The Efficacy and Safety of the 1,414 nm Nd:YAG Laser System for Alleviating Back Pain in a Lumbar Disc Patient
Primary Purpose
Lumbar Herniated Intervertebral Disc
Status
Completed
Phase
Phase 2
Locations
Study Type
Interventional
Intervention
1,414nm Nd:YAG Laser System
Sponsored by
About this trial
This is an interventional treatment trial for Lumbar Herniated Intervertebral Disc
Eligibility Criteria
Inclusion Criteria:
- Adult patients 19-79 years old
- Patients with moderate disability based on the Oswestry Disability Index (ODI), among those diagnosed with a single level of unilateral herniated intervertebral disc among the 3rd-4th and 4th-5th lumbar vertebrae, or the 5th lumbar vertebra-sacral vertebra with back pain or radiating pain in the lower extremities that has been unresponsive to conservative therapy for more than six weeks
- Patients who have language skills enough to answer questionnaires
- Patients who agree to voluntarily participate in this study and to sign the Informed Consent Form, and who are able to participate for the entire period of this study
Exclusion Criteria:
- Patients with a multi-level, far-lateral, or bilateral lumbar herniated intervertebral disc
- Patients who use an electronic medical device for their cardiovascular system
- Patients who have spondylolisthesis in the relevant lesion
- Patients with neurological defects
- Patients who had undergone surgery on the relevant lumbar vertebra
- Patients with cauda equina syndrome
- Patients with congenital spinal deformity
- Patients with spinal fracture
- Patients with spinal infection, tumor, or other form of inflammatory spondylopathy
- Patients with coagulation disorder
- Patients with a history of malignant tumor (except those with a cured tumor and no re- occurrence for the last five years)
- Patients who had participated in another clinical study within 30 days from their screening visit
Female patients with child-bearing potential who do not agree to use a medically acceptable contraceptive method* for up to 24 weeks after the use of the investigational medical device during this study
- Medically acceptable contraceptive method: Condom, oral contraceptive pills taken continuously for more than three months, contraceptive injection or implants, intra- uterine contraceptive device, etc.
- Patients who are pregnant or breastfeeding
- Other patients who are considered unfit to participate in this study with clinically significant findings based on the investigator's judgment
Sites / Locations
Arms of the Study
Arm 1
Arm Type
Experimental
Arm Label
1,414nm Nd:YAG laser
Arm Description
It has high absorption coefficient in water and a short pulse width.
Outcomes
Primary Outcome Measures
Change in the Oswestry Disability Index
Secondary Outcome Measures
Change in the Oswestry Disability Index
Change in the Visual Analogue Scale
12-Item Short-form Health Survey
Evaluation of the pain level in 4 steps of excellent, good, fair, poor, according to MacNab's Criteria
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT02598232
Brief Title
The Efficacy and Safety of the 1,414 nm Nd:YAG Laser System for Alleviating Back Pain in a Lumbar Disc Patient
Official Title
A 24-week, Single-center, Open-label, Clinical Study to Evaluate the Efficacy and Safety of the 1,414nm Nd:YAG Laser System Added to PEN to Further Alleviate Back Pain in a Lumbar Herniated Intervertebral Disc Patient
Study Type
Interventional
2. Study Status
Record Verification Date
April 2016
Overall Recruitment Status
Completed
Study Start Date
October 2014 (undefined)
Primary Completion Date
October 2015 (Actual)
Study Completion Date
October 2015 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
LUTRONIC Corporation
4. Oversight
Data Monitoring Committee
No
5. Study Description
Brief Summary
This study aims to evaluate the efficacy and safety of the 1,414nm Nd:YAG laser system (ACCUPLASTI) added to Percutaneous Epidural Neuroplasty (PEN), a conventional treatment, to alleviate back pain in a lumbar herniated intervertebral disc patient.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Lumbar Herniated Intervertebral Disc
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 2, Phase 3
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
30 (Actual)
8. Arms, Groups, and Interventions
Arm Title
1,414nm Nd:YAG laser
Arm Type
Experimental
Arm Description
It has high absorption coefficient in water and a short pulse width.
Intervention Type
Device
Intervention Name(s)
1,414nm Nd:YAG Laser System
Intervention Description
It has high absorption coefficient in water and a short pulse width.
Primary Outcome Measure Information:
Title
Change in the Oswestry Disability Index
Time Frame
Day 0, 24 weeks
Secondary Outcome Measure Information:
Title
Change in the Oswestry Disability Index
Time Frame
Day 0, 4 weeks, 12 weeks
Title
Change in the Visual Analogue Scale
Time Frame
Day 0, 4 weeks, 12 weeks, 24 weeks
Title
12-Item Short-form Health Survey
Time Frame
Day 0, 4 weeks, 12 weeks, 24 weeks
Title
Evaluation of the pain level in 4 steps of excellent, good, fair, poor, according to MacNab's Criteria
Time Frame
Day 0, 4 weeks, 12 weeks, 24 weeks
10. Eligibility
Sex
All
Minimum Age & Unit of Time
19 Years
Maximum Age & Unit of Time
79 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Adult patients 19-79 years old
Patients with moderate disability based on the Oswestry Disability Index (ODI), among those diagnosed with a single level of unilateral herniated intervertebral disc among the 3rd-4th and 4th-5th lumbar vertebrae, or the 5th lumbar vertebra-sacral vertebra with back pain or radiating pain in the lower extremities that has been unresponsive to conservative therapy for more than six weeks
Patients who have language skills enough to answer questionnaires
Patients who agree to voluntarily participate in this study and to sign the Informed Consent Form, and who are able to participate for the entire period of this study
Exclusion Criteria:
Patients with a multi-level, far-lateral, or bilateral lumbar herniated intervertebral disc
Patients who use an electronic medical device for their cardiovascular system
Patients who have spondylolisthesis in the relevant lesion
Patients with neurological defects
Patients who had undergone surgery on the relevant lumbar vertebra
Patients with cauda equina syndrome
Patients with congenital spinal deformity
Patients with spinal fracture
Patients with spinal infection, tumor, or other form of inflammatory spondylopathy
Patients with coagulation disorder
Patients with a history of malignant tumor (except those with a cured tumor and no re- occurrence for the last five years)
Patients who had participated in another clinical study within 30 days from their screening visit
Female patients with child-bearing potential who do not agree to use a medically acceptable contraceptive method* for up to 24 weeks after the use of the investigational medical device during this study
Medically acceptable contraceptive method: Condom, oral contraceptive pills taken continuously for more than three months, contraceptive injection or implants, intra- uterine contraceptive device, etc.
Patients who are pregnant or breastfeeding
Other patients who are considered unfit to participate in this study with clinically significant findings based on the investigator's judgment
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Keung-nyun Kim, Professor
Organizational Affiliation
Severance Hospital
Official's Role
Principal Investigator
12. IPD Sharing Statement
Plan to Share IPD
No
Learn more about this trial
The Efficacy and Safety of the 1,414 nm Nd:YAG Laser System for Alleviating Back Pain in a Lumbar Disc Patient
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