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Nucleotides and B Vitamins in the Treatment of Low Back Pain

Primary Purpose

Low Back Pain

Status
Completed
Phase
Phase 4
Locations
Study Type
Interventional
Intervention
Nucleotides + B12
B Vitamins
Sponsored by
Fundação Educacional Serra dos Órgãos
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Low Back Pain focused on measuring Nucleotides (uridine, cytidine), Vitamin B1, Vitamin B6, Vitamin B12

Eligibility Criteria

18 Years - 70 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Patients of both genders, at least 18 years of age
  • Clinical presentation of acute lumbago (<3 days of initial visit, with and without functional alteration, with medium intensity: Visual Analog Pain score between 20mm and 80mm
  • Female subjects should be post-menopausal or using birth control
  • Subjects must sign informed consent document

Exclusion Criteria:

  • Intolerance to any component of the study treatments
  • Pregnancy or breastfeeding
  • Need for surgical treatment
  • Use of other analgesic drugs
  • dyshematopoiesis or coagulation disorder
  • Gastric or intestinal ulcer
  • Gastrointestinal, cerebrovascular, or other bleeding
  • Creatinine >3x% reference range
  • Urea, ALT, AST, or GGT >2x% reference range
  • Any other disease or condition that in the investigator's opinion should exclude the subject from the study

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm Type

    Experimental

    Active Comparator

    Arm Label

    Nucleotides + B12

    B vitamins

    Arm Description

    Nucleotides + Vitamin B12 Dose: two capsules, three times per day + placebo corresponding to Group B treatment

    Vitamin B1 + Vitamin B6 + Vitamin B12 Dose: one tablet, three times daily + placebo corresponding to Group A treatment

    Outcomes

    Primary Outcome Measures

    Adverse Event Occurrence
    Percentage of subjects in each treatment group presenting with adverse events

    Secondary Outcome Measures

    Low back pain Questionnaire
    Percentage of subjects in each treatment group presenting improvement of >5 points in Questionnaire scores
    Visual Analog Pain Scores
    Percentage of subjects in each treatment group presenting improvement of VAS pain scores in relation to pretreatment
    Finger-to-Floor Distance
    Percentage of subjects in each treatment group presenting improvement of >3cm in finger to floor distance in relation to pretreatment values

    Full Information

    First Posted
    December 15, 2015
    Last Updated
    April 18, 2019
    Sponsor
    Fundação Educacional Serra dos Órgãos
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    1. Study Identification

    Unique Protocol Identification Number
    NCT02640417
    Brief Title
    Nucleotides and B Vitamins in the Treatment of Low Back Pain
    Official Title
    Avaliação clínica-terapêutica Comparativa em Lombalgias de Etiologia Traumato-compressivas Utilizando-se Vitaminas do Complexo B e nucleotídeos
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    April 2019
    Overall Recruitment Status
    Completed
    Study Start Date
    March 2016 (undefined)
    Primary Completion Date
    March 2018 (Actual)
    Study Completion Date
    October 2018 (Actual)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Principal Investigator
    Name of the Sponsor
    Fundação Educacional Serra dos Órgãos

    4. Oversight

    Data Monitoring Committee
    No

    5. Study Description

    Brief Summary
    This is a double-blind, randomized study in parallel groups of subjects presenting with low back pain. Randomized subjects will receive treatment for 60 days with either a combination of nucleotides and vitamin B12 or vitamin B1+B6+B12.
    Detailed Description
    This is a double-blind, randomized study in parallel groups of subjects presenting with low back pain. Randomized subjects will receive treatment for 60 days with either a combination of nucleotides and vitamin B12 or vitamin B1+B6+B12. The aim of this study is to evaluate and compare the therapeutic effect of the combination of nucleotides + vitamin B12 with that of the combination of vitamins B1, B6 and B12 in low back pain. Safety and efficacy will be monitored throughout the treatment period. Subjects will be randomized in a double-blind fashion to either treatment group.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Low Back Pain
    Keywords
    Nucleotides (uridine, cytidine), Vitamin B1, Vitamin B6, Vitamin B12

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Phase 4
    Interventional Study Model
    Parallel Assignment
    Masking
    ParticipantCare ProviderInvestigatorOutcomes Assessor
    Allocation
    Randomized
    Enrollment
    300 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    Nucleotides + B12
    Arm Type
    Experimental
    Arm Description
    Nucleotides + Vitamin B12 Dose: two capsules, three times per day + placebo corresponding to Group B treatment
    Arm Title
    B vitamins
    Arm Type
    Active Comparator
    Arm Description
    Vitamin B1 + Vitamin B6 + Vitamin B12 Dose: one tablet, three times daily + placebo corresponding to Group A treatment
    Intervention Type
    Drug
    Intervention Name(s)
    Nucleotides + B12
    Other Intervention Name(s)
    Group A
    Intervention Description
    Oral treatment with either Nucleotides + Vitamin B12
    Intervention Type
    Drug
    Intervention Name(s)
    B Vitamins
    Other Intervention Name(s)
    Group B
    Intervention Description
    Oral treatment with vitamins B1, B6, and B12
    Primary Outcome Measure Information:
    Title
    Adverse Event Occurrence
    Description
    Percentage of subjects in each treatment group presenting with adverse events
    Time Frame
    Throughout 60 day treatment period
    Secondary Outcome Measure Information:
    Title
    Low back pain Questionnaire
    Description
    Percentage of subjects in each treatment group presenting improvement of >5 points in Questionnaire scores
    Time Frame
    Pretreatment, Visit 2 (at 30 days of treatment), Visit 3 (at 60 days of treatment)
    Title
    Visual Analog Pain Scores
    Description
    Percentage of subjects in each treatment group presenting improvement of VAS pain scores in relation to pretreatment
    Time Frame
    Pretreatment, Visit 2 (at 30 days of treatment), Visit 3 (at 60 days of treatment)
    Title
    Finger-to-Floor Distance
    Description
    Percentage of subjects in each treatment group presenting improvement of >3cm in finger to floor distance in relation to pretreatment values
    Time Frame
    Pretreatment, Visit 2 (at 30 days of treatment), Visit 3 (at 60 days of treatment)

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Maximum Age & Unit of Time
    70 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Patients of both genders, at least 18 years of age Clinical presentation of acute lumbago (<3 days of initial visit, with and without functional alteration, with medium intensity: Visual Analog Pain score between 20mm and 80mm Female subjects should be post-menopausal or using birth control Subjects must sign informed consent document Exclusion Criteria: Intolerance to any component of the study treatments Pregnancy or breastfeeding Need for surgical treatment Use of other analgesic drugs dyshematopoiesis or coagulation disorder Gastric or intestinal ulcer Gastrointestinal, cerebrovascular, or other bleeding Creatinine >3x% reference range Urea, ALT, AST, or GGT >2x% reference range Any other disease or condition that in the investigator's opinion should exclude the subject from the study
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Marco AN Mibielli, MD
    Organizational Affiliation
    UNIFESO - Fundação Educacional Serra dos Órgãos
    Official's Role
    Principal Investigator

    12. IPD Sharing Statement

    Learn more about this trial

    Nucleotides and B Vitamins in the Treatment of Low Back Pain

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