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Imaging Study of Chronic Low Back Pain in Patients Taking Pain Medication

Not Applicable
Completed
Conditions
Low Back Pain
Interventions
Drug: Placebo
Registration Number
NCT00388414
Lead Sponsor
Stanford University
Brief Summary

Duloxetine has recently been shown to be effective in reducing the pain in chronic pain patients. Duloxetine is known to exert a central mechanism, however the precise human brain structures responsible for mediating its pain-relieving properties are not known. We will use functional magnetic resonance imaging (FMRI) to investigate the neural and functional correlates of pain.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
Male
Target Recruitment
14
Inclusion Criteria
  • Males aged 18-60
  • Back Pain
  • Must be able to comply with study visit schedule and other study requirements
  • Capable of performing the experimental tasks
Exclusion Criteria
  • Contraindications for MRI examination (e.g., metallic implants such as pacemakers, surgical aneurysm clips, or known metal fragments embedded in the body)
  • Known hypersensitivity to duloxetine or any of the inactive ingredients
  • Uncontrolled narrow-angle glaucoma

Study & Design

Study Type
INTERVENTIONAL
Study Design
CROSSOVER
Arm && Interventions
GroupInterventionDescription
Duloxetineduloxetine-
Placebo - sugar pillPlacebo-
Primary Outcome Measures
NameTimeMethod
Pain3 months

Brief Pain Inventory (BPI) scores were obtained at baseline, weeks 1, 2, 6, 7, 8, and 12, and a follow-up visit one week after completing the study.

Responses are rated on a scale from 0-10, with 0 = no pain and 10 = pain as bad as you can imagine.

Placebo and duloxetine pain scores calculated by averaging pain scores from each visit after baseline.

Values were converted to percent change in pain: \[(baseline pain - end point pain)/baseline pain\] x 100.

Neural Correlates of Pain Relief3 months

Scores reflect the average connectivity strength of that region of interest to the rest of the cortex.

There were no minimum or maximum values on this scale. Higher scores reflect stronger connectivity, and lower scores reflect less connectivity (all scores fell within -3 and 3).

Subscales are averaged.

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Stanford University School of Medicine

🇺🇸

Stanford, California, United States

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