NCT01709058

Brief Summary

This study aims to evaluate the efficacy of the oxygen-ozone therapy in the treatment of back pain in subjects aged 65 or older. In particular, the intramuscular injection technique/paravertebral of oxygen-ozone mixture, a minimal invasive treatment with respect to intradiscal infiltration/intraforaminal technique, will be used.

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
130

participants targeted

Target at P50-P75 for phase_4

Timeline
Completed

Started Aug 2012

Typical duration for phase_4

Geographic Reach
1 country

1 active site

Status
unknown

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

Trial Relationships

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Study Timeline

Key milestones and dates

Study Start

First participant enrolled

August 1, 2012

Completed
3 months until next milestone

First Submitted

Initial submission to the registry

October 16, 2012

Completed
1 day until next milestone

First Posted

Study publicly available on registry

October 17, 2012

Completed
2.1 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 1, 2014

Completed
8 months until next milestone

Study Completion

Last participant's last visit for all outcomes

August 1, 2015

Completed
Last Updated

October 18, 2012

Status Verified

October 1, 2012

Enrollment Period

2.3 years

First QC Date

October 16, 2012

Last Update Submit

October 17, 2012

Conditions

Keywords

Back PainTherapeuticsAgedInjections, IntramuscularOxygenOzoneGeriatric AssessmentTrace ElementsOxidative stress

Outcome Measures

Primary Outcomes (1)

  • Oswestry Disability Index(ODI)

    The Oswestry Disability Index (ODI) is used to investigate the functional impairment in activities of daily living related to low back pain. The ODI is one of the main measuring instruments necessary for the evaluation of disability from pain and is considered the gold standard for evaluation of disability in low back pain. It consists of 10 questions with multiple answers in which the patient chooses the answer that comes closest to its current state or to that of the last 2 weeks. Response to treatment is considered as a binary classification: "success" if the Oswestry Disability Index is between 0 and 20% (minimal disability) and "failure" in the other cases.

    6 weeks

Secondary Outcomes (4)

  • Oswestry Disability Index (ODI)

    3 months follow-up

  • Comprehensive geriatric assessment by INTERRAI-MDS-HC/VAOR-ADI instrument

    6 weeks

  • intake of paracetamol

    6 weeks

  • oxidative stress

    6 weeks

Study Arms (2)

Intramuscular/paravertebral injections of Oxygen-Ozone

EXPERIMENTAL

This group will be treated with "Intramuscular/paravertebral injections of Oxygen-Ozone" twice a week for six weeks

Drug: Intramuscular/paravertebral injections of Oxygen-Ozone

Simulated treatment

OTHER

The "Simulated intramuscular/paravertebral injections" will mimic the Oxygen-Ozone injections in the area to be treated by pricking the skin with the needle without drilling. These simulated injections will be performed twice a week for six weeks.

Other: Simulated intramuscular/paravertebral injections

Interventions

Medical Oxygen will be used as a part of the injected mixture (100% oxygen, 200 bar compressed gas in steel cylinder with valve 14 with an integrated reductive). For the generation of the Oxygen-Ozone mixture a certified equipment OZONOSAN alpha plus will be used according to the D.L. 46/97, EEC Directive 93/42, class 2A with a photometer. The mixture of O2-O3 is produced through a method called "silent discharge". Intramuscular/paravertebral injections to 3 cm from the spinal medial line will be performed introducing 5-20 mL of oxygen-ozone to each point, at a concentration of 10-20 micrograms/mL, for a total volume of 40 mL

Also known as: oxygen-ozone treatment
Intramuscular/paravertebral injections of Oxygen-Ozone

The simulated treatment administration will mimic the treatment in the area to be treated by pricking the skin with the needle without drilling. A light massage will be practice by hand and the application area will be covered with a bandage adhesive leaving the patient in the prone position for 10-15 minutes.

Simulated treatment

Eligibility Criteria

Age65 Years+
Sexall
Healthy VolunteersNo
Age GroupsOlder Adult (65+)

You may qualify if:

  • patients aged 65 or older
  • intervertebral disc degeneration
  • back pain persistent for at least 6 weeks
  • painkillers and anti-inflammatory drugs
  • ODI score at baseline between 30 and 80%

You may not qualify if:

  • heart failure
  • favism
  • clinically hyperthyroidism
  • cancer and concomitant chemo-or radio-therapy
  • epilepsy
  • asthma
  • life expectancy of 6 months or less
  • psychotic drugs
  • clinical signs of radiculopathy
  • polyradiculopathy
  • progressive neurological deficit
  • lumbar stenosis
  • spondylolisthesis
  • diabetic neuropathy

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

INRCA Hospital, via della Montagnola, 81

Ancona, I-60131, Italy

RECRUITING

MeSH Terms

Conditions

Back Pain

Interventions

Injections, Intramuscular

Condition Hierarchy (Ancestors)

PainNeurologic ManifestationsSigns and SymptomsPathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

InjectionsDrug Administration RoutesDrug TherapyTherapeutics

Central Study Contacts

Oriano Mercante, MD

CONTACT

Study Design

Study Type
interventional
Phase
phase 4
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
PARTICIPANT
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

October 16, 2012

First Posted

October 17, 2012

Study Start

August 1, 2012

Primary Completion

December 1, 2014

Study Completion

August 1, 2015

Last Updated

October 18, 2012

Record last verified: 2012-10

Locations