NCT01468025

Brief Summary

This research protocol will compare Theramine to a non-steroidal anti-inflammatory drug (NSAID) in the treatment of chronic back pain. The study will examine the efficacy and tolerability of Theramine alone in patients with chronic back pain in comparison to the NSAID, Naproxen, and the co-administration of Naproxen with Theramine.

Trial Health

100
On Track

Trial Health Score

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

Enrollment
127

participants targeted

Target at below P25 for phase_3 low-back-pain

Timeline
Completed

Started Feb 2009

Shorter than P25 for phase_3 low-back-pain

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

February 1, 2009

Completed
5 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

July 1, 2009

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

July 1, 2009

Completed
2.2 years until next milestone

First Submitted

Initial submission to the registry

September 15, 2011

Completed
2 months until next milestone

First Posted

Study publicly available on registry

November 9, 2011

Completed
Last Updated

November 9, 2011

Status Verified

November 1, 2011

Enrollment Period

5 months

First QC Date

September 15, 2011

Last Update Submit

November 5, 2011

Conditions

Keywords

NSAIDsTheraminenaproxenLow back painamino acidsCRPMedical Food

Outcome Measures

Primary Outcomes (1)

  • Roland-Morris Lower Back Pain Scale

    The primary efficacy outcome will be the change from baseline in awakening stiffness and pain subscale scores obtained from the Roland-Morris Lower Back Pain Scale.

    Baseline and Day 28

Secondary Outcomes (3)

  • Oswestry Low Back Pain Scale

    Baseline and Day 28

  • Visual Analog Scale

    Baseline and Day 28

  • Blood Panel

    Baseline and Day 28

Study Arms (3)

Theramine and naproxen

ACTIVE COMPARATOR

Patients in this group were randomly given active Theramine and active naproxen.

Drug: Active Theramine and Active Naproxen

Theramine and placebo

ACTIVE COMPARATOR

Patients in this group were randomly given active Theramine with placebo representing naproxen.

Other: Theramine and naproxen-like placebo

Naproxen and placebo

ACTIVE COMPARATOR

Patients in this group were randomly given active naproxen and placebo to represent Theramine.

Drug: Naproxen and Theramine-like placebo

Interventions

Co-administration of Theramine and Naproxen, CoPack Kit Theraproxen

Theramine and naproxen

Theramine, a medical food, co-administered with naproxen-like placebo

Theramine and placebo

naproxen co-administered with Theramine-like placebo.

Naproxen and placebo

Eligibility Criteria

Age18 Years - 75 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Back pain lasting greater than six weeks. Pain must be present on at least 5 out of 7 days during each of the two weeks prior to screening visit
  • Analgesic medication used to treat pain at least 4 out of last 7 days and at least 10 days in the last month
  • Men and non-pregnant, non-lactating women over the age of 18 and under the age of 75, able to read, understand and sign English-language informed consent, with diagnosis of back pain and baseline back pain greater than 40 mm out of 100 mm on visual analog scale
  • Those taking an NSAID for pain must discontinue use during a washout period based on the attached five (5) half-lives of drug chart
  • If undergoing physical therapy for back pain, therapy must be stable at least three weeks prior to study and remain the same throughout study
  • If using psychoactive medication which might have analgesic effects, (i.e. anti-depressants or anti-convulsants-), treatment must be stable for at least three months prior to study
  • For men and women of child-bearing potential, must be willing to use adequate contraception and not be pregnant or impregnate their partner during the entire time of study
  • Must be willing to commit to all clinical visits during study-related procedures, including required discontinuation (washout) of analgesic or anti-inflammatory medication prior to Day 1 randomization. The patient must agree to using acetaminophen for rescue medication

You may not qualify if:

  • Patients with back surgery in the past six months
  • Patients with significant neurologic impairment, as diagnosed on screening physical examination
  • Patients with evidence or history of fracture of the spine in the past year
  • Patients not fluent in English
  • Use of aspirin for non-arthritic conditions, unless at a dose less than or equal to 325 mg a day, and must be stable for at least one month prior to screening
  • Use of controlled substances and/or opiate analgesic for pain, for more than 5 days within the last 30 days prior to screening visit
  • Receipt of an oral intramuscular or soft-tissue injection of corticosteroid within one month prior to screening
  • Participation in a clinical trial within the one month prior to screening
  • History of epidurals in the past 3 months
  • History of alcohol or substance abuse
  • Uncontrolled or unstable serious cardiovascular, pulmonary, gastrointestinal or urogenital, endocrine, neurologic or psychiatric disorder
  • History of gastrointestinal bleed or documented gastric or duodenal ulcer

Contact the study team to confirm eligibility.

Sponsors & Collaborators

MeSH Terms

Conditions

Low Back Pain

Interventions

Naproxen

Condition Hierarchy (Ancestors)

Back PainPainNeurologic ManifestationsSigns and SymptomsPathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

Naphthaleneacetic AcidsNaphthalenesPolycyclic Aromatic HydrocarbonsHydrocarbons, AromaticHydrocarbons, CyclicHydrocarbonsOrganic ChemicalsPolycyclic Compounds

Study Design

Study Type
interventional
Phase
phase 3
Allocation
RANDOMIZED
Masking
TRIPLE
Who Masked
PARTICIPANT, INVESTIGATOR, OUTCOMES ASSESSOR
Purpose
TREATMENT
Intervention Model
CROSSOVER
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

September 15, 2011

First Posted

November 9, 2011

Study Start

February 1, 2009

Primary Completion

July 1, 2009

Study Completion

July 1, 2009

Last Updated

November 9, 2011

Record last verified: 2011-11