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Low Back PainCOLOMBNCT04826757

Effectiveness of Coordinated Care to Reduce the Prolonged Disability Risk Among Patients Suffering From Low Back Pain in Primary Care

A study testing Coordinated care in people with Low Back Pain, run by University Hospital, Angers at 20 sites in France.

Active, not recruiting

Under way, not looking for participants. Everyone needed has enrolled. The study is still running.

Official record
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Trial summary

Common low back pain affects about 23% of general population and can be associated with psychosocial difficulties and prolonged inability to work. Its management in France mainly depends on general practioners, and sometime on physiotherapists. Read more about this study

Who is it for?
Ages 18 to 60 years
Conditions the study is for
Low Back Pain
What is being tested?
Coordinated care
Could I receive a placebo?
No, everyone receives an active treatment
How many people
220 participants
Where
20 sitesFrance
Study dates
21 Sep 2022to 22 Feb 2027
Phase
Interventional
Are there results?
Not yet: the study is under way

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 to 60 years
  • All sexes
  • No healthy volunteers
  • Adult

Who may be able to join

  • Patient consulting an investigator GP for subacute low back pain or acute recurrent low back pain
  • Patient with occupational activity (including sick leave)
  • Patient depending of occupational health service
  • Obtaining the signature of the consent to participate in this trial
  • Patient Registered with social security scheme
  • Non-inclusion Criteria:
Show all 19Show fewer
  • Specific low back pain (fracture, infection, osteoporosis, inflammatory disease, tumor)
  • Low back pain with sciatic, cruralgia
  • Contraindication to active reeducation
  • Impossibility to follow up during 12 months
  • Patient planning to retire within the 12 months following the enrollment
  • Disability to write or read french
  • Adult patient protected under the law (guardianship),
  • Pregnant, breastfeeding or parturient women
  • Persons deprived of their liberty by judicial or administrative decision
  • Persons subject to legal protection measures
  • Persons unable to consent
  • Persons on coercion psychiatric care
  • Physiotherapy by a physiotherapist who don't participate in this trial

Who cannot join

None listed.

Trial locations and contacts

20 sites in 1 country.

20 sites in 1 country

France20 sites
  • Cluster Bonchamp

    Bonchamp-lès-Laval

  • Cluster Vaunoise

    Breteil

  • Cluster BRULON

    Brûlon

  • Cluster Château Gontier

    Château-Gontier

  • Cluster Châteauneuf sur Sarthe / Morannes

    Châteauneuf-sur-Sarthe

  • Cluster Clisson

    Clisson

  • Cluster Conlie

    Conlie

  • Cluster Craon Renaze Cosse

    Craon

  • Cluster Entrammes Laval

    Entrammes

  • Cluster Roche sur Yon

    La Roche-sur-Yon

  • Cluster Chantenay

    Nantes

  • Cluster Dinan / Quévert / Plouasne

    Quévert

  • Cluster Rennes Beauregard

    Rennes

  • Cluster Rennes Villejean

    Rennes

  • Cluster Les Collines

    Roquefort-les-Pins

  • Cluster St Florent, Mauges, Possonnière

    Saint-Florent-le-Vieil

  • Cluster Savenay

    Savenay

  • Cluster SEGRE

    Segré

  • Cluster Angers- Trélazé

    Trélazé

  • Cluster Vence

    Vence

Other trials in France

About this study

Official title: Effectiveness of Coordinated Care to Reduce the Risk of Prolonged Disability Among Patients Suffer From Subacute or Recurrent Acute Low Back Pain in Primary Care

Common low back pain affects about 23% of general population and can be associated with psychosocial difficulties and prolonged inability to work. Its management in France mainly depends on general practioners, and sometime on physiotherapists.

A coordinated care between general practioners, physiotherapists and occupational health services would help to improve the care pathway for patients and health professionals.

The main objective is to assess the impact of coordinated primary care and deployed at the territories' level, in subacute or acute recurrent low back pain patients in comparison with the standard care.

Conditions
Low Back Pain
Being tested
Coordinated care
Medical subject headings
Low Back Pain

What participants receive

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

  • Coordinated careOther

    Coordinated care between general practioners; physiotherapists and occupational health services.

    Early contact with occupational health service by the general practioner and use of occupational retention tool Active physiotherapy (Individual active, intensive and regular rehabilitation program with 15 sessions of 1 hour, at a rate of 2 or 3 sessions per week)

Study groups in NCT04826757
Study groupRoleWhat they receive
standard careNo interventionstandard care for low back pain management by general practioners (GPs). the physiotherapist and occupational health services can be solicited independently by the patient or GP.
coordinated careExperimentalCoordinated care between general practioners, physiotherapist and occupational health services. An intervention training will be performed before the start of the study for any care professional's to elaborate coordination tools and have an active communication.
Receives: Other: Coordinated care

What is being measured

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

  1. Perceived inability at 1 year

    Ratio of patient presenting improvement equal or above 4 points of Roland Morris Disability Questionnaire. The minimum value of Roland Morris Disability Questionnaire is 0 and the maximun value is 24. A higher score mean worse outcome

    Measured: Enrollment to 12 months follow up

Secondary outcomes (25)
  1. Perceived inability

    Ratio of patient presenting improvement equal or above 4 points of Roland Morris Disability Questionnaire. The minimum value of Roland Morris Disability Questionnaire is 0 and the maximun value is 24. A higher score mean worse outcome

    Measured: Enrollment to 3 months follow up, Enrollment to 6 months follow up

  2. Roland Morris Disability score over time

    Evolution of Roland Morris Disability Questionnaire over time. The minimum value is 0 and the maximun value is 24. A higher score mean worse outcome

    Measured: Enrollment, 3 months, 6 months, 12 months

  3. Pain perceived

    Ratio of patients presenting improvement equal or above 2 points of numerical pain scale The minimum value is 0 and the maximun value is 10. A higher score mean worse outcome

    Measured: Enrollment - 3 months , Enrollment - 6 months and Enrollment -12 months

  4. Numerical pain scale over time

    Evolution of numerical pain scale over time. The minimum value is 0 and the maximun value is 10. A higher score mean worse outcome

    Measured: Enrollment, 3 months, 6 months, 12 months

  5. Occupational status

    Ratio of patients having an active occupation (defined by have an employment and be present at work )

    Measured: at 3 months, 6 months and 12 months

  6. Employment rate

    Evolution of employment rate over time

    Measured: Enrollment, 3 months, 6 months, 12 months

  7. Sick leave

    number of sick leave days

    Measured: during 12 months after inclusion

  8. Improved patients

    Ratio of improved patients. Improved patients is defined by patient presenting improvement equal or above 4 points of Roland Morris Disability Questionnaire and improvement equal or above 2 points of numerical pain scale and having a active occupational

    Measured: at 3 months, 6 months and 12 months

  9. Evolution of improved patients ratio

    Evolution of improved patients ratio over time Improved patients is defined by patient presenting improvement equal or above 4 points of Roland Morris Disability Questionnaire and improvement equal or above 2 points of numerical pain scale and having a active occupational

    Measured: Enrollment, 3 months, 6 months, 12 months

  10. Mental component score of Short Form -12

    Evolution of mental scores over time The mental component score is determined by 4 categories of Short Form -12. The minimum value of each category is 0 and the maximun value is 100. A higher score mean better outcome

    Measured: Enrollment, 3 months, 6 months, 12 months

  11. Physical component score of Short Form -12

    Evolution of physical scores over time. The physical component score is determined by 4 categories of Short Form -12. The minimum value of each category is 0 and the maximun value is 100. A higher score mean better outcome

    Measured: Enrollment, 3 months, 6 months, 12 months

  12. Occupational component score of Fear Avoidance Beliefs Questionnaire

    Evolution of occupational component score over time. Occupational component is assessed using the Fear Avoidance Beliefs Questionnaire.

    The minimum value is 0 and the maximun value is 42. A higher score mean worse outcome

    Measured: Enrollment, 3 months, 12 months

  13. Physical activity component score of Fear Avoidance Beliefs Questionnaire

    Evolution of physical activity component score over time. Physical activity component is assessed using the Fear Avoidance Beliefs Questionnaire.

    The minimum value is 0 and the maximun value is 24. A higher score mean worse outcome

    Measured: Enrollment, 3 months, 12 months

  14. Anxiety component score of Hospital Anxiety and Depression Scale

    Evolution of Anxiety score over time Anxiety Component is assessed using the Hospital Anxiety and Depression Scale The minimum value is 0 and the maximun value is 21. A higher score mean worse outcome

    Measured: Enrollment 3 months, 12 months

  15. Depression component score of Hospital Anxiety and Depression Scale

    Evolution of Depression score over time Depression component is assessed using the Hospital Anxiety and Depression Scale The minimum value is 0 and the maximun value is 21. A higher score mean worse outcome

    Measured: Enrollment, 3 months, 12 months

  16. Coordination care score of Patient Centered Coordination by a Care Team questionnaire

    Evolution of coordination care score over time This score is assessed by using Patient Centered Coordination by a Care Team questionnaire.

    The minimum value is 0 and the maximun value is 42. A higher score mean better outcome

    Measured: Enrollment, 3 months, 12 months

  17. GP satisfaction related to patient care

    Evolution of GP satisfaction using an numerical scale The minimum value is 0 and the maximun value is 10. A higher score mean worse outcome

    Measured: T0 = baseline (cluster initiation); T1 = 1 year (6 months after inclusion of the 5th cluster patient); T2 = through study completion, an average of 3 years (12 months after the last cluster patient inclusion)

  18. Physiotherapist satisfaction related to patient care

    Evolution of physiotherapist satisfaction using an numerical scale The minimum value is 0 and the maximun value is 10. A higher score mean worse outcome

    Measured: T0 = baseline (cluster initiation); T1 = 1 year (6 months after inclusion of the 5th cluster patient); T2 = through study completion, an average of 3 years (12 months after the last cluster patient inclusion)

  19. Professionals trained for intervention

    number of professionals trained for intervention

    Measured: Baseline intervention formations

  20. Biomechanical component score of Pain Attitudes and Beliefs score - for intervention physiotherapists

    Evolution of Biomechanical component score for intervention physiotherapists. Biomechanical component is assessed using the Pain Attitudes and Beliefs Score. The minimum value is 10 and the maximun value is 60. A higher score mean worse outcome

    Measured: T0 = baseline (cluster initiation); T1 = 1 year (6 months after inclusion of the 5th cluster patient); T2 = through study completion, an average of 3 years (12 months after the last cluster patient inclusion)

  21. Biopsychosocial component score of Pain Attitudes and Beliefs score - for intervention physiotherapists

    Evolution of Biopsychosocial component score for intervention physiotherapists. Biopsychosocial component is assessed using the Pain Attitudes and Beliefs Score.The minimum value is 9 and the maximun value is 54. A higher score mean better outcome

    Measured: T0 = baseline (cluster initiation); T1 = 1 year (6 months after inclusion of the 5th cluster patient); T2 = through study completion, an average of 3 years (12 months after the last cluster patient inclusion)

  22. Biopsychosocial component score of Pain Attitudes and Beliefs score - for GPs

    Evolution of Biopsychosocial component score for GPs. Biopsychosocial component is assessed using the Pain Attitudes and Beliefs Score.The minimum value is 9 and the maximun value is 54. A higher score mean better outcome

    Measured: T0 = baseline (cluster initiation); T1 = 1 year (6 months after inclusion of the 5th cluster patient); T2 = through study completion, an average of 3 years (12 months after the last cluster patient inclusion)

  23. Biomechanical component score of Pain Attitudes and Beliefs score - for GPs

    Evolution of Biomechanical component score for GPs. Biomechanical component is assessed using the Pain Attitudes and Beliefs Score. The minimum value is 10 and the maximun value is 60. A higher score mean worse outcome

    Measured: T0 = baseline (cluster initiation); T1 = 1 year (6 months after inclusion of the 5th cluster patient); T2 = through study completion, an average of 3 years (12 months after the last cluster patient inclusion)

  24. Professional dialogues

    Existence and types of dialogues between GP and other professionals

    Measured: during the 12 months of follow up

  25. Number of consultations or sessions

    Number of consultations or sessions

    Measured: during the 12 months of follow up

Timeline

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

  1. First posted1 Apr 2021
  2. Study start21 Sep 2022
  3. Primary completion22 Jan 2026
  4. Study completion22 Feb 2027 (estimated)

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 N/A
Primary purpose
Health services research
Allocation
Randomised
Intervention model
Parallel groups
Model description
Randomised, controlled, cluster trial. the project is multicentered.
Masking
None (open label)
Enrolment
220 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04826757
Sponsor's protocol ID
2020-A01039-30
Acronym
COLOMB
Status last verified
Jul 2026
First submitted
3 Mar 2021
Last updated
13 Jul 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: Data will be shared upon reasonable request. Only de-identified data will be shared. Any data collected during the study may be shared. The protocol will be shared initially. Other documents may be shared at a later date upon request (e.g., the CRF to allow a collaborator to select the data they wish to access). The recipients of the data will be researchers. The data will be available for any purpose deemed relevant by the study investigator, based on a protocol provided by the requester, after verification of the obtaining of regulatory approvals, including the favorable opinion of an ethics committee.

Publications

  • Ramond-Roquin A, Begue C, Vizzini J, Chhor S, Bouchez T, Parot-Schinkel E, Loiez A, Petit A, Ghali M, Peurois M, Bouton C. Effectiveness of coordinated care to reduce the risk of prolonged disability among patients suffering from subacute or recurrent acute low back pain in primary care: protocol of the CO.LOMB cluster-randomized, controlled study. Front Med (Lausanne). 2023 Jun 20;10:1156482. doi: 10.3389/fmed.2023.1156482. eCollection 2023.

    PubMed 37409270

Questions about this trial

What is this clinical trial studying?

A study testing Coordinated care in people with Low Back Pain, run by University Hospital, Angers at 20 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 19 inclusion and 0 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: under way, not looking for participants, as of the sponsor's last update on 13 Jul 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 20 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. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

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?

Perceived inability at 1 year (time frame: Enrollment to 12 months follow up). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT04826757, which also lists 1 linked publication.

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 13 Jul 2026.

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