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RecruitingNCT05963451Updated Sep 13, 2023

Brain, Psychological and Epigenetic Determinants for Optimizing the Treatment of Chronic Low Back Pain

An observational study in Chronic Low-back Pain, sponsored by Université de Sherbrooke. Recruiting at 1 site in Canada. Open to participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2023-09-13.

Sponsored by Université de Sherbrooke · Observational

Study type
Observational
Model
Other
Time perspective
Retrospective
Enrollment
80
Ages
18 Years to 75 Years
Sex
All
01

Study summary

The goal of this observational study is to better understand the role of the brain in chronic low back pain patients.

Read the detailed description

Chronic pain affects millions of people worldwide, and the main cardinal sign of any arthritis condition is pain. Several arthritis conditions can cause chronic low back pain (CLBP).The mechanisms that contribute to CLBP are not yet fully understood, but considering the role of the brain in the context of chronic pain, it is only logical to investigate structural and functional brain properties in CLBP, in order to improve diagnosis and treatment of this condition.

02

Conditions studied

  • Chronic Low-back Pain
03

In context

Back Pain

2,373 studies on the registry are indexed under Back Pain; 284 are open to participants now.

This study's planned enrollment of 80 is below the median of 100 across 357 observational studies indexed under Back Pain.

Browse Back Pain studies →

Lead sponsor

Université de Sherbrooke is the lead sponsor of 289 studies on the registry; 68 are open to participants now.

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

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Who can participate

Ages eligible
18 Years to 75 Years
Sexes eligible
All
Sampling method
Non-probability sample

Study population

-People with CLBP who will have a thermoablation of medial lumbar branches by radiofrequency

Inclusion criteria

  • Low back pain (≥ 6 months) with or without pain radiating to the legs or radiating to the neck
  • Positive medial branch blocks, suggesting that the pain originates from the lumbar facet joints
  • Average pain intensity of ≥ 3/10 in the 24-hour period before the initial visit
  • Pain primarily localized in the lower back

Exclusion criteria

Exclusion Criteria:

  • Inadequate pain relief or relief of less than three months following selective thermoablation of medial lumbar branches by radiofrequency
  • Neurological, cardiovascular, or pulmonary disorders
  • Comorbid pain syndrome
  • History of surgical intervention in the back
  • A corticosteroid infiltration within the past year
  • Pregnancy (current or planned during the course of the study)
  • Contra-indication to Magnetic Resonance Imaging (MRI)
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Study design

Observational model
Other
Time perspective
Retrospective
Enrollment
80 participants (estimated)
Patient registry
No
Biospecimen retention
Samples with dna

Groups and cohorts

  • Chronic Low Back Pain (CLBP) group

    Participants who will took part in our study are people living with CLBP who will undergo facet thermal ablation treatment

    Other: No intervention

Interventions

  • OtherNo intervention

    No intervention will be given in our study since, the investigators are recruiting people who will receive already a facet thermal ablation.

06

What researchers measure

Primary outcomes

  1. Change of Grey matter volume

    Grey matter volume (milliliters cube) will be measured by acquiring a T1weighted (T1w) image using Magnetic Resonance Imaging.

    Time frame: Change from Baseline (1 week, 2 months and 4 months before their treatment) and after their treatment (at 2 months and 4 months post treatment)

  2. Change of Blood-oxygen level dependent (BOLD) response

    Blood-oxygen level dependent (BOLD) response will be measured by using functional Magnetic Resonance Imaging (fMRI).

    Time frame: Change from Baseline (1 week, 2 months and 4 months before their treatment) and after their treatment (at 2 months and 4 months post treatment)

  3. Change of Microstructural and connectivity properties of white matter tracts

    Microstructural and connectivity properties will be measured by using diffusion Magnetic Resonance Imaging (dMRI).

    Time frame: Change from Baseline (1 week, 2 months and 4 months before their treatment) and after their treatment (at 2 months and 4 months post treatment)

  4. Change of Brain's arteries system

    Brain vasculature will be measured by using Time-of-Flight Magnetic Resonance Angiography (ToF MRA).

    Time frame: Change from Baseline (1 week, 2 months and 4 months before their treatment) and after their treatment (at 2 months and 4 months post treatment)

  5. Change of Brain's venous system

    Brain vasculature will be measured by using Susceptibility Weighted Imaging (SWI).

    Time frame: Change from Baseline (1 week, 2 months and 4 months before their treatment) and after their treatment (at 2 months and 4 months post treatment)

Secondary outcomes

  1. Change of Pain Severity score

    The investigators will use the Brief Pain Inventory-short form (BPI-SF). Measured on a numerical rating scale (0 = "no pain" to 10 = "worst pain imaginable"). Higher score means worse outcome.

    Time frame: Change from Baseline (1 week, 2 months and 4 months before their treatment) and after their treatment (at 2 months and 4 months post treatment)

  2. Change of Pain Interference score

    The investigators will use the Brief Pain Inventory-short form (BPI-SF). Measured on a numerical rating scale (0 = "no interference" to 10 = "complete interference"). Higher score means worse outcome.

    Time frame: Change from Baseline (1 week, 2 months and 4 months before their treatment) and after their treatment (at 2 months and 4 months post treatment)

  3. Change of Pain Catastrophizing score

    The investigators will use the Pain Catastrophizing-short form (PCS-SF). Measured on a 5-point Likert-scale (0 = "not at all" to 4 = "all the time"). Higher score means worse outcome.

    Time frame: Change from Baseline (1 week, 2 months and 4 months before their treatment) and after their treatment (at 2 months and 4 months post treatment)

  4. Change of Neuropathic pain components score

    The investigators will use the Pain detect. Seven items are measured on a rated on a 6-point Likert Scale (0 = "not at all" to 5 = "very strongly"). Higher score means worse outcome. 1 item based on pain behavior pattern score (-1, 0 or 1) and 1 item based on a radiation score (0 or 2).

    Time frame: Change from Baseline (1 week, 2 months and 4 months before their treatment) and after their treatment (at 2 months and 4 months post treatment)

  5. Change of Global function score

    The investigators will use the Pain Outcomes Questionnaire (POQ). Measured on a numeric rating scale (0 = "less symptoms" to 10= "more severe symptoms"). Higher score means worse outcome.

    Time frame: Change from Baseline (1 week, 2 months and 4 months before their treatment) and after their treatment (at 2 months and 4 months post treatment)

  6. Change of Anxiety score

    The investigators will use the State-Trait Anxiety Inventory (STAI-S/T). Measured on a 4-point Likert-scale (0 = "not at all" to 3 = "all the time").

    Time frame: Change from Baseline (1 week, 2 months and 4 months before their treatment) and after their treatment (at 2 months and 4 months post treatment)

  7. Change of Depression score

    The investigators will use the Beck Depression Inventory (BDI). Measured on a 4-point Likert-scale (0 = "less symptoms" to 3 = "more severe symptoms"). Higher score means worse outcome.

    Time frame: Change from Baseline (1 week, 2 months and 4 months before their treatment) and after their treatment (at 2 months and 4 months post treatment)

  8. Change of Fear of movement score

    The investigators will use the Tampa Scale of Kinesiophobia - short form (TSK-SF).Measured on a 4-point Likert-scale (0 = "Strongly Disagree" to 3 = "Strongly Agree"). Higher score means worse outcome.

    Time frame: Change from Baseline (1 week, 2 months and 4 months before their treatment) and after their treatment (at 2 months and 4 months post treatment)

  9. Change of Functional disability score

    The investigators will use the Oswestry Disability Index (ODI). Measured on a 6-point Likert Scale (0 = "less symptoms" to 5 = "more severe symptoms"). Higher score means worse outcome.

    Time frame: Change from Baseline (1 week, 2 months and 4 months before their treatment) and after their treatment (at 2 months and 4 months post treatment)

  10. Change of Insomnia severity score

    The investigators will use the Insomnia severity Index (ISI). Measured on a 5-point Likert scale (0 = "not at all" to 4 = "extremely"). Higher score means worse outcome.

    Time frame: Change from Baseline (1 week, 2 months and 4 months before their treatment) and after their treatment (at 2 months and 4 months post treatment)

  11. Number of traumatic events

    The investigators will use the Life Events Checklist (LEC). We will count the number of traumatic events.

    Time frame: Change from Baseline (4 weeks before their treatment) and after their treatment (at 4 months post treatment)

  12. Patient Expectations score

    The investigators will use the EXPECT Questionnaire. Measured on numerical rating scale (0 = "no change" to 10 = "complete relief"). Higher score means better outcome.

    Time frame: This will be acquired 1 week before their treatment

  13. Change of Global Impression score

    The investigators will use the Patients' Global Impression of Change (PGIC) scale. Measured on numerical rating scale (0 = "no change" to 10 = "complete relief"). Higher score means better outcome.

    Time frame: Change from Baseline (at 2 months post treatment) and after 2 months (at 4 months post treatment)

  14. Change Central sensitization component score

    The investigators will use the Central Sensitization Inventory - short form (CSI-SF). Measured on a 5-point Likert-scale (0 = "never" to 4 = "always"). Higher score means worse outcome.

    Time frame: Change from Baseline (1 week, 2 months and 4 months before their treatment) and after their treatment (at 2 months and 4 months post treatment)

  15. Patient Gender score

    The investigators will use a Short Gender Questionnaire (SGQ). Measured on a 5-point Likert-scale (1 = "not at all" to 5 = "extremely").

    Time frame: Change from Baseline (1 week, 2 months and 4 months before their treatment) and after their treatment (at 2 months and 4 months post treatment)

  16. Change Polygenic methylation score

    The investigators will acquire a saliva sample using a DNA kit to perform epigenetic analysis.

    Time frame: Change from Baseline (1 week, 2 months and 4 months before their treatment) and after their treatment (at 2 months and 4 months post treatment)

07

Study locations

1 of 1 sites recruiting
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References and documents

Individual participant data

Plan to share: No

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 Sep 13, 2023, 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
NCT05963451
Lead sponsor
Université de Sherbrooke
Responsible party
Sponsor
First posted
Jul 27, 2023
Start date
Sep 7, 2023 (estimated)
Primary completion
Jul 16, 2027 (estimated)
Completion
Jul 16, 2027 (estimated)
Last update
Sep 13, 2023

Study contacts

Pascal Tétreault, PhD
Contact
pascal.tetreault@usherbrooke.ca
819-346-1110 ext. 12858
Marylie Martel, PhD
Contact
marylie.martel@usherbrooke.ca

Oversight

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

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