NCT01274936

Brief Summary

Radiculopathy generally presents with pain, numbness, or weakness in a dermatomal distribution. Cervical radiculopathy results from impingement on a nerve root by either spondylotic narrowing of the neural foramen or a lateral intervertebral disc herniation. Specifically, it should be the goal of the treating physician to relieve pain, improve function, and prevent recurrence. Various studies have shown that nonoperative management of cervical radiculopathy leaves a substantial minority of patients with persistently troublesome symptoms. Pharmacologic agents treat the underlying condition and provide symptomatic relief. The various classes of medications used to treat radiculopathy include steroids, nonsteroidal antiinflammatory drugs (NSAIDs), muscle relaxants, narcotics, and antidepressants. Herbal medicines have been used for centuries in China. In China, many patients with cervical disc disease are increasingly turning to herbal medicines to alleviate their symptoms and reduce the side effects of medications. The goal of this study is to determine the efficacy and efficacy of an herbal medicine, Qishe Pill, to treat cervical radiculopathy.

Trial Health

43
At Risk

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Enrollment
240

participants targeted

Target at P75+ for phase_2

Timeline
Completed

Started Mar 2012

Typical duration for phase_2

Geographic Reach
1 country

5 active sites

Status
unknown

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

December 14, 2010

Completed
29 days until next milestone

First Posted

Study publicly available on registry

January 12, 2011

Completed
1.1 years until next milestone

Study Start

First participant enrolled

March 1, 2012

Completed
2.9 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

February 1, 2015

Completed
4 months until next milestone

Study Completion

Last participant's last visit for all outcomes

June 1, 2015

Completed
Last Updated

November 13, 2014

Status Verified

November 1, 2014

Enrollment Period

2.9 years

First QC Date

December 14, 2010

Last Update Submit

November 11, 2014

Conditions

Outcome Measures

Primary Outcomes (2)

  • pain severity(measured with a visual analogue scale, VAS)

    Operationally, the VAS score display as a horizontal line, 100 mm in length, word descriptors anchored at each end. The patient marks on the line the point that they feel represents their perception of their current pain. The VAS score is then determined by measuring in millimetres from the left hand end of the line to the point that the patient marks.

    changes from baseline at 2 weeks

  • pain severity(measured with a visual analogue scale, VAS)

    Operationally, the VAS score display as a horizontal line, 100 mm in length, word descriptors anchored at each end. The patient marks on the line the point that they feel represents their perception of their current pain. The VAS score is then determined by measuring in millimetres from the left hand end of the line to the point that the patient marks.

    changes from baseline at 4 weeks

Secondary Outcomes (21)

  • SF-36

    changes from baseline at 2 weeks

  • Neck Disability Index(NDI)

    changes from baseline at 2 weeks

  • Patient satisfaction degree

    Changes from baseline at 4 weeks

  • SF-36

    changes from baseline at 4 weeks

  • Neck Disability Index(NDI)

    changes from baseline at 4 weeks

  • +16 more secondary outcomes

Study Arms (2)

Qishe

EXPERIMENTAL
Drug: Qishe Pill

Control

PLACEBO COMPARATOR

Qishe Placebo

Drug: Qishe Placebo

Interventions

Pill, 3.75 g, twice per day, four weeks

Qishe

Pill, 3.75 g, twice per day, four weeks

Control

Eligibility Criteria

Age18 Years - 65 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • clinical diagnosis of chronic neck pain since at least 3 months and complaints for a maximum duration of 5 years.
  • average pain intensity of the last 7 days more or equal to 25 points measured by a Neck Disability Index.
  • intellectual and physical ability to participate in the study.
  • informed consent.
  • One positive result of Brachial Plexus Traction Test, Cervical compression test or Cervical distraction test

You may not qualify if:

  • cervical pain related to malignancy
  • cervical pain due to an accident
  • inflammatory joint disorders
  • previous spine surgery
  • protrusion/prolapse of a spinal disk, spondylolisthesis, with radicular symptomatology
  • actually doing or planning to do other regular physical exercise during the study with possible positive effects on neck pain - such as swimming, yoga, pilates, tai chi, etc.
  • use of pain drugs for other diseases (\> 1x/week)
  • pregnancy
  • severe chronic or acute disease interfering with therapy attendance
  • alcohol or substance abuse
  • participation in another clinical trial in the last 6 months before study entry

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (5)

No.1 Hospital, Changchun University of TCM

Changchun, China

COMPLETED

Gansu Hospital of TCM

Lanzhou, China

COMPLETED

Huadong Hospital

Shanghai, 200032, China

COMPLETED

Longhua Hospital

Shanghai, 200032, China

COMPLETED

Suzhou Hospital of TCM

Suzhou, China

RECRUITING

Related Publications (1)

  • Cui XJ, Sun YL, You SF, Mo W, Lu S, Shi Q, Wang YJ. Effects of Qishe Pill, a compound traditional Chinese herbal medicine, on cervical radiculopathy: study protocol for a randomized controlled trial. Trials. 2013 Oct 7;14:322. doi: 10.1186/1745-6215-14-322.

MeSH Terms

Conditions

Radiculopathy

Interventions

qishe

Condition Hierarchy (Ancestors)

Peripheral Nervous System DiseasesNeuromuscular DiseasesNervous System Diseases

Study Officials

  • Yongjun Wang, Dr

    Longhua Hospital

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Xuejun Cui, Dr

CONTACT

Study Design

Study Type
interventional
Phase
phase 2
Allocation
RANDOMIZED
Masking
QUADRUPLE
Who Masked
PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Vice director

Study Record Dates

First Submitted

December 14, 2010

First Posted

January 12, 2011

Study Start

March 1, 2012

Primary Completion

February 1, 2015

Study Completion

June 1, 2015

Last Updated

November 13, 2014

Record last verified: 2014-11

Locations