NCT04468516

Brief Summary

Chronic back and neck pain is the most common chronic condition worldwide. Unfortunately, the current available treatment options are limited and largely unsuccessful, which is considered as one of the primary drivers for the high cost of back pain management. Systematic reviews show that the results of common treatments including pain medications, surgery, exercise and psychological therapies for back pain demonstrate inconsistent results and moderate improvement. Therefore, non-invasive adjunct therapies can be a useful addition to traditional back pain management. Focused vibroacoustic treatment for back and neck pain is a non-invasive procedure that applies low frequency sound waves to the spine (50Hz-110Hz), and has shown consistent and positive results in early clinical and animal studies. The goal of this project is to test vibroacoustic sound waves delivered to the spine in a double blind randomized controlled trial to demonstrate the efficacy of focused vibroacoustics in treating chronic back pain. Participants with back pain will be recruited and divided into a treatment and placebo group and will undergo treatment at a clinic over a one month period. Outcome measures will be collected before and after the intervention period. Placebo participants will be offered the full treatment without charge after the experiment is over.

Trial Health

35
At Risk

Trial Health Score

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

Trial has exceeded expected completion date
Enrollment
30

participants targeted

Target at below P25 for not_applicable

Timeline
Completed

Started Sep 2022

Shorter than P25 for not_applicable

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

July 3, 2020

Completed
10 days until next milestone

First Posted

Study publicly available on registry

July 13, 2020

Completed
2.1 years until next milestone

Study Start

First participant enrolled

September 1, 2022

Completed
4 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

January 1, 2023

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

January 1, 2023

Completed
Last Updated

June 6, 2022

Status Verified

June 1, 2022

Enrollment Period

4 months

First QC Date

July 3, 2020

Last Update Submit

June 3, 2022

Conditions

Outcome Measures

Primary Outcomes (4)

  • Change from baseline of Visual Analog Scale for Pain

    A scale which measures the intensity of pain. Scored from 0 to 100. 0 means no pain, 100 means maximum pain.

    1 month

  • Change from baseline of Roland Morris Disability Questionnaire

    Measures back pain disability.

    1 month

  • Change in baseline of EuroQol (EQ5D-5L) Questionnaire

    Quality of Life Questionnaire

    1 month

  • Change in Neck Pain Disability Index

    Measures neck pain disability

    1 month

Secondary Outcomes (5)

  • Change in Medication Dosage

    1 month

  • Change in Shoulder and Pelvis tilt

    1 month

  • Change in Leg length

    1 month

  • Change in Cervical range of motion

    1 month

  • Change in Palpatory tenderness of the spine

    1 month

Study Arms (3)

Treatment

EXPERIMENTAL

Intervention is applied to the C1 of the spine.

Device: KKT

Placebo

PLACEBO COMPARATOR

Intervention is applied in reduced intensity to the trapezius muscle.

Device: sham KKT

Waitlist period

NO INTERVENTION

Participants will have a 1 month waitlist period where no intervention takes place.

Interventions

KKTDEVICE

Vibroacoustic sound waves applied focally.

Treatment
sham KKTDEVICE

sham KKT

Placebo

Eligibility Criteria

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

You may qualify if:

  • Clinical diagnosis of chronic low back pain with a disease duration of more than 3 months (further diagnostic results were not required)
  • Aged 18-75.
  • Scored at least 4/10 in pain scale (VAS or Numerical)
  • Written consent

You may not qualify if:

  • Acute back pain (\< 4 weeks)
  • History of spinal or vertebral surgery
  • History of any vertebral or spinal infection
  • History of significant trauma related to the spine
  • History of IV drug use
  • History of malignancy
  • Congenital deformation of the spine (except mild scoliosis or kyphosis)
  • Pregnancy
  • Previous KKT Treatment
  • Undergoing concurrent treatment Unable to complete all 12 treatment sessions due to travel, distance or transportation issues, etc.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Related Publications (3)

  • Desmoulin GT, Yasin NI, Chen DW. Spinal mechanisms of pain control. Clin J Pain. 2007 Sep;23(7):576-85. doi: 10.1097/AJP.0b013e3180e00eb8.

    PMID: 17710007BACKGROUND
  • Desmoulin GT, Hewitt CR, Hunter CJ. Disc strain and resulting positive mRNA expression from application of a noninvasive treatment. Spine (Phila Pa 1976). 2011 Jun 15;36(14):E921-8. doi: 10.1097/BRS.0b013e3181fd78b3.

    PMID: 21289569BACKGROUND
  • Desmoulin GT, Reno CR, Hunter CJ. Free axial vibrations at 0 to 200 Hz positively affect extracellular matrix messenger ribonucleic acid expression in bovine nucleus pulposi. Spine (Phila Pa 1976). 2010 Jul 1;35(15):1437-44. doi: 10.1097/BRS.0b013e3181c2a8ec.

    PMID: 20386503BACKGROUND

MeSH Terms

Conditions

Back Pain

Condition Hierarchy (Ancestors)

PainNeurologic ManifestationsSigns and SymptomsPathological Conditions, Signs and Symptoms

Central Study Contacts

Heidi J Ahonen, PhD

CONTACT

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
QUADRUPLE
Who Masked
PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
Masking Details
There are two groups (treatment and placebo). Participants will not know which group they are in until the end. Masking will be maintained by the following plan: 1. Researcher assigning participants to treatment and control groups: Dr. Abdullah Mosabbir. 2. Researcher(s)/clinician(s) performing pre-treatment/post-treatment assessments: Dr. Aslam Khan, or a Clinician hired by KKT who is NOT doing #3. 3. Researcher(s)/clinician(s) performing treatments or sham procedure: Dr. Peter Dyback, or a Clinician hired by KKT who is NOT doing #2. 4. Researcher who will assemble these data, code it, and do the data analysis: Dr. Abdullah Mosabbir. 5. Researchers who will supervise the design and ethical conduct of the study as well as data analysis: Dr. Heidi Ahonen and Dr. Quincy Almeida. 6. Researchers whose role is conceptual: Dr.Karim Bayanzay, Dr. Lidan You, and Dr. Lee Bartel.
Purpose
TREATMENT
Intervention Model
PARALLEL
Model Details: Parallel double blind randomized controlled trial
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Principal Site Investigator

Study Record Dates

First Submitted

July 3, 2020

First Posted

July 13, 2020

Study Start

September 1, 2022

Primary Completion

January 1, 2023

Study Completion

January 1, 2023

Last Updated

June 6, 2022

Record last verified: 2022-06

Data Sharing

IPD Sharing
Will not share