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Spinal DiseaseNCT07543692

Safety and Effectiveness of Ultrasound-guided Pharmacopuncture for Spinal Diseases

An observational study of Spinal Disease and Neck Pain, run by Jaseng Medical Foundation at 6 sites in South Korea.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

This multi-center registry study aims to evaluate the safety and effectiveness of ultrasound-guided pharmacopuncture for patients diagnosed with spinal diseases. A total of 600 patients, aged 19 to under 70 years, will be enrolled across six Korean medicine hospitals. Read more about this study

Who is it for?
Ages 19 to 69 years
Conditions the study is for
Spinal Disease, Neck Pain, Low Back Pain
What is being tested?
Ultrasound-guided Pharmacopuncture
How many people
600 participants
Where
6 sitesSouth Korea
Study dates
29 Apr 2026to 31 Dec 2027
How long will I take part?
8 Weeks
Phase
Observational
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 19 to 69 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Study population: The study population consists of adult outpatients and inpatients (aged 19 to under 70) diagnosed with spinal diseases presenting with significant neck or low back pain (NRS ≥ 5). These patients are recruited from the clinical settings of six participating Korean medicine hospitals. They are individuals who are already scheduled to receive ultrasound-guided pharmacopuncture as part of their routine care plan, determined solely by the treating clinician's medical judgment.

Who may be able to join

  • Patients diagnosed with spinal diseases (KCD codes M and S).
  • Patients whose Numeric Rating Scale (NRS) score for the most predominant pain (neck pain with upper limb radiating pain OR low back pain with lower limb radiating pain) caused by spinal diseases is 5 or higher.
  • Outpatients or inpatients scheduled to utilize an ultrasound scan during pharmacopuncture (the decision to perform ultrasound-guided pharmacopuncture is made according to the clinician's routine medical judgment, not for research purposes).
  • Patients who voluntarily agree to participate in the clinical study and sign the informed consent form.

Who cannot join

  • Patients who have difficulty completing the written informed consent form.
  • Women who are pregnant, planning to become pregnant, or breastfeeding.
  • Patients deemed inappropriate for study participation by the investigator due to severe underlying diseases (e.g., cancer or other malignant neoplasms) that may interfere with treatment effects or result interpretation.
  • Individuals who are deemed unsuitable for participation in the clinical study by the researcher.

Trial locations and contacts

6 sites in 1 country. Contact the study team or a site near you to ask about taking part.

6 sites in 1 country

South Korea6 sites, 6 recruiting
  • Bucheon Jaseng Hospital of Korean Medicine

    Bucheon-si, GGyeonggi-do, 14598

    Jung-Hoon Han, KMD, +82-1577-0007, livercu17@jaseng.org

    Recruiting
  • Daejeon Jaseng Hospital of Korean Medicine

    Daejeon, Daejeon, 35262

    Sujin Kim, KMD, +82-1577-0007, naldo15@jaseng.org

    Recruiting
  • Jaseng Hospital of Korean Medicine

    Seoul, Gangnam-gu, 06110

    Nam-Woo Lee, KMD, +82-1577-0007, kaktus0831@jaseng.co.kr

    Recruiting
  • Kyung Hee University Korean Medicine Hospital

    Seoul, 02447

    Jae-Heung Cho, KMD, +82-2-958-8114, vetkong95@hanmail.net

    Recruiting
  • Kyung Hee University Hospital at Gangdong

    Seoul

    Byung-Kwan Seo, KMD, +82-2-1577-5800, seohbk@hanmail.net

    Recruiting
  • School of Korean Medicine, Pusan National University

    Yangsan

    In Heo, +82-2-2222-2740, drheoin@pusan.ac.kr

    Recruiting

Other trials in South Korea

About this study

Official title: Safety and Effectiveness of Ultrasound-guided Pharmacopuncture for Spinal Diseases: A Multi-center, Registry Study

This multi-center registry study aims to evaluate the safety and effectiveness of ultrasound-guided pharmacopuncture for patients diagnosed with spinal diseases. A total of 600 patients, aged 19 to under 70 years, will be enrolled across six Korean medicine hospitals. Eligible participants must have a pain Numeric Rating Scale (NRS) of 5 or higher for their most dominant spinal pain, which includes neck pain with upper extremity radiating pain, or low back pain with lower extremity radiating pain. As a non-interventional observational study, it will include patients who are already planned to receive ultrasound-guided pharmacopuncture as part of their routine clinical care. The primary outcome is the change in the most dominant spinal pain intensity measured by the NRS from baseline to 4 weeks. Secondary outcomes include functional disability evaluated using the Neck Disability Index (NDI) or Oswestry Disability Index (ODI), quality of life using the EQ-5D-5L, and patient satisfaction. Safety will be closely monitored by assessing all adverse events at every visit, evaluating their incidence, severity, and causality related to the procedure. Participants will be selected based on strict inclusion and exclusion criteria to ensure safety and consistency. Ethical standards including informed consent, data privacy, and ongoing safety monitoring will be rigorously upheld throughout the study.

Read the detailed description

This is a multi-center, non-interventional observational registry study designed to systematically collect and analyze real-world data on the safety and effectiveness of ultrasound-guided pharmacopuncture in clinical practice. The study will competitively recruit a total of 600 outpatients or inpatients from six participating institutions: Jaseng Hospital of Korean Medicine, Daejeon Jaseng Hospital of Korean Medicine, Bucheon Jaseng Hospital of Korean Medicine, Kyung Hee University Korean Medicine Hospital, Kyung Hee University Hospital at Gangdong, and Pusan National University Korean Medicine Hospital. Eligible participants must be adults aged 19 to under 70 years, diagnosed with a spinal disease corresponding to KCD M and S codes. Participants must report a dominant pain score of NRS 5 or higher for either neck pain and upper extremity radiating pain, or low back pain and lower extremity radiating pain. The decision to administer ultrasound-guided pharmacopuncture is made solely according to the clinician's routine judgment, not for the purpose of the study. Following enrollment, observational data will be collected at weeks 1, 2, 4, and 8. The primary effectiveness measure is the change in the NRS score for the dominant spinal pain from baseline (Week 0) to week 4. Secondary measures include changes in functional disability (assessed via NDI for neck pain or ODI for low back pain) and quality of life (EQ-5D-5L) evaluated at weeks 1, 2, 4, and 8. Additionally, a patient satisfaction survey regarding the treatment process, results, and preference will be conducted at week 4. To thoroughly assess the causality of any adverse events, details regarding the procedure method-such as pharmacopuncture type, target points, and maximum needle insertion length-along with concurrent treatments (acupuncture, herbal medicine, moxibustion, cupping, Chuna manual therapy, and physical therapy) will be meticulously recorded.

Safety is a primary focus of this registry; all adverse events occurring after the procedure will be assessed at every visit. These events will be documented including symptom details, onset dates, severity (using CTCAE), and causality with the procedure (using the WHO-UMC causality assessment system). Statistical analysis will utilize linear mixed models (LMM) to analyze changes in continuous outcomes over time, with adjustments made for covariates such as treatment frequency and the random effects of institutions and participants. Subgroup analyses will also be conducted based on the patients' primary symptoms. All ethical standards, including obtaining written informed consent, protecting data privacy, and securely storing case report forms, will be strictly maintained.

Being tested
Ultrasound-guided Pharmacopuncture
Keywords
Pharmacopuncture, Ultrasound-guided, Registry, Observational Study, Korean Medicine, Spinal Pain
Medical subject headings
Spinal Diseases, Neck Pain, Low Back Pain, Radiculopathy

What participants receive

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

  • Ultrasound-guided PharmacopunctureProcedure or surgery

    This is a procedure in which a Korean medicine doctor utilizes an ultrasound imaging device during pharmacopuncture injection for either of the following two purposes:

    1. Screening purpose: To pre-examine and identify the locations of high-risk structures, such as major nerves and blood vessels, prior to the injection.
    2. Guiding purpose: To observe the injection pathway and target tissues in real-time while administering the pharmacopuncture fluid into the acupoints and targets.

    In this study, this intervention is not assigned for research purposes; rather, it is performed entirely according to the clinician's routine medical judgment and clinical care plan.

Study groups in NCT07543692
Study groupRoleWhat they receive
Ultrasound-guided Pharmacopuncture CohortThis cohort consists of patients aged 19 to under 70 who have been diagnosed with spinal diseases (KCD codes M and S). Eligible participants must have a Numeric Rating Scale (NRS) score of 5 or higher for their most predominant pain, which may include neck pain with radiating pain to the upper limbs or low back pain with radiating pain to the lower limbs. These are patients who are already scheduled to receive ultrasound-guided pharmacopuncture as part of their routine clinical care plan. As this is a single-arm registry study, it comprises this single cohort without a separate control group.
Receives: Procedure: Ultrasound-guided Pharmacopuncture

What is being measured

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

  1. Change in Pain Intensity : Numeric Rating Scale (NRS)

    The NRS will evaluate the intensity of the most predominant pain (neck pain and upper limb radiating pain OR low back pain and lower limb radiating pain) caused by spinal diseases over the past 3 days. Patients select a number from 0 to 10, where 0 is 'no pain' and 10 is 'the worst pain imaginable'. Higher scores indicate a more severe level of pain (a worse outcome). The primary efficacy endpoint will compare the change in the NRS score from baseline to Week 4.

    Measured: Baseline to Week 4

Secondary outcomes (6)
  1. Change in Pain Intensity : Numeric Rating Scale (NRS) (Other Time Points)

    The NRS will evaluate the intensity of the most predominant pain caused by spinal diseases over the past 3 days. Patients select a number from 0 to 10, where 0 is 'no pain' and 10 is 'the worst pain imaginable'. Higher scores indicate a more severe level of pain (a worse outcome).

    Measured: Baseline, Week 1, Week 2, and Week 8

  2. Change in Neck Disability Index (NDI)

    The NDI is a 10-item questionnaire designed to assess the degree of disability in daily life. Each item is scored from 0 to 5, resulting in a total raw score ranging from a minimum of 0 to a maximum of 50. Higher scores indicate a more severe degree of disability (a worse outcome). This will be evaluated for patients whose primary symptom area is the cervical spine.

    Measured: Baseline, Week 1, Week 2, Week 4, and Week 8

  3. Change in Oswestry Disability Index (ODI)

    The ODI is a 10-item questionnaire developed to evaluate the degree of disability for low back pain. Each question has 6 levels and is scored from 0 to 5, with the total score typically expressed as a percentage ranging from a minimum of 0% to a maximum of 100%. Higher scores indicate a more severe degree of disability (a worse outcome). This will be evaluated for patients whose primary symptom area is the lumbar spine.

    Measured: Baseline, Week 1, Week 2, Week 4, and Week 8

  4. Change in Quality of Life : EQ-5D-5L

    The 5-Level EuroQol-5 Dimension (EQ-5D-5L) is a 5-item questionnaire evaluating mobility, self-care, usual activities, pain/discomfort, and anxiety/depression. It indirectly calculates the quality weight of a specific health state using pre-assigned preference scores. The calculated index value ranges from less than 0 (minimum) to 1.0 (maximum), where higher scores indicate a better health-related quality of life (a better outcome).

    Measured: Baseline, Week 1, Week 2, Week 4, and Week 8

  5. Patient Satisfaction Questionnaire

    A 6-item survey to investigate patient satisfaction with the overall ultrasound-guided pharmacopuncture treatment process, results, preference compared to general pharmacopuncture, reasons for the choice, effects, and intention to recommend to others. The total score ranges from a minimum of 6 to a maximum of 30, where higher scores indicate greater patient satisfaction (a better outcome).

    Measured: Week 4

  6. Incidence of Adverse Events (AEs)

    Safety will be evaluated by assessing and recording all adverse events that may occur after ultrasound-guided pharmacopuncture. The severity of adverse events will be evaluated using the Common Terminology Criteria for Adverse Events (CTCAE), which grades events on a severity scale from a minimum of 1 (mild) to a maximum of 5 (death). Higher grades indicate more severe adverse events (a worse outcome).

    Measured: Every visit (from Baseline up to Week 8)

Timeline

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

  1. First posted22 Apr 2026
  2. Study start29 Apr 2026
  3. Primary completion31 Dec 2027 (estimated)
  4. Study completion31 Dec 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
Observational
Observational model
Cohort
Time perspective
Prospective
Enrolment
600 participants (estimated)
Target duration
8 Weeks
IDs, dates and publications
ClinicalTrials.gov ID
NCT07543692
Sponsor's protocol ID
JS-CT-2025-01
Other IDs
RS-2023-KH139336
Status last verified
Apr 2026
First submitted
15 Apr 2026
Last updated
16 Jul 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: De-identified individual participant data collected during the study will be shared with other researchers, academic societies, and data processing institutions for secondary research purposes. This data sharing will be strictly limited to the data of participants who have provided separate, explicit written informed consent for the third-party provision and secondary utilization of their personal information. Furthermore, any provision of the anonymized data to a third party will only be conducted following formal review and approval by the Institutional Review Board (IRB).

Questions about this trial

What is this clinical trial studying?

An observational study of Spinal Disease and Neck Pain, run by Jaseng Medical Foundation at 6 sites in South Korea.

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 4 inclusion and 4 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: looking for participants now, as of the sponsor's last update on 16 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 6 sites in South Korea. 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?

Contact In-Hyuk Ha (+82-1577-0007, hanihata@gmail.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change in Pain Intensity : Numeric Rating Scale (NRS) (time frame: Baseline to 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 16 Jul 2026; AzTrials last refreshed its copy on 8 Nov 2026.

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