A Comparison of NSAIDs for Acute, Non-radicular Low Back Pain.

NCT ID: NCT03861611

Last Updated: 2022-05-31

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

198 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-07-12

Study Completion Date

2021-02-02

Brief Summary

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Purpose: This is a randomized clinical trial comparing the effects of three different medications for acute low back pain (LBP):Ketorolac, Ibuprofen, Diclofenac

Hypothesis: A daily regimen of ketorolac will provide greater relief of LBP than ibuprofen or diclofenac 5 days after an emergency department (ED) visit, as measured by the Roland Morris Disability Questionnaire (RMQ)

Detailed Description

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More than 2.5 million patients present to US emergency departments (ED) annually with low back pain. Up to half of ED patients with acute, new onset low back pain (LBP) report persistent moderate or severe pain one week after the ED visit. Non-steroidal anti-inflammatory drugs (NSAIDs) are an effective treatment of acute LBP, though their impact is only modest.Given the poor pain and functional outcomes that persist beyond an ED visit for acute LBP, this clinical trial proposes to determine whether there is a difference in efficacy between the NSAIDs ketorolac, ibuprofen, and diclofenac and for the treatment of acute, non-traumatic, non-radicular low back pain.

Conditions

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Back Pain Without Radiation Low Back Pain

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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Ketorolac + Educational Intervention

Participants may be randomized to receive Ketorolac for their LBP. Research personnel will provide each participant with a 15-minute educational intervention.

Group Type EXPERIMENTAL

Ketorolac

Intervention Type DRUG

Participants may be randomized to receive Ketorolac oral medication 10 mg, every 8 hours for 5 days as needed

Educational Intervention

Intervention Type BEHAVIORAL

Research personnel will provide each patient with a 15-minute educational intervention. This will be based on National Institute of Arthritis and Musculoskeletal and Skin Diseases Handout on Health: Back Pain information

Ibuprofen + Educational Intervention

Participants may be randomized to receive Ibuprofen for their LBP. Research personnel will provide each participant with a 15-minute educational intervention.

Group Type EXPERIMENTAL

Ibuprofen

Intervention Type DRUG

Participants may be randomized to receive Ibuprofen oral medication 600 mg, every 8 hours for 5 days as needed

Educational Intervention

Intervention Type BEHAVIORAL

Research personnel will provide each patient with a 15-minute educational intervention. This will be based on National Institute of Arthritis and Musculoskeletal and Skin Diseases Handout on Health: Back Pain information

Diclofenac + Educational Intervention

Participants may be randomized to receive diclofenac for their LBP. Research personnel will provide each participant with a 15-minute educational intervention.

Group Type EXPERIMENTAL

Diclofenac

Intervention Type DRUG

Participants may be randomized to receive Diflofenac oral medication 50 mg, every 8 hours for 5 days as needed

Educational Intervention

Intervention Type BEHAVIORAL

Research personnel will provide each patient with a 15-minute educational intervention. This will be based on National Institute of Arthritis and Musculoskeletal and Skin Diseases Handout on Health: Back Pain information

Interventions

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Ketorolac

Participants may be randomized to receive Ketorolac oral medication 10 mg, every 8 hours for 5 days as needed

Intervention Type DRUG

Ibuprofen

Participants may be randomized to receive Ibuprofen oral medication 600 mg, every 8 hours for 5 days as needed

Intervention Type DRUG

Diclofenac

Participants may be randomized to receive Diflofenac oral medication 50 mg, every 8 hours for 5 days as needed

Intervention Type DRUG

Educational Intervention

Research personnel will provide each patient with a 15-minute educational intervention. This will be based on National Institute of Arthritis and Musculoskeletal and Skin Diseases Handout on Health: Back Pain information

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Men or women age 18-64.
* Present to ED primary for management of Low Back Pain (LBP)
* Functionally impairing back pain: A baseline score of greater than 5 on the Roland-Morris Disability Questionnaire
* Musculoskeletal etiology of low back.
* Non-radicular pain.
* Pain duration \<2 weeks (336 hours).
* Non-traumatic LBP
* Participant is to be discharged home.

Exclusion Criteria

* Flank pain, that is pain originating from tissues lateral to the paraspinal muscles.
* Not available for follow-up
* Pregnant
* Chronic pain syndrome
* Allergic to or intolerant of investigational medications
* Contra-indications to investigational medications
Minimum Eligible Age

18 Years

Maximum Eligible Age

64 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Montefiore Medical Center

OTHER

Sponsor Role lead

Responsible Party

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Eddie Irizarry

Assistant Professor of Emergency Medicine

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Eddie Irizarry, MD

Role: PRINCIPAL_INVESTIGATOR

Montefiore Medical Center

Locations

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Montefiore Medical Center

The Bronx, New York, United States

Site Status

Countries

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United States

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Related Links

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http://www.niams.nih.gov/Health_Info/Back_Pain/default.asp

National Institute of Arthritis and Musculoskeletal and Skin Diseases Handout on Health: Back Pain information

Other Identifiers

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2019-10026

Identifier Type: -

Identifier Source: org_study_id

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