Endogenous Opioid Response to Injections
NCT06666621 · Status: RECRUITING · Phase: PHASE4 · Type: INTERVENTIONAL · Enrollment: 33
Last updated 2025-05-18
Summary
This study will study pain relief after spine injections that are used to guide care. Some improvements in pain from a procedure might be from placebo effect rather than the physiological effect of the procedure. The study will use naloxone to reverse the effect of the body's internal placebo system after a spine injection, so the placebo effect and the injection effect can be measured separately. This process may improve the understanding of spine injections and their ability to guide pain care.
Conditions
- Low Back Pain
- Zygapophyseal Joint Arthritis
Interventions
- DRUG
-
Normal saline infusion
After assessment of response to lumbar medial branch block, 8 ml normal saline will be infused through IV over several minutes. 10 minutes will pass, and response to lumbar medial branch block procedure will be re-assessed. After this step, naloxone infusion will occur (see next intervention)
- DRUG
-
Naloxone infusion
After infusion of normal saline and re-assessment of response to lumbar medial branch block procedure, 8 milligrams of naloxone will be infused over several minutes. Then after 10 minutes, response to lumbar medial branch block procedure will be re-reassessed for the final time.
Sponsors & Collaborators
-
International Pain and Spine Intervention Society
collaborator UNKNOWN -
Middle Tennessee Research Institute
lead OTHER
Principal Investigators
-
William E Rivers, DO · Tennessee Valley Healthcare System VA
Study Design
- Allocation
- NA
- Purpose
- DIAGNOSTIC
- Masking
- NONE
- Model
- SINGLE_GROUP
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2024-08-22
- Primary Completion
- 2025-10-31
- Completion
- 2026-02-28
- FDA Drug
- Yes
Countries
- United States
Study Locations
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