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Active, not recruitingNCT03879447Updated Dec 23, 2025

Effectiveness and Safety of Korean Medicine for Low Back Pain or Sciatica Due to Lumbar Stenosis/Spondylolisthesis

An observational study in Lumbar Spinal Stenosis, Lumbar Spondylolisthesis and Low Back Pain, sponsored by Jaseng Medical Foundation. Active, not recruiting at 1 site in South Korea. Open to participants aged 19 Years to 75 Years. Per ClinicalTrials.gov, last updated 2025-12-23.

Sponsored by Jaseng Medical Foundation · Observational

Study type
Observational
Model
Case-only
Time perspective
Prospective
Enrollment
110
Ages
19 Years to 75 Years
Sex
All
01

Study summary

A prospective observational study investigating the effectiveness and safety of integrative Korean medicine treatment in lumbar stenosis or spondylolisthesis patients with low back pain or sciatica at 3 locations of Jaseng Hospital of Korean Medicine as assessed through of pain, functional disability, walking ability, and quality of life patient-reported outcomes

Read the detailed description

This is a prospective observational study to the aim of investigating the effectiveness and safety of integrative Korean medicine treatment (generally consisting of herbal medicine, Chuna manual medicine, bee venom pharmacopuncture and pharmacopuncture, acupuncture, electroacupuncture, and cupping) in lumbar stenosis or spondylolisthesis patients with low back pain or sciatica diagnosed by lumbar X-ray and/or MRI and clinical symptoms including neurogenic claudication at 3 locations of Jaseng Hospital of Korean Medicine (Bucheon, Daejeon, Busan (Haeundae)) as assessed through of pain, functional disability, walking ability, and quality of life patient-reported outcomes with a 5-year follow-up period

02

Conditions studied

  • Lumbar Spinal Stenosis
  • Lumbar Spondylolisthesis
  • Low Back Pain
  • Sciatica
  • Neurogenic Claudication

Keywords

  • Korean Medicine
  • Effectiveness
  • Numeric Rating Scale
  • Safety
  • Walking ability
  • Disability
03

In context

Spinal Stenosis

458 studies on the registry are indexed under Spinal Stenosis; 105 are open to participants now.

This study's enrollment of 110 is close to the median of 120 across 154 observational studies indexed under Spinal Stenosis.

Browse Spinal Stenosis studies →

Lead sponsor

Jaseng Medical Foundation is the lead sponsor of 69 studies on the registry; 11 are open to participants now.

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

04

Who can participate

Ages eligible
19 Years to 75 Years
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Lumbar stenosis or lumbar spondylolisthesis

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

  • Patients with radiating leg pain or low back pain (LBP) intensity of NRS ≥5
  • Patients diagnosed with lumbar stenosis based on dural sac cross-sectional area (DSCA) of \<100 mm2 or morphological grading ≥B as assessed on MRI; or patients diagnosed with lumbar spondylolisthesis based on Meyerding Grade Ⅱ or higher as assessed on X-ray
  • Clear neurogenic claudication symptoms (symptoms aggravated with walking, and alleviated upon resting in lumbar flexion position), if lumbar stenosis patient
  • Patients with plans of receiving Korean medicine treatment for lumbar spinal stenosis for ≥4 months
  • Patients who have agreed to study participation

Exclusion criteria

Exclusion Criteria:

  • Patients with vascular claudication
  • Patients with other systemic diseases that may interfere with treatment effect or outcome interpretation
  • Patients with soft tissue pathologies or pathologies of non-spinal origin that may cause LBP or radiating leg pain (e.g. spinal tumor, rheumatoid arthritis)
  • Patients for whom acupuncture treatment may be inappropriate or unsafe (e.g. hemorrhagic diseases, blood clotting disorders, history of anti-coagulation medicine intake, serious diabetes with risk of infection, severe cardiovascular diseases, or other conditions deemed unsuitable for acupuncture treatment)
  • Patients with medical history of spinal surgery within the past 3 months
  • Patients who were treated with invasive interventions such as Korean medicine treatment, injections, physical therapy, or with medicine that may potentially influence pain such as NSAIDs (nonsteroidal antiinflammatory drugs) within the past week
  • Pregnant patients or patients planning pregnancy
  • Patients with serious psychological disorders
  • Previous participation in other clinical studies within 1 month of current study enrollment, or plans to participate in other clinical studies during participation (including follow-up period) of the current study after study enrollment
  • Patients unable to fill out study participation consent form
  • Patients deemed unsuitable for study participation as assessed by the researchers
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Study design

Observational model
Case-only
Time perspective
Prospective
Enrollment
110 participants (actual)
Patient registry
No

Groups and cohorts

  • Lumbar stenosis group

    Lumbar stenosis patients will be administered integrative Korean medicine treatment consisting of herbal medicine, Chuna manual medicine, bee venom pharmacopuncture and pharmacopuncture, acupuncture, electroacupuncture, cupping, and other interventions, as needed.

    Drug: Herbal medicine · Procedure: Chuna manual medicine · Procedure: Bee venom pharmacopuncture · Procedure: Pharmacopuncture · Procedure: Acupuncture · Procedure: Electroacupuncture · Procedure: Cupping · Procedure: Other intervention(s)

  • Lumbar spondylolisthesis group

    Lumbar spondylolisthesis patients will be administered integrative Korean medicine treatment consisting of herbal medicine, Chuna manual medicine, bee venom pharmacopuncture and pharmacopuncture, acupuncture, electroacupuncture, cupping, and other interventions, as needed.

    Drug: Herbal medicine · Procedure: Chuna manual medicine · Procedure: Bee venom pharmacopuncture · Procedure: Pharmacopuncture · Procedure: Acupuncture · Procedure: Electroacupuncture · Procedure: Cupping · Procedure: Other intervention(s)

Interventions

  • DrugHerbal medicine

    Herbal medicine will be administered in water-based decoction (120ml) and dried powder (2g) form (Ostericum koreanum, Eucommia ulmoides, Acanthopanax sessiliflorus, Achyranthes japonica, Psoralea corylifolia, Saposhnikovia divaricata, Cibotium barometz, Lycium chinense, Boschniakia rossica, Cuscuta chinensis, Glycine max, Atractylodes japonica) at the physician's discretion.

    Also known as: Traditional herbal medicine

  • ProcedureChuna manual medicine

    Chuna is a Korean manual therapy directed at the spine and joints that incorporates various spinal manual medicine techniques for joint mobilization involving high-velocity, low amplitude thrusts to joints slightly beyond the passive range of motion and gentle force to joints within the passive range of movement. Chuna manual medicine will be administered to the pelvic, lumbar, thoracic, and cervical vertebrae at the physician's discretion.

    Also known as: Chuna manipulation, Chuna spinal manipulation

  • ProcedureBee venom pharmacopuncture

    Bee venom pharmacopuncture will be administered only after confirming a negative response to hypersensitivity skin test. Diluted bee venom (saline:bee venom ratio, 10,000:1) filtered for allergens will usually be injected at 4-5 acupoints proximal to the dysfunctional site at the physician's discretion. Each acupuncture point will be injected to a total of 0.5-1 cc using disposable injection needles (CPL, 1 cc, 26G x 1.5 syringe, Shinchang medical co., Korea).

    Also known as: Bee venom acupuncture, Bee venom

  • ProcedurePharmacopuncture

    Pharmacopuncture consisting of select herbal ingredients will be administered at Hyeopcheok (Huatuo Jiaji, EX B2), Ah-shi points and local acupuncture points using disposable injection needles (CPL, 1 cc, 26G x 1.5 syringe, Shinchang medical co., Korea) at the physician's discretion.

  • ProcedureAcupuncture

    Acupuncture treatment will be administered using mainly proximal acupuncture points and Ah-shi points.

  • ProcedureElectroacupuncture

    Electroacupuncture treatment will be administered using mainly proximal acupuncture points and Ah-shi points.

  • ProcedureCupping

    Cupping treatment will be administered at 1-2 points using mainly proximal acupuncture points and Ah-shi points.

  • ProcedureOther intervention(s)

    Patients will be allowed any other additional intervention(s) as deemed necessary regardless of type or dose, and patterns of use will be investigated and recorded as a pragmatic clinical study.

06

What researchers measure

Primary outcomes

  1. Change in Numeric rating scale (NRS) of higher score at baseline out of low back pain or radiating leg pain

    Change from higher score at baseline out of low back pain or radiating leg pain intensity to same score at 4 months. Total score range: -10 (worse outcome) to 10 (better outcome)

    Time frame: Change from baseline to 4 months

Secondary outcomes

  1. Numeric rating scale (NRS) of low back pain

    Low back pain intensity for the past 3 days. Total score range: 0 (better outcome) to 10 (worse outcome)

    Time frame: Baseline, observation at least once a week for the duration of active treatment up to a maximum of 24 weeks (2, 4, 6, 8, 12, 16, 20, 24 weeks), 1, 3, 5 years

  2. Numeric rating scale (NRS) of radiating leg pain

    Radiating leg pain intensity for the past 3 days. Total score range: 0 (better outcome) to 10 (worse outcome)

    Time frame: Baseline, observation at least once a week for the duration of active treatment up to a maximum of 24 weeks (2, 4, 6, 8, 12, 16, 20, 24 weeks), 1, 3, 5 years

  3. Visual analogue scale (VAS) of low back pain

    Low back pain intensity for the past 3 days. Total score range: 0 (better outcome) to 100 (worse outcome)

    Time frame: Baseline, 2, 4, 6, 8, 12, 16, 20, 24 weeks, 1, 3, 5 years

  4. Visual analogue scale (VAS) of radiating leg pain

    Radiating leg pain intensity for the past 3 days. Total score range: 0 (better outcome) to 100 (worse outcome)

    Time frame: Baseline, 2, 4, 6, 8, 12, 16, 20, 24 weeks, 1, 3, 5 years

  5. Oswestry Disability Index (ODI)

    Functional disability questionnaire. The possible range of each item score is 0 to 5. Total score range: 0 (better outcome) to 100 (worse outcome)

    Time frame: Baseline, 2, 4, 6, 8, 12, 16, 20, 24 weeks, 1, 3, 5 years

  6. Pain-free walking distance (average of the past 3 days)

    Walking ability. Average pain-free walking distance during the past 3 days as recalled at each timepoint defined in Time Frame. Total score range: 0 (worse outcome) to no maximum limit (better outcome)

    Time frame: Baseline, 2, 4, 6, 8, 12, 16, 20, 24 weeks, 1, 3, 5 years

  7. Maximum walking distance (average of the past 3 days)

    Walking ability. Average maximum walking distance during the past 3 days as recalled at each timepoint defined in Time Frame. Total score range: 0 (worse outcome) to no maximum limit (better outcome)

    Time frame: Baseline, 2, 4, 6, 8, 12, 16, 20, 24 weeks, 1, 3, 5 years

  8. Zurich Claudication Questionnaire

    Claudication questionnaire. There are 12 questions for all patients, and a further 6 questions to measure treatment outcomes for those who have received treatment. The The Zurich Claudication Questionnaire consists of three subscales: (1) Symptom severity scale (items 1-7) which are subdivided into a pain domain (items 1-4) and a neuroischemic domain (items 5-7)\]: The possible range of each item score is 1 to 5. (2) Physical function scale (items 8-12): The possible range of each item score is 1 to 4. (3) Patient satisfaction with treatment scale (questions 13-18): The possible range of each item score is 1 to 4. The result is expressed as a percentage of the maximum possible score. Total score range: 0% (better outcome) to 100% (worse outcome)

    Time frame: Baseline, 4, 8, 12, 16, 20, 24 weeks, 1, 3, 5 years

  9. EuroQol 5-dimensions 5-levels (EQ-5D-5L)

    Health-related quality of life questionnaire. Total score range: 11111 (better outcome) to 55555 (worse outcome)

    Time frame: Baseline, 2, 4, 6, 8, 12, 16, 20, 24 weeks, 1, 3, 5 years

  10. Patient Global Impression of Change (PGIC)

    Global patient-reported outcome. Total score range: 1 (better outcome) to 7 (worse outcome)

    Time frame: 8, 16, 20, 24 weeks, 1, 3, 5 years

  11. Use of other intervention(s)

    Use of any other additional intervention(s) other than the integrative Korean medicine treatment administered by the attending physician (start date of treatment, end date of treatment, name of treatment, number of treatment sessions received, and other comments)

    Time frame: Baseline, 2, 4, 6, 8, 12, 16, 20, 24 weeks, 1, 3, 5 years

  12. Physical examination

    Lumbar physical examination

    Time frame: Baseline, 2, 4, 6, 8, 12, 16, 20, 24 weeks, 1, 3, 5 years

  13. Adverse reaction

    Safety

    Time frame: Baseline, every visit for the duration of active treatment up to a maximum of 24 weeks (2, 4, 6, 8, 12, 16, 20, 24 weeks), 1, 3, 5 years

  14. SF-36

    The Short Form (36) Health Survey is a 36-item, patient-reported survey of patient health. The SF-36 consists of eight scaled scores, which are the weighted sums of the questions in their section. Each scale is directly transformed into a 0-100 scale on the assumption that each question carries equal weight. The lower the score the more disability. The higher the score the less disability i.e., a score of zero is equivalent to maximum disability and a score of 100 is equivalent to no disability.

    Time frame: [Time Frame: Baseline, 4, 8, 12, 16, 20, 24 weeks, 1, 3, 5 years]

  15. EQ-VAS

    The EQ VAS records the respondent's self-rated health on a 20 cm vertical, visual analogue scale with endpoints labelled 'the best health you can imagine' and 'the worst health you can imagine'.

    Time frame: Baseline, 2, 4, 6, 8, 12, 16, 20, 24 weeks, 1, 3, 5 years

07

Study locations

1 site
  • Jaseng Medical Foundation
    Seoul, South Korea
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

Ran from Jun 2019 to primary completion in Mar 2022, 32 months.

Of 62 non-industry observational studies under Spinal Stenosis, half reached primary completion within 43 months of starting (the median), counting those still running; a quarter within 21 and three quarters within 84. This study's 32 months is below that.

Counting every sponsor, half of 78 studies reached it within 51 months; a quarter within 23 and three quarters within 84.

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

Registered
Mar 5, 2019
First posted
Mar 18, 2019
StartActual
Jun 24, 2019
Primary completionActual
Mar 3, 2022
CompletionEst.
Dec 2027
Last update
Dec 23, 2025
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 Dec 23, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT03879447
Lead sponsor
Jaseng Medical Foundation
Responsible party
In-Hyuk Ha, KMD (Director, Jaseng Medical Foundation) — Principal investigator
First posted
Mar 18, 2019
Start date
Jun 24, 2019
Primary completion
Mar 3, 2022
Completion
Dec 2027 (estimated)
Last update
Dec 23, 2025

Study contacts

Sun-A Kim, KMD
principal investigator · Daejeon Jaseng Hospital of Korean Medicine
Hyun-Woo Cho, KMD
principal investigator · Haeundae Jaseng Hospital of Korean Medicine
Ji-Yun Seo, KMD
principal investigator · Bucheon Jaseng Hospital of Korean Medicine
Kyoung-Sun Park, KMD
principal investigator · Jaseng Hospital of Korean Medicine

Oversight

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

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