A Study to Evaluate Efficacy of 『Opast Tablet』for Neurologic Claudication in Patients With Lumbar Spinal Stenosis

NCT ID: NCT01888536

Last Updated: 2015-12-22

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

182 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-02-28

Study Completion Date

2014-02-28

Brief Summary

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This trial is a comparative study of Opast tablet and Rikalin capsule 75mg and Rikalin capsule 75mg in combination with Opast tablet to evaluate improvement effectiveness of Opast tablet on subjective symptoms and neurologic claudication in patients with lumbar spinal stenosis.

Detailed Description

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Subjects who provided written consents voluntarily after receiving a sufficient explanation about this trial will be assigned to one of groups(study group; limaprost, comparative group 1; pregabalin, comparative group 2; limaprost+ pregabalin) by randomization at the rate of 1:1:1.

Subjects will take assigned investigational drugs thrice a day for eight weeks by double-blind and double-dummy methods, and they will visit the site two times at intervals of four weeks.

At each site visit point, the improvement effectiveness will be comparatively evaluated by evaluation of following endpoints;

Efficacy endpoints: ICD(initial claudication distance) at treadmill test (speed:3km/hr, grade:0%), VAS in pain on lower extremities, EQ-5D and ODI Safety endpoints: Vital signs, hematology/blood chemistry tests and adverse events, etc.

Conditions

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Neurologic Claudication in Patients With Lumbar Spinal Stenosis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Limaprost & Placebo

Limaprost 5㎍ tablet and a capsule of Pegabalin-Placebo thrice a day for 8 weeks.

Group Type EXPERIMENTAL

Limaprost

Intervention Type DRUG

Placebo(for Pregabalin)

Intervention Type DRUG

mimic Pregabalin 75mg capsule

Pregabalin & Placebo

Pregabalin 75mg capsule and a tablet of Limaprost-Placebo thrice a day for 8 weeks.

Group Type ACTIVE_COMPARATOR

Pregabalin

Intervention Type DRUG

Placebo(for Limaprost)

Intervention Type DRUG

mimic Limaprost tablet

Limaprost+Pregabalin

Limaprost 5㎍ tablet and Pregabalin 75mg capsule thrice a day for 8 weeks.

Group Type ACTIVE_COMPARATOR

Limaprost

Intervention Type DRUG

Pregabalin

Intervention Type DRUG

Interventions

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Limaprost

Intervention Type DRUG

Pregabalin

Intervention Type DRUG

Placebo(for Pregabalin)

mimic Pregabalin 75mg capsule

Intervention Type DRUG

Placebo(for Limaprost)

mimic Limaprost tablet

Intervention Type DRUG

Other Intervention Names

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Opast tablet Rikalin capsule 75mg

Eligibility Criteria

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Inclusion Criteria

* Subject is fully understand the clinical trial and obtained informed consent.
* Age 20-75years.
* Patients with a confirmed diagnosis of waist of spinal canal stenosis.
* Limb pain caused by waist of spinal canal stenosis index of VAS 3 or more patients.
* Subject who has numbness symptom on lower extremity(ies) and intermittent claudication that are due to spinal canal stenosis and fulfills both of following criteria at the same time

* When screening visit, a medical examination by interview had the following symptoms in subjects ; In daily life walking, when walked by within 20 minutes on flatland, the subject can feel the symptoms (numbness, pain or tightness on lower extremity(ies), etc.)

* Subject who experienced numbness, pain, tightness or other similar symptom(s) on lower extremity within 15 minutes from test start at baseline(D1) evaluation.

* speed: 3km/hr, grade:0%, posture: should keep their lumbar spinal extended

Exclusion Criteria

* Pregnant or lactating women of childbearing potential not employing adequate contraception.
* Patients who have the hereditary problem of galactose intolerance, Lapp lactase deficiency or grape sugar-galactose absorption defect.
* Patients with systemic disease affecting the lower limbs.
* Patients who have cauda equina syndrome.
* Patients with acute osteoporosis compression fracture in lumbar vertebra.
* Patients who have gait disturbance of degenerative arthritis by hip joint, knee joint, ankle joint.
* At least one month before the start of the study, patients use of steroid drug except lumbar dura mater.
* 6 month before the start of the study, patients with ischaemic disease in blood vessel, lung or the coronary artery, varicose artery.
* Patients with lumbar necrosis in head of femur avascular necrosis, necrotic foot ulcer.
* Patients surgery by lumbar fusion and lumbar decompression.
* Patients with renal disease or need to hemodialysis.

* serum creatinine \> 2xUNL
* 3 month before the start of the study, patients participated in another clinical research.
* Patients with difficult understanding spirit incompetence, lack of will or language barrier.
* The investigator judged seriously ill patients need surgery patient.
Minimum Eligible Age

20 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Yungjin Pharm. Co., Ltd.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Seong-Hwan Moon, M.D.,Ph.D.

Role: PRINCIPAL_INVESTIGATOR

Yonsei University College of Medicine Severance Hospital

Jin Hyok Kim, M.D.,Ph.D.

Role: PRINCIPAL_INVESTIGATOR

Inje University

Jae Hyup Lee, M.D.,Ph.D.

Role: PRINCIPAL_INVESTIGATOR

SMG-SNU Boramae Medical Center

Suk Kyung Soo, M.D.,Ph.D.

Role: PRINCIPAL_INVESTIGATOR

Kyunghee University Medical Center

Ho Joong Kim, M.D.,Ph.D.

Role: PRINCIPAL_INVESTIGATOR

Seoul National University Bundang Hospital

Ye Soo Park, M.D.,Ph.D.

Role: PRINCIPAL_INVESTIGATOR

Hanyang University

Moon Soo Park, M.D.,Ph.D.

Role: PRINCIPAL_INVESTIGATOR

Hallym University Medical Center

Locations

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Hallym University Sacred Heart Hospital

Anyang-si, Gyeonggi-do, South Korea

Site Status

Hanyang University Guri Hospital

Guri-si, Gyeonggi-do, South Korea

Site Status

Seoul National University Bundang Hospital

Seongnam-si, Gyeonggi-do, South Korea

Site Status

Yonsei University Health System, Severance Hospital

Seoul, Seoul, South Korea

Site Status

KyungHee University Medical Center

Seoul, Seoul, South Korea

Site Status

Inje University Sanggye Paik Hospital

Seoul, Seoul, South Korea

Site Status

SMG-SNU Boramae Medical Center

Seoul, Seoul, South Korea

Site Status

Countries

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South Korea

References

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Kim HJ, Kim JH, Park YS, Suk KS, Lee JH, Park MS, Moon SH. Comparative study of the efficacy of limaprost and pregabalin as single agents and in combination for the treatment of lumbar spinal stenosis: a prospective, double-blind, randomized controlled non-inferiority trial. Spine J. 2016 Jun;16(6):756-63. doi: 10.1016/j.spinee.2016.02.049. Epub 2016 Mar 29.

Reference Type DERIVED
PMID: 27045252 (View on PubMed)

Other Identifiers

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YJ7-401

Identifier Type: -

Identifier Source: org_study_id