NCT01303354

Brief Summary

The aim of this study is to assess the effectiveness and safety of dexamethasone for transforaminal epidural steroid injection. A secondary aim of this study is to obtain data on the lowest most effective dose of dexamethasone for this treatment and the effective duration of effect.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
100

participants targeted

Target at P50-P75 for not_applicable

Timeline
Completed

Started Apr 2008

Typical duration for not_applicable

Geographic Reach
1 country

2 active sites

Status
completed

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

Study Start

First participant enrolled

April 1, 2008

Completed
2.2 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

June 1, 2010

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

June 1, 2010

Completed
8 months until next milestone

First Submitted

Initial submission to the registry

February 4, 2011

Completed
20 days until next milestone

First Posted

Study publicly available on registry

February 24, 2011

Completed
Last Updated

February 24, 2011

Status Verified

February 1, 2011

Enrollment Period

2.2 years

First QC Date

February 4, 2011

Last Update Submit

February 23, 2011

Conditions

Keywords

Epidural, Transforaminal, Steroid Injection, Dexamethasone

Outcome Measures

Primary Outcomes (1)

  • Radicular Pain Visual Analogue Scale (VAS) Score change from baseline

    Reduction of pain from baseline at each time point.

    Baseline, 4 weeks, 8 weeks, 12 weeks post injection

Secondary Outcomes (4)

  • Oswestry Disability Index (ODI)- change from baseline

    Baseline, 4 weeks, 8 weeks, 12 weeks post injection

  • Subject Global Impression of Change (SGIC)

    4 weeks, 8 weeks, 12 weeks

  • Subject Global Satisfaction Scale (SGSS)

    4 weeks, 8 weeks, 12 weeks post injection

  • Number of Subjects with Adverse Events as a Measure of Safety and Tolerability

    Day of and 1 week post injection

Study Arms (3)

DXM 4 mg

EXPERIMENTAL

Dexamethasone 4 mg

Procedure: Lumbar Transforaminal Epidural Steroid Injection

DXM 8 mg

EXPERIMENTAL

Dexamethasone 8 mg

Procedure: Lumbar Transforaminal Epidural Steroid Injection

DXM 12 mg

EXPERIMENTAL

Dexamethasone 12 mg

Procedure: Lumbar Transforaminal Epidural Steroid Injection

Interventions

DXM 12 mgDXM 4 mgDXM 8 mg

Eligibility Criteria

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

You may qualify if:

  • adults age 18 years and older, unilateral lumbar radicular pain, baseline distal radicular lower extremity pain VAS score ≥ 5/10, and prior favorable response to TFESI

You may not qualify if:

  • pregnancy, infection, coagulopathy, uncontrolled diabetes mellitus, history of allergy to iodinated contrast medium and interventional therapies for pain within 90 days prior to study enrollment

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (2)

University of California, San Diego - Center for Pain Medicine

La Jolla, California, 92037, United States

Location

San Diego VA Healthcare System

La Jolla, California, 92161, United States

Location

Related Publications (1)

  • Ahadian FM, McGreevy K, Schulteis G. Lumbar transforaminal epidural dexamethasone: a prospective, randomized, double-blind, dose-response trial. Reg Anesth Pain Med. 2011 Nov-Dec;36(6):572-8. doi: 10.1097/AAP.0b013e318232e843.

Study Officials

  • Farshad M Ahadian, M.D.

    University of California, San Diego

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
TRIPLE
Who Masked
PARTICIPANT, INVESTIGATOR, OUTCOMES ASSESSOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDIV

Study Record Dates

First Submitted

February 4, 2011

First Posted

February 24, 2011

Study Start

April 1, 2008

Primary Completion

June 1, 2010

Study Completion

June 1, 2010

Last Updated

February 24, 2011

Record last verified: 2011-02

Locations