NSAIDs in Sciatica NSAIDS IN SCIATICA

NCT ID: NCT03347929

Last Updated: 2023-10-05

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

123 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-11-30

Study Completion Date

2023-06-22

Brief Summary

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This study will evaluate whether treatment with Naproxen 500 mg twice daily is superior to placebo for the improvement of leg pain in patients with sciatica. Half of patients will receive Naproxen while the other half will receive placebo.

Detailed Description

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Sciatica is an established term for pain radiating from the lower back or buttock into the leg, commonly caused by a disc herniation. Given their analgesic and anti-inflammatory mechanisms of action, NSAIDs (Non-steroidal anti-inflammatory drugs) have been, and are still being regarded as standard therapy for sciatica.

However, very few randomised controlled trials of NSAIDs have been undertaken in sciatica, and no study has showed clinically meaningful effects as compared to placebo.

Since NSAIDs involve the risk of serious gastrointestinal, vascular and renal side effects there is a strong need to clarify their potential beneficial effects in sciatica.

Conditions

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Sciatica

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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Naproxen

Naproxen 500 mg twice daily

Group Type EXPERIMENTAL

Naproxen 500 Mg

Intervention Type DRUG

10 days treatment with Naproxen 500 mg twice daily

Placebo

Placebo 1 tablet twice daily

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

10 days treatment with Placebo1 tablet twice daily

Interventions

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Naproxen 500 Mg

10 days treatment with Naproxen 500 mg twice daily

Intervention Type DRUG

Placebo

10 days treatment with Placebo1 tablet twice daily

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Age ≥ 18 years
* Radiating pain below the knee with a severity score of ≥4 on a 0-10 (NRS) in the previous 24 hours
* Signs of nerve root/spinal nerve involvement as indicated by at least one of the following features; myotomal weakness, dermatomal sensory disturbances (e.g. sensory loss, self-reported tingling/numbness), diminished reflexes, radiating pain exacerbation by SLR

Exclusion Criteria

* Not able to read or speak Norwegian.
* Unlikely to adhere to treatment and/ or complete follow-up (e.g ongoing serious psychiatric disease, drug abuse, plans to move)
* Sciatica of known cause other than disc herniation or degenerative stenosis.
* Neurogenic claudication, i.e. pain in the legs on walking or standing that resolves with sitting down or lumbar flexion.
* Symptoms indicating immediate surgery: cauda equina syndrome or a progressive large paresis.
* Women who attempt to conceive, are pregnant or breastfeeding.
* Previous episodes of asthma, urticaria or allergic-type reactions after taking aspirin or other NSAIDs.
* Active or history of peptic ulceration, gastrointestinal bleeding, or perforation.
* Use of drugs known to increase upper gastrointestinal adverse events in combination with Naproxen: anticoagulants, aspirin (acetyl salicylic acid), serotonin reuptake inhibitors and systemic corticosteroids.
* Hepatic enzyme (ASAT/ALAT) values above 1,5 x upper limit of normal (ULN)
* Renal function tests (creatinin/eGFR) outside normal range
* Congestive heart failure, established ischaemic heart disease, peripheral arterial disease, and/or cerebrovascular disease.
* Known hypersensitivity to Naproxen or any of the excipients (lactose, maize starch, povidone, sodium starch glycolate, talcum, magnesium stearate, polysorbate 80)
* Ongoing treatment with aspirin, systemic corticosteroids, diuretics, ACE-inhibitors, lithium and anticoagulants
* Scheduled for spinal surgery prior to end of study
* Reservation against intake of gelatine (the capsules contains gelatine, which among other things is produced by ingredients from pigs)
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Vestre Viken Hospital Trust

OTHER

Sponsor Role collaborator

Sykehuset Telemark

OTHER_GOV

Sponsor Role collaborator

Helse Stavanger HF

OTHER_GOV

Sponsor Role collaborator

Oslo University Hospital

OTHER

Sponsor Role collaborator

Ostfold Hospital Trust

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Waleed Ghanima, MD,PhD

Role: STUDY_DIRECTOR

Ostfold Hospital Trust

Anne Haugen, MD,PhD

Role: PRINCIPAL_INVESTIGATOR

Ostfold Hospital Trust

Locations

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Revmatologisk avdeling, Sykehuset Østfold Moss

Moss, , Norway

Site Status

Avdeling for fysikalsk medisin og rehabilitering, Oslo University Hospital

Oslo, , Norway

Site Status

Fysikalsk medisinsk poliklinikk, Sykehuset Telemark

Porsgrunn, , Norway

Site Status

Avdeling for fysikalsk medisin og rehabilitering, Stavanger Universitetssjukehus

Stavanger, , Norway

Site Status

Countries

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Norway

References

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Grovle L, Hasvik E, Holst R, Saetre A, Brox JI, Mathiassen S, Myhre K, Holmgard TE, Haugen AJ. Efficacy of naproxen in patients with sciatica: multicenter, randomized, double-blind, placebo-controlled trial. Pain. 2024 Nov 1;165(11):2606-2614. doi: 10.1097/j.pain.0000000000003280. Epub 2024 Jun 4.

Reference Type DERIVED
PMID: 38833590 (View on PubMed)

Grovle L, Hasvik E, Holst R, Haugen AJ. NSAIDs in sciatica (NIS): study protocol for an investigator-initiated multicentre, randomized placebo-controlled trial of naproxen in patients with sciatica. Trials. 2022 Jun 14;23(1):493. doi: 10.1186/s13063-022-06441-3.

Reference Type DERIVED
PMID: 35701830 (View on PubMed)

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Other Identifiers

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2014-003623-21

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

SO-2017-1

Identifier Type: -

Identifier Source: org_study_id

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