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CompletedNCT03347929NISUpdated Oct 5, 2023

NSAIDs in Sciatica NSAIDS IN SCIATICA

A Phase 4 interventional study of Naproxen 500 Mg and Placebo in Sciatica, sponsored by Ostfold Hospital Trust. Completed at 4 sites in Norway. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2023-10-05.

Sponsored by Ostfold Hospital Trust · Phase 4, Interventional, and Treatment

Phase
Phase 4
Study type
Interventional
Enrollment
123
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

This study will evaluate whether treatment with Naproxen 500 mg twice daily is superior to placebo for the improvement of leg pain in patients with sciatica. Half of patients will receive Naproxen while the other half will receive placebo.

Read the detailed description

Sciatica is an established term for pain radiating from the lower back or buttock into the leg, commonly caused by a disc herniation. Given their analgesic and anti-inflammatory mechanisms of action, NSAIDs (Non-steroidal anti-inflammatory drugs) have been, and are still being regarded as standard therapy for sciatica.

However, very few randomised controlled trials of NSAIDs have been undertaken in sciatica, and no study has showed clinically meaningful effects as compared to placebo.

Since NSAIDs involve the risk of serious gastrointestinal, vascular and renal side effects there is a strong need to clarify their potential beneficial effects in sciatica.

02

Conditions studied

  • Sciatica

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03

In context

Sciatica

149 studies on the registry are indexed under Sciatica; 31 are open to participants now.

This study's enrollment of 123 is above the median of 68 across 122 interventional studies indexed under Sciatica.

Browse Sciatica studies →

Lead sponsor

Ostfold Hospital Trust is the lead sponsor of 50 studies on the registry; 9 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Age ≥ 18 years
  • Radiating pain below the knee with a severity score of ≥4 on a 0-10 (NRS) in the previous 24 hours
  • Signs of nerve root/spinal nerve involvement as indicated by at least one of the following features; myotomal weakness, dermatomal sensory disturbances (e.g. sensory loss, self-reported tingling/numbness), diminished reflexes, radiating pain exacerbation by SLR

Exclusion criteria

Exclusion criteria:

  • Not able to read or speak Norwegian.
  • Unlikely to adhere to treatment and/ or complete follow-up (e.g ongoing serious psychiatric disease, drug abuse, plans to move)
  • Sciatica of known cause other than disc herniation or degenerative stenosis.
  • Neurogenic claudication, i.e. pain in the legs on walking or standing that resolves with sitting down or lumbar flexion.
  • Symptoms indicating immediate surgery: cauda equina syndrome or a progressive large paresis.
  • Women who attempt to conceive, are pregnant or breastfeeding.
  • Previous episodes of asthma, urticaria or allergic-type reactions after taking aspirin or other NSAIDs.
  • Active or history of peptic ulceration, gastrointestinal bleeding, or perforation.
  • Use of drugs known to increase upper gastrointestinal adverse events in combination with Naproxen: anticoagulants, aspirin (acetyl salicylic acid), serotonin reuptake inhibitors and systemic .
  • Hepatic enzyme (ASAT/ALAT) values above 1,5 x (ULN)
  • Renal function tests (creatinin/) outside normal range
  • Congestive heart failure, established ischaemic heart disease, peripheral arterial disease, and/or cerebrovascular disease.
  • Known to Naproxen or any of the (lactose, maize starch, povidone, sodium starch glycolate, talcum, magnesium stearate, polysorbate 80)
  • Ongoing treatment with aspirin, systemic corticosteroids, diuretics, ACE-inhibitors, lithium and anticoagulants
  • Scheduled for spinal surgery prior to end of study
  • Reservation against intake of gelatine (the capsules contains gelatine, which among other things is produced by ingredients from pigs)
Terms in these criteria, in plain language(5)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

GFR and eGFR (kidney filtering)

GFR (glomerular filtration rate) is how much blood the kidneys filter each minute. It is usually estimated from a blood test — eGFR, by formulas such as CKD-EPI or MDRD — and some studies ask for it to be measured directly instead. Usually given in mL/min/1.73 m².

Check the method, the units and the minimum the study states. A value of 90 or above is in the normal-or-high range, but kidney damage can show in other tests too.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Excipients

The other ingredients in a medicine besides the active drug, such as fillers, colours or preservatives.

05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
123 participants (actual)

Study arms

  • Experimental
    Naproxen

    Naproxen 500 mg twice daily

    Drug: Naproxen 500 Mg

  • Placebo comparator
    Placebo

    Placebo 1 tablet twice daily

    Drug: Placebo

Interventions

  • 10 days treatment with Naproxen 500 mg twice daily

  • DrugPlacebo

    10 days treatment with Placebo1 tablet twice daily

06

What researchers measure

Primary outcomes

  1. Leg pain

    A 0-10 numeric rating scale of average leg pain intensity in the previous 24 hours

    Time frame: Daily from baseline to day10

Secondary outcomes

  1. Back pain

    24 h average back pain will be assessed by a 0-10 numeric rating scale

    Time frame: Daily from baseline to day10

  2. Disability

    Roland Morris Disability Questionnaire modified for use in sciatica

    Time frame: Day 0, day 5, day, day 10, day 12

  3. Sciatica symptoms

    Sciatica Bothersomeness Index

    Time frame: Day 0, day 5, day, day 10, day 12

  4. Work

    Ability to work and study as normal

    Time frame: Day 0, day 10, day 12

  5. Improvement

    Global perceived change of sciatica/back problem on a verbal rating scale (Completely gone, much better, better, a little better, no change, a little worse, worse and much worse).

    Time frame: Day 5, day 10

  6. Rescue medication

    Intake of Paracetamol 500 mg tablets (rescue medication) for pain

    Time frame: Daily from day1 to day10

  7. Opioid medication

    Intake of opioid medication (weak or strong) for pain

    Time frame: Daily from day1 to day10

  8. Responder

    \>30% and \>50% reduction in leg pain relative to baseline

    Time frame: Day 5, day 10

07

Study locations

4 sites
  • Revmatologisk avdeling, Sykehuset Østfold Moss
    Moss, 1714, Norway
  • Avdeling for fysikalsk medisin og rehabilitering, Oslo University Hospital
    Oslo, 0424, Norway
  • Fysikalsk medisinsk poliklinikk, Sykehuset Telemark
    Porsgrunn, 3710, Norway
  • Avdeling for fysikalsk medisin og rehabilitering, Stavanger Universitetssjukehus
    Stavanger, 4068, Norway
08

References and documents

Publications

  • Grovle L, Hasvik E, Holst R, Haugen AJ. NSAIDs in sciatica (NIS): study protocol for an investigator-initiated multicentre, randomized placebo-controlled trial of naproxen in patients with sciatica. Trials. 2022 Jun 14;23(1):493. doi: 10.1186/s13063-022-06441-3. PubMed 35701830 ↗

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: No

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Oct 5, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03347929
Lead sponsor
Ostfold Hospital Trust
Collaborators
Vestre Viken Hospital Trust, Sykehuset Telemark, Helse Stavanger HF, Oslo University Hospital
Responsible party
Sponsor
First posted
Nov 20, 2017
Start date
Nov 30, 2017
Primary completion
Jun 22, 2023
Completion
Jun 22, 2023
Last update
Oct 5, 2023

Study contacts

Waleed Ghanima, MD,PhD
study director · Ostfold Hospital Trust
Anne Haugen, MD,PhD
principal investigator · Ostfold Hospital Trust

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jul 2023. You cannot join it, but the record below documents what was studied.

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Discussion

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Studies of the drug tested here: Naproxen

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