Trial Outcomes & Findings for Corticosteroid Lumbar Epidural Analgesia for Radiculopathy (NCT NCT03372161)

NCT ID: NCT03372161

Last Updated: 2022-09-19

Results Overview

The NPRS is an 11-point scale (0 to 10-point scale where 0 was no pain and 10 was worst pain imaginable) that allowed the subject to rate the severity of their pain intensity at various points in time.

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

401 participants

Primary outcome timeframe

Baseline, 4 Weeks

Results posted on

2022-09-19

Participant Flow

Participant milestones

Participant milestones
Measure
SP-102
SP-102 SP-102: injection
Placebo
Placebo Placebo: injection
Overall Study
STARTED
202
199
Overall Study
COMPLETED
193
192
Overall Study
NOT COMPLETED
9
7

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Corticosteroid Lumbar Epidural Analgesia for Radiculopathy

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
SP-102
n=202 Participants
SP-102 SP-102: injection
Placebo
n=199 Participants
Placebo Placebo: injection
Total
n=401 Participants
Total of all reporting groups
Age, Continuous
51.2 years
STANDARD_DEVIATION 9.83 • n=5 Participants
51.7 years
STANDARD_DEVIATION 10.36 • n=7 Participants
51.4 years
STANDARD_DEVIATION 10.09 • n=5 Participants
Sex: Female, Male
Female
116 Participants
n=5 Participants
122 Participants
n=7 Participants
238 Participants
n=5 Participants
Sex: Female, Male
Male
86 Participants
n=5 Participants
77 Participants
n=7 Participants
163 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
34 Participants
n=5 Participants
35 Participants
n=7 Participants
69 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
168 Participants
n=5 Participants
164 Participants
n=7 Participants
332 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
4 Participants
n=5 Participants
3 Participants
n=7 Participants
7 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
37 Participants
n=5 Participants
33 Participants
n=7 Participants
70 Participants
n=5 Participants
Race (NIH/OMB)
White
160 Participants
n=5 Participants
162 Participants
n=7 Participants
322 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
1 Participants
n=5 Participants
1 Participants
n=7 Participants
2 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Baseline, 4 Weeks

The NPRS is an 11-point scale (0 to 10-point scale where 0 was no pain and 10 was worst pain imaginable) that allowed the subject to rate the severity of their pain intensity at various points in time.

Outcome measures

Outcome measures
Measure
SP-102
n=148 Participants
SP-102: injection
Placebo
n=184 Participants
Placebo: injection
Mean Change From Baseline (Day 1) to Week 4 in the Mean Numeric Pain Rating Scale (NPRS) Average Pain Score in the Affected Leg
-2.34 Change in score on a scale from baseline
Standard Deviation 1.842
-1.16 Change in score on a scale from baseline
Standard Deviation 1.723

SECONDARY outcome

Timeframe: Baseline, 4 Weeks

The ODI is the gold standard for measuring degree of disability and estimating quality of life in a person with low back pain. The ODI is a questionnaire completed by the subject that assesses10 topics: intensity of pain, lifting, ability to care for oneself, ability to walk, ability to sit, sexual function, ability to stand, social life, sleep quality, and ability to travel. Each question was scored on a scale of 0-5 with 0 indicating the least amount of disability and 5 indicating the most severe disability. The scores for all questions answered were summed, then multiplied by 2 to obtain the index (range 0 to 100). Zero was equated with no disability and 100 was the maximum disability possible.

Outcome measures

Outcome measures
Measure
SP-102
n=147 Participants
SP-102: injection
Placebo
n=177 Participants
Placebo: injection
Mean Change From Baseline (Day 1) to Week 4 in the Oswestry Disability Index Score (ODI)
-10.89 Change in score on a scale from baseline
Standard Deviation 14.906
-4.76 Change in score on a scale from baseline
Standard Deviation 12.896

Adverse Events

SP-102

Serious events: 0 serious events
Other events: 60 other events
Deaths: 0 deaths

Placebo

Serious events: 2 serious events
Other events: 42 other events
Deaths: 1 deaths

Serious adverse events

Serious adverse events
Measure
SP-102
n=202 participants at risk
SP-102: injection
Placebo
n=199 participants at risk
Placebo: injection
Cardiac disorders
Cardiac arrest
0.00%
0/202 • 4 weeks
0.50%
1/199 • 4 weeks
Infections and infestations
COVID-19 pneumonia
0.00%
0/202 • 4 weeks
0.50%
1/199 • 4 weeks

Other adverse events

Other adverse events
Measure
SP-102
n=202 participants at risk
SP-102: injection
Placebo
n=199 participants at risk
Placebo: injection
Cardiac disorders
Cardiac arrest
0.00%
0/202 • 4 weeks
0.50%
1/199 • 4 weeks
Cardiac disorders
Cardiomyopathy
0.50%
1/202 • 4 weeks
0.00%
0/199 • 4 weeks
Cardiac disorders
Palpitations
0.50%
1/202 • 4 weeks
0.50%
1/199 • 4 weeks
Ear and labyrinth disorders
Vertigo positional
0.50%
1/202 • 4 weeks
0.00%
0/199 • 4 weeks
Eye disorders
Vision blurred
0.50%
1/202 • 4 weeks
0.00%
0/199 • 4 weeks
Gastrointestinal disorders
Abdominal distension
0.50%
1/202 • 4 weeks
0.00%
0/199 • 4 weeks
Gastrointestinal disorders
Diarrhoea
0.00%
0/202 • 4 weeks
0.50%
1/199 • 4 weeks
Gastrointestinal disorders
Dyspepsia
0.99%
2/202 • 4 weeks
0.00%
0/199 • 4 weeks
Gastrointestinal disorders
Hiatus hernia
0.50%
1/202 • 4 weeks
0.00%
0/199 • 4 weeks
Gastrointestinal disorders
Nausea
1.5%
3/202 • 4 weeks
0.50%
1/199 • 4 weeks
Gastrointestinal disorders
Toothache
0.99%
2/202 • 4 weeks
0.50%
1/199 • 4 weeks
Gastrointestinal disorders
Vomiting
1.5%
3/202 • 4 weeks
0.00%
0/199 • 4 weeks
General disorders
Chills
0.00%
0/202 • 4 weeks
0.50%
1/199 • 4 weeks
General disorders
Fatigue
0.50%
1/202 • 4 weeks
0.00%
0/199 • 4 weeks
General disorders
Feeling hot
0.50%
1/202 • 4 weeks
0.50%
1/199 • 4 weeks
General disorders
Gait disturbance
0.50%
1/202 • 4 weeks
0.00%
0/199 • 4 weeks
General disorders
Injection site pain
2.0%
4/202 • 4 weeks
0.00%
0/199 • 4 weeks
General disorders
Non-cardiac chest pain
0.00%
0/202 • 4 weeks
0.50%
1/199 • 4 weeks
General disorders
Pain
0.50%
1/202 • 4 weeks
0.00%
0/199 • 4 weeks
General disorders
Peripheral swelling
0.00%
0/202 • 4 weeks
0.50%
1/199 • 4 weeks
Infections and infestations
Abscess
0.50%
1/202 • 4 weeks
0.00%
0/199 • 4 weeks
Infections and infestations
Bronchitis
0.50%
1/202 • 4 weeks
1.0%
2/199 • 4 weeks
Infections and infestations
COVID-19
0.50%
1/202 • 4 weeks
0.50%
1/199 • 4 weeks
Infections and infestations
COVID-19 pneumonia
0.00%
0/202 • 4 weeks
0.50%
1/199 • 4 weeks
Infections and infestations
Dacryocystitis
0.50%
1/202 • 4 weeks
0.00%
0/199 • 4 weeks
Infections and infestations
Gastroenteritis
0.00%
0/202 • 4 weeks
0.50%
1/199 • 4 weeks
Infections and infestations
Influenza
0.00%
0/202 • 4 weeks
0.50%
1/199 • 4 weeks
Infections and infestations
Labyrinthitis
0.50%
1/202 • 4 weeks
0.00%
0/199 • 4 weeks
Infections and infestations
Pharyngitis streptococcal
0.00%
0/202 • 4 weeks
0.50%
1/199 • 4 weeks
Infections and infestations
Pyelonephritis
0.00%
0/202 • 4 weeks
0.50%
1/199 • 4 weeks
Infections and infestations
Respiratory tract infection
0.50%
1/202 • 4 weeks
0.00%
0/199 • 4 weeks
Infections and infestations
Rhinovirus infection
0.00%
0/202 • 4 weeks
0.50%
1/199 • 4 weeks
Infections and infestations
Sinusitis
2.0%
4/202 • 4 weeks
0.00%
0/199 • 4 weeks
Infections and infestations
Tooth abscess
0.50%
1/202 • 4 weeks
0.50%
1/199 • 4 weeks
Infections and infestations
Upper respiratory tract infection
0.99%
2/202 • 4 weeks
2.0%
4/199 • 4 weeks
Infections and infestations
Urinary tract infection
0.99%
2/202 • 4 weeks
1.5%
3/199 • 4 weeks
Injury, poisoning and procedural complications
Arthropod sting
0.50%
1/202 • 4 weeks
0.00%
0/199 • 4 weeks
Injury, poisoning and procedural complications
Contusion
0.00%
0/202 • 4 weeks
0.50%
1/199 • 4 weeks
Injury, poisoning and procedural complications
Fall
0.00%
0/202 • 4 weeks
0.50%
1/199 • 4 weeks
Injury, poisoning and procedural complications
Ligament sprain
0.50%
1/202 • 4 weeks
0.50%
1/199 • 4 weeks
Injury, poisoning and procedural complications
Post procedural complication
0.50%
1/202 • 4 weeks
0.00%
0/199 • 4 weeks
Injury, poisoning and procedural complications
Procedural pain
0.99%
2/202 • 4 weeks
0.50%
1/199 • 4 weeks
Injury, poisoning and procedural complications
Soft tissue injury
0.00%
0/202 • 4 weeks
0.50%
1/199 • 4 weeks
Injury, poisoning and procedural complications
Tooth fracture
0.99%
2/202 • 4 weeks
0.00%
0/199 • 4 weeks
Injury, poisoning and procedural complications
Traumatic haematoma
0.00%
0/202 • 4 weeks
0.50%
1/199 • 4 weeks
Injury, poisoning and procedural complications
Upper limb fracture
0.00%
0/202 • 4 weeks
0.50%
1/199 • 4 weeks
Investigations
Blood lactate dehydrogenase increased
0.50%
1/202 • 4 weeks
0.50%
1/199 • 4 weeks
Investigations
Blood pressure increased
0.99%
2/202 • 4 weeks
0.00%
0/199 • 4 weeks
Investigations
Cardiac murmur
0.00%
0/202 • 4 weeks
0.50%
1/199 • 4 weeks
Investigations
Gamma-glutamyltransferase increased
0.00%
0/202 • 4 weeks
0.50%
1/199 • 4 weeks
Investigations
Hepatic enzyme increased
0.50%
1/202 • 4 weeks
0.00%
0/199 • 4 weeks
Investigations
SARS-CoV-2 test positive
0.50%
1/202 • 4 weeks
0.00%
0/199 • 4 weeks
Investigations
Weight increased
0.00%
0/202 • 4 weeks
0.50%
1/199 • 4 weeks
Metabolism and nutrition disorders
Type 2 diabetes mellitus
0.50%
1/202 • 4 weeks
0.00%
0/199 • 4 weeks
Metabolism and nutrition disorders
Vitamin D deficiency
0.50%
1/202 • 4 weeks
0.00%
0/199 • 4 weeks
Musculoskeletal and connective tissue disorders
Arthralgia
1.5%
3/202 • 4 weeks
0.50%
1/199 • 4 weeks
Musculoskeletal and connective tissue disorders
Back pain
0.50%
1/202 • 4 weeks
0.00%
0/199 • 4 weeks
Musculoskeletal and connective tissue disorders
Flank pain
0.50%
1/202 • 4 weeks
0.00%
0/199 • 4 weeks
Musculoskeletal and connective tissue disorders
Muscle tightness
0.50%
1/202 • 4 weeks
0.00%
0/199 • 4 weeks
Musculoskeletal and connective tissue disorders
Musculoskeletal chest pain
0.00%
0/202 • 4 weeks
0.50%
1/199 • 4 weeks
Musculoskeletal and connective tissue disorders
Pain in extremity
0.99%
2/202 • 4 weeks
1.0%
2/199 • 4 weeks
Nervous system disorders
Burning sensation
0.50%
1/202 • 4 weeks
0.00%
0/199 • 4 weeks
Nervous system disorders
Dizziness
0.99%
2/202 • 4 weeks
0.00%
0/199 • 4 weeks
Nervous system disorders
Dysgeusia
0.50%
1/202 • 4 weeks
0.00%
0/199 • 4 weeks
Nervous system disorders
Formication
0.00%
0/202 • 4 weeks
0.50%
1/199 • 4 weeks
Nervous system disorders
Headache
6.4%
13/202 • 4 weeks
5.5%
11/199 • 4 weeks
Nervous system disorders
Hypoaesthesia
0.00%
0/202 • 4 weeks
0.50%
1/199 • 4 weeks
Nervous system disorders
Lethargy
0.00%
0/202 • 4 weeks
0.50%
1/199 • 4 weeks
Nervous system disorders
Migraine
1.5%
3/202 • 4 weeks
0.00%
0/199 • 4 weeks
Nervous system disorders
Paraesthesia
0.00%
0/202 • 4 weeks
0.50%
1/199 • 4 weeks
Nervous system disorders
Presyncope
0.50%
1/202 • 4 weeks
0.00%
0/199 • 4 weeks
Nervous system disorders
Radicular pain
0.50%
1/202 • 4 weeks
0.50%
1/199 • 4 weeks
Nervous system disorders
Syncope
0.50%
1/202 • 4 weeks
0.00%
0/199 • 4 weeks
Pregnancy, puerperium and perinatal conditions
Pregnancy
0.50%
1/202 • 4 weeks
0.00%
0/199 • 4 weeks
Psychiatric disorders
Anxiety
0.99%
2/202 • 4 weeks
0.50%
1/199 • 4 weeks
Psychiatric disorders
Depression
0.00%
0/202 • 4 weeks
0.50%
1/199 • 4 weeks
Psychiatric disorders
Insomnia
0.00%
0/202 • 4 weeks
0.50%
1/199 • 4 weeks
Psychiatric disorders
Restlessness
0.00%
0/202 • 4 weeks
0.50%
1/199 • 4 weeks
Renal and urinary disorders
Stress urinary incontinence
0.50%
1/202 • 4 weeks
0.00%
0/199 • 4 weeks
Renal and urinary disorders
Ureterolithiasis
0.00%
0/202 • 4 weeks
0.50%
1/199 • 4 weeks
Respiratory, thoracic and mediastinal disorders
Cough
0.00%
0/202 • 4 weeks
1.0%
2/199 • 4 weeks
Respiratory, thoracic and mediastinal disorders
Hiccups
0.50%
1/202 • 4 weeks
0.00%
0/199 • 4 weeks
Skin and subcutaneous tissue disorders
Dermatitis contact
0.50%
1/202 • 4 weeks
0.00%
0/199 • 4 weeks
Skin and subcutaneous tissue disorders
Hyperhidrosis
0.00%
0/202 • 4 weeks
0.50%
1/199 • 4 weeks
Skin and subcutaneous tissue disorders
Pruritus
0.50%
1/202 • 4 weeks
0.00%
0/199 • 4 weeks
Skin and subcutaneous tissue disorders
Rash
0.50%
1/202 • 4 weeks
0.00%
0/199 • 4 weeks
Vascular disorders
Accelerated hypertension
0.00%
0/202 • 4 weeks
0.50%
1/199 • 4 weeks
Vascular disorders
Flushing
0.50%
1/202 • 4 weeks
0.00%
0/199 • 4 weeks
Vascular disorders
Hot flush
0.50%
1/202 • 4 weeks
0.00%
0/199 • 4 weeks
Vascular disorders
Hypertension
2.0%
4/202 • 4 weeks
0.50%
1/199 • 4 weeks

Additional Information

Associate Director Clinical Operations

Scilex Pharmaceuticals, Inc.

Phone: (650) 386-6709

Results disclosure agreements

  • Principal investigator is a sponsor employee The Sponsor has the right to first publication of the results of the study. Following the first publication, PIs may publish study data or results; however, the proposed publication must be submitted to the Sponsor for review and approval in writing at least sixty (60) days prior to the date of the proposed publication. Sponsor may remove from the proposed publication any information that is considered confidential and/or proprietary other than Study Data.
  • Publication restrictions are in place

Restriction type: OTHER