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Chronic Low-back PainNCT04824248

Weight Reduction in CLBP

A study testing Pain Neuroscience Education, Cognition-targeted exercise therapy and Behavioral weight reduction program in people with Chronic Low-back Pain and Overweight or Obesity, run by Vrije Universiteit Brussel at 2 sites in 2 countries.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
Search all trials

Trial summary

We will recruit overweight/ obese participants between the age of 18 and 65 with chronic nonspecific low back pain . The participants will be randomly assigned to one of two interventions (each lasting 10 weeks). Read more about this study

Who is it for?
Ages 18 to 65 years
Conditions the study is for
Chronic Low-back Pain, Overweight or Obesity
What is being tested?
Pain Neuroscience Education, Cognition-targeted exercise therapy and Behavioral weight reduction program
Could I receive a placebo?
No, everyone receives an active treatment
How many people
84 participants
Where
2 sitesin 2 countries
Study dates
1 May 2025to 1 Dec 2027
Phase
Interventional
Are there results?
Not yet: the study is under way

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

Who may be able to join

  • Overweight (BMI ≥ 25 kg/m2) or obese (BMI ≥ 30 kg/m2) with chronic low back pain
  • Non-specific low back pain for at least 3 months' duration
  • Currently seeking care for low back pain
  • Native Dutch speaker
  • Access to internet and computer/tablet/smartphone

Who cannot join

  • Leg pain of 7 or higher (on a maximum of 10) on a numeric rating scale
  • Evidence of specific spinal pathology (e.g., hernia, spinal stenosis, spondylolisthesis, infection, spinal fracture or malignancy)
  • Evidence of a severe underlying comorbidity (e.g. diabetes, cardiovascular problems, metabolic diseases)
  • BMI ≥ 40 kg/m2
  • Being pregnant or given birth in the preceding year
  • Currently receiving dietary or exercise interventions

Trial locations and contacts

2 sites in 2 countries. Contact the study team or a site near you to ask about taking part.

Anneleen Malfliet, PhD contact

003224774503

anneleen.malfliet@vub.be

2 sites in 2 countries

Belgium1 site, 1 recruiting
  • Vrije Universiteit Brussel

    Brussels

    Anneleen Malfliet, PhD, anneleen.malfliet@vub.be

    Recruiting

Other trials in Belgium

Netherlands1 site, 1 recruiting
  • Rotterdam University of Applied Sciences

    Rotterdam

    Lennard Voogt, PhD

    Recruiting

Other trials in Netherlands

About this study

Official title: The Added Value of a Behavioral Weight Reduction Program to Blended Rehabilitation in Patients With Chronic Low Back Pain: A Randomized Clinical Trial

We will recruit overweight/ obese participants between the age of 18 and 65 with chronic nonspecific low back pain . The participants will be randomly assigned to one of two interventions (each lasting 10 weeks). All interventions will be delivered in a blended format and will be a combination of online education material and face-to-face sessions with a physical therapist. The first group (experimental intervention) will receive a behavioral weight reduction program combined with pain neuroscience education plus cognition-targeted exercise therapy. Participants in the second group (control intervention) will receive pain neuroscience education and cognition-targeted exercise therapy alone. Allocation to the groups will be at random. Participants and assessors will be blinded for group allocation. The primary outcomes is pain intensity. Secondary outcomes include other pain related outcomes, body composition, physical activity, sedentary behavior, dietary intake and function.

Being tested
Pain Neuroscience Education, Cognition-targeted exercise therapy, Behavioral weight reduction program
Keywords
chronic low back pain, chronic pain, physiotherapy, physical therapy, weight reduction, pain management
Medical subject headings
Overweight, Obesity, Chronic Pain, Weight Loss, Agnosia

What participants receive

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

  • Pain Neuroscience EducationBehavioural

    Also called Pain Education

    Increase pain coping skills and educating the patients that pain is in the brain, and that hypersensitivity of the central nervous system rather than local tissue damage contributes to their symptoms.

  • Cognition-targeted exercise therapyBehavioural

    Daily (physical) activity and exercise therapy. To confront the patient with movements and activities that are feared, avoided and/or painful using a gradual and cognition-targeted approach.

  • Behavioral weight reduction programBehavioural

    Changes in diet, behavior and a physical exercise to reach weight loss. It will include a lifestyle approach, incorporating behavioral theories and constructs to assist and facilitate healthy energy balance related behavior.

Study groups in NCT04824248
Study groupRoleWhat they receive
Experimental interventionExperimental10 weeks blended therapy delivered using a blended approach. The blended (online and on site) therapy consists of instructive video's, challenges to complete, 1-on-1 sessions with the therapist, online quizzes, online booklets, and online diaries/workbooks. . The experimental group will receive a behavioral weight reduction program combined with pain neuroscience education plus cognition-targeted exercise therapy. The combined therapy will adhere to guidelines for patient-centered care
Receives: Behavioral: Pain Neuroscience Education; Behavioral: Cognition-targeted exercise therapy; Behavioral: Behavioral weight reduction program
Control interventionActive comparatorIdentically to the experimental intervention, the therapy is provided in a blended format within 10 weeks. Also identical to the experimental intervention, the control intervention will adhere to guidelines for patient-centered care. The control group will receive pain neuroscience education in combination with cognition-targeted exercise therapy alone.
Receives: Behavioral: Pain Neuroscience Education; Behavioral: Cognition-targeted exercise therapy

What is being measured

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

  1. Brief Pain inventory (BPI)

    Questionnaire for assessing clinical pain

    Measured: Change from baseline to 6 months (T3) after therapy completion

  2. Brief Pain inventory (BPI)

    Questionnaire for assessing clinical pain

    Measured: Difference between groups at 6 months (T3) after therapy completion

Secondary outcomes (43)
  1. Brief Pain inventory (BPI)

    Questionnaire for assessing clinical pain

    Measured: Baseline assessment (T0)

  2. Brief Pain inventory (BPI)

    Questionnaire for assessing clinical pain

    Measured: T1 assessment directly post treatment (i.e. 10 weeks after baseline)

  3. Brief Pain inventory (BPI)

    Questionnaire for assessing clinical pain

    Measured: T2-assessment 3 months after therapy completion

  4. Brief Pain inventory (BPI)

    Questionnaire for assessing clinical pain

    Measured: T3-assessment 6 months after therapy completion

  5. Central sensitization inventory (CSI)

    Questionnaire to asses self-reported signs of central sensitization and its overlapping symptoms.

    Measured: Baseline Assessment (T0)

  6. Central sensitization inventory (CSI)

    Questionnaire to asses self-reported signs of central sensitization and its overlapping symptoms.

    Measured: T1-assessment directly post-treatment (i.e. 10 weeks after baseline)

  7. Central sensitization inventory (CSI)

    Questionnaire to asses self-reported signs of central sensitization and its overlapping symptoms.

    Measured: T2-assessment 3 months after therapy completion

  8. Central sensitization inventory (CSI)

    Questionnaire to asses self-reported signs of central sensitization and its overlapping symptoms.

    Measured: T3-assessment 6 months after therapy completion

  9. TANITA Bio-electrical Impedance Analyzer

    Body weight measurement used to calculate BMI (= weight[kg] / height[m]²)

    Measured: Baseline assessment (T0)

  10. TANITA Bio-electrical Impedance Analyzer

    Body weight measurement used to calculate BMI (= weight[kg] / height[m]²)

    Measured: T1-assessment directly post-treatment (i.e. 10 weeks after baseline)

  11. TANITA Bio-electrical Impedance Analyzer

    Body weight measurement used to calculate BMI (= weight[kg] / height[m]²)

    Measured: T3-assessment 6 months after therapy completion

  12. SECA wall-fixed SECA wall-fixed stadiometer

    Body height measurement used to calculate BMI (= weight[kg] / height[m]²)

    Measured: Baseline measurement

  13. SECA wall-fixed SECA wall-fixed stadiometer

    Body height measurement used to calculate BMI (= weight[kg] / height[m]²)

    Measured: T1-assessment directly post-treatment (i.e. 10 weeks after baseline)

  14. SECA wall-fixed SECA wall-fixed stadiometer

    Body height measurement used to calculate BMI (= weight[kg] / height[m]²)

    Measured: T3-assessment 6 months after therapy completion

  15. TANITA MC-780SMA Bio-electrical Impedance Analyzer - body fat

    Body composition measurement - body fat

    Measured: Baseline

  16. TANITA MC-780SMA Bio-electrical Impedance Analyzer - body fat

    Body composition measurement - body fat

    Measured: T1-assessment directly post-treatment (i.e. 10 weeks after baseline)

  17. TANITA MC-780SMA Bio-electrical Impedance Analyzer - body fat

    Body composition measurement - body fat

    Measured: T3-assessment 6 months after therapy completion

  18. TANITA MC-780SMA Bio-electrical Impedance Analyzer - fat free mass

    Body composition measurement - fat free mass

    Measured: Baseline

  19. TANITA MC-780SMA Bio-electrical Impedance Analyzer - fat free mass

    Body composition measurement - fat free mass

    Measured: T1-assessment directly post-treatment (i.e. 10 weeks after baseline)

  20. TANITA MC-780SMA Bio-electrical Impedance Analyzer - fat free mass

    Body composition measurement - fat free mass

    Measured: T3-assessment 6 months after therapy completion

  21. TANITA MC-780SMA Bio-electrical Impedance Analyzer - hydration status

    Body composition measurement - hydration status

    Measured: Baseline

  22. TANITA MC-780SMA Bio-electrical Impedance Analyzer - hydration status

    Body composition measurement - hydration status

    Measured: T1-assessment directly post-treatment (i.e. 10 weeks after baseline)

  23. TANITA MC-780SMA Bio-electrical Impedance Analyzer - hydration status

    Body composition measurement - hydration status

    Measured: T3-assessment 6 months after therapy completion

  24. Food Frequency Questionnaire

    Self report questionnaire to asses dietary intake

    Measured: Baseline

  25. Food Frequency Questionnaire

    Self report questionnaire to asses dietary intake

    Measured: T1-assessment directly post-treatment (i.e. 10 weeks after baseline)

  26. Food Frequency Questionnaire

    Self report questionnaire to asses dietary intake

    Measured: T2-assessment 3 months after therapy completion

  27. Food Frequency Questionnaire

    Self report questionnaire to asses dietary intake

    Measured: T3-assessment 6 months after therapy completion

  28. International Physical Activity Questionnaire (IPAQ)

    Self report questionnaire to asses physical activity

    Measured: Baseline

  29. International Physical Activity Questionnaire (IPAQ)

    Self report questionnaire to asses physical activity

    Measured: T1-assessment directly post-treatment (i.e. 10 weeks after baseline)

  30. International Physical Activity Questionnaire (IPAQ)

    Self report questionnaire to asses physical activity

    Measured: T2-assessment 3 months after therapy completion

  31. International Physical Activity Questionnaire (IPAQ)

    Self report questionnaire to asses physical activity

    Measured: T3-assessment 6 months after therapy completion

  32. Sedentary Behavior Questionnaire of Busschaert et a

    Self report questionnaire to asses sedentary behavior

    Measured: Baseline

  33. Sedentary Behavior Questionnaire of Busschaert et a

    Self report questionnaire to asses sedentary behavior

    Measured: T1-assessment directly post-treatment (i.e. 10 weeks after baseline)

  34. Sedentary Behavior Questionnaire of Busschaert et a

    Self report questionnaire to asses sedentary behavior

    Measured: T2-assessment 3 months after therapy completion

  35. Sedentary Behavior Questionnaire of Busschaert et a

    Self report questionnaire to asses sedentary behavior

    Measured: T3-assessment 6 months after therapy completion

  36. The Short Form Health Survey-36 items (SF-36)

    Self report questionnaire to evaluate functional status and well-being or quality of life

    Measured: Baseline

  37. The Short Form Health Survey-36 items (SF-36)

    Self report questionnaire to evaluate functional status and well-being or quality of life

    Measured: T1-assessment directly post-treatment (i.e. 10 weeks after baseline)

  38. The Short Form Health Survey-36 items (SF-36)

    Self report questionnaire to evaluate functional status and well-being or quality of life

    Measured: T2-assessment 3 months after therapy completion

  39. The Short Form Health Survey-36 items (SF-36)

    Self report questionnaire to evaluate functional status and well-being or quality of life

    Measured: T3-assessment 6 months after therapy completion

  40. Fear avoidance Beliefs Questionnaire

    Self report questionnaire to evaluate fear avoidance beliefs. Total score: 0 - 96 (min-max) Work Subscore: 0 - 66 (min-max) Physical Activity Subscore: 0 - 30 (min-max) Higher scores indicate more fear, pain and disability.

    Measured: Baseline

  41. Fear avoidance Beliefs Questionnaire

    Self report questionnaire to evaluate fear avoidance beliefs. Total score: 0 - 96 (min-max) Work Subscore: 0 - 66 (min-max) Physical Activity Subscore: 0 - 30 (min-max) Higher scores indicate more fear, pain and disability.

    Measured: T1-assessment directly post-treatment (i.e. 10 weeks after baseline)

  42. Fear avoidance Beliefs Questionnaire

    Self report questionnaire to evaluate fear avoidance beliefs. Total score: 0 - 96 (min-max) Work Subscore: 0 - 66 (min-max) Physical Activity Subscore: 0 - 30 (min-max) Higher scores indicate more fear, pain and disability.

    Measured: T2-assessment 3 months after therapy completion

  43. Fear avoidance Beliefs Questionnaire

    Self report questionnaire to evaluate fear avoidance beliefs. Total score: 0 - 96 (min-max) Work Subscore: 0 - 66 (min-max) Physical Activity Subscore: 0 - 30 (min-max) Higher scores indicate more fear, pain and disability.

    Measured: T3-assessment 6 months after therapy completion

Timeline

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

  1. First posted1 Apr 2021
  2. Study start1 May 2025
  3. Primary completion1 Dec 2027 (estimated)
  4. Study completion1 Dec 2027 (estimated)

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
Model description
Randomized controlled clinical trial, including two comparative, balanced online treatment arms.
Masking
Triple blind
Who is masked
Participant, Investigator, Outcomes assessor
Enrolment
84 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04824248
Sponsor's protocol ID
B.U.N. 1432021000411
Status last verified
Aug 2026
First submitted
24 Mar 2021
Last updated
20 Aug 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A study testing Pain Neuroscience Education, Cognition-targeted exercise therapy and Behavioral weight reduction program in people with Chronic Low-back Pain and Overweight or Obesity, run by Vrije Universiteit Brussel at 2 sites in 2 countries.

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 5 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: looking for participants now, as of the sponsor's last update on 20 Aug 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 2 sites in Belgium, Netherlands. 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?

This study is still under way. Results are not available in the source record yet.

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

Contact Anneleen Malfliet, PhD (003224774503, anneleen.malfliet@vub.be), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Brief Pain inventory (BPI) (time frame: Change from baseline to 6 months (T3) after therapy completion). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 20 Aug 2026; AzTrials last refreshed its copy on 27 Oct 2026.

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