A prospective, double-blind, randomised, placebo-controlled trial on the efficacy and safety of Neiromidin 20 mg tablets in the treatment of patients with lumbosacral radiculopathy

Phase 1

• Conditions: umbosacral radiculopathy; Therapeutic area: Diseases [C] - Nervous System Diseases [C10]

• Registration Number: EUCTR2019-002632-90-CZ
• Lead Sponsor: Olainfarm AS

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Study Start: 2020-08-20
• Last Update Posted: 13 December 2021

Recruitment & Eligibility

• Status: Authorised-recruitment may be ongoing or finished
• Sex: All
• Target Recruitment: 458

Inclusion Criteria

1)Male or female patients, aged 18-65 years old inclusive at the time of signing the informed consent.
2)Low back pain irradiating through vertebral roots to lower limb (L5-S1 segments) and lasting for one to six (1-6) months before the enrolment
(based on medical history and medical records)and radicular leg pain of moderate to severe intensity (NRS = 6) over the preceding week.
3)Diagnosis of lumbosacral radiculopathy supported with objective, documented evidence (magnetic resonance imaging or computed tomography, or X-ray) allowing to reject any significant non-degenerative spine injury.
4)ODI 16-60%.
5)Females of nonchildbearing potential (postmenopausal [defined as 12 months of spontaneous amenorrhea] or pre-menopausal with documented irreversible surgical sterilization or hysterectomy) or childbearing potential (negative pregnancy test at screening and using an effective method to avoid pregnancy, i.e., oral, injectable, transdermal or implanted hormonal contraceptives, vaginal contraceptive ring, intrauterine device/intrauterine system, vasectomised sexual partner [with confirmed negative sperm counts] or true sexual abstinence).
6)Signed informed consent.
Are the trial subjects under 18? no
Number of subjects for this age range:
F.1.2 Adults (18-64 years) yes
F.1.2.1 Number of subjects for this age range 458
F.1.3 Elderly (>=65 years) no
F.1.3.1 Number of subjects for this age range

Exclusion Criteria

A. Concomitant diseases or conditions
1)Hypersensitivity to ipidacrine and any of the excipients (i.e., lactose, potato starch, calcium stearate, denatonium benzoate anhydrous, Prosolv® EASYtab SP). 2)Contraindications to the use of ipidacrine:
•epilepsy,
•extrapyramidal disorders with hyperkinesia,
•angina pectoris,
•significant bradycardia,
•bronchial asthma,
•intestinal or urinary tract obstruction,
•exacerbation of gastric ulcer or duodenal ulcer,
•vestibular disturbances,
•pregnancy,
•breast-feeding.
3)Rare hereditary problems of galactose intolerance, total lactase deficiency or glucose-galactose malabsorption.
4)Cauda equina syndrome.
5)Bilateral lumbosacral radiculopathy.
6)Severely reduced muscle strength: grade 0 or 1 (Medical Research Council [MRC] Muscle Scale grade) for foot flexors and/or foot extensors and/or extensor hallucis longus of the affected side.
7)Demyelinating disease.
8)Any disease treated with systemic steroids and/or biological therapy within 12 months before the enrolment.
9)Systemic or local infections within two weeks before the enrollment.
10)Clinically significant kidney or liver impairment (kidney impairment assessed as eGFR < 45 ml/min/1.73 m², and liver impairment assessed
as > 3x upper normal limit for AST and/or ALT).
11)Implanted temporary transvenous cardiac pacemaker.
12)Inserted peripheral or central venous catheter or device with external wires that are in close proximity to the heart.
13)Severe obesity (Body Mass Index > 40 kg/m2).
14)Current or previous malignancy of any location (except cured basal cell carcinoma of the skin).
15)Immunosuppression or human immunodeficiency virus (HIV) infection.
16)Evidence of any significant clinical or laboratory finding, or electrocardiogram test results that make it undesirable for the patient to participate in the study.
17)Lumbosacral radiculopathy onset due to a non-degenerative spine injury.
18)Mental disease or high-risk for suicide (i.e., suicide attempts in the past or current suicidal ideas).
B. Previous, concomitant or planned treatments
1)Post-surgery period (lumbosacral spine surgery) of less than three months before the enrolment.
2)Surgical interventions planned in the next two months.
3)Ipidacrine or any other AChE inhibitor-based therapy within 30 days before the enrolment.
4)Use of chiropractice (i.e., spinal manipulation performed on spinal articulations: lumbosacral, sacroiliac, costotransverse and/or
costovertebral joints) for the treatment of lumbosacral radiculopathy within 30 days before the enrolment.
5)Epidural steroid injections within 30 days before the enrolment.
6)Treatment with benzodiazepines or tricyclic antidepressants within 20 days before the enrolment.
7)Treatment with anticonvulsants, myorelaxants or opioid analgesics within 12 days before the enrolment.
C. Other exclusion criteria
1)Problems with information perception and/or completing the questionnaires.
2)Unreliable patients including non-compliant patients, patients with known alcoholism or drug abuse or with a history of a serious psychiatric
disorder as well as patients unwilling to abide by the requirements of the Protocol.
3)Patient is currently participating in another clinical study or has participated in a clinical study within 30 days before the enrolment.

Study & Design

• Study Type: Interventional clinical trial of medicinal product
• Study Design: Not specified