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Subjects Suffering of Lateralized Lumbago on Side of the Malformation (Neo-articulation)Phase 4NCT01206699

Involvement of Transverso-sacral- Neo- Articulations or of Transverso-iliac Articulations in Chronic Lumbago

A Phase 4 study testing corticoid (altim® 1.5 ml) and physiological solution (1.5 ml) in people with Subjects Suffering of Lateralized Lumbago on Side of the Malformation (Neo-articulation), run by Nantes University Hospital at 2 sites in France.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

The specific aim of this study is to determine whether, when treated with corticoid infiltration, certain chronic lumbagos could be explained by the presence of a neo-articulation.The primary criteria is to determine the difference between the mean pain during the latest 24 hours preceding the infiltration and the… Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
corticoid (altim® 1.5 ml) and physiological solution (1.5 ml)
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
16 participants
Where
2 sitesFrance
Study dates
Sep 2010to Feb 2015
Phase
Phase 4
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Adult with age equal or above to 18.
  • Subject affiliated to French health insurance (Sécurité Sociale)
  • Lateralized lumbago on side of the neo-articulation evolving since more than 3 months
  • Mechanical pain, lumbar low level or gluteal without sciatic irradiation (pain above the knee)
  • Mean pain during the latest 24 hours above 4 on an analogic visual scale (from 0 to 10)- Pain induced by palpation in regards to the neo-articulation
  • Pain not relieved by medical treatment with non steroids anti- inflammatory drugs or antalgics
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  • No clinical proof for a discal origin : inducing factor, impulsiveness, spinal syndrome, true Lasègue
  • transverse-sacral abnormality of IIb, IIIa, IIIc or IV type with neo-articulation lateralized on side of pain
  • Informed consent form signed

Who cannot join

  • Age below 18
  • Clinical arguments in favour of a discal origin
  • Pregnant women or women that could become pregnant the day of the infiltration
  • Diabetic patient
  • Patient unable to understand the protocol
  • No autonomy for coming to the hospital (no budget allocated for patient transportation)
Show all 11Show fewer
  • Hypersensitivity to local anesthetics with "liaison amide"
  • Hypersensitivity to one of the components
  • Porphyria- Local or generalized infection, suspiscion of infection
  • Severe troubles of coagulation, anti-coagulant treatment taken
  • Bilateral lumbago with bilateral neo-articulation

Trial locations and contacts

2 sites in 1 country.

France2 sites
  • Hospital of La Roche/Yon

    La Roche/Yon, 85925

  • Nantes Hospital

    Nantes, 44093

Other trials in France

About this study

Official title: Involvement of Transverso-sacral- Neo- Articulations or of Transverso-iliac Articulations in Chronic Lumbago: Prospective Multicentric , Double-Blinded, Randomized of the Efficacy of corticoïd Infiltration Versus Physiological Solution Infiltration

The specific aim of this study is to determine whether, when treated with corticoid infiltration, certain chronic lumbagos could be explained by the presence of a neo-articulation.The primary criteria is to determine the difference between the mean pain during the latest 24 hours preceding the infiltration and the mean pain preceding the visit S4 (visit 4 weeks after the infiltration)

Being tested
corticoid (altim® 1.5 ml), physiological solution (1.5 ml)

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • corticoid (altim® 1.5 ml)Drug

    Active arm : anesthetic bloc (1 ml of lidocaïne 1%) immediately followed with corticoid (altim® 1.5 ml)

  • physiological solution (1.5 ml)Drug

    Control arm: anesthetic bloc (1 ml of lidocaïne 1%) immediately followed with physiological solution (1.5 ml)

Study groups in NCT01206699
Study groupRoleWhat they receive
corticoidExperimentalActive arm : anesthetic bloc (1 ml of lidocaïne 1%) immediately followed with corticoid (altim® 1.5 ml)
Receives: Drug: corticoid (altim® 1.5 ml)
physiological solutionPlacebo comparatorControl arm: anesthetic bloc (1 ml of lidocaïne 1%) immediately followed with physiological solution (1.5 ml)
Receives: Drug: physiological solution (1.5 ml)

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. To determine the difference between the mean pain during the latest 24 hours preceding the infiltration and the mean pain preceding the visit S4 (visit 4 weeks after the infiltration)

    To determine whether, when treated with corticoid infiltration, certain chronic lumbagos could be explained by the presence of a neo-articulation.The primary criteria is to determine the difference between the mean pain during the latest 24 hours preceding the infiltration and the mean pain preceding the visit S4 (visit 4 weeks after the infiltration)

    Measured: week 4

Secondary outcomes (3)
  1. To determine whether the improvement by the infiltration of corticoid is present at visit J7 (visit 7 days after the infiltration) and at visit S12 (visit 12 weeks after the infiltration)

  2. To determine whether an anesthetic positif bloc (decrease of the pain of more than 75 % during the hour that follows the infiltration) is a predictive factor of the final result

  3. To determine whether corticoïd infiltration can decrease the intake of drugs et decrease the functional handicap

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted22 Sep 2010 (estimated)
  2. Study startSep 2010
  3. Primary completionFeb 2015
  4. Study completionFeb 2015

Why it stopped: after 4 years of recruitment only 16 patients have been included. Due to this low rate of recruitment it was decided to stop the study

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Triple blind
Who is masked
Participant, Care provider, Investigator
Enrolment
16 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01206699
Sponsor's protocol ID
10/3-N
Status last verified
Sep 2010
First submitted
21 Sep 2010
Last updated
3 Nov 2015
Results posted
No
Data monitoring committee
No

Questions about this trial

What is this clinical trial studying?

A Phase 4 study testing corticoid (altim® 1.5 ml) and physiological solution (1.5 ml) in people with Subjects Suffering of Lateralized Lumbago on Side of the Malformation (Neo-articulation), run by Nantes University Hospital at 2 sites in France.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 9 inclusion and 11 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: stopped early, as of the sponsor's last update on 3 Nov 2015. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 2 sites in France. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 4 studies take place after a treatment is approved, to learn more about its long-term benefits and risks in everyday use.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

The study was stopped early (reason given: after 4 years of recruitment only 16 patients have been included. Due to this low rate of recruitment it was decided to stop the study). Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

To determine the difference between the mean pain during the latest 24 hours preceding the infiltration and the mean pain preceding the visit S4 (visit 4 weeks after the infiltration) (time frame: week 4). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 3 Nov 2015.

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