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| ID | Type | Description | Link |
|---|---|---|---|
| 2024-514769-20-00 | EU Trial (CTIS) Number |
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Low back pain is one of the conditions causing more disability worldwide. The use of pain medications is substantial in patients with chronic LBP. But the efficacy of commonly used analgesics is modest. More than half of patients with chronic LBP also has sleep problems. In recent years, some preliminary studies have shown a promising effect of melatonin for the treatment of pain.
The objective of this study is to investigate the efficacy of melatonin, relative to placebo, in patients with chronic LBP.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Placebo | Placebo Comparator |
| |
| Melatonin | Experimental | 10mg of melatonin daily for a period of 6 weeks |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Melatonin 10 mg | Drug | 10 mg melatonin daily for a period of 6 weeks |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Change in low back pain intensity | Change in low back pain intensity (average pain intensity past 7 days), measured on a 0-10 Numeric Rating Scale (NRS) where 0 means no pain and 10 means worst pain imaginable, from baseline to 6 weeks | from baseline to end of treatment at 6 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Back pain-related disability (RMDQ) | Back pain-related disability is measured using the Roland Morris Disability Questionnaire (RMDQ). The RMDQ outcome ranges from 0-24, where a higher score means more disability. | baseline to end of treatment at 6 weeks and 3 months and 6 months follow-up |
| Global perceived effect score |
| Measure | Description | Time Frame |
|---|---|---|
| Activity patterns measured using a GENEActiv activity tracker | A GENEActiv activity tracker is worn for a period of 7 days during the 6-week treatment period by a subgroup of 60 participants. This device can measure activity and sleep. This measure is use as an explorative objective and only descriptive statistics of the data will be given. GENEActiv software is used to analyse the data. | 7 days during treatment period |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Prof. dr. B.W. (Bart) Koes | Contact | 010-7035882 | b.koes@erasmusmc.nl |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Erasmus MC | Recruiting | Rotterdam | Netherlands |
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| ID | Term |
|---|---|
| D008550 | Melatonin |
| ID | Term |
|---|---|
| D014363 | Tryptamines |
| D007211 | Indoles |
| D006574 | Heterocyclic Compounds, 2-Ring |
| D000072471 | Heterocyclic Compounds, Fused-Ring |
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| Placebo |
| Drug |
Daily placebo for a period of 6 weeks |
|
Using Global perceived effect (GPE) questionnaire (7-point scale), where a score of 1 means highly satisfied/ great recovery and a score of 7 means highly dissatisfied / poor recovery. |
| baseline to end of treatment at 6 weeks and 3 months and 6 months follow-up |
| Physical and mental health measured using the PROMIS Global Health | Physical and mental health measured using the PROMIS Global Health questionnaire. A 10 items questionnaire, items are scored from 1-5 where a score of 5 is the best outcome and a score of 1 is the worst outcome. | baseline to end of treatment at 6 weeks and 3 months and 6 months follow-up |
| Health related quality of life measured using the EQ-5D-5L | Measured using the EQ-5D-5L (questionnaire). The EQ-5D-5L consists of the EQ-5D descriptive system and the EQ visual analogue scale (EQ VAS). The descriptive system comprises five dimensions: mobility, self-care, usual activities, pain/discomfort and anxiety/depression. Each dimension has 5 levels: no problems, slight problems, moderate problems, severe problems and extreme problems. The patient is asked to indicate his/her health state by ticking the box next to the most appropriate statement in each of the five dimensions. This decision results in a 1-digit number that expresses the level selected for that dimension. The digits for the five dimensions can be combined into a 5-digit number that describes the patient's health state. The EQ VAS (0-100) records the patient's self-rated health on a vertical visual analogue scale where the endpoints are labelled 'The best health you can imagine' and 'The worst health you can imagine'. | baseline to end of treatment at 6 weeks and 3 months and 6 months follow-up |
| Insomnia measured using the Insomnia Severity Index | Measured using the Insomnia Severity Index (ISI) (questionnaire). The questionnaire consists of 7 questions, all scored with a score ranging from 0-3. The total score ranges from 0 (no sleeping problems) to 28 (severe sleeping problems) | baseline to end of treatment at 6 weeks and 3 months and 6 months follow-up |
| Self-reported number of days with sick leave | Using a questionnaire | baseline to 3 months and 6 months follow-up |
| Emotional functioning using the Beck Depression Inventory (BDI) | Measured using the Beck Depression Inventory (BDI) (questionnaire). A 21-item questionnaire, every item is scored from 0-3. This leads to a total score from 0 (best outcome) to 63 (worst outcome) | baseline to end of treatment at 6 weeks |
| Pain-related anxiety measured using the Pain Anxiety Symptoms Scale | Measured using the Pain Anxiety Symptoms Scale (PASS) (questionnaire). A 40-item questionnaire (ranging from 0-200), where a high score means high pain related anxiety. | baseline to end of treatment at 6 weeks |
| Neuropathic pain measured using PainDETECT | Measured using PainDETECT (questionnaire). A 9-item questionnaire, with 7 weighted descriptor items (from never to very strongly) and 2 items related to spatial and temporal pain characteristics. A total score of 19 or more is indicative of likely neuropathic pain. | baseline to end of treatment at 6 weeks and 3 months and 6 months follow-up |
| Productivity losses measured using iMTA Productivity Cost Questionnaire | iMTA Productivity Cost Questionnaire is used. The questionnaire consists of 18 questions in total. To calculate the costs of production losses, volumes are multiplied by unit costs. | baseline to 3 months and 6 months follow-up |
| Direct costs of medical care measured using iMCQ Medical Consumption Questionnaire | Direct costs of medical care measured using iMCQ Medical Consumption Questionnaire. The questionnaire consists of 29 items. Questions are answered with yes/no, or participants are asked to fill in a number, for example "How many appointments with the physiotherapist did you have in the past 3 months?". The costs of medical consumption are calculated by multiplying measured volumes of care by the cost price per unit of care. | baseline to 3 months and 6 months follow-up |
| Adverse events | Using questionnaire according to the Common Terminology Criteria for Adverse Events (CTCAE) | baseline to end of treatment at 6 weeks and 3 months and 6 months follow-up |
| Sleep reports measured using a GENEActiv activity tracker | A GENEActiv activity tracker is worn for a period of 7 days during the 6-week treatment period by a subgroup of 60 participants. This device can measure activity and sleep. A sleep report is created using the GENEActiv software. This measure is used as an explorative measure, only descriptive statistics are done. | 7 days during treatment period |
| D006571 | Heterocyclic Compounds |
| D006728 | Hormones |
| D006730 | Hormones, Hormone Substitutes, and Hormone Antagonists |