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ActiPatch Therapy for Back Pain

Primary Purpose

Back Ache

Status
Unknown status
Phase
Not Applicable
Locations
United Kingdom
Study Type
Interventional
Intervention
ActiPatch (active)
ActiPatch (placebo)
Sponsored by
University of Oxford
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Back Ache focused on measuring Back, Pain, PSWT, ActiPatch, Pulsed shortwave therapy

Eligibility Criteria

18 Years - 90 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Participant is willing and able to give informed consent for participation in the trial.
  • In the Investigator's opinion, is able and willing to comply with all trial requirements.
  • Willing to allow his or her General Practitioner and consultant, if appropriate, to be notified of participation in the trial.
  • Male or female ages 18-90 years old with stable chronic low back pain
  • ≥3 months duration of chronic low back pain
  • a current VAS pain rating ≥5/10
  • no radiating pain below the knee
  • ≥75% back or buttock pain rather than lower extremity pain
  • Able to complete and tolerate treatment for the study period.

Exclusion Criteria:

  • Female participant who is pregnant
  • Significant renal or hepatic impairment.
  • Prior home use of pulsed shortwave therapy
  • Prior history of spinal fusion or failed spinal surgery syndrome.
  • Laminectomy, laminotomy or discectomy within 12 months of enrollment.
  • Diagnostic or interventional injections or any low back surgeries not mentioned above, including radiofrequency neuroablation within 6 months of enrollment.
  • Any addition of strong opiates, pregabalin and gabapentin to the treatment regime during the course of the trial
  • Current implanted cardiac demand pacemakers, defibrillators, cardiac pumps, spinal stimulators or other implanted electronic devices.
  • Patients using personal home based electrical stimulation devices
  • Patients with other concomitant illnesses (e.g., malignancy, osteoporosis) which, in the opinion of the investigator, would preclude successful patient participation will also be excluded
  • Active psychiatric disorders (as evidenced by use of antipsychotic or medication).
  • Patients diagnosed with history of significant mood disorder will be excluded (depression or anxiety with adequate control would be acceptable).
  • Scheduled elective surgery or other procedures requiring general anaesthesia during the trial.
  • Participant with life expectancy of less than 6 months, or inappropriate for placebo medication.
  • Any other significant disease or disorder which, in the opinion of the Investigator, may either put the participants at risk because of participation in the trial, or may influence the result of the trial, or the participant's ability to participate in the trial.
  • Participants who have participated in another research trial involving an investigational product in the past 12 weeks.
  • Participants who are not able to understand verbal or written English, and for whom adequate translation/interpretation cannot be readily obtained.

Sites / Locations

  • John Radcliffe HospitalRecruiting

Arms of the Study

Arm 1

Arm 2

Arm Type

Active Comparator

Placebo Comparator

Arm Label

Active

Placebo

Arm Description

Subjects given active ActiPatch device before or after crossover (randomised)

Subjects given placebo ActiPatch device before or after crossover (randomised)

Outcomes

Primary Outcome Measures

Pain-related disability, indexed by the Oswestry Disability Index (ODI)

Secondary Outcome Measures

Subjective pain, indexed by Visual analogue pain scale
Medication intake
Pain related disability, indexed by the Roland Morris Instrument
Quality of life, indexed by the EQ-5D-5L questionnaire

Full Information

First Posted
October 21, 2015
Last Updated
May 10, 2016
Sponsor
University of Oxford
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1. Study Identification

Unique Protocol Identification Number
NCT02601807
Brief Title
ActiPatch Therapy for Back Pain
Official Title
A Randomised Controlled Trial to Assess the Benefits of ActiPatch-Pulsed Shortwave Therapy for Chronic Lower Back Pain
Study Type
Interventional

2. Study Status

Record Verification Date
May 2016
Overall Recruitment Status
Unknown status
Study Start Date
August 2015 (undefined)
Primary Completion Date
October 2016 (Anticipated)
Study Completion Date
undefined (undefined)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
University of Oxford

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The ActiPatch is a cutaneous device which is CE marked approved for relief of pain. It is taped over the affected area and stimulation at a high frequency is reported to alleviate pain with no sensation. However there is no class 1 evidence for this on back pain. By randomising patients between application of an active device or a dummy device and assessment of disability and pain scores at two weeks, the efficacy or otherwise can be established. Low back pain is a major health problem and if effective this has major economic implications as the device is cheap and safe.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Back Ache
Keywords
Back, Pain, PSWT, ActiPatch, Pulsed shortwave therapy

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Crossover Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
30 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Active
Arm Type
Active Comparator
Arm Description
Subjects given active ActiPatch device before or after crossover (randomised)
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Subjects given placebo ActiPatch device before or after crossover (randomised)
Intervention Type
Device
Intervention Name(s)
ActiPatch (active)
Other Intervention Name(s)
Pulsed shortwave therapy (placebo)
Intervention Description
Active version of the ActiPatch pulsed shortwave therapy device. Emits shortwave radiofrequency pulsed energy.
Intervention Type
Device
Intervention Name(s)
ActiPatch (placebo)
Other Intervention Name(s)
Pulsed shortwave therapy (active)
Intervention Description
Placebo version of the ActiPatch pulsed shortwave therapy device. Emits no radiofrequency energy but otherwise appears identical to the active device.
Primary Outcome Measure Information:
Title
Pain-related disability, indexed by the Oswestry Disability Index (ODI)
Time Frame
Change from baseline ODI score at 2 weeks
Secondary Outcome Measure Information:
Title
Subjective pain, indexed by Visual analogue pain scale
Time Frame
Change from baseline visual analogue score over the course of 2 weeks, recorded daily during the 2 week period by participant as part of a pain diary
Title
Medication intake
Time Frame
Change from baseline medication intake rate over the course of 2 weeks, recorded daily during the 2 week period by participant as part of a pain diary
Title
Pain related disability, indexed by the Roland Morris Instrument
Time Frame
Change from baseline Roland Morris Instrument scores at 2 weeks
Title
Quality of life, indexed by the EQ-5D-5L questionnaire
Time Frame
Change from baseline EQ-5D-5L scores at 2 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
90 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Participant is willing and able to give informed consent for participation in the trial. In the Investigator's opinion, is able and willing to comply with all trial requirements. Willing to allow his or her General Practitioner and consultant, if appropriate, to be notified of participation in the trial. Male or female ages 18-90 years old with stable chronic low back pain ≥3 months duration of chronic low back pain a current VAS pain rating ≥5/10 no radiating pain below the knee ≥75% back or buttock pain rather than lower extremity pain Able to complete and tolerate treatment for the study period. Exclusion Criteria: Female participant who is pregnant Significant renal or hepatic impairment. Prior home use of pulsed shortwave therapy Prior history of spinal fusion or failed spinal surgery syndrome. Laminectomy, laminotomy or discectomy within 12 months of enrollment. Diagnostic or interventional injections or any low back surgeries not mentioned above, including radiofrequency neuroablation within 6 months of enrollment. Any addition of strong opiates, pregabalin and gabapentin to the treatment regime during the course of the trial Current implanted cardiac demand pacemakers, defibrillators, cardiac pumps, spinal stimulators or other implanted electronic devices. Patients using personal home based electrical stimulation devices Patients with other concomitant illnesses (e.g., malignancy, osteoporosis) which, in the opinion of the investigator, would preclude successful patient participation will also be excluded Active psychiatric disorders (as evidenced by use of antipsychotic or medication). Patients diagnosed with history of significant mood disorder will be excluded (depression or anxiety with adequate control would be acceptable). Scheduled elective surgery or other procedures requiring general anaesthesia during the trial. Participant with life expectancy of less than 6 months, or inappropriate for placebo medication. Any other significant disease or disorder which, in the opinion of the Investigator, may either put the participants at risk because of participation in the trial, or may influence the result of the trial, or the participant's ability to participate in the trial. Participants who have participated in another research trial involving an investigational product in the past 12 weeks. Participants who are not able to understand verbal or written English, and for whom adequate translation/interpretation cannot be readily obtained.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Tipu Z Aziz
Phone
01865231885
Email
tipu.aziz@nds.ox.ac.uk
First Name & Middle Initial & Last Name or Official Title & Degree
Laurie Pycroft
Phone
07788804011
Email
laurie.pycroft@nds.ox.ac.uk
Facility Information:
Facility Name
John Radcliffe Hospital
City
Oxford
State/Province
Oxfordshire
ZIP/Postal Code
OX3 9DU
Country
United Kingdom
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Tipu Z Aziz
Phone
01865231885
Email
tipu.aziz@nds.ox.ac.uk
First Name & Middle Initial & Last Name & Degree
Tipu Z Aziz
First Name & Middle Initial & Last Name & Degree
Laurie Pycroft

12. IPD Sharing Statement

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ActiPatch Therapy for Back Pain

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