 are excluded) or psychiatric disorder requiring treatment, or such a diagnosis in the previous 6 months;
- Use of therapeutic doses of antidepressant medications (i.e., tricyclic antidepressants, SSRIs, SNRIs; low doses used only in the evening for sleep will be allowed if dose is not changed;
- Current use of recreational drugs or recent history of alcohol abuse (pattern of drinking having social, financial or physical consequences) or drug abuse (urine screening);
- Current use of cannabinoids (4 participants tested positive; 3 completed the study, in these blood test at the end of the study confirmed cannabinoid use; excluding these subjects does not importantly alter results, see below);
- High dose opioid prophylaxis, defined as \> 50mg morphine equivalent/day;
- Use of MAOIs, currently or within the past 2 weeks;
- Prior use of levodopa;
- Use of any of the following drugs: bromocryptine, linezolid, metoclopramide, phenothiazines, promethazine/codeine, isoniazid, rifampin, pyrazinamide;
- Oral iron supplementation;
- Currently taking levodopa or dopaminergic drugs
- In the judgment of the investigator, unable or unwilling to follow protocol and instructions
- For those receiving MRI: intra-axial implants (e.g. spinal cord stimulators or pumps), all exclusion criteria for MR safety: any metallic implants, pacemaker, brain or skull abnormalities, tattoos on large body parts, and claustrophobia;
- Pregnancy or inability to use an effective method of birth control in sexually active men and women while taking the study drug and for one week thereafter. Barrier contraceptives (condoms or diaphragm) with spermicide, intrauterine devices (IUD's), hormonal contraceptives, oral contraceptive pills, surgical sterilization, and complete abstinence are examples of effective methods of contraception;
- Following laboratory abnormalities: liver function tests (SGOT/SGPT) greater than twice the upper limit of normal; unexplained anemia (Hgb 13.5 to 17.5 g/dL for men, 12.0 to 15.5g/dL for women); evidence of renal insufficiency (creatinine \>upper limit of normal) or any other abnormality that the principal investigator feels puts the participant at risk during the study. A blood re-test could occur for all enrolled subjects within one month of the first blood draw due to potential risk for renal impairment with NSAIDs at this dosage;
- History of chronic opioid use for pain management;
- Any medical condition that in the investigator's judgment may prevent the individual from completing the study or put the individual at undue risk.
- Contraindications to use of study product, based on any of the following:
- Hypersensitivity to carbidopa/levodopa or other constituents of the carbidopa/levodopa capsules;
- Hypersensitivity to lactose or other constituents of the placebo capsules;
- Hypersensitivity to naproxen or other constituents of the celecoxib capsules;
- Hypersensitivity to acetaminophen or other constituents of the acetaminophen tablets;
- Taking concomitant medication which may be adversely affected by omeprazole to a degree that alters subject's safety.
Key Trial Info
Start Date :
October 1 2019
Trial Type :
INTERVENTIONAL
Allocation :
ACTUAL
End Date :
December 1 2023
Estimated Enrollment :
Patients enrolled
Trial Details
Trial ID
NCT04082715
Start Date
October 1 2019
End Date
December 1 2023
Last Update
January 9 2020
Active Locations (1)
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1
Second Affiliated Hospital of Wenzhou Medical University
Wenzhou, Zhejiang, China, 325035