ClinicalTrials.gg
Not yet recruitingNCT06099171Updated Dec 13, 2023

Therapy With Paravertebral Oxygen-ozone Injections and Topical Cannabidiol and β-Caryophyllene Patch in Neck Pain

A Phase 3 interventional study of Cannabidiol and β-Caryophyllene Patch and Oxygen-Ozone Therapy in Neck Pain, sponsored by Humanitas Clinical and Research Center. Not yet recruiting at 1 site in Italy. Open to participants aged 18 Years to 99 Years. Per ClinicalTrials.gov, last updated 2023-12-13.

Sponsored by Humanitas Clinical and Research Center · Phase 3, Interventional, and Treatment

From the registry’s dates

  • Primary completion was expected by Sep 2024, 2 years 2 months ago, but the record still lists the study as not yet recruiting.
Phase
Phase 3
Study type
Interventional
Enrollment
52
Allocation
Randomized
Ages
18 Years to 99 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 18 studies in Neck Pain with a site in Italy — 5 open to participants now, 5 under way, 2 of them phase 3. Neck Pain · Italy.

Planned enrollment
11th of 16
52 · median 70
Started
2024
with 1 other
Phase 3
3 of 18
1 open now
Registered
14th of 18
by date
Lead sponsor
1 of 18
Humanitas Clinical and Research Center

Among the 18 studies in Neck Pain with a site in Italy, this one is the 11th largest by planned enrollment of the 16 interventional ones that give a count, is one of 2 that started in 2024, is one of 3 in phase 3, and was the 14th registered.

Neck Pain

1,361 studies on the registry are indexed under Neck Pain; 300 are open to participants now.

Browse Neck Pain studies →

Open to participants now

5 of the 18 studies in Neck Pain with a site in Italy are open now. Recruiting first, the newest first:

All 5 open studies →

A study can be open while its sites in Italy have not opened yet or have stopped. Only those recruiting at a site in Italy →

Who these studies take

Of the 155 Neck Pain studies recruiting now, 25 (16%) set no upper age limit and 117 (75%) stop at 75 or younger; 8 take children under 18; 26 take healthy volunteers.

This study: 18 Years to 99 Years · all sexes · no healthy volunteers.

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02

Study summary

The aim of this study is to compare the effectiveness of combined treatment with paravertebral oxygen-ozone injections and topical patches containing Cannabidiol and β-Caryophyllene in patients with neck pain by evaluating the following aspects:

  • Reduction of pain
  • Reduction of disability associated with neck pain
Read the detailed description

Neck pain is a significant public health burden worldwide, with a prevalence of 2,696.5 per 100,000, and a major cause of disability, responsible for 2.56% of all years lived with disability. Many potential therapeutic interventions are available for the treatment of neck pain, including conservative therapies, minimally invasive procedures and open surgery. In particular, oxygen-ozone percutaneous injections have been tested and have proven to be well tolerated with good clinical results.

Patch cutaneous formulated with cannabidiol and β-carophyllene (Levotens®) has proven to have muscle relaxant and anti-inflammatory effects in an animal models: The tests used allow to evaluate motor performance with reference to motor coordination skills (pole test), exploration (open field test) and resistance to continuous and accelerated movement (rotarod test). These motor skills are impaired in a pain associated inflammatory response condition such as that induced by LPS (lipopolysaccharide). The CBD and BCP-based Levotens® patch placed in the area where the inflammatory stimulus is administered allows the recovery of motor function in the three types of behaviors studied.

Previous data available demonstrate a muscle relaxant action of CBD applied topically through a patch in patients suffering from TMD.

This is a randomized, controlled, prospective evaluation comparing combined treatment with paravertebral oxygen-ozone injections and topical patches containing Cannabidiol and β-Caryophyllene with only OOT. The maximum study duration for each subject will be 6 months. A total of 52 patients will be enrolled. These patients will meet specific inclusion and exclusion criteria but can be generally characterized as patients with neck pain who have been unable to achieve satisfactory pain relief with previous conservative treatments The primary study objective is to determine whether combining Levotens® Patch with OOT could lead to better early pain control than OOT alone.

  1. The primary study endpoint is to establish the improvement in NRS Pain at 14 days from the start of treatment.
  2. Secondary objectives of this study are:

    • Improvement in NRS pain at 1, 2, 4, 12, 36 weeks,
    • Improvement in NDI at 1, 2, 4, 12, 36 weeks.
03

Conditions studied

  • Neck Pain

Browse trials for

04

Who can participate

Ages eligible
18 Years to 99 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

  • Neck pain resulting from spinal pathology present for at least 1 month with or without brachial irradiation
  • Cervical radiographic and/or MRI examination certifying the pathology of the spine
  • Failure of previous conservative treatment (pharmacological or physiotherapy)
  • Adults
  • Signing of

Exclusion criteria

Exclusion Criteria:

  • Specific causes of neck pain (trauma, spinal deformity, fracture, neoplasia)
  • Central or peripheral neurological signs
  • Rheumatic diseases: diagnosis of rheumatoid arthritis, Reiter's syndrome, psoriatic arthritis, gout, ankylosing spondylitis or arthritis secondary to other inflammatory diseases, chondrocalcinosis, Paget's disease or villonodular synovitis
  • Neuromuscular disorders
  • Presence of cognitive-behavioral deficit or psychiatric illness which, in the opinion of the investigator, could compromise patient safety or interfere with the evaluation of the effects of the treatment
  • Surgery in the previous 6 months
  • Cervical infiltrative treatments in the previous 4 months
  • Use of orally administered systemic within 2 weeks prior to screening
  • Pregnant or breastfeeding women or women planning to become pregnant during the study participation period
  • Known alcohol or drug dependence currently or within the past year
Terms in these criteria, in plain language(2)

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.

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
Single (Outcomes assessor)
Enrollment
52 participants (estimated)

Study arms

  • Experimental
    Oxygen-Ozone Therapy plus Cannabidiol and ß-Caryophyllene Patch

    The patients will undergo 8 session of oxygen-ozone therapy, 2 per week. In each session 10 cc of a gaseous mixture of oxygen-ozone (at a concentration of 10 μg of ozone per ml of oxygen) will be injected with 6 paravertebral injections. For the fisrt 2 weeks of oxygen-ozone therapy patients will be asked to apply patches with local action based on Cannabidiol and ß-Caryophyllene for 8-24 hours/day for 5 days/week.

    Drug: Cannabidiol and β-Caryophyllene Patch · Device: Oxygen-Ozone Therapy

  • Active comparator
    Oxygen-Ozone Therapy

    The patients will undergo 8 session of oxygen-ozone therapy, 2 per week. In each session 10 cc of a gaseous mixture of oxygen-ozone (at a concentration of 10 μg of ozone per ml of oxygen) will be injected with 6 paravertebral injections.

    Device: Oxygen-Ozone Therapy

Interventions

  • DrugCannabidiol and β-Caryophyllene Patch

    Drug page: Cannabidiol

    Cannabidiol with its decongestant activity has a soothing action in the area of application, thanks to the association with B-caryophyllene which assists its activity

    Also known as: Levotens Patch

  • DeviceOxygen-Ozone Therapy

    Ozone (O3) is a molecule consisting of 3 atoms of oxygen in a dynamically unstable structure. O3 has the capacity to modulate inflammation. O3 when in contact with human fluids and tissues rapidly reacts, generating many reactive oxygen species, as hydrogen peroxide (H2O2), superoxide ion, and hydroxyl radical (OH-). It is suggested that through moderate oxidative stress generated by these reactive byproducts, O2O3 might produce positive effects in several pathologies, including musculoskeletal affections. Moreover, O2/O3 may directly regulate prostaglandins (PGS) and bradykinin, and suppress several proinflammatory mediators, such as IL-6, IL-8 and TNF-α

06

What researchers measure

Primary outcomes

  1. Neck Disability Index

    Measure for reporting neck pain disability. It is a 10-items questionnaire; each question is scored on a 6-point scale ranging from 0 (no disability) to 5 (full disability), and these are added together to make a total score ranging from 0 to 50, which is interpreted as follows: 0 to 4= no disability, 5 to 14= mild disability, 15 to 24= moderate disability, 25 to 34= severe disability, and greater than 34 = complete disability. Evaluators can choose to provide a percentage score as a means of dealing with unanswered questions.

    Time frame: 14 days

Secondary outcomes

  1. Numeric Pain Rating Scale

    Measure of pain intensity. The scale goes from 0 (no pain) to 10 (worst pain imaginable)

    Time frame: 1 week

  2. Numeric Pain Rating Scale

    Measure of pain intensity. The scale goes from 0 (no pain) to 10 (worst pain imaginable)

    Time frame: 2 weeks

  3. Numeric Pain Rating Scale

    Measure of pain intensity. The scale goes from 0 (no pain) to 10 (worst pain imaginable)

    Time frame: 4 weeks

  4. Numeric Pain Rating Scale

    Measure of pain intensity. The scale goes from 0 (no pain) to 10 (worst pain imaginable)

    Time frame: 12 weeks

  5. Numeric Pain Rating Scale

    Measure of pain intensity. The scale goes from 0 (no pain) to 10 (worst pain imaginable)

    Time frame: 36 weeks

  6. Neck Disability Index

    Measure for reporting neck pain disability. It is a 10-items questionnaire; each question is scored on a 6-point scale ranging from 0 (no disability) to 5 (full disability), and these are added together to make a total score ranging from 0 to 50, which is interpreted as follows: 0 to 4= no disability, 5 to 14= mild disability, 15 to 24= moderate disability, 25 to 34= severe disability, and greater than 34 = complete disability. Evaluators can choose to provide a percentage score as a means of dealing with unanswered questions.

    Time frame: 1 week

  7. Neck Disability Index

    Measure for reporting neck pain disability. It is a 10-items questionnaire; each question is scored on a 6-point scale ranging from 0 (no disability) to 5 (full disability), and these are added together to make a total score ranging from 0 to 50, which is interpreted as follows: 0 to 4= no disability, 5 to 14= mild disability, 15 to 24= moderate disability, 25 to 34= severe disability, and greater than 34 = complete disability. Evaluators can choose to provide a percentage score as a means of dealing with unanswered questions.

    Time frame: 4 weeks

  8. Neck Disability Index

    Measure for reporting neck pain disability. It is a 10-items questionnaire; each question is scored on a 6-point scale ranging from 0 (no disability) to 5 (full disability), and these are added together to make a total score ranging from 0 to 50, which is interpreted as follows: 0 to 4= no disability, 5 to 14= mild disability, 15 to 24= moderate disability, 25 to 34= severe disability, and greater than 34 = complete disability. Evaluators can choose to provide a percentage score as a means of dealing with unanswered questions.

    Time frame: 12 weeks

  9. Neck Disability Index

    Measure for reporting neck pain disability. It is a 10-items questionnaire; each question is scored on a 6-point scale ranging from 0 (no disability) to 5 (full disability), and these are added together to make a total score ranging from 0 to 50, which is interpreted as follows: 0 to 4= no disability, 5 to 14= mild disability, 15 to 24= moderate disability, 25 to 34= severe disability, and greater than 34 = complete disability. Evaluators can choose to provide a percentage score as a means of dealing with unanswered questions.

    Time frame: 36 weeks

07

Study locations

1 site
  • Humanitas Clinical and Research Hospital
    Rozzano, Milano 20089, Italy
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 reached

Start is estimated for Feb 2024; primary completion for Sep 2024, 7 months later.

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

Registered
Oct 19, 2023
First posted
Oct 25, 2023
StartEst.
Feb 1, 2024
Primary completionEst.
Sep 1, 2024
CompletionEst.
Mar 1, 2025
Last update
Dec 13, 2023
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 13, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06099171
Lead sponsor
Humanitas Clinical and Research Center
Responsible party
Cristiano Sconza (Principal Investigator, Humanitas Clinical and Research Center) — Principal investigator
First posted
Oct 25, 2023
Start date
Feb 1, 2024 (estimated)
Primary completion
Sep 1, 2024 (estimated)
Completion
Mar 1, 2025 (estimated)
Last update
Dec 13, 2023

Study contacts

Cristiano Sconza, MD
Contact
cristiano.sconza@humanitas.it
3332781989
Umberto Massi, MD
Contact
u.massi@campus.unimib.it
3461663927
Cristiano Sconza, MD
principal investigator · Humanitas Clinical and Research Center

Oversight

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

Not currently enrolling

This study is not yet recruiting, as verified in Dec 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: Cannabidiol

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