NCT04533178

Brief Summary

A clinical trial will be conducted comparing healing of a posterior lumbar vertebra stress reaction in children treated either with cessation of sports activities for a period of six weeks and wearing a soft spinal brace 16 hours per day or cessation of sports activities only. Primary outcome is the change in stress reaction on MRI at 6 weeks compared to pre-treatment MRI.

Trial Health

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Trial Health Score

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

Enrollment
110

participants targeted

Target at P50-P75 for not_applicable

Timeline
8mo left

Started Jan 2021

Longer than P75 for not_applicable

Geographic Reach
1 country

4 active sites

Status
not yet recruiting

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 Progress89%
Jan 2021Dec 2026

First Submitted

Initial submission to the registry

April 16, 2020

Completed
5 months until next milestone

First Posted

Study publicly available on registry

August 31, 2020

Completed
4 months until next milestone

Study Start

First participant enrolled

January 1, 2021

Completed
5 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

January 1, 2026

Completed
12 months until next milestone

Study Completion

Last participant's last visit for all outcomes

December 31, 2026

Expected
Last Updated

August 31, 2020

Status Verified

August 1, 2020

Enrollment Period

5 years

First QC Date

April 16, 2020

Last Update Submit

August 26, 2020

Conditions

Keywords

stress reactionspinal brace

Outcome Measures

Primary Outcomes (1)

  • Change in stress reaction

    Change in stress reaction on MRI at 6 weeks compared to pre-treatment MRI

    6 weeks

Secondary Outcomes (7)

  • SRS-24 -score at the beginning of the treatment and during the six-month follow-up

    6 months

  • Back pain

    six months

  • Relapse of symptoms

    six months

  • Vitamin D value

    Only at start of study. The blood test for Vitamin D is taken at the first appointment / day of recruitment to this study, which is day 1 of the study.

  • Duration of pain during treatment

    six weeks

  • +2 more secondary outcomes

Study Arms (2)

Restriction of sports activities

ACTIVE COMPARATOR

No sports during the 6 week treatment period

Other: Resting from all sports activities

Restriction of sports activities and soft spinal brace

EXPERIMENTAL

No sports and use of a soft spinal brace 16 hours per day during the 6 week treatment period

Device: soft spinal braceOther: Resting from all sports activities

Interventions

Use of a soft spinal brace 16 hours per day during the 6 week treatment period.

Restriction of sports activities and soft spinal brace

Resting from all sports activities

Restriction of sports activitiesRestriction of sports activities and soft spinal brace

Eligibility Criteria

Age8 Years - 18 Years
Sexall
Healthy VolunteersNo
Age GroupsChild (0-17), Adult (18-64)

You may qualify if:

  • Uni- or bilateral acute stress reaction of pars interarticularis or other part of posterior lumbar vertebra on MRI
  • No signs of fracture line on MRI or CT
  • Age between 8 and 18 years
  • Written informed consent
  • Low back pain

You may not qualify if:

  • Spondylolysis
  • Spondylolisthesis
  • Systemic skeletal disorder (Osteogenesis imperfecta, skeletal dysplasia), osteoporosis
  • Systemic diseases (e.g. Diabetes mellitus type 1, rheumatic diseases, inflammatory bowel diseases, Marfan syndrome)
  • Other bony abnormalities seen on lumbar MRI examination (e.g. Scheuermann disease, L5 sacralisation, spina bifida)

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (4)

Tampere University Hospital

Tampere, Pirkanmaa, 33520, Finland

Location

SataSairaala

Pori, Satakunta, 28500, Finland

Location

Turku University Hospital

Turku, Southwest Finland, 20521, Finland

Location

Mehilainen Neo Turku

Turku, Southwest Finland, Finland

Location

MeSH Terms

Conditions

Back PainFractures, Stress

Condition Hierarchy (Ancestors)

PainNeurologic ManifestationsSigns and SymptomsPathological Conditions, Signs and SymptomsFractures, BoneWounds and Injuries

Central Study Contacts

kari Kangassalo, M.D.

CONTACT

Olli Pajulo, M.D.

CONTACT

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Model Details: Multicenter study comparing treatment with or without soft spinal brace
Sponsor Type
OTHER GOV
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Principal investigator

Study Record Dates

First Submitted

April 16, 2020

First Posted

August 31, 2020

Study Start

January 1, 2021

Primary Completion

January 1, 2026

Study Completion (Estimated)

December 31, 2026

Last Updated

August 31, 2020

Record last verified: 2020-08

Data Sharing

IPD Sharing
Will not share

Not necessary

Locations