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Low Back PainLaserNCT07021768

Laser Auriculotherapy for the Treatment of Low Back Pain

A study testing Laser Auriculotherapy in people with Low Back Pain, run by Marcelo Neubauer de Paula.

Not yet recruiting

Opening soon. The study is approved but enrolment has not started yet. Sites may already take enquiries.

Sites and contacts
Official record
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Trial summary

Controlled, double-blind, randomized clinical trial Primary endpoint: To demonstrate the superiority of Laser French Auriculotherapy (AFL) in relieving pain in patients with low back pain after a single session. Read more about this study

Who is it for?
Ages 18 to 65 years
Conditions the study is for
Low Back Pain
What is being tested?
Laser Auriculotherapy
Type of treatment
Medical device
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
118 participants
Where
No sites listed yet
Study dates
15 Jun 2025to 1 Jul 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 65 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Participant capable of understanding and performing all procedures and instructions described in the Informed Consent Form approved by the Research Ethics Committee;
  • Participants of both sexes, aged between 18 and 65 years (inclusive);
  • Participants diagnosed with low back pain who are in pain at the time of the assessment

Who cannot join

  • Any clinical observation finding (clinical/physical evaluation) that is interpreted by the investigating physician as a risk to participation in the clinical trial;
  • Patient with a deforming lesion on the ear
  • Patient with a tattoo covering any of the points selected for treatment
  • Patients using ear expanders on the side to be treated
  • Research participants who have participated in clinical trial protocols in the last 12 (twelve) months (Brazilian National Health Council Resolution 251, of August 7, 1997), unless the investigator believes that there may be direct benefit to the same.

Trial locations and contacts

No sites are listed yet. Contact the study team or a site near you to ask about taking part.

Marcelo N de Paula, PHD student contact

+ 55 11 98950 5447

keptah3@gmail.com

Wu T Hsing, Medical Director contact

+ 55 11 98199 8157

wu@usp.br

About this study

Official title: Controlled, Double-blind, Randomized Clinical Trial of the Use of Laser Auriculotherapy for the Treatment of Low Back Pain

Controlled, double-blind, randomized clinical trial

Primary endpoint:

Read more

To demonstrate the superiority of Laser French Auriculotherapy (AFL) in relieving pain in patients with low back pain after a single session.

Primary outcome:

The increase in pain tolerance will be assessed by Algometry of the affected muscles

Secondary endpoints:

To determine the duration of the analgesic effect of AFL. To determine the increase in pain tolerance through Algometry

Secondary outcomes:

The improvement in pain after treatment with daily measurements for 7 days will be assessed using the TotPar Scale The reduction in pain will be assessed using the Sum of Pain Intensity Difference (SPID) Scale by comparing the differences in scores observed between pre-treatment and post-treatment with daily measurements for 7 days Reduction in the 10-point visual analogue scale for pain. Need for rescue medication

Safety endpoint:

Evaluate adverse events that occurred during the trial, after signing the Informed Consent Form (ICF).

Safety outcomes:

Evaluate safety through data obtained in clinical and physical assessments, and in specific assessments of the clinical trial (immediately after signing the ICF).

Evaluate the rate of occurrence of non-serious and serious adverse events, related and unrelated to the treatment groups throughout the clinical trial.

Read the detailed description

Trial Population Patients with primary or secondary low back pain, aged between 18 and 65 years, who attended the Institute of Orthopedics and Traumatology of the Hospital das Clínicas of the Faculty of Medicine of the University of São Paulo (IOTHCFMUSP) acupuncture clinic.

Trial Design

Clinical, superiority, double-blind, randomized trial with two parallel groups:

  • Test Group: Will receive an auricular laser application at the points indicated for this treatment and that are active (through a point locator device) using a 660 nanometer red laser with the appropriate Nogier frequency, 2 joules per point. In addition, an infrared laser will be applied at the frequency
  • Comparator group: will receive a touch on the skin at the same points with a non-laser emitting pen.

Both patients will wear opaque protective glasses and, therefore, will not be able to observe the application. The patient must continue to use the prescribed medications.

Experimental procedure:

Laser French Auriculotherapy using the ECCO REABILITY device and dual pen with red laser with a wavelength of 660 nm, manufactured by Ecco Fiber Optics and Devices, using the ideal Nogier Frequency for each region, with the application of 2 J per point and a power of 100 mW. For the active group, a 120 mW active tip, red laser with 660 nm, pulse width of 1.2 milliseconds will be used.

Comparator procedure:

Placebo laser using the ECCO REABILITY device and sham pen, both manufactured by Ecco Fiber Optics and Devices. For the control group, a placebo tip with red laser 660 nm with 1 mW of power, pulse width of 1.2 milliseconds will be used.

Application method Single session. The auriculotherapy treatment protocol will be adapted according to each patient. The Nogier mapping will be applied: lumbar and sacral spine area; Lumbar muscles in the posterior wall, thalamus, zero, zero', Shen Men and prefrontal cortex, main sensory and master point of the spine, in addition to the radian technique using the corresponding point in the auricular helix. The points to be used must be active according to the EL30 Finder differential pen point locator device manufactured by NKL Medical DevicesL.

A red laser with a wavelength of 660 nm will be used with the ideal frequency for each location (Nogier frequencies) with an intensity of 2 joules per point. Patients randomized to the placebo group will undergo the same procedures, however a placebo pen will be used.

If the pain is located on one side, the application will be made in the ear on the same side as the affected side. If the pain is bilateral, the application will be made in both ears. If the pain only affects the midline, the application will be made in the ear on the same side as the dominant hand.

Methodology Blinding The procedure will be performed by an unblinded investigator. The patient will be blinded by means of an eye protector that blocks his/her vision. The assessment of pain scales and algometry will be performed by a blinded investigator.

There will be 11 visits in total Visit 0 (V0) - Initial visit

  • Participant clarification about the protocol
  • Signing of the informed consent form
  • Assessment of the inclusion and exclusion criteria;
  • Randomization of the research participant; This visit will be performed by an unblinded investigator

Visit 1 (V1) - Screening visit

After the participant consents to participate in the trial, the following procedures must be performed:

  • Collect demographic data;
  • Assess and record medical history;
  • Perform a complete physical examination;
  • Record previous medications used in the last two weeks;
  • Apply the initial scales
  • Test algometry on the muscles affected by pain. This visit will be performed by a blinded investigator

Visit 2 (V2) - Randomization and treatment visit • Apply the experimental or sham treatment according to randomization This visit will be performed by an unblinded investigator

Visit 3 (V3) - Reassessment visit

  • Reapply the TotPar and SPID scale and repeat algometry This visit will be performed by a blinded investigator

Visit 4 (V4) - Telephone reassessment visit

  • After 24h of V3
  • Reapply the TotPar and SPID scale This visit will be performed by a blinded investigator

Visit 5 (V5) - Telephone reassessment visit

  • After 24h of V4
  • Reapply the TotPar and SPID scale This visit will be performed by a blinded investigator

Visit 6 (V6) - Telephone reassessment visit

  • After 24h of V5
  • Reapply the TotPar and SPID scale SPID This visit will be conducted by a blinded investigator

Visit 7 (V7) - Telephone reassessment visit

  • After 24h from V6
  • Reapply the TotPar and SPID scale This visit will be conducted by a blinded investigator

Visit 8 (V8) - Telephone reassessment visit

  • After 24h from V7
  • Reapply the TotPar and SPID scale This visit will be conducted by a blinded investigator

Visit 9 (V9) - Telephone reassessment visit

  • After 24h from V8
  • Reapply the TotPar and SPID scale This visit will be conducted by a blinded investigator

Visit 10 (V10) - Closing visit

  • After 24h from V9
  • Reapply the TotPar and SPID scale
  • Final reassessment
  • Referral for follow-up This visit will be conducted by a blinded investigator.

Statistical Plan The outcome is of an ordinal qualitative nature and, therefore, the one-tailed non-parametric Mann-Whitney-Wilcoxon test will be used to verify whether laser is superior to sham acupuncture in reducing pain.

The outcome is of an ordinal qualitative nature and, therefore, the Fischer test will be used to verify whether laser is superior to sham acupuncture in reducing pain. The sample size calculation was performed using the G*Power software, considering that the statistical analysis will be performed using the Fisher test:

  • Fisher's Exact Test
  • One-tailed Hypothesis Test
  • Two independent groups
  • Options: Exact distribution
  • Input: Tail(s) = One
  • Proportion p1 = 0.8
  • Proportion p2 = 0.5
  • Significance Level (α error) = 0.05
  • Power (1-β error) = 0.95
  • Allocation ratio N2/N1 = 1
  • Output: Sample size group Active Laser Group = 59
  • Sample size group Placebo Group = 59
  • Total sample size = 118
  • Real power = 0.9521908
  • Real α = 0.0399172 Randomization will be stratified by gender and the sequence will be generated by the SEALED ENVELOPE portal available at https://www.sealedenvelope.com/.

Blinding The study will be double-blind, with the participation of a blinded investigator and an unblinded investigator.

Source of Patients for the study Patients who were referred to the outpatient clinic of the Acupuncture Center of the IOTHCFMUSP.

Conditions
Low Back Pain
Being tested
Laser Auriculotherapy
Keywords
Laser, Auriculotherapy, Low Back Pain, Nogier, French Auriculotherapy
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.

  • Laser AuriculotherapyDevice

    Also called Photobiomodulation

    French Laser Auriculotherapy using the ECCO REABILITY device and dual pen with red laser with 660 nm wavelength, both manufactured by Ecco Optical Fibers and Devices, using the ideal Nogier Frequency for each region with application of 2 J per point with 100 mW power. For the active group, a 120 mW active tip, red laser with 660 nm, pulse width of 1.2 milliseconds will be used.

Study groups in NCT07021768
Study groupRoleWhat they receive
Laser auriculotherapyExperimentalFrench Laser Auriculotherapy using the ECCO REABILITY device and dual pen with red laser with 660 nm wavelength, both manufactured by Ecco Optical Fibers and Devices, using the ideal Nogier Frequency for each region with application of 2 J per point with 100 mW power. For the active group, a 120 mW active tip, red laser with 660 nm, pulse width of 1.2 milliseconds will be used.
Receives: Device: Laser Auriculotherapy
Placebo auriculotherapyPlacebo comparatorPlacebo laser through the ECCO REABILITY device and sham pen both manufactured by Ecco Optical Fibers and Devices. For the control group, a placebo tip with a 660 nm red laser with 1 mW of power and a pulse width of 1.2 milliseconds will be used.
Receives: Device: Laser Auriculotherapy

What is being measured

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

  1. Algometry

    Increase in pain tolerance will be assessed by Algometry of the affected muscles

    Measured: 1 hour after intervention

Secondary outcomes (5)
  1. TotPar Scale

    The improvement in pain after treatment with daily measurements for 7 days will be assessed using the TotPar Scale.

    Measured: 1 week after intervention

  2. SPID Scale

    The reduction in pain will be assessed using the SPID Scale by comparing the differences in scores observed between pre-treatment and post-treatment with daily measurements for 7 days.

    Measured: 1 week after intervention

  3. Visual analogue scale

    Reduction in the 10-point visual analogue scale for pain.

    Measured: 1 week after intervention

  4. Rescue medication

    Need for rescue medication

    Measured: 1 week after intervention

  5. Adverse Events

    Assess the rate of occurrence of non-serious and serious adverse events, related and unrelated to the treatment groups, throughout the clinical trial.

    Measured: 1 week after intervention

Timeline

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

  1. First posted15 Jun 2025
  2. Study start15 Jun 2025 (estimated)
  3. Primary completion31 Dec 2026 (estimated)
  4. Study completion1 Jul 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
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Outcomes assessor
Enrolment
118 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07021768
Sponsor's protocol ID
87524325.0.0000.0068
Acronym
Laser
Status last verified
Jun 2025
First submitted
27 May 2025
Last updated
15 Jun 2025
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: Initially the data will be anonymized and will be available for possible auditing.

Questions about this trial

What is this clinical trial studying?

A study testing Laser Auriculotherapy in people with Low Back Pain, run by Marcelo Neubauer de Paula.

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 3 inclusion and 5 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: opening soon, as of the sponsor's last update on 15 Jun 2025. Status can change between updates, so confirm with the study contact before making plans.

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.

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?

Contact Marcelo N de Paula, PHD student (+ 55 11 98950 5447, keptah3@gmail.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Algometry (time frame: 1 hour after intervention). 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 15 Jun 2025.

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