MedPath

Ginger Root Extract for Sciatic Pain Individuals

Phase 2
Recruiting
Conditions
Neuropathic Pain
Sciatic Pain
Interventions
Dietary Supplement: Placebo
Registration Number
NCT06817018
Lead Sponsor
Leslie Shen
Brief Summary

Neuropathic pain affects the quality of life of many Americans. Non-pharmacological strategies such as bioactive compounds in foods are being explored as therapeutics but can also serve as tools to better understand pain mechanisms. The previous study reported that ginger root extract supplementation palliated pain-spectrum behaviors in animals with neuropathic pain via the microbiota-gut-brain axis. The proposed study is primarily designed to use ginger supplementation for a better understanding of the role of microbiota-gut-brain interactions in sciatica states in a randomized, double-blinded, and placebo-controlled trial. Eighty participants with sciatica will be randomized to receive placebo (2000 mg starch daily) or ginger (2000 mg daily) for 8 weeks. This study will evaluate the effects of ginger supplementation on gut function measured as gut microbiota composition using 16S rRNA sequencing analysis, intestinal permeability based on plasma lipopolysaccharide binding protein and fecal zonulin using ELISA, and fecal metabolites using LC-MS/MS analysis (SA 1); on neuroinflammation in whole blood mRNA using nCounter® Neuroinflammation Panels analysis (SA 2); and on pain-associated outcomes and brain neuroplasticity by assessing functional (resting state-fMRI) and structural (Diffusion Tensor Imaging) connectivity (SA 3).

Detailed Description

Not available

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
80
Inclusion Criteria

Not provided

Exclusion Criteria

Not provided

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
PlaceboPlaceboPlacebo group: 2,000 mg cellulose daily for 8 weeks
GingerGingerGinger group: 2,000 mg ginger root extract daily for 8 weeks
Primary Outcome Measures
NameTimeMethod
plasma lipopolysaccharide binding protein (LBP)baseline and after 8 weeks

Intestinal permeability biomarker

fecal zonulinbaseline and after 8 weeks

intestinal permeability marker

brief pain inventory (BPI)baseline and after 8 weeks

pain assessment

SF-MPQbaseline and after 8 weeks

pain assessment

Secondary Outcome Measures
NameTimeMethod
fecal metabolites using LC-MS/MS analysisbaseline and after 8 weeks

Untargeted fecal metabolites will be assessed using LC-MS/MS analysis and the combination of retention time and mass signature provides great specificity for each metabolite identification.

gut microbiome using 16S rRNA amplicon sequencingbaseline and after 8 weeks

Fecal gut microbiome composition is a collection of microorganisms that live in the human digestive tract.

neuroinflammation genesbaseline and after 8 weeks

Whole blood neuroinflammation gene profiles will be analyzed using nCounter® Neuroinflammation Panel to evaluate pathways, processes, and cell types that are involved in neuroinflammation.

structural connectivity using resting state-fMRIbaseline and after 8 weeks

Resting state-fMRI connectivity in brain will be examined between the left and right amygdala seed regions and the broader bilateral mPFC, defined using the probabilistic Harvard-Oxford Subcortical Structural Atlas in FSL.

Trial Locations

Locations (1)

Texas Tech University Health Sciences Center

🇺🇸

Lubbock, Texas, United States

Texas Tech University Health Sciences Center
🇺🇸Lubbock, Texas, United States
Chwan-Li (Leslie) Shen, PhD
Contact
806-743-2815
leslie.shen@ttuhsc.edu
Chwan-Li Shen, PhD
Principal Investigator
Chwan-Li (Leslie) Shen, PhD, CCRP
Contact
8067432815
leslie.shen@ttuhsc.edu

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