ClinicalTrials.gg
RecruitingNCT06157177Updated Sep 14, 2026

Efficacy of M640 in Acute Lumbosacral Musculoskeletal Conditions.

A Phase 4 interventional study of Metaxalone 640 mg Oral Tablet in Sciatica Acute and Lumbar Spinal Stenosis, sponsored by Primus Pharmaceuticals. Recruiting at 24 sites in United States. Open to participants aged 18 Years to 80 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-09-14.

Sponsored by Primus Pharmaceuticals · Phase 4, Interventional, and Treatment

From the registry’s dates

  • Started Nov 2023; still recruiting 2 years 11 months later.
Phase
Phase 4
Study type
Interventional
Enrollment
50
Allocation
Randomized
Ages
18 Years to 80 Years
Sex
All
01

Study summary

The goal of this clinical trial is to learn if a modification to metaxalone 640 mg can reduce low back and leg pain. The participants will be 18 to 80 years old, healthy with newly occurring back or leg pain. The main question aims to compare a group taking active treatment and a group taking a look-alike substance containing no active treatment. All participants will answer questions on Day 1, before treatment, and on 7-day after treatment, about:

  • Amount and quality of pain
  • Interference with physical activity
  • Interference with sleep
Read the detailed description

Double-blind, randomized, placebo-controlled, multi-center study of metaxalone 640 mg plus standard of care for patients with acute lumbo sacral musculoskeletal conditions with spinal stenosis and sciatica. Participants will be randomized 1:1. Following the initial pilot-study a second study will randomize a larger population of patients with appropriate power.

02

Conditions studied

  • Sciatica Acute
  • Lumbar Spinal Stenosis

Browse trials for

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 50 is below the median of 80 across 281 interventional studies indexed under Spinal Stenosis.

Browse Spinal Stenosis studies →

Lead sponsor

Primus Pharmaceuticals is the lead sponsor of 20 studies on the registry; 3 are open to participants now.

Of its 6 completed or terminated interventional studies of FDA-regulated products, 5 (83%) have results posted.

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

04

Who can participate

Ages eligible
18 Years to 80 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

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

  • No conditions impacting quality or quantity of pain
  • Baseline Numeric Pain Scale ≥ 6
  • Capable of answering text or email survey reminders
  • Low back pain with or without sciatica

Exclusion criteria

Exclusion Criteria:

  • Current use of other skeletal relaxants
  • Current use of other pain relievers
  • Current use of cimetidine or monoamine oxidase inhibitors
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.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
50 participants (estimated)

Study arms

  • Active comparator
    Active M640

    Metaxalone micronized 640 mg over encapsulated tablet Taken orally every 6 hours for 7 days

    Drug: Metaxalone 640 mg Oral Tablet

  • Placebo comparator
    Placebo

    Inactive placebo capsule 640 mg Taken orally every 6 hours for 7 days

    Drug: Metaxalone 640 mg Oral Tablet

Interventions

  • Metaxalone 640 mg used for the treatment of discomforts associated with acute, musculoskeletal pain.

    Also known as: Skelaxin un-micronized, M640, metaxalone micronized

06

What researchers measure

Primary outcomes

  1. Change of Numeric Pain Scale

    Change from Baseline in low back pain and leg pain as measured by the Numeric Pain Rating Scale (NPRS) at Day 7

    Time frame: Day 1 to Day 7

07

Study locations

8 of 24 sites recruiting
  • East Alabama Arthritis Center
    Auburn, Alabama 36830, United States
    Active, not recruiting

    Not enrolling at this site — choose another above.

  • Sean Wollaston, MD
    Valley Village, California 91607, United States
    Active, not recruiting

    Not enrolling at this site — choose another above.

  • Arthritis and Osteoporosis Center
    Aventura, Florida 33180, United States
    Active, not recruiting

    Not enrolling at this site — choose another above.

  • William Sunshine, MD
    Boca Raton, Florida 33431, United States
    Active, not recruiting

    Not enrolling at this site — choose another above.

  • Robert Levin, MD
    Clearwater, Florida 33765, United States
    Recruiting
  • 5. CZ Rheumatology
    Coral Springs, Florida 33065, United States
    Recruiting
  • 4. Palm Beach Rheumatology and Wellness
    Jupiter, Florida 33458, United States
    Active, not recruiting

    Not enrolling at this site — choose another above.

  • Family Arthritis Center
    Loxahatchee Groves, Florida 33458, United States
    Active, not recruiting

    Not enrolling at this site — choose another above.

  • Arthritis and Rheumatology Center of South Florida
    Margate, Florida 33063, United States
    Active, not recruiting

    Not enrolling at this site — choose another above.

  • Arthritis and Osteoporosis Treatment and ResearchCenter
    Miami, Florida 33180, United States
    Recruiting
  • CZ Rheumatology
    Miami Beach, Florida 33140, United States
    Recruiting
  • Bay Area Rheumatology
    Oldsmar, Florida 34677, United States
    Recruiting
  • Arthritis and Rheumatic Care Center
    South Miami, Florida 33143, United States
    Active, not recruiting

    Not enrolling at this site — choose another above.

  • Arthritis Research and Treatment Center
    Stockbridge, Georgia 30281, United States
    Active, not recruiting

    Not enrolling at this site — choose another above.

  • Arthritis and Rheumatology Center of MI
    Sterling Heights, Michigan 48310, United States
    Recruiting
  • Jayashree Sinha, MD 1
    Clovis, New Mexico 88101, United States
    Active, not recruiting

    Not enrolling at this site — choose another above.

  • Carolina Rheumatology
    Fayetteville, North Carolina 28304, United States
    Active, not recruiting

    Not enrolling at this site — choose another above.

  • Ohio Arthritis and Osteoporosis Center of Southwest Ohio
    Springboro, Ohio 45066, United States
    Active, not recruiting

    Not enrolling at this site — choose another above.

  • Cumberland Rheumatology
    Crossville, Tennessee 38555, United States
    Recruiting
  • Heritage Rheumatology & Arthritis Care
    Colleyville, Texas 76034, United States
    Recruiting
  • Integrative Rheumatology of South Texas
    Harlingen, Texas 78550, United States
    Active, not recruiting

    Not enrolling at this site — choose another above.

  • Southwest Research Group
    Mesquite, Texas 75150, United States
    Active, not recruiting

    Not enrolling at this site — choose another above.

  • DFW Rheumatology
    Red Oak, Texas 75154, United States
    Active, not recruiting

    Not enrolling at this site — choose another above.

  • Northern Virginia Center for Arthritis
    Annandale, Virginia 22003, United States
    Active, not recruiting

    Not enrolling at this site — choose another above.

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

Started Nov 2023 (actual). Primary completion is estimated for Nov 2026, 36 months after the start.

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

Registered
Nov 27, 2023
First posted
Dec 5, 2023
StartActual
Nov 15, 2023
Primary completionEst.
Nov 15, 2026
CompletionEst.
Nov 15, 2026
Last update
Sep 14, 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 Sep 14, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06157177
Lead sponsor
Primus Pharmaceuticals
Collaborators
Illumination Health
Responsible party
Sponsor
First posted
Dec 5, 2023
Start date
Nov 15, 2023
Primary completion
Nov 15, 2026 (estimated)
Completion
Nov 15, 2026 (estimated)
Last update
Sep 14, 2026

Study contacts

S Sodhi
Contact
simi@illumination.health
205-202-0739
S Sodhi
study director · Illumination Health

Oversight

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

Interested in this study?

Eligibility is decided by the study team. Share this record with your doctor or contact the team directly.

Contact study team

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Studies of the drug tested here: Metaxalone

Start the discussion