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SciaticaNCT02384928

Effects of Shinbaro Pharmacopuncture in Sciatic Pain Patients With Lumbar Disc Herniation

A study testing Shinbaro pharmacopuncture, Acupuncture and Conventional medicine in people with Sciatica and Intervertebral Disc Displacement, run by Jaseng Medical Foundation at 1 site in South Korea.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This trial will evaluate the comparative clinical effectiveness of pharmacopuncture for severe non-acute sciatic pain patients diagnosed with lumbar disc herniation (LDH) with usual care of conventional medicine and that of Korean medicine (acupuncture). Read more about this study

Who is it for?
Ages 25 to 65 years
Conditions the study is for
Sciatica, Intervertebral Disc Displacement
What is being tested?
Shinbaro pharmacopuncture, Acupuncture and Conventional medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
60 participants
Where
1 siteSouth Korea
Study dates
9 Sep 2015to 16 Mar 2017
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 25 to 65 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Sciatica patients with an average sciatic pain NRS of 5 or higher during the preceding 3 days
  • Onset of at least 4 weeks previous for current sciatic pain episode
  • Patients whose sciatic symptoms correlate with the LDH confirmed on MRI
  • Patients who have agreed to follow the trial protocol

Who cannot join

  • Patients who have received invasive treatments such as nerve blocks, pharmacopuncture, or acupuncture within the past week
  • Non-spinal or soft tissue pathologies which may cause LBP or sciatic pain (e.g. spinal tumors, rheumatic arthritis)
  • Pregnancy
  • History of spinal surgery, or spinal pathologies other than LDH (e.g. spinal dislocation, fracture)
  • Severe progressive neurologic symptoms (e.g. cauda equina syndrome, progressive muscle weakness)
  • Patients for whom acupuncture may be inappropriate or unsafe (e.g. hemorrhagic diseases, blood clotting disorders, history of anti-coagulation medicine, severe diabetes with risk of infection, severe cardiovascular diseases or other conditions deemed unsuitable)

Trial locations and contacts

1 site in 1 country.

South Korea1 site
  • Jaseng Hospital of Korean Medicine

    Seoul, Gangnam-Gu, 135-896

Other trials in South Korea

About this study

Official title: Effects of Shinbaro Pharmacopuncture in Sciatic Pain Patients With Lumbar Disc Herniation: a Three-armed, Randomized, Double-blind Controlled Pilot Study

This trial will evaluate the comparative clinical effectiveness of pharmacopuncture for severe non-acute sciatic pain patients diagnosed with lumbar disc herniation (LDH) with usual care of conventional medicine and that of Korean medicine (acupuncture). Sixty patients with severe non-acute sciatic pain patients diagnosed with LDH (NRS ≥5, 4 weeks - 6 months) will be recruited, and randomized 20 each to the Shinbaro pharmacopuncture, acupuncture, and usual care group, respectively. The 2 acupuncture groups will receive 2 sessions/week of acupuncture alone or with pharmacopuncture for 4 weeks, and the usual care group will receive conventional medication 2 times/day and 2 sessions/week of physical therapy. Post-treatment evaluations will take place 5, 7, 9, and 12 weeks after randomization.

Read the detailed description

This study is a three-armed, randomized, patient, physician, and assessor-blinded, controlled pilot to the aim of evaluating the comparative clinical effectiveness of pharmacopuncture for severe non-acute sciatic pain patients diagnosed with lumbar disc herniation (LDH) with usual care of conventional medicine and that of Korean medicine (acupuncture). Sixty patients with severe non-acute sciatic pain patients diagnosed with LDH (NRS ≥5, onset between 4 weeks and 6 months) will be recruited, and randomized 20 each to the Shinbaro pharmacopuncture (pharmacopuncture+acupuncture), acupuncture, and usual care group, respectively. The 2 acupuncture groups will receive 2 sessions/week of acupuncture alone or with pharmacopuncture for 4 weeks (total 8 sessions), and the usual care group will receive conventional medication 2 times/day and 2 sessions/week of physical therapy (total 8 sessions). The initial acupuncture physician will administer acupuncture at 5 acupoints (GB30, BL40, BL25, BL23, GB34) in the 2 acupuncture groups, and mark an additional acupoint. A second acupuncture physician will administer pharmacopuncture to the marked acupoint in the pharmacopuncture group, and acupuncture in the acupuncture group. Post-treatment evaluations will take place 5, 7, 9, and 12 weeks after randomization.

Being tested
Shinbaro pharmacopuncture, Acupuncture, Conventional medicine, Physical therapy, Educational program
Keywords
Acupuncture, Pharmacopuncture, Usual Care
Medical subject headings
Sciatica, Intervertebral Disc Displacement

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Shinbaro pharmacopunctureProcedure or surgery

    Pharmacopuncture is a treatment that combines 2 of the most frequented Korean medicine treatment methods - traditional acupuncture and herbal medicine - by injecting herbal medicine extract at acupoints. One Hyeopcheok (Huatuo Jiaji, EX B2) acupoint most relevant to patient symptoms with reference to MRI will be administered Shinbaro pharmacopuncture.

  • AcupunctureDevice

    Five acupoints will be needled to about 1cm depth assisted by an acupuncture guide tube with no manual stimulation such as twirling or lifting and thrusting.

  • Conventional medicineDrug

    Also called Conventional drugs

    Conventional drugs will be prescribed in an individually-tailored, pragmatic method with reference to most frequently used treatments in patients with a primary diagnosis of LDH (KCD disease classification: M51, M541) according to Korean Health Insurance Review and Assessment (HIRA) 2011 statistics. The most frequently prescribed conventional drugs for LDH include aceclofenac (Drug class: nonsteroidal antiinflammatoy drugs (NSAIDs)), tramadol hydrochloride (Drug class: Opioids), talniflumate (Drug class: NSAIDs), diclofenac sodium (Drug class: NSAIDs), and loxoprofen sodium (Drug class: NSAIDs).

  • Physical therapyProcedure or surgery

    Also called Physiotherapy

    Physical therapy will be prescribed with reference to most frequently used treatments in patients with a primary diagnosis of LDH (KCD disease classification: M51, M541) according to Korean Health Insurance Review and Assessment (HIRA) 2011 statistics.

  • Educational programBehavioural

    Educational program sessions supervised by physicians will be provided once a week for 4 weeks.The education program will inform the patient of the favorable prognosis of LDH, and instructions for everyday activities and self-management. The education program will consist of handbooks handed out to each participant, and weekly reminders and encouragement from the physician.

Study groups in NCT02384928
Study groupRoleWhat they receive
Shinbaro pharmacopuncture groupExperimentalThe Shinbaro pharmacopuncture group will receive 8 interventional sessions of Shinbaro pharmacopuncture at one Hyeopcheok (Huatuo Jiaji, EX B2) point and acupuncture at 5 acupoints (GB30, BL40, BL25, BL23, GB34) 2 times/week over 4 weeks. All groups will take 4 educational program sessions supervised by physicians once a week.
Receives: Procedure: Shinbaro pharmacopuncture; Device: Acupuncture; Behavioral: Educational program
Acupuncture groupActive comparatorThe acupuncture group will receive 8 interventional sessions of acupuncture at one Hyeopcheok (Huatuo Jiaji, EX B2) point and 5 other acupoints (GB30, BL40, BL25, BL23, GB34) 2 times/week over 4 weeks. All groups will take 4 educational program sessions supervised by physicians once a week.
Receives: Device: Acupuncture; Behavioral: Educational program
Usual care groupActive comparatorThe usual care group will receive conventional medicine 2 times/day and 2 sessions/week of physical therapy over 4 weeks. Conventional drugs will be prescribed in an individually-tailored, pragmatic method with reference to most frequently used treatments in patients with a primary diagnosis of LDH (KCD disease classification: M51, M541) according to Korean Health Insurance Review and Assessment (HIRA) 2011 statistics, which include aceclofenac, tramadol hydrochloride, talniflumate, diclofenac sodium, and loxoprofen sodium. All groups will take 4 educational program sessions supervised by physicians once a week.
Receives: Drug: Conventional medicine; Procedure: Physical therapy; Behavioral: Educational program

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Visual analogue scale (VAS) of sciatic pain

    On the 10cm line which represent the severity of pain, the patient mark point which best represent the severity that he feels.

    Measured: Week 5

Secondary outcomes (9)
  1. Visual analogue scale (VAS) of sciatic pain

    On the 10cm line which represent the severity of pain, the patient mark point which best represent the severity that he feels.

    Measured: Week 1, 2, 3, 4, 7, 9, 12

  2. Visual analogue scale (VAS) of low back pain (LBP)

    On the 10cm line which represent the severity of pain, the patient mark point which best represent the severity that he feels.

    Measured: Week 1, 2, 3, 4, 5, 7, 9, 12

  3. Numeric rating scale (NRS) of low back pain (LBP)

    The patient choose number between 0 to 10, which represent the serverity of the pain that he felt. 0 means there's no pain, and 10 means there's severe pain that he ever felt.

    Measured: Baseline(screening), Week 1, 2, 3, 4, 5, 7, 9, 12

  4. Numeric rating scale (NRS) of sciatic pain

    The patient choose number between 0 to 10, which represent the serverity of the pain that he felt. 0 means there's no pain, and 10 means there's severe pain that he ever felt.

    Measured: Baseline(screening), Week 1, 2, 3, 4, 5, 7, 9, 12

  5. Oswestry Disability Index (ODI)

    The Oswestry Disability Index (ODI) is an index is derived from the Oswestry Low Back Pain Questionnaire used by clinicians and researchers to quantify disability for low back pain. The ODI is a 10-item score from 0 to 100 that encompasses limitations in activity, sleeping, social life, work, and personal care resulting from low back pain.

    Measured: Week 1, 2, 3, 4, 5, 7, 9, 12

  6. Short Form Health Survey 36 (SF-36)

    SF-36 Questionnaire consists of several questions related to local pain, radiationg pain, analgesic intake and ability.

    Measured: Week 1, 5, 7, 12

  7. EuroQol-5 Dimension (EQ-5D)

    Estimates that shows the quality of life(QOL).

    Measured: Week 1, 5, 7, 12

  8. Patient Global Impression of Change (PGIC)

    This scale evaluates all aspects of patients' health and assesses if there has been an improvement or decline in clinical status.

    Measured: Week 1, 5, 7, 12

  9. Number and percentage of participants with adverse events

    The number and percentage of participants with adverse events, categorized by affected body region, will be reported.

    Measured: Week 1, 2, 3, 4, 5, 7, 9, 12

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted10 Mar 2015 (estimated)
  2. Study start9 Sep 2015
  3. Primary completion31 Jan 2017
  4. Study completion16 Mar 2017

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Triple blind
Who is masked
Participant, Care provider, Outcomes assessor
Enrolment
60 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02384928
Sponsor's protocol ID
JS-CT-2015-03
Status last verified
Jul 2022
First submitted
27 Feb 2015
Last updated
26 Jul 2022
Results posted
No
Data monitoring committee
No
Individual data sharing
No

Publications

  • Lee J, Shin JS, Lee YJ, Kim MR, Ahn YJ, Park KB, Kropf MA, Shin BC, Lee MS, Ha IH. Effects of Shinbaro pharmacopuncture in sciatic pain patients with lumbar disc herniation: study protocol for a randomized controlled trial. Trials. 2015 Oct 12;16:455. doi: 10.1186/s13063-015-0993-6.

    PubMed 26459006

Questions about this trial

What is this clinical trial studying?

A study testing Shinbaro pharmacopuncture, Acupuncture and Conventional medicine in people with Sciatica and Intervertebral Disc Displacement, run by Jaseng Medical Foundation at 1 site in South Korea.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 4 inclusion and 6 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 26 Jul 2022. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in South Korea. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Visual analogue scale (VAS) of sciatic pain (time frame: Week 5). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT02384928, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 26 Jul 2022.

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