Study Results
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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COMPLETED
PHASE4
123 participants
INTERVENTIONAL
2017-11-30
2023-06-22
Brief Summary
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Detailed Description
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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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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
QUADRUPLE
Study Groups
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Naproxen
Naproxen 500 mg twice daily
Naproxen 500 Mg
10 days treatment with Naproxen 500 mg twice daily
Placebo
Placebo 1 tablet twice daily
Placebo
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
Placebo
10 days treatment with Placebo1 tablet twice daily
Eligibility Criteria
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Inclusion Criteria
* 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
* 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)
18 Years
ALL
No
Sponsors
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Vestre Viken Hospital Trust
OTHER
Sykehuset Telemark
OTHER_GOV
Helse Stavanger HF
OTHER_GOV
Oslo University Hospital
OTHER
Ostfold Hospital Trust
OTHER
Responsible Party
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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
Avdeling for fysikalsk medisin og rehabilitering, Oslo University Hospital
Oslo, , Norway
Fysikalsk medisinsk poliklinikk, Sykehuset Telemark
Porsgrunn, , Norway
Avdeling for fysikalsk medisin og rehabilitering, Stavanger Universitetssjukehus
Stavanger, , Norway
Countries
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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.
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.
Provided Documents
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Document Type: Study Protocol
Document Type: Statistical Analysis Plan
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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