UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000016669
Receipt number R000019345
Scientific Title Socioeconomic evaluation of clinical pharmacology to chronic low back pain
Date of disclosure of the study information 2015/03/01
Last modified on 2016/03/18 17:46:17

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Basic information

Public title

Socioeconomic evaluation of clinical pharmacology to chronic low back pain

Acronym

SECP-CLBP

Scientific Title

Socioeconomic evaluation of clinical pharmacology to chronic low back pain

Scientific Title:Acronym

SECP-CLBP

Region

Japan


Condition

Condition

Patients who have been clinically diagnosed with non-specific low back pain or sciatica with a chief symptom of low back pain, and have been experiencing pain for at least 12 weeks will be considered for inclusion. Patients with pain caused by infections, trauma, and visceral diseases will be excluded.

Classification by specialty

Orthopedics

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

Socioeconomic evaluation of clinical pharmacology to chronic low back pain

Basic objectives2

Others

Basic objectives -Others

The purpose of this study is to evaluate the socioeconomic effectiveness of drug therapy (pain management) in patients with noncancerous chronic low back pain. The evaluation is expected to contribute to the establishment of the evidence for proactive choice of effective drug therapy for chronic low back pain or to the promotion of medical resource investment which is appropriate to the value of drug therapy.
To examine the characteristics of chronic, intractable low back pain and the social transitions surrounding medical care, we will analyze (1) cost-effectiveness to evaluate prescription choice in consideration of economical aspects, and (2) efficacy of prescription choice based on a new set of values, including the patient's viewpoint (patient utility values).

Trial characteristics_1

Exploratory

Trial characteristics_2

Pragmatic

Developmental phase

Not applicable


Assessment

Primary outcomes

Cost-benefit: Medical fees/Quality-adjusted life year (Unit: Yen/QALY),
Cost-effectiveness: Cost of medical services/Scores of various health indicators (Unit: Yen/Score)

Key secondary outcomes

Efficacy-related endpoint:
Utility for patients
- Preference-based measures -> EQ-5D (EuroQol 5 Dimension)(Unit: QALY)
Health level of patients
- Comprehensive measures -> SF-8 (MOS short-form 8-item health survey)(Unit: Score)
- Disease-specific indicators for low back pain -> RDQ (Roland-Morris Disability Questionnaire), JOA-BPEQ (Japanese Orthopaedic Association Back Pain Evaluation Questionnaire), VAS (Visual Analogue Scale)(Unit: Score)
Cost-related endpoint
Medical fee bill(Unit: Points or Yen), Cost of medical services(Unit: Yen)


Base

Study type

Observational


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

20 years-old <=

Age-upper limit

85 years-old >=

Gender

Male and Female

Key inclusion criteria

1) Men or women aged 20 to 85 years
2) Patients who have been experiencing low back pain for at least 12 weeks despite treatment with acetaminophen, NSAIDS (propionate, arylacetic acid, oxicam, and coxib), tramadol, etc.; or patients who have been experiencing low back pain for at least 12 weeks and have not received drugs.
3) Patients with BS-POP(Brief Scale for Psychiatric Problems in Orthopaedic Patients) scores that do not meet the criteria for psychiatric problems, which is 10 points or more for physicians and 15 points or more for patients.

Key exclusion criteria

The following are exclusion criteria established for the safety of the study and the reliability of the endpoint evaluation.
1) Patients with complicated hemorrhagic gastrointestinal diseases.
2) Patients with serious cardiac, hepatic, or renal function disorders, or other serious complications.
3) Patients with advanced blood disorders (bleeding tendency, etc.).
4) Patients with dementia or other psychiatric disorders who would be expected to have difficulties with the evaluation.
5) Patients with a history of alcohol or drug dependence.
6) Patients diagnosed with a malignant tumor within the previous 5 years.
Other patients considered inappropriate for study participation will be excluded by the investigator.

Target sample size

1400


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Yukihiro Matsuyama

Organization

Hamamatsu University School of Medicine

Division name

Department of Orthopaedic Surgery

Zip code


Address

1-20-1 Handayama, Higashi-ku, Hamamatsu city, Shizuoka, Japan

TEL

053-435-2297

Email

spine-yu@hama-med.ac.jp


Public contact

Name of contact person

1st name
Middle name
Last name Hideki Yoshikawa

Organization

Osaka UniversityGraduate School of Medicine

Division name

Department of Orthopedics

Zip code


Address

2-2, Yamadaoka Suita-shi, Osaka, 565-0871, JAPAN

TEL

06-6879-3552

Homepage URL


Email

yhideki@ort.med.osaka-u.ac.jp


Sponsor or person

Institute

The Japanese Society for Spine Surgery and Related Research

Institute

Department

Personal name



Funding Source

Organization

The Japanese Society for Spine Surgery and Related Research

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization

Japan


Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization


Address


Tel


Email



Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions

大阪大学医学部附属病院(大阪府)、浜松医科大学(静岡県)、札幌医科大学附属病院(北海道)、福島県立医科大学附属病院(福島県)、筑波大学医学部附属病院(茨城県)、獨協医科大学附属病院(栃木県)、自治医科大学附属病院(栃木県)、埼玉医科大学附属病院(埼玉県)、千葉大学附属病院(千葉県)、帝京大学ちば総合医療センター(千葉県)、慈恵医科大学附属病院(東京都)、慶応義塾大学医学部附属病院(東京都)、日本大学医学部附属病院(東京都)、東海大学医学部附属病院(神奈川県)、富山大学医学部附属病院(富山県)、金沢大学医学部附属病院(金沢県)、福井大学医学部附属病院(福井県)、山梨大学医学部附属病院(山梨県)、名古屋大学医学部附属病院(愛知県)、京都大学医学部附属病院(京都県)、大阪市立大学医学部附属病院(大阪府)、川崎医科大学附属病院(岡山県)、山口大学医学部附属病院(山口県)、鹿児島大学医学部附属病院(鹿児島県)、九州大学医学部附属病院(福岡県)、東京大学医学部附属病院(東京都)、和歌山県立医科大学附属病院(和歌山県)、東京医科歯科大学医学部附属病院(東京都)、大阪医科大学附属病院(大阪府)、秋田大学附属病院(秋田県)、北里大学附属病院(神奈川県)、神戸大学附属病院(兵庫県) 等


Other administrative information

Date of disclosure of the study information

2015 Year 03 Month 01 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Open public recruiting

Date of protocol fixation

2013 Year 12 Month 02 Day

Date of IRB


Anticipated trial start date

2014 Year 05 Month 12 Day

Last follow-up date


Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

Prospective, Nonrandomized, Open Study (Observational Study)


Management information

Registered date

2015 Year 03 Month 01 Day

Last modified on

2016 Year 03 Month 18 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000019345


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name