- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05240586
Pharmacopuncture Therapy for Cervical Disc Herniation: A Pilot Study
February 28, 2024 updated by: In-Hyuk Ha, KMD, Jaseng Medical Foundation
Pragmatic Randomized Controlled Trial of Pharmacopuncture Therapy for Cervical Disc Herniation: A Pilot Study
This is pilot study for a 3-arm parallel pragmatic randomized controlled trial that will compare pharmacopuncture therapy, acupunture therapy and physical therapy, medication(prn) for cervical disc herniation.
Study Overview
Status
Active, not recruiting
Conditions
Detailed Description
This is a pragmatic RCT, so the physicians will choose the type and volume of pharmacopuncture, the type and number of acupuncture and the type and time of physical therapy according to participants' conditions, respectively.
Study Type
Interventional
Enrollment (Estimated)
84
Phase
- Not Applicable
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Contact
- Name: In-Hyuk Ha, Ph.D.
- Phone Number: 82-2-2222-2740
- Email: hanihata@gmail.com
Study Locations
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Busan, Korea, Republic of
- Haeundae Jaseng Hospital of Korean Medicine
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Daejeon, Korea, Republic of, 35262
- Daejeon Jaseng Hospital of Korean Medicine
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Bundang-gu, Seongnam-si
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Seoul, Bundang-gu, Seongnam-si, Korea, Republic of, 13601
- Dongguk University Bundang Oriental Hospital
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Dongdaemun-gu
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Seoul, Dongdaemun-gu, Korea, Republic of, 130-701
- Kyung Hee University Korean Medicine Hospital
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Gangdong-gu
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Seoul, Gangdong-gu, Korea, Republic of, 05278
- Kyung Hee University Korean Medicine Hospital at Gangdong
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Gangnam-Gu
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Seoul, Gangnam-Gu, Korea, Republic of, 135-896
- Jaseng Hospital of Korean Medicine
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Gyeonggi Province
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Bucheon, Gyeonggi Province, Korea, Republic of, 14598
- Bucheon Jaseng Hospital of Korean Medicine
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Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
19 years to 69 years (Adult, Older Adult)
Accepts Healthy Volunteers
Yes
Description
Inclusion Criteria:
- Symptoms of cervical disc herniation for less than 12 months
- Numeric Rating Scale (NRS) of neck pain is more than 5
- Symptoms of neuromuscular disease in one or both upper limbs (pain, pull, numbness, sensory abnormalities, motor abnormalities)
- Discrimination findings above protusion, which can explain clinical symptoms on Cervical spine MRI or CT
- 19-69 years old
- participants who agreed and wrote informed consents
Exclusion Criteria:
- Case of being diagnosed with a specific serious disease that may cause neck pain(Migration of cancer reaching to spine, acute fracture of spine, spine dislocation)
- Progressive neurologic deficits or severe neurologic deficits
- Cause of pain due to soft tissue disease, not the spine(Cancer, fibromyalgia, RA, goat, or etc.)
- Other chronic diseases(stroke, MI, kidney disease, diabetic neuropathy, dimentia, epilepsy, or etc.) that may interfere with the interpretation of therapeutic effects or outcomes
- Participants taking steroid, immunosuppressant, psychotropic medication, or taking other drugs that may affect outcomes
- Inappropriate or unsafe pharmacopuncture therapy; hemorrhagic disease, taking anticoagulant drug, or severe diabetes patients who are likely to be infected
- Participants who took NSAIDs or pharmacopuncture, acupuncture, physical therapy within 1 week
- Pregnant, planning to get pregnant or lactating women
- Participants who had undergone cervical surgery within 3 months
- Participants who had participated in other clinical trial within 1 month, had participated in other study within 6 months from the date of selection, or have plan for participation in other trial during follow up period of this trial
- Participants who can not write informed consent
- Participants who is difficult to participate in the trial according to investigator's decision
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: pharmacopunture therapy
The physicians will choose the type and volume of pharmacopuncture according to participants' conditions.
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This is a pragmatic RCT, so the physicians will choose the type and volume of pharmacopuncture according to participants' conditions.
|
Active Comparator: acupuncture therapy
The physicians will choose the type and number of acupuncture therapy according to participants' conditions.
|
This is a pragmatic RCT, so the physicians will choose the type and number of acupuncture therapy according to participants' conditions.
|
Active Comparator: physical therapy, medication(prn)
The physicians will choose the type and time of physical therapy according to participants' conditions.
According to clinical judgment, clinicians can prescribe analgesics and muscle relaxants if necessary.
|
This is a pragmatic RCT, so the physicians will choose the type and time of physical therapy according to participants' conditions.
According to clinical judgment, clinicians can prescribe analgesics and muscle relaxants if necessary.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Numeric rating scale (NRS) of neck pain
Time Frame: Week 7
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NRS is a pain scale in which the patient indicates their subjective pain as a whole number from 0 to 10, where 0 indicates 'no pain or discomfort' and 10 indicates 'the most severe pain and discomfort imaginable'.
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Week 7
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Numeric rating scale (NRS) of radiating arm pain
Time Frame: Week 1, 2, 3, 4, 5, 6, 7, 13, 25
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NRS is a pain scale in which the patient indicates their subjective pain as a whole number from 0 to 10, where 0 indicates 'no pain or discomfort' and 10 indicates 'the most severe pain and discomfort imaginable'.
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Week 1, 2, 3, 4, 5, 6, 7, 13, 25
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Visual analogue scale (VAS) of neck pain and radiating arm pain
Time Frame: Week 1, 2, 3, 4, 5, 6, 7, 13, 25
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Visual analogue scale of radiating leg pain, minimum 0 to maximum 100, which is a higher score means a worse outcome.
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Week 1, 2, 3, 4, 5, 6, 7, 13, 25
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Neck Disability Index (NDI)
Time Frame: Week 1, 7, 13, 25
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NDI is a functional disability questionnaire.
The possible range of each item score is 0 to 5. Total score range is 0 (better outcome) to 100 (worse outcome).
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Week 1, 7, 13, 25
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Northwick Park Questionnaire (NPQ)
Time Frame: Week 1, 7, 13, 25
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NPQ measures the neck pain and the consequent patient disabilities.
The questionnaire is divided in nine five-part sections.
Each parameter is divided in five answer possibilities with points from 0 till 4. 0 is significant for no pain and 4 is significant for worst pain.
The maximum score is 36 if all nine questions were answered and 32 if only the first eight questions were answered.
The percentage ranges from 0% to 100%.
The higher the percentage, the greater the disability and the pain.
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Week 1, 7, 13, 25
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Patient Global Impression of Change (PGIC)
Time Frame: Week 7, 13, 25
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Participants rate the improvement after treatment on a 7-point Likert scale (1, very much improved; 2, much improved; 3, minimally improved; 4, no change; 5, minimally worse; 6, much worse; or 7, very much worse.)
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Week 7, 13, 25
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Short Form-12 Health Survey version 2 (SF-12 v2)
Time Frame: Week 1, 7, 13, 25
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The SF-12 consists of 12 questions across 8 domains, and higher scores indicate better health-related quality of life.
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Week 1, 7, 13, 25
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EuroQol-5 Dimension (EQ-5D-5L)
Time Frame: Week 1, 7, 13, 25
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The EQ-5D-5L consists of 5 questions (mobility, self-care, usual activities, pain, anxiety/depression) that ask about the current state of health, and answers each question with 5 likert.
(1=I have no problems about, 2=I have slight problems about, 3=I have moderate problems about, 4=I have severe problems about, 5=I am unable to about)
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Week 1, 7, 13, 25
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Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Investigators
- Study Director: In-Hyuk Ha, Ph.D., Jaseng Medical Foundation
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
April 20, 2022
Primary Completion (Actual)
September 26, 2023
Study Completion (Estimated)
December 31, 2024
Study Registration Dates
First Submitted
February 13, 2022
First Submitted That Met QC Criteria
February 13, 2022
First Posted (Actual)
February 15, 2022
Study Record Updates
Last Update Posted (Estimated)
March 1, 2024
Last Update Submitted That Met QC Criteria
February 28, 2024
Last Verified
February 1, 2024
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- JS-CT-2021-13
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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