UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000019108
Receipt number R000022079
Scientific Title CT-epidurography after the fluoroscopic guided epidural injections: comparison between Th1-transforaminal approach and Th1/2-parasagittal interlaminar approach.
Date of disclosure of the study information 2015/10/01
Last modified on 2020/03/30 10:44:53

* This page includes information on clinical trials registered in UMIN clinical trial registed system.
* We don't aim to advertise certain products or treatments


Basic information

Public title

CT-epidurography after the fluoroscopic guided epidural injections: comparison between Th1-transforaminal approach and Th1/2-parasagittal interlaminar approach.

Acronym

CT-epidurography after the fluoroscopic guided epidural injections: comparison between Th1-transforaminal approach and Th1/2-parasagittal interlaminar approach.

Scientific Title

CT-epidurography after the fluoroscopic guided epidural injections: comparison between Th1-transforaminal approach and Th1/2-parasagittal interlaminar approach.

Scientific Title:Acronym

CT-epidurography after the fluoroscopic guided epidural injections: comparison between Th1-transforaminal approach and Th1/2-parasagittal interlaminar approach.

Region

Japan


Condition

Condition

Unilateral upper extreamity pain

Classification by specialty

Anesthesiology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To compare the contrast dispersion patterns between Th1-transforaminal and Th1/2-parasagittal interlaminar epidural injections.

Basic objectives2

Bio-availability

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Comparison of CT-epidurography between the two methods concerning as follows, ventral spread,lateral limiting,Th1-root filling,and cephalad/caudad spread.

Key secondary outcomes

Appearance of Horner sign, changes of blood pressure and heart rate, required time of fluoroscopy, complications of procedure including intravascular injection, and improvement of pain score.


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -no one is blinded

Control

Active

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Maneuver

Interventions/Control_1

Fluoroscopic guided Th1-transforaminal epidural injection: 1.mixture of contrast(0,5ml)and saline(0.5ml)is injected to detemine Th1 radiculography. 2.mixture of contrast(1ml)and 2%-mepivacaine(1ml)is injected. 3.spinal CT(C4-Th4)is performed.

Interventions/Control_2

Fluoroscopic guided Th1/2-parasagittal interlaminar epidural injection:1.mixture of contrast(0,5ml)and saline(0.5ml)is injected to detemine epidurography and loss of resistance, 2.mixture of contrast(1ml)and 2%-mepivacaine(1ml)is injected, 3.spinal CT(C4-Th4)is performed.

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

89 years-old >=

Gender

Male and Female

Key inclusion criteria

1.unilateral upper extreamity pain,
2.no abnormalities in the Th1/2 region confirmed by spinal MR images,
3.including disease are cervical disc hernia, cervical spondylosis,thoracic outlet syndrome,zoster associated pain and the other neuropathic pain syndromes of upper extreamities.

Key exclusion criteria

1.apparent cervical spinal stenosis(AP distance of cervical canal<12mm on plain X-ray image),
2.previous history of posterior operation of cervical or upper thoracic spine,
3.anticoagulant therapy, allergy for local anesthetics or contrasts,and the other obstacles for spinal blockade.

Target sample size

30


Research contact person

Name of lead principal investigator

1st name keiji
Middle name
Last name Hashizume

Organization

Kouseikai Takai Hospital

Division name

Department of Anesthesiology, Pain center

Zip code

632-0006

Address

470-8,Kuranosyu,Tenri city, Nara, Japan

TEL

0743-65-0372

Email

kzume@takai-hp.com


Public contact

Name of contact person

1st name Ryouji
Middle name
Last name Ooba

Organization

Kouseikai Takai Hospital

Division name

Department of hospital management

Zip code

632-0006

Address

470-8,Kuranosyu,Tenri city, Nara, Japan

TEL

0743-65-0372

Homepage URL


Email

soumu@takai-hp.com


Sponsor or person

Institute

Kouseikai Takai Hospital

Institute

Department

Personal name



Funding Source

Organization

none

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Kouseikai Takai Hospital

Address

470-8,Kuranosyu,Tenri city, Nara, Japa

Tel

0743-65-0372

Email

kzume@takai-hp.com


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



Other administrative information

Date of disclosure of the study information

2015 Year 10 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

Completed

Date of protocol fixation

2015 Year 10 Month 01 Day

Date of IRB

2015 Year 09 Month 14 Day

Anticipated trial start date

2015 Year 10 Month 01 Day

Last follow-up date

2017 Year 10 Month 01 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2015 Year 09 Month 24 Day

Last modified on

2020 Year 03 Month 30 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000022079


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name