Trial Outcomes & Findings for Placebo In Chronic Back Pain - Double-Blind Randomized Control Trial (NCT NCT02013427)

NCT ID: NCT02013427

Last Updated: 2023-03-03

Results Overview

The primary outcome was changes (% change) in self-reported pain levels using VAS - from 0 (no pain) to 10 (worst imaginable pain). Results are presented as largest percentage (%) change in pain before and after the interventions (baseline and post-intervention, 6 weeks). Percentage change is calculated with post-intervention pain minus baseline pain, divided by baseline pain i.e. (post - baseline) / baseline.

Recruitment status

COMPLETED

Study phase

PHASE4

Target enrollment

82 participants

Primary outcome timeframe

6 weeks

Results posted on

2023-03-03

Participant Flow

Participant milestones

Participant milestones
Measure
Observational
Subjects randomized to this arm will be asked to discontinue their current pain medications for the length of the study. This arm is not blinded, as both study staff and participants will be aware that they are not receiving a study treatment.
Naproxen & Omeprazole
Subjects randomized to this arm will be asked to discontinue their current pain medications and take one 500mg naproxen capsule and one 40mg omeprazole capsule twice a day for the length of the study. This arm is double-blind, as neither participants nor study staff will know what medication the participants is receiving (blind to active versus placebo treatment). Naproxen: Take one 500mg naproxen capsule twice a day. Omeprazole: Take one 20mg omeprazole capsule twice a day.
Placebo Only
Subjects randomized to this arm will be asked to discontinue their current pain medications and take two placebo capsules twice a day for the length of the study. This arm is double-blind, as neither participants nor study staff will know what medication the participants is receiving (blind to active versus placebo treatment). Placebo: Take one placebo capsule twice a day.
Overall Study
STARTED
25
5
52
Overall Study
COMPLETED
20
4
43
Overall Study
NOT COMPLETED
5
1
9

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Placebo In Chronic Back Pain - Double-Blind Randomized Control Trial

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Observational- NoTx
n=25 Participants
Subjects randomized to this arm will be asked to discontinue their current pain medications for the length of the study. This arm is not blinded, as both study staff and participants will be aware that they are not receiving a study treatment.
PTx (Placebo)
n=52 Participants
Subjects randomized to this arm will be asked to discontinue their current pain medications and take two placebo pills (lactose) capsule twice a day for the length of the study. This arm is double-blind, as neither participants nor study staff will know what medication the participants is receiving (blind to active versus placebo treatment). Placebo: Take two placebo capsules twice a day.
MTx (Naproxen + Omeprazol)
n=5 Participants
Subjects randomized to this arm will be asked to discontinue their current pain medications and take one 500mg naproxen capsule and one 40mg omeprazole capsule twice a day for the length of the study. This arm is double-blind, as neither participants nor study staff will know what medication the participants is receiving (blind to active versus placebo treatment). Naproxen: Take one 500mg naproxen capsule twice a day. Omeprazole: Take one 20mg omeprazole capsule twice a day.
Total
n=82 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
0 Participants
n=7 Participants
Age, Categorical
Between 18 and 65 years
24 Participants
n=99 Participants
52 Participants
n=107 Participants
5 Participants
n=206 Participants
81 Participants
n=7 Participants
Age, Categorical
>=65 years
1 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
1 Participants
n=7 Participants
Age, Continuous
47.5 years
STANDARD_DEVIATION 13.0 • n=99 Participants
46.6 years
STANDARD_DEVIATION 11.7 • n=107 Participants
53.8 years
STANDARD_DEVIATION 5.1 • n=206 Participants
47.3 years
STANDARD_DEVIATION 11.9 • n=7 Participants
Sex: Female, Male
Female
12 Participants
n=99 Participants
18 Participants
n=107 Participants
2 Participants
n=206 Participants
32 Participants
n=7 Participants
Sex: Female, Male
Male
13 Participants
n=99 Participants
34 Participants
n=107 Participants
3 Participants
n=206 Participants
50 Participants
n=7 Participants
Region of Enrollment
United States
25 participants
n=99 Participants
52 participants
n=107 Participants
5 participants
n=206 Participants
82 participants
n=7 Participants

PRIMARY outcome

Timeframe: 6 weeks

Population: 67 patients were randomized into an Observational arm (no treatment, n = 20), Naproxen \& Omeprazole (active treatment, n=4) and Placebo only (placebo, n = 43).

The primary outcome was changes (% change) in self-reported pain levels using VAS - from 0 (no pain) to 10 (worst imaginable pain). Results are presented as largest percentage (%) change in pain before and after the interventions (baseline and post-intervention, 6 weeks). Percentage change is calculated with post-intervention pain minus baseline pain, divided by baseline pain i.e. (post - baseline) / baseline.

Outcome measures

Outcome measures
Measure
Observational
n=20 Participants
Subjects randomized to this arm will be asked to discontinue their current pain medications for the length of the study. This arm is not blinded, as both study staff and participants will be aware that they are not receiving a study treatment.
Naproxen & Omeprazole
n=4 Participants
Subjects randomized to this arm will be asked to discontinue their current pain medications and take one 500mg naproxen capsule and one 40mg omeprazole capsule twice a day for the length of the study. This arm is double-blind, as neither participants nor study staff will know what medication the participants is receiving (blind to active versus placebo treatment). Naproxen: Take one 500mg naproxen capsule twice a day. Omeprazole: Take one 20mg omeprazole capsule twice a day.
Placebo Only
n=43 Participants
Subjects randomized to this arm will be asked to discontinue their current pain medications and take two placebo capsules twice a day for the length of the study. This arm is double-blind, as neither participants nor study staff will know what medication the participants is receiving (blind to active versus placebo treatment). Placebo: Take one placebo capsule twice a day.
Change in Pain Assessed by Visual Analogue Scale (VAS)
-0.03 percentage of change in pain
Standard Deviation 0.14
-0.10 percentage of change in pain
Standard Deviation 0.09
-0.21 percentage of change in pain
Standard Deviation 0.21

Adverse Events

Observational- NoTx

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

PTx (Placebo)

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

MTx (Naproxen & Omeprazole)

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Apkar Vania Apkarian

Northwestern University

Phone: +1 312 503 0404

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place