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RecruitingNCT05058287Updated Apr 28, 2026

Lumbar Steroid Use in Patients Undergoing Posterior Lumbar Decompression

A Phase 3 interventional study of Depo-Medrol 40Mg/Ml Suspension for Injection and Placebo in Opioid Use, Lumbar Spinal Stenosis and Pain, Postoperative, sponsored by Hospital for Special Surgery, New York. Recruiting at 1 site in United States. Open to participants aged 18 Years to 85 Years. Per ClinicalTrials.gov, last updated 2026-04-28.

Sponsored by Hospital for Special Surgery, New York · Phase 3, Interventional, and Treatment

From the registry’s dates

  • Started Nov 2021; still recruiting 5 years later.
Phase
Phase 3
Study type
Interventional
Enrollment
150
Allocation
Randomized
Ages
18 Years to 85 Years
Sex
All
01

Study summary

This study seeks to evaluate the impact of intra-operative topical epidural steroid usage in patients undergoing 1-2 level lumbar laminectomy. The study will examine post-operative opioid usage, length of stay, return to work, and patient reported outcomes following these procedures.

Read the detailed description

This is a randomized controlled trial seeking to evaluate the impact of intra-operative topical epidural steroid usage in patients undergoing 1- to 2- level lumbar laminectomies. Subjects enrolled in this study will be randomized to one of two treatments: either 40 mg Depo-Medrol or 1 mL of sterile normal saline will be applied to the surgical wound prior to closure. The study will examine post-operative opioid usage, length of stay, return to work, and patient reported outcomes following these procedures. Subjects will be assessed pre-operatively, while admitted for surgery, and postoperatively daily for two weeks, then again at 1- and 3- months.

02

Conditions studied

  • Opioid Use
  • Lumbar Spinal Stenosis
  • Pain, Postoperative
  • Pain, Back
03

In context

Spinal Stenosis

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

This study's planned enrollment of 150 is above the median of 80 across 281 interventional studies indexed under Spinal Stenosis.

Browse Spinal Stenosis studies →

Lead sponsor

Hospital for Special Surgery, New York is the lead sponsor of 226 studies on the registry; 40 are open to participants now.

Of its 30 completed or terminated interventional studies of FDA-regulated products, 22 (73%) have results posted.

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

04

Who can participate

Ages eligible
18 Years to 85 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

  • Patients scheduled to undergo 1 to 2 level laminectomy
  • Between the ages of 18-85

Exclusion criteria

Exclusion Criteria:

  • Minimally invasive surgery
  • Prior daily opioid usage within 6 months.
  • Use of concomitant procedures such as spinal fusion, revision procedure at the same level.
  • History of a chronic pain syndrome, uncontrolled diabetes defined as > 6.5, condition such as active cancer treatment, history of transplant, benign prostatic hyperplasia or history of urinary retention, and other conditions which require chronic therapy or immunosuppressants.
  • Non-English speakers
  • Patients allergic to Depo-Medrol and/or glucocorticoids, or other steroids
Terms in these criteria, in plain language(3)

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.

HbA1c

A blood test of average blood sugar over the past two to three months, given as a percentage or in mmol/mol. 6.5% (48 mmol/mol) or more is the usual threshold for diabetes, normally confirmed by a second test.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

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.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
150 participants (estimated)

Study arms

  • Experimental
    Group 1: Topical Steroid

    Drug: Depo-Medrol 40Mg/Ml Suspension for Injection

  • Placebo comparator
    Group 2: Topical Normal Saline

    Drug: Placebo

Interventions

  • DrugDepo-Medrol 40Mg/Ml Suspension for Injection

    Drug page: Methylprednisolone Acetate

    40mg Depo-Medrol mixed with hemostatic matrix

  • DrugPlacebo

    1 mL of sterile normal saline mixed with hemostatic matrix

06

What researchers measure

Primary outcomes

  1. Opioid use total [Both Groups]

    Number \& dose of opioid taken converted to oral morphine equivalents post-operatively in hospital

    Time frame: In hospital, pre-discharge

  2. Opioid use total [Both Groups]

    Number \& dose of opioid taken converted to oral morphine equivalents post-operatively post-discharge

    Time frame: Every day for 14 days post- discharge

  3. Opioid consumption [Both Groups]

    Is participant still taking post-op opioids

    Time frame: 6-Week Post-Op

  4. Opioid consumption [Both Groups]

    Is participant still taking post-op opioids

    Time frame: 3-Months Post-Op

Secondary outcomes

  1. Numeric Rating Pain Scale [Both Groups]

    Baseline pain as measured through the NRS 0: None; 1,2,3: Mild; 4,5,6: Moderate; 7,8,9,10: Severe

    Time frame: pre-operative

  2. Numeric Rating Pain Scale [Both Groups]

    Change in baseline pain as measured through the NRS Scale: 0-10 0: None; 1,2,3: Mild; 4,5,6: Moderate; 7,8,9,10: Severe;

    Time frame: every day for 14 days post-op

  3. Numeric Rating Pain Scale [Both Groups]

    Change in baseline pain as measured through the NRS Scale: 0-10 0: None; 1,2,3: Mild; 4,5,6: Moderate; 7,8,9,10: Severe

    Time frame: 6-week

  4. Numeric Rating Pain Scale [Both Groups]

    Change in baseline pain as measured through the NRS Scale: 0-10 0: None; 1,2,3: Mild; 4,5,6: Moderate; 7,8,9,10: Severe

    Time frame: 3-month follow up

  5. Veterans Rand 12-Item Health Survey [Both Groups]

    Baseline pain as measured through VR-12

    Time frame: pre-operative

  6. Veterans Rand 12-Item Health Survey [Both Groups]

    Change in baseline pain as measured through VR-12

    Time frame: 2 week post-op

  7. Veterans Rand 12-Item Health Survey [Both Groups]

    Change in baseline pain as measured through VR-12

    Time frame: 6 week post-op

  8. Veterans Rand 12-Item Health Survey [Both Groups]

    Change in baseline pain as measured through VR-12

    Time frame: 3 month post-op

  9. Oswestry Low Back Pain Disability Questionnaire [Both Groups]

    Baseline pain as measured through ODI

    Time frame: pre-operative

  10. Oswestry Low Back Pain Disability Questionnaire [Both Groups]

    Change in baseline pain as measured through ODI

    Time frame: 2 week

  11. Oswestry Low Back Pain Disability Questionnaire [Both Groups]

    Change in baseline pain as measured through ODI

    Time frame: 6 week

  12. Oswestry Low Back Pain Disability Questionnaire [Both Groups]

    Change in baseline pain as measured through ODI

    Time frame: 3 month follow up

  13. Return to Work [Both Groups]

    Date participant returned to work

    Time frame: 2 week

  14. Return to Work [Both Groups]

    Date participant returned to work

    Time frame: 6 week

  15. Return to Work [Both Groups]

    Date participant returned to work

    Time frame: 3 month follow up

  16. Medical Complications [Both Groups]

    Any medical complications

    Time frame: 2 week

  17. Medical Complications [Both Groups]

    Any medical complications

    Time frame: 6 week

  18. Medical Complications [Both Groups]

    Any medical complications

    Time frame: 3 month follow up

  19. Re-admissions [Both Groups]

    Any re-admissions

    Time frame: 2 Week

  20. Re-admissions [Both Groups]

    Any re-admissions

    Time frame: 6 Week

  21. Re-admissions [Both Groups]

    Any re-admissions

    Time frame: 3 Month

07

Study locations

1 of 1 sites recruiting
08

References and documents

Individual participant data

Plan to share: Yes — We plan to share de-identified data after all study related activities are completed.

Supporting information: Clinical study report

Time frame: We plan to share de-identified data after all study related activities are completed for a minimum of 1 year.

Access criteria: The data will be posted through PRS

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 28, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05058287
Responsible party
Sponsor
First posted
Sep 27, 2021
Start date
Nov 5, 2021
Primary completion
Dec 31, 2026 (estimated)
Completion
Dec 31, 2026 (estimated)
Last update
Apr 28, 2026

Study contacts

Catherine Himo Gang, MPH
Contact
gangh@hss.edu
(917) 623-5416

Oversight

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

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Studies of the drug tested here: Methylprednisolone Acetate

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