Sensory Effects of Oral Opioid Treatment in Patients With Chronic Low Back Pain
- Conditions
- Low Back Pain
- Interventions
- Drug: Placebo Treatment
- Registration Number
- NCT02824276
- Lead Sponsor
- Brigham and Women's Hospital
- Brief Summary
Chronic low back pain (CLBP) afflicts up to 50 million U.S. adults and is a primary cause of disability and reduced quality of life. The prescription of opioids for chronic low back pain (CLBP) has increased substantially within the past decade in the U.S. As noted by the CDC in their recent Guideline (released in March 2016): "Opioids are commonly prescribed for pain. An estimated 20% of patients presenting to physician offices with noncancer pain symptoms or pain-related diagnoses (including acute and chronic pain) receive an opioid prescription. Interestingly, patients scoring very high on measures of psychological distress tend to be systematically excluded from RCTs, even though this subgroup of patients is highly prevalent within the chronic pain population.
This study will provide key information on individual differences in the outcomes of opioid treatment, and its findings should facilitate more effective tailoring of analgesic regimens to individual patient characteristic.
- Detailed Description
Changes in pain sensitivity will be examined (i.e., OIH) among subgroups of CLBP patients prescribed oral opioid therapy.
Investigators will conduct a moderate-term, double-blind, randomized controlled trial, and use quantitative sensory testing (QST) to evaluate whether changes in pain sensitivity and pain modulation occur as a result of long-term opioid use. Investigators hypothesize that increases in pain sensitivity (i.e., OIH) and maladaptive changes in endogenous pain modulation (i.e., enhanced temporal summation of pain) will occur as a result of long-term opioid use, but that these changes will be observed predominantly among patients with high levels of negative affect and pain-related catastrophizing.
Recruitment & Eligibility
- Status
- ACTIVE_NOT_RECRUITING
- Sex
- All
- Target Recruitment
- 35
- age 25-65
- CLBP lasting for more than 6 months as the primary complaint
- typical pain ratings ≥ 4/10 on a visual analogue scale
- candidate for oral opioid therapy as assessed at the BWH Pain Management Center
- able to speak and understand English.
- evidence of delirium, dementia, psychosis, or other cognitive impairment preventing completion of study procedures
- current (i.e., active) substance use disorder (SUD)
- past history of persistent opioid use (i.e., opioid use for more than 6 months) given that this could affect the biological systems of interest in the present study
- history of myocardial infarction or other serious cardiovascular condition
- current peripheral neuropathy
- current pregnancy, or intention to become pregnant during the study
- current intrathecal pump.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Placebo Treatment Placebo Treatment Placebo medications will be encapsulated in an opaque blinding capsule to ensure adequate blinding of study medications Oral Opioid Medication Oxycodone or morphine sulfate immediate release (MSIR) The primary study medication will be oxycodone, with morphine sulfate immediate release (MSIR) as a backup in case of side effects
- Primary Outcome Measures
Name Time Method Changes in Pain Sensitivity (Quantitative Sensory Testing) 6 months Pain Sensitivity will be assessed by Quantitative Sensory testing
- Secondary Outcome Measures
Name Time Method
Trial Locations
- Locations (1)
Brigham and Women's Hospital
🇺🇸Boston, Massachusetts, United States