- ICH GCP
- Amerikanska kliniska prövningsregistret
- Klinisk prövning NCT00767806
A Study for Patient With Chronic Low Back Pain
Effect of Duloxetine 60 mg Once Daily Versus Placebo in Patients With Chronic Low Back Pain
Studieöversikt
Status
Betingelser
Intervention / Behandling
Studietyp
Inskrivning (Faktisk)
Fas
- Fas 3
Kontakter och platser
Studieorter
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Sa Coma, Brasilien, 04230000
- For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
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São Paulo, Brasilien, 04026-000
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Arizona
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Chandler, Arizona, Förenta staterna, 85225
- For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
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Connecticut
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Cromwell, Connecticut, Förenta staterna, 06416
- For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
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Florida
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Deland, Florida, Förenta staterna, 32720
- For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
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Jacksonville, Florida, Förenta staterna, 32216
- For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
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Massachusetts
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Brighton, Massachusetts, Förenta staterna, 02135
- For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
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Oklahoma
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Oklahoma City, Oklahoma, Förenta staterna, 73109
- For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
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Oregon
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Portland, Oregon, Förenta staterna, 97210
- For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
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Rotterdam, Nederländerna, 3039 BD
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Krakow, Polen, 30-349
- For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
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Lublin, Polen, 20-093
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Poznan, Polen, 61-289
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Szczecin, Polen, 70-376
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Moscow, Ryska Federationen, 119992
- For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
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Barcelona, Spanien, 08025
- For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
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Bilboa, Spanien, 48013
- For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
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Getafe, Spanien, 28905
- For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
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La Coruña, Spanien, 15006
- For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
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Madrid, Spanien, 28009
- For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
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Aalen, Tyskland, 73430
- For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
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Alzenau, Tyskland, 63755
- For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
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Berlin, Tyskland, 10629
- For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
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Ellwangen, Tyskland, 73479
- For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
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Hamburg, Tyskland, 20255
- For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
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Wiesbaden, Tyskland, 65189
- For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
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Deltagandekriterier
Urvalskriterier
Åldrar som är berättigade till studier
Tar emot friska volontärer
Kön som är behöriga för studier
Beskrivning
Inclusion Criteria:
- Male or female outpatients with chronic low back pain
Exclusion Criteria:
- Cardiovascular, hepatic, renal, respiratory, or hematologic illness, or other medical or psychiatric condition that, in the opinion of the investigator, would compromise participation or be likely to lead to hospitalization during the course of the study.
- Acute liver injury (such as hepatitis) or severe cirrhosis.
- Previous exposure to duloxetine.
- Body Mass Index (BMI) over 40.
- Major depressive disorder.
- Daily use of narcotics.
Studieplan
Hur är studien utformad?
Designdetaljer
- Primärt syfte: Behandling
- Tilldelning: Randomiserad
- Interventionsmodell: Parallellt uppdrag
- Maskning: Fyrdubbla
Vapen och interventioner
Deltagargrupp / Arm |
Intervention / Behandling |
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Experimentell: Duloxetine
Participants received duloxetine 60 milligram by mouth once daily for 12 weeks of double-blind treatment
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60 mg orally once daily for 12 weeks
Andra namn:
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Placebo-jämförare: Placebo
Patients received placebo by mouth once daily for 12 weeks of double-blind treatment
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Placebo once daily orally for 12 weeks
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Vad mäter studien?
Primära resultatmått
Resultatmått |
Åtgärdsbeskrivning |
Tidsram |
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Change From Baseline to 12 Weeks in Brief Pain Inventory 24-hour Average Pain Score
Tidsram: baseline, 12 weeks
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A self-reported scale that measures the severity of pain based on the average pain over the past 24-hours.
The severity scores range from 0 (no pain) to 10 (pain as severe as you can imagine).
Least Squares Mean values were controlled for investigator and baseline severity.
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baseline, 12 weeks
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Sekundära resultatmått
Resultatmått |
Åtgärdsbeskrivning |
Tidsram |
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Change From Baseline to 12 Weeks on the Brief Pain Inventory - Severity (BPI-S) and Interference (BPI-I)
Tidsram: baseline, 12 weeks
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BPI-S and BPI-I are self-reported scales measuring severity of pain and interference on function.
Severity scores: 0 (no pain) to 10 (severe pain) on each question assessing worst pain, least pain in past 24 hours, and pain right now.
Interference scores: 0 (does not interfere) to 10 (completely interferes) on each question assessing interference of pain in past 24 hours for general activity, mood, walking ability, normal work, relations with other people, sleep, and enjoyment of life.
Average interference = average of non-missing scores of individual interference items.
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baseline, 12 weeks
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Change From Baseline to 12 Weeks in Weekly Mean of 24-hour Average Pain, Worst Pain, and Night Pain Rating
Tidsram: baseline, 12 weeks
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24-hour average pain severity scores were recorded daily on an 11-point Likert scale, an ordinal scale ranging from 0 (no pain) to 10 (worst possible pain).
Patients completed the electronic diary at bedtime.
The 11-point Likert scale was also used for assessment of night pain and worst pain each day, and evaluated as weekly means.
Least Squares Mean values were controlled for investigator and baseline severity.
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baseline, 12 weeks
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Number of Responders: 30 Percent (%) or Greater Reduction of the Brief Pain Inventory (BPI) Average Pain Severity Rating at 12 Week Endpoint
Tidsram: 12 weeks
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Response to treatment was defined as at least a 30% reduction from baseline to endpoint (last observation carried forward) in the BPI average pain severity score.
BPI is a self-reported scale that measures the severity of pain based on the average pain experienced over the past 24-hours.
The severity scores range from 0 (no pain) to 10 (pain as severe as you can imagine).
Response was assessed at endpoint.
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12 weeks
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Number of Responders: 50 Percent (%) or Greater Reduction of the Brief Pain Inventory (BPI) Average Pain Severity Rating at 12 Week Endpoint
Tidsram: 12 weeks
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Response to treatment was defined as at least a 50% reduction from baseline to endpoint (last observation carried forward) in the BPI average pain severity score.
BPI is a self-reported scale that measures the severity of pain based on the average pain experienced over the past 24-hours.
The severity scores range from 0 (no pain) to 10 (pain as severe as you can imagine).
Response was assessed at endpoint.
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12 weeks
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Number of Sustained Responders at 12 Week Endpoint
Tidsram: 12 weeks
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Sustained responders: participants with ≥30% reduction of BPI average pain rating from baseline to endpoint and baseline to earlier visit than last visit and who maintain a ≥20% reduction of BPI average pain rating from baseline at every visit between last visit and earlier visit.
BPI: a self-reported scale that measures the severity of pain based on the average pain experienced over the past 24-hours.
The severity scores range from 0 (no pain) to 10 (pain as severe as you can imagine).
Number of sustained responders was assessed at endpoint.
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12 weeks
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Number of Participants Reaching Each Threshold of of BPI Average Pain Score Reduction During the Study - Cumulative Distribution
Tidsram: 12 weeks
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The results presented are the cumulative number of participants reaching each threshold of BPI average pain reduction.
The thresholds are given as percent reductions in BPI average pain score from the baseline score.
BPI: a self-reported scale that measures the severity of pain based on the average pain over the past 24-hours.
The severity scores range from 0 (no pain) to 10 (pain as severe as you can imagine).
Number of participants under each threshold was assessed at endpoint.
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12 weeks
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Change From Baseline to 12 Weeks Endpoint in Clinical Global Impressions of Severity (CGI-S)
Tidsram: baseline, 12 weeks
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Measures severity of illness at the time of assessment compared with start of treatment.
Scores range from 1 (normal, not at all ill) to 7 (among the most extremely ill patients).
Least Squares Mean values were controlled for investigator and baseline severity.
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baseline, 12 weeks
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Patient's Global Impression of Improvement (PGI-I) at 12 Weeks
Tidsram: 12 weeks
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A scale that measures the patient's perception of improvement at the time of assessment compared with the start of treatment.
The score ranges from 1 (very much better) to 7 (very much worse).
Least Squares Mean values were controlled for investigator and baseline severity.
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12 weeks
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Change From Baseline to 12 Weeks in Roland Morris Disability Questionnaire
Tidsram: baseline, 12 weeks
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Roland-Morris questionnaire will be completed by the patient and measures the degree of disability due to back pain.
The questionnaire consists of 24 statements and the patient is instructed to put a mark next to each appropriate statement.
The number of statements marked will be added up by the clinician and a total score is given.
The total score ranges from 0 (no disability) to 24 (severe disability).
Least Squares Mean values were controlled for investigator and baseline severity.
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baseline, 12 weeks
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Change From Baseline to 12 Weeks in Profile of Mood States - Brief Form
Tidsram: baseline, 12 weeks
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The 30-item BPOMS measures mood states and has 6 factors: tension-anxiety (Ten), depression-dejection (Dep), anxiety-hostility (Ang), fatigue (Fat), confusion (Con), and vigor (Vig).
Item scores: 0 (not at all) to 4 (extremely).
Each factor scores range from 0 to 20.
The Total score is sum of all factor scores minus the factor score for vigor (Total=Ten+Dep+Ang+Fat+Con-Vig) and ranges from 0 (least disturbed) to 80 (most disturbed).
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baseline, 12 weeks
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Change From Baseline to 12 Weeks in 36-item Short-Form (SF-36) Health Survey
Tidsram: baseline, 12 weeks
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The SF-36 Health Status Survey is a generic, health-related scale assessing subjects' quality of life on 8 domains: physical functioning, social functioning, bodily pain, vitality, mental health, role-physical, role-emotional and general health and 2 summary scores (mental component summary [MCS] and physical component summary [PCS]).
The score for each of the domain and component summary=0-100 (higher scores indicate better health status or functioning).
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baseline, 12 weeks
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Change From Baseline to 12 Weeks in European Quality of Life Questionnaire - 5 Dimension
Tidsram: baseline, 12 weeks
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Generic, multidimensional, health-related, quality-of-life instrument.
The profile allows patients to rate their health state in 5 health domains: mobility, self-care, usual activities, pain/discomfort, and mood.
A single score between 1 and 3 is generated for each domain.
For each patient, the outcome rating on 5 domains will be mapped to a single index through an algorithm.
The index ranges between 0 and 1; higher scores indicate a better health state perceived by the patient.
Participants were evaluated with the United Kingdom (UK) and the United States (US) population based index score.
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baseline, 12 weeks
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Change From Baseline to 12 Weeks in Work Productivity and Activity Impairment Instrument (WPAI)
Tidsram: baseline, 12 weeks
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WPAI: self-administered instrument used to measure effect of general health and symptom severity on work productivity and regular activities and yields 4 types of scores: Absenteeism (work time missed); Presenteeism (impairment at work/reduced on-the-job effectiveness); Work Productivity Loss (overall work impairment/absenteeism plus presenteeism); and Activity Impairment.
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baseline, 12 weeks
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Participants Who Discontinued From Baseline to 12 Weeks
Tidsram: baseline, 12 weeks
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Reasons for discontinuation are listed in the participant flow.
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baseline, 12 weeks
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Change From Baseline to 12 Weeks in Uric Acid
Tidsram: baseline, 12 weeks
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Least Squares Mean values were controlled for investigator.
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baseline, 12 weeks
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Change From Baseline to 12 Week Endpoint in Albumin
Tidsram: baseline, 12 weeks
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Least Squares Mean values were controlled for investigator.
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baseline, 12 weeks
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Change From Baseline to 12 Week Endpoint in Alkaline Phosphatase
Tidsram: baseline, 12 weeks
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Least Squares Mean values were controlled for investigator.
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baseline, 12 weeks
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Change From Baseline to 12 Week Endpoint in Alanine Aminotransferase
Tidsram: baseline, 12 weeks
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Least Squares Mean values were controlled for investigator.
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baseline, 12 weeks
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Change From Baseline to 12 Week Endpoint in Aspartate Aminotransferase
Tidsram: baseline, 12 weeks
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Least Squares Mean values were controlled for investigator.
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baseline, 12 weeks
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Change From Baseline to 12 Week Endpoint in Creatinine
Tidsram: baseline, 12 weeks
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Least Squares Mean values were controlled for investigator.
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baseline, 12 weeks
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Change From Baseline to 12 Week Endpoint in Total Protein
Tidsram: baseline, 12 weeks
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Least Squares Mean values were controlled for investigator.
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baseline, 12 weeks
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Change From Baseline to 12 Weeks in Blood Pressure
Tidsram: baseline, 12 weeks
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Least Squares Mean values were controlled for investigator.
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baseline, 12 weeks
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Change From Baseline to 12 Week Endpoint in Weight
Tidsram: baseline, 12 weeks
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Least Squares Mean values were controlled for investigator.
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baseline, 12 weeks
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Change From Baseline to 12 Week Endpoint in Pulse Rate
Tidsram: baseline, 12 weeks
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Least Squares Mean values were controlled for investigator.
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baseline, 12 weeks
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Number of Participants With Suicidal Ideation or Suicidal Behaviors According to the Columbia Suicide Severity Rating Scale
Tidsram: baseline through 12 weeks
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The Columbia Suicide Severity Rating Scale (C-SSRS) captures the occurrence, severity, and frequency of suicide-related thoughts and behaviors during the assessment period.
The scale includes suggested questions to solicit the type of information needed to determine if a suicide-related thought or behavior occurred.
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baseline through 12 weeks
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Samarbetspartners och utredare
Sponsor
Publikationer och användbara länkar
Allmänna publikationer
- Skljarevski V, Zhang S, Desaiah D, Alaka KJ, Palacios S, Miazgowski T, Patrick K. Duloxetine versus placebo in patients with chronic low back pain: a 12-week, fixed-dose, randomized, double-blind trial. J Pain. 2010 Dec;11(12):1282-90. doi: 10.1016/j.jpain.2010.03.002. Epub 2010 May 15.
- Williamson OD, Schroer M, Ruff DD, Ahl J, Margherita A, Sagman D, Wohlreich MM. Onset of response with duloxetine treatment in patients with osteoarthritis knee pain and chronic low back pain: a post hoc analysis of placebo-controlled trials. Clin Ther. 2014 Apr 1;36(4):544-51. doi: 10.1016/j.clinthera.2014.02.009. Epub 2014 Mar 17.
Studieavstämningsdatum
Studera stora datum
Studiestart
Primärt slutförande (Faktisk)
Avslutad studie (Faktisk)
Studieregistreringsdatum
Först inskickad
Först inskickad som uppfyllde QC-kriterierna
Första postat (Uppskatta)
Uppdateringar av studier
Senaste uppdatering publicerad (Uppskatta)
Senaste inskickade uppdateringen som uppfyllde QC-kriterierna
Senast verifierad
Mer information
Termer relaterade till denna studie
Ytterligare relevanta MeSH-villkor
- Smärta
- Neurologiska manifestationer
- Ryggont
- Ländryggssmärta
- Läkemedels fysiologiska effekter
- Neurotransmittormedel
- Molekylära mekanismer för farmakologisk verkan
- Agenter från det perifera nervsystemet
- Analgetika
- Sensoriska systemagenter
- Psykotropa droger
- Neurotransmittorupptagshämmare
- Membrantransportmodulatorer
- Antidepressiva medel
- Dopaminmedel
- Serotonin- och noradrenalinåterupptagshämmare
- Duloxetinhydroklorid
Andra studie-ID-nummer
- 12360
- F1J-MC-HMGC (Annan identifierare: Eli Lilly and Company)
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Kliniska prövningar på Duloxetine
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Shanghai Mental Health CenterJiangsu Nhwa Pharmaceutical Co., Ltd.Avslutad
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Boehringer IngelheimAvslutadDiabetiska neuropatier | Depressiv sjukdom, majorTyskland
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University of MinnesotaHoffmann-La Roche; Minnesota Medical FoundationAvslutad
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Nearmedic Plus LLCAvslutadHerpes simplex | Herpes Genitalis | Herpes | Herpes oralt | Herpes Simplex 2Ryska Federationen
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Belfast Health and Social Care TrustQueen's University, Belfast; Northern Ireland Clinical Trials UnitAvslutad
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ContraVir Pharmaceuticals, Inc.AvslutadBältros | Postherpetisk neuralgi | BältrosFörenta staterna
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University of PittsburghEli Lilly and Company; National Institutes of Health (NIH)AvslutadRyggont | Major depressiv sjukdom | ÅldrigFörenta staterna
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Hamilton Health Sciences CorporationSt. Joseph's Healthcare Hamilton; Eli Lilly and Company; McMaster UniversityOkänd
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New York State Psychiatric InstituteEli Lilly and CompanyAvslutadDysthymic Disorder | Depressiv sjukdom NOSFörenta staterna
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Peking UniversityHar inte rekryterat ännuMajor depressiv sjukdom | Kronisk visceral smärta