Sustained Acoustic Medicine for Chronic Low Back Pain Secondary to Herniated Nucleus Pulposus or Other Conditions
Primary Purpose
Chronic Low Back Pain (CLBP), Intervertebral Disc Displacement
Status
Completed
Phase
Not Applicable
Locations
United States
Study Type
Interventional
Intervention
Sustained Acoustic Medicine (SAM)
Sham Device
Sponsored by
About this trial
This is an interventional treatment trial for Chronic Low Back Pain (CLBP) focused on measuring herniated disc, sustained acoustic medicine, ultrasound, CLBP
Eligibility Criteria
Inclusion Criteria:
- Diagnosis of Chronic low back pain, may be secondary to herniated nucleus pulposus (HNP) or other causes
- 18-60 years of age, inclusive
- Has Numeric Rating Scale (NRS) pain severity score of at least 4 for a minimum 5 days over the 1 week Baseline Period prior to being randomized to treatment
- Pain lasting >3 months
- Has MRI from within 2 months prior to Screening (If no recent MRI is available, then subject must agree to have MRI performed prior to randomization of treatment)
- If pain is secondary to HNP: MRI within the last 2 months demonstrating the presence of a herniated disc; herniated disc is laterally located and not centrally located; herniated disc is not sequestered
- Has the presence of radicular pain as assessed by a health care practitioner
- Is willing and able to self-administer treatment daily within their place of residence or during normal daily activity, excluding bathing, showering, or other water activities which may result in submersion of the study device.
- Is maintained on a stable pain management regimen, which may include opioid and/or non-opioid analgesic medications, but must be willing to keep dosage(s) stable through the study period; any dose adjustments that the investigator feels are required during the study period must be discussed with the study sponsor; and the use of any medications must be documented in the subject's Medication Log.
- Be willing to discontinue any other interventional treatment modalities on the lower back during the study period (e.g., transcutaneous electrical nerve stimulation, electronic muscle stimulation, traditional ultrasound).
Exclusion Criteria:
- Cannot successfully demonstrate the ability to put on and take off the device.
- Displays any condition which, in the judgment of the investigator, would make participation in the study unacceptable including, but not limited to, the subject's ability to understand and follow instructions.
- Participated in a clinical trial for an investigational drug and/or agent within 30 days prior to screening.
- Has arthritis, bone spurs, stenosis, fusions, or implants near the treatment area.
- Is pregnant.
- Is a prisoner.
- Is non-ambulatory (unable to walk).
- Has a pacemaker.
- Has a malignancy in the treatment area.
- Has an active infection, open sores, or wounds in the treatment area.
- Has impaired sensation in the treatment area, such as caused by chemotherapy or anesthesia.
- Has a known neuropathy (disease of the brain or spinal nerves).
- Has a hereditary disposition (tendency) for excessive bleeding (hemorrhage).
- Has peripheral artery disease.
- Has BMI ≥30
Sites / Locations
- Medical Pain Consultants
- Osteopathic Medical Arts
- Weber State University
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
Experimental
Arm Label
Sham Sustained Acoustic Medicine Device
3 MHz Sustained Acoustic Medicine Device
Arm Description
Sham Sustained Acoustic Medicine device - the device is to be used 4 hours/day, ≥4 days per week for 8 weeks.
3 MHz Sustained Acoustic Medicine device - the device is to be used 4 hours/day, ≥4 days per week for 8 weeks.
Outcomes
Primary Outcome Measures
Brief Pain Inventory-Short Form (BPI-SF): Pain Severity
Secondary Outcome Measures
BPI-SF: Pain Interference
Oswestry Disability Index
Numeric Rating Scale: Pain on Flexion
Numeric Rating Scale: Pain on Extension
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT02609854
Brief Title
Sustained Acoustic Medicine for Chronic Low Back Pain Secondary to Herniated Nucleus Pulposus or Other Conditions
Official Title
Sustained Acoustic Medicine for Chronic Low Back Pain Secondary to Herniated Nucleus Pulposus or Other Conditions
Study Type
Interventional
2. Study Status
Record Verification Date
January 2017
Overall Recruitment Status
Completed
Study Start Date
November 2015 (undefined)
Primary Completion Date
April 2016 (Actual)
Study Completion Date
April 2016 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
ZetrOZ, Inc.
4. Oversight
Data Monitoring Committee
No
5. Study Description
Brief Summary
ZetrOZ's Ultrasonic Diathermy device is intended for use as a portable and wearable medical device which, when applied to various areas of the body applies Low Intensity Therapeutic Ultrasound (LITUS) to deep tissues. This device is FDA-cleared for pain reduction, treatment of muscle spasm and joint contracture, and increasing local circulation. This study will look at the use of therapeutic ultrasound to relieve pain and reduce disability in subjects with chronic low back pain, a subset of which will have chronic low back pain due to a herniated disc, over an 8-week treatment period.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Chronic Low Back Pain (CLBP), Intervertebral Disc Displacement
Keywords
herniated disc, sustained acoustic medicine, ultrasound, CLBP
7. Study Design
Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
65 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Sham Sustained Acoustic Medicine Device
Arm Type
Experimental
Arm Description
Sham Sustained Acoustic Medicine device - the device is to be used 4 hours/day, ≥4 days per week for 8 weeks.
Arm Title
3 MHz Sustained Acoustic Medicine Device
Arm Type
Experimental
Arm Description
3 MHz Sustained Acoustic Medicine device - the device is to be used 4 hours/day, ≥4 days per week for 8 weeks.
Intervention Type
Device
Intervention Name(s)
Sustained Acoustic Medicine (SAM)
Intervention Description
Long-duration, low-intensity therapeutic ultrasound device that is self-applied and wearable, delivering treatment up to 4 hours per day.
Intervention Type
Device
Intervention Name(s)
Sham Device
Intervention Description
Inactive ultrasound device
Primary Outcome Measure Information:
Title
Brief Pain Inventory-Short Form (BPI-SF): Pain Severity
Time Frame
Change from Baseline to Week 8
Secondary Outcome Measure Information:
Title
BPI-SF: Pain Interference
Time Frame
Change from Baseline to Week 8
Title
Oswestry Disability Index
Time Frame
Change from Baseline to Week 8
Title
Numeric Rating Scale: Pain on Flexion
Time Frame
Change from Baseline to Week 8
Title
Numeric Rating Scale: Pain on Extension
Time Frame
Change from Baseline to Week 8
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
60 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Diagnosis of Chronic low back pain, may be secondary to herniated nucleus pulposus (HNP) or other causes
18-60 years of age, inclusive
Has Numeric Rating Scale (NRS) pain severity score of at least 4 for a minimum 5 days over the 1 week Baseline Period prior to being randomized to treatment
Pain lasting >3 months
Has MRI from within 2 months prior to Screening (If no recent MRI is available, then subject must agree to have MRI performed prior to randomization of treatment)
If pain is secondary to HNP: MRI within the last 2 months demonstrating the presence of a herniated disc; herniated disc is laterally located and not centrally located; herniated disc is not sequestered
Has the presence of radicular pain as assessed by a health care practitioner
Is willing and able to self-administer treatment daily within their place of residence or during normal daily activity, excluding bathing, showering, or other water activities which may result in submersion of the study device.
Is maintained on a stable pain management regimen, which may include opioid and/or non-opioid analgesic medications, but must be willing to keep dosage(s) stable through the study period; any dose adjustments that the investigator feels are required during the study period must be discussed with the study sponsor; and the use of any medications must be documented in the subject's Medication Log.
Be willing to discontinue any other interventional treatment modalities on the lower back during the study period (e.g., transcutaneous electrical nerve stimulation, electronic muscle stimulation, traditional ultrasound).
Exclusion Criteria:
Cannot successfully demonstrate the ability to put on and take off the device.
Displays any condition which, in the judgment of the investigator, would make participation in the study unacceptable including, but not limited to, the subject's ability to understand and follow instructions.
Participated in a clinical trial for an investigational drug and/or agent within 30 days prior to screening.
Has arthritis, bone spurs, stenosis, fusions, or implants near the treatment area.
Is pregnant.
Is a prisoner.
Is non-ambulatory (unable to walk).
Has a pacemaker.
Has a malignancy in the treatment area.
Has an active infection, open sores, or wounds in the treatment area.
Has impaired sensation in the treatment area, such as caused by chemotherapy or anesthesia.
Has a known neuropathy (disease of the brain or spinal nerves).
Has a hereditary disposition (tendency) for excessive bleeding (hemorrhage).
Has peripheral artery disease.
Has BMI ≥30
Facility Information:
Facility Name
Medical Pain Consultants
City
Dryden
State/Province
New York
ZIP/Postal Code
13053
Country
United States
Facility Name
Osteopathic Medical Arts
City
Chapel Hill
State/Province
North Carolina
ZIP/Postal Code
27514
Country
United States
Facility Name
Weber State University
City
Ogden
State/Province
Utah
ZIP/Postal Code
84408
Country
United States
12. IPD Sharing Statement
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Sustained Acoustic Medicine for Chronic Low Back Pain Secondary to Herniated Nucleus Pulposus or Other Conditions
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