Oral Dexamethasone for the Treatment of Cervical Radiculopathy: A Double Blinded, Randomized, Placebo Controlled Trial
试验速览
- 阶段
- 2 期
- 状态
- 终止
- 入组人数
- 100
- 主要终点
- Neck Disability Index
研究概览
简要总结
The purpose of this study is to determine whether dexamethasone is effective in the treatment of pain and disability resulting from a compressed spinal nerve in the neck (cervical radiculopathy).
详细描述
Cervical radiculopathy is causes both short and long term pain and diability. The current proven treatments include pain killers or surgery if there if patients experience progressive weakness or signs or spinal cord compression. Observations in both animal models and humans indicate that there is an inflammatory component to it. Corticosteroids (such as dexamethasone)are potent anti-inflammatories which may benefit people suffering from this condition. There is some evidence to support neck injections of drug directly onto the nerve root. This mmethod of drug delivery has been implicated with some serious complications such as paralysis and stroke. Delivering these medications in a pill form may provide a similar benefit without some of the serious complications.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Single Group
- 主要目的
- Treatment
- 盲法
- Double
入排标准
- 年龄范围
- 18 Years 至 60 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Ages 18 - 60
- •arm and neck pain consistent with cervical radiculopathy
- •Neck Disability Index score of at least 15 (moderate)
- •symptom onset between 2 weeks and 6 months prior to enrollment
排除标准
- •Actively immunosuppressed state
- •clinical red flags consistent with possible infection or malignancy
- •acute febrile illness or infection requiring antibiotics
- •upper motor neuron signs consistent with myelopathy
- •previous orthopedic neck surgery in the area of that nerve root
- •known hepatic dysfunction
- •schizophrenia
- •pregnancy/nursing mothers
- •previous chronic corticosteroid use
- •diabetes mellitus on treatment
- •rapidly improving course
- •osteoporosis
- •hypersensitivity to product components
- •systemic fungal infection
- •recent administration of live vaccine
- •active tuberculosis
- •peptic ulcer disease
结局指标
主要结局
Neck Disability Index
次要结局
- Visual Numeric Scale for arm & neck pain
- Days missed from work
- Cervical Radiculopathy Neurologic Impairment Scale