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Variable Approaches of Intradiscal O3-O2 Injection

Primary Purpose

Low Back Pain

Status
Completed
Phase
Not Applicable
Locations
Egypt
Study Type
Interventional
Intervention
Classic postrolateral extraarticular percutaneous approach for O3 injection
Postrolateral transforaminal approach (Yess approach ) for O3 injection
Sponsored by
Assiut University
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Low Back Pain focused on measuring low back pain , Ozone

Eligibility Criteria

18 Years - 60 Years (Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • radicular leg pain
  • low back pain
  • non-responsive to conservative treatment

Exclusion Criteria:

  • patient refusal
  • infection at injection site
  • coagulopathy
  • uncontrolled or degenerative spine disease
  • pregnancy
  • multilevel disk involvement

Sites / Locations

  • Emad Zarief Kamel Said

Arms of the Study

Arm 1

Arm 2

Arm Type

Other

Active Comparator

Arm Label

A: Classic approach

B: Transforaminal approach (Yess approach )

Arm Description

Intradiscal O3 injection through classic postrolateral extraarticular percutaneous approach. The participants will receive 10 ml of ozone oxygen mixture 30 ug O3/ml O2. The ozone-oxygen mixture was produced in real-time by a medical ozone generator (Ozonline E 80, Medica srl, Bologna Italy).

Participants will receive 10 ml of ozone oxygen mixture 30 ug O3/ml O2 through postrolateral transforaminal approach (Yess approach). The ozone-oxygen mixture was produced in real-time by a medical ozone generator (Ozonline E 80, Medica srl, Bologna Italy).

Outcomes

Primary Outcome Measures

Quality of pain alleviation (visual analog scale)
assessing visual analog scale (VAS)

Secondary Outcome Measures

Analgesia reduction (percent)
the percent of analgesia reduction

Full Information

First Posted
January 28, 2017
Last Updated
December 7, 2017
Sponsor
Assiut University
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1. Study Identification

Unique Protocol Identification Number
NCT03038529
Brief Title
Variable Approaches of Intradiscal O3-O2 Injection
Official Title
Variable Approaches of Intradiscal O3-O2 Injection for Management of Low Back Pain: Could it Make a Difference? a Prospective Double Blind Randomized Clinical Trial.
Study Type
Interventional

2. Study Status

Record Verification Date
December 2017
Overall Recruitment Status
Completed
Study Start Date
January 1, 2015 (Actual)
Primary Completion Date
October 30, 2016 (Actual)
Study Completion Date
November 30, 2016 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Assiut University

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Product Manufactured in and Exported from the U.S.
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
Cost Intradiscal injection of ozone-oxygen mixture (O3-O2) which offers a rapid onset amelioration of symptoms, with a sustained duration pain relief in low back pain. Does change of injection approach make a difference?
Detailed Description
Low back pain (LBP) mostly is induced by disc herniation (DH), or degeneration and has a burden upon social and economic aspects of life. Medical and or surgical interventions have been used to resolve this problem, but one of the newly introduced is the minimally invasive low cost Intradiscal injection of ozone-oxygen mixture (O3-O2) which offers a rapid onset amelioration of symptoms, with a sustained duration pain relief. A lot of injection approaches are available, but which offers the best results, is the question.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Low Back Pain
Keywords
low back pain , Ozone

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
Outcomes Assessor
Allocation
Randomized
Enrollment
100 (Actual)

8. Arms, Groups, and Interventions

Arm Title
A: Classic approach
Arm Type
Other
Arm Description
Intradiscal O3 injection through classic postrolateral extraarticular percutaneous approach. The participants will receive 10 ml of ozone oxygen mixture 30 ug O3/ml O2. The ozone-oxygen mixture was produced in real-time by a medical ozone generator (Ozonline E 80, Medica srl, Bologna Italy).
Arm Title
B: Transforaminal approach (Yess approach )
Arm Type
Active Comparator
Arm Description
Participants will receive 10 ml of ozone oxygen mixture 30 ug O3/ml O2 through postrolateral transforaminal approach (Yess approach). The ozone-oxygen mixture was produced in real-time by a medical ozone generator (Ozonline E 80, Medica srl, Bologna Italy).
Intervention Type
Procedure
Intervention Name(s)
Classic postrolateral extraarticular percutaneous approach for O3 injection
Intervention Description
Receive 10 ml of ozone oxygen mixture 30 ug O3/ml O2 through the classic postrolateral extraarticular percutaneous approach
Intervention Type
Procedure
Intervention Name(s)
Postrolateral transforaminal approach (Yess approach ) for O3 injection
Intervention Description
Group B receive 10 ml of ozone oxygen mixture 30 ug O3/ml O2 through postrolateral transforaminal approach (Yess approach ).
Primary Outcome Measure Information:
Title
Quality of pain alleviation (visual analog scale)
Description
assessing visual analog scale (VAS)
Time Frame
one year
Secondary Outcome Measure Information:
Title
Analgesia reduction (percent)
Description
the percent of analgesia reduction
Time Frame
one year

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: radicular leg pain low back pain non-responsive to conservative treatment Exclusion Criteria: patient refusal infection at injection site coagulopathy uncontrolled or degenerative spine disease pregnancy multilevel disk involvement
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Abdelraheem Alawaamy, MD
Organizational Affiliation
Assiut University
Official's Role
Study Director
Facility Information:
Facility Name
Emad Zarief Kamel Said
City
Assiut
ZIP/Postal Code
71111
Country
Egypt

12. IPD Sharing Statement

Plan to Share IPD
Undecided

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Variable Approaches of Intradiscal O3-O2 Injection

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