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临床试验/NCT05014945
NCT05014945已完成不适用

Effect of Combination Therapy With Atelocollagen in Epidural Nerve Block in Patients With Chronic Low Back Pain From Degenerative Lumbar Spine: Pilot Study

Gangnam Severance Hospital2 个研究点 分布在 1 个国家目标入组 20 人开始时间: 2021年8月16日最近更新:
适应症

试验速览

阶段
不适用
状态
已完成
入组人数
20
试验地点
2
主要终点
cross-sectional area of the multifidus muscle

研究概览

简要总结

"In this study, the investigators plan to evaluate muscle mass and pain relief 4 weeks after performing epidural nerve block and Type I porcine atelocollagen injection into multifidus muscle in patients with chronic low back pain due to degenerative spinal disease for more than 6 months.

研究设计

研究类型
Interventional
分配方式
Na
干预模型
Single Group
主要目的
Treatment
盲法
None

入排标准

年龄范围
21 Years 至 —(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Patients scheduled for epidural nerve block for lower back pain
  • Patients over 21 years of age
  • Back pain lasting more than 6 months
  • Patients with ineffective or insignificant effects of conventional drugs and nerve block for back pain
  • Patients with spinal stenosis or disc herniation at the lumbar 4-5 or lumbar 5-sacral 1 level on MRI, and the cross-sectional area of the multifidus muscle at the lesion site is less than 5 cm2 when measured by ultrasound.

排除标准

  • When the degree of low back pain is 3 points or less on the 11-scale numeric rating scale (hereafter NRS)
  • If lower back pain has rapidly worsened within the last week
  • If you have other diseases that may cause low back pain: osteoarthritis of the hip joint, cancer, inflammatory arthritis, spondylitis, fibromyalgia, complex regional pain syndrome, herpes zoster, postherpetic neuralgia, etc.
  • When a diagnostic epidural nerve block is planned
  • In the case of receiving conservative treatment, procedure, or surgery other than oral drugs such as epidural nerve block or proliferation treatment for the treatment of lower back pain within 4 weeks of screening
  • When the low back pain assessed by NRS decreased by more than 50% after epidural nerve block in screening
  • If back surgery is planned within 3 months of the procedure
  • When NRS and ODI measurements cannot be made
  • When collagen injection is contraindicated (eg when allergic to swine)
  • Pregnant women
  • If you cannot read or agree to the consent form
  • If you are unable to sign the consent form yourself

结局指标

主要结局

cross-sectional area of the multifidus muscle

时间窗: 28 days after atelocollagen injection

Changes in the cross-sectional area of the multifidus muscle at the 4th week of the intervention compared to before the intervention (measured value using ultrasound at outpatient).

次要结局

  • numeric rating score(28 days after atelocollagen injection)
  • oswestry disability index(28 days after atelocollagen injection)

研究者

申办方类型
Other
责任方
Principal Investigator
主要研究者

Ji Yeong Kim

Associate Professor

Gangnam Severance Hospital

研究点 (2)

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