ClinicalTrials.gg
RecruitingNCT03836248Updated Mar 6, 2026

Study of the Contribution of Osteopathic Treatment to Classic Medical Management in Patients With Chronic Low Back Pain

An interventional study of Osteopathic treatment and Sham osteopathic treatment in Chronic Low Back Pain, sponsored by Clinique Pasteur. Recruiting at 1 site in France. Open to participants aged 18 Years to 64 Years. Per ClinicalTrials.gov, last updated 2026-03-06.

Sponsored by Clinique Pasteur · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Started Oct 2019; still recruiting 7 years 1 month later.
Phase
Not applicable
Study type
Interventional
Enrollment
199
Allocation
Randomized
Ages
18 Years to 64 Years
Sex
All
01

Study summary

The management of chronic low back pain is now part of a multi-disciplinary set of proposals with the aim of adapting for each patient orientations of both medicated and non-medicated care.

Very classically, analgesic treatment of stage I or II is of use, reinforced by the occasional use of NSAIDs in the absence of contraindication. In this medical attempt of the control of the pain associates a physical care (supervised exercises, physiotherapy care), cognitive and behavioral therapy, multidisciplinary care.

Osteopathic treatment is a specific manual diagnostic and therapeutic procedure.

This study aims to evaluate the relevance of providing osteopathic treatment in combination with classical medical treatment in the management of patients with chronic non-specific low back pain.

Read the detailed description

The primary objective is to show that the addition of osteopathic treatment to classical medical treatment decreases pain for patients with chronic nonspecific low back pain.

This goal will be evaluated at 3 months by comparing

  • the 3-month change in the level of pain observed in arm 3 (classical medical treatment + osteopathic treatment) versus that observed in arm 1 (classical medical treatment), and
  • the 3-month change in the level of pain observed in arm 3 (classical medical treatment + osteopathic treatment) versus that observed in arm 2 (classical medical treatment+ sham osteopathic treatment ).
02

Conditions studied

  • Chronic Low Back Pain

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Keywords

  • Osteopathic treatment
  • Sham osteopathic treatment
  • Low back pain
03

In context

Low Back Pain

2,922 studies on the registry are indexed under Low Back Pain; 580 are open to participants now.

This study's planned enrollment of 199 is above the median of 60 across 2,364 interventional studies indexed under Low Back Pain.

Browse Low Back Pain studies →

Lead sponsor

Clinique Pasteur is the lead sponsor of 15 studies on the registry; 3 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 64 Years
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

  • Patient with chronic non-specific low back pain: degenerative lumbalgia and low back pain unrelated to anatomical lesions that have been evolving for more than 3 months.
  • Patient affiliated with a social security scheme or equivalent
  • Patient having signed the study form.

Exclusion criteria

Exclusion Criteria:

  • Patient with specific low back pain: patient with one of the following pathologies: degenerative neurological pathology; infectious pathology; fracture vertebral lesion less than 1 year; vertebral osteosynthesis material or canal narrowing.
  • Patient following a treatment of the Morphinic or Neuroleptic type.
  • Pregnant, breastfeeding or parturient woman
  • Patient participating in another clinical study
  • Protected patient: Major under some form of guardianship ; Hospitalized without consent
Terms in these criteria, in plain language(1)

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.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Investigator, Outcomes assessor)
Enrollment
199 participants (estimated)

Study arms

  • Other
    1-Current practice Medication treatment

    Medication treatment according to current practice.

    Other: Current practice Medication treatment

  • Sham comparator
    2- Sham osteopathic treatment

    Medication treatment according to current practice + sham osteopathic treatment.

    Other: Sham osteopathic treatment · Other: Current practice Medication treatment

  • Experimental
    3- Osteopathic treatment

    Medication treatment according to current practice + osteopathic treatment.

    Other: Osteopathic treatment · Other: Current practice Medication treatment

Interventions

  • OtherOsteopathic treatment

    5 osteopathic treatment sessions lasting 20 to 40 minutes. Each session include diagnosis according to the specific methodology "geometric model of osteopathy" and treatment of necessary elements and a control of osteopathic treatment at the end of the session.

  • OtherSham osteopathic treatment

    5 sham osteopathic treatment sessions lasting 20 to 40 minutes. Each session include diagnosis according to the specific methodology "geometric model of osteopathy" and only contacts for no intent to treat. At the end of the session a control of the sham osteopathic treatment is performed.

  • OtherCurrent practice Medication treatment

    Analgesic medication of level 1 or a combination of level 1 and 2. Acetaminophen 1 g x 3 / day Ibuprofen 400mg x 3 / day

06

What researchers measure

Primary outcomes

  1. Pain VAS Visual Analog Scale

    The primary outcome is the change in the VAS score on a 0-100 mm scale between Day 0 (before the placement of any osteopathic manipulations for Arm 3 ( or sham osteopathic treatment for Arm 2) and J90 ( after the last osteopathic treatment session for Arm 3 (sham osteopathic treatment for Arm 2)).

    Time frame: Change from baseline to 3 months

Secondary outcomes

  1. Pain VAS , level improvement

    The improvement of the pain level will be objectified by the measurement of the variation of the VAS score.

    Time frame: Baseline, Day 15, Month 1, Month 2, Month 3, Month 6

  2. Relief Numerical scale

    The intensity of relief will be objectified by measuring the variation of the "relief" score on a numerical scale. Numeric Scale Cotation between 0% (No Relief) to 100%(Full Relief)

    Time frame: Day 15, Month 1, Month 2, Month 3, Month 6

  3. Drug consumption

    Drug consumption will be collected by patients using a patient diary and converted to DDD ( Defined Daily Dose).

    Time frame: Baseline, Day 15, Month 1, Month 2, Month 3, Month 6

  4. Hand-Ground Distance and Schöber test

    The efficacy of functional and quality of life therapies will be assessed through functional clinical examinations (Hand-Ground Distance and Schöber test )

    Time frame: Baseline, Day 15, Month 1, Month 2, Month 3, Month 6

  5. Oswestry score

    The efficacy of functional and quality of life therapies will be assessed through the self questionnaire: the Oswestry questionnaire.

    Time frame: Baseline, Day 15, Month 1, Month 2, Month 3, Month 6

  6. Adverse event

    Adverse events will be collected and analyzed for each arm.

    Time frame: Day 15, Month 1, Month 2, Month 3, Month 6

  7. Elements of the osteopathic diagnosis

    The elements of the osteopathic diagnosis will be collected by the treating osteopaths at the beginning and at the end of each treatment. Exploratory outcome, osteopathic diagnosis will be assessed by an internal osteopath questionnaire specifying anatomical localization of identified dysfunctions.

    Time frame: Day 1, Day 7, Day 15, Month 1 Month 2

07

Study locations

1 of 1 sites recruiting
  • Clinique Pasteur
    Toulouse, 31076, France
    Recruiting
    • Barthélémy De Truchis de Varennes, MD · Contact
    • Barthélémy De Truchis de Varennes, MD · Principal investigator
    • Sophie Pugliese, MD · Sub investigator
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Oct 2019 (actual). Primary completion is estimated for Jun 2028, 104 months after the start.

Of 1,231 non-industry interventional studies with no phase under Low Back Pain, half reached primary completion within 11 months of starting (the median), counting those still running; a quarter within 5 and three quarters within 26. This study's planned 104 months is above that.

Counting every sponsor, half of 1,286 studies reached it within 11 months; a quarter within 5 and three quarters within 27.

How these figures are worked out, and which studies are left out of them.

Registered
Feb 7, 2019
First posted
Feb 11, 2019
StartActual
Oct 2, 2019
Primary completionEst.
Jun 2028
CompletionEst.
Sep 2028
Last update
Mar 6, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Mar 6, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03836248
Lead sponsor
Clinique Pasteur
Responsible party
Sponsor
First posted
Feb 11, 2019
Start date
Oct 2, 2019
Primary completion
Jun 2028 (estimated)
Completion
Sep 2028 (estimated)
Last update
Mar 6, 2026

Study contacts

Barthélémy De Truchis de Varennes, MD
Contact
bdetruchis@clinique-pasteur.com
+ 33 5 62 21 35 36
Barthélémy De Truchis de Varennes, MD
principal investigator · Clinique Pasteur
François Djabaku, DO
study chair
Barthélémy De Truchis de Varennes, MD
study chair · Clinique Pasteur

Oversight

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

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