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Not yet recruitingNCT07080307Updated Jul 23, 2025

Artificial Intelligence (AI)-Based Prediction of Treatment Response in Sciatica Patients Receiving Transforaminal Epidural Steroid Injection

An observational study in Sciatica, Low Back Pain and Lumbar Spinal Stenosis, sponsored by Marmara University. Not yet recruiting at 1 site in Turkey (Türkiye). Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-07-23.

Sponsored by Marmara University · Observational

From the registry’s dates

  • Primary completion was expected by Apr 2026, 7 months ago, but the record still lists the study as not yet recruiting.
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
1,500
Ages
18 Years and older
Sex
All
01

Study summary

This prospective observational study aims to develop artificial intelligence (AI)-based predictive models to estimate treatment response in patients with sciatica undergoing transforaminal epidural steroid injection (TFESI). Approximately 1500 adult patients diagnosed with sciatica and scheduled for TFESI at Marmara University Training and Research Hospital Algology Clinic will be enrolled. Clinical, radiological, laboratory, and psychological data will be systematically collected before the procedure and at multiple follow-up points (1 hour, 3 weeks, 3 months, and 6 months post-treatment). Pain relief, measured by a 50% or greater reduction in the Numeric Rating Scale (NRS), will be the primary outcome. The study will use these comprehensive data sets to train and validate AI algorithms, aiming to create a decision-support system that can predict individual patient responses to TFESI and improve personalized treatment planning.

02

Conditions studied

  • Sciatica
  • Low Back Pain
  • Lumbar Spinal Stenosis
  • Radiculopathy
  • Lumbar Disc Herniation

Keywords

  • sciatica, radiculopathy, lumbar disc herniation, spinal stenosis, low back pain
03

In context

Sciatica

149 studies on the registry are indexed under Sciatica; 31 are open to participants now.

This study's planned enrollment of 1,500 is above the median of 88 across 24 observational studies indexed under Sciatica.

Browse Sciatica studies →

Lead sponsor

Marmara University is the lead sponsor of 599 studies on the registry; 138 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Participants will be recruited from the Algology Clinic of Marmara University Pendik Training and Research Hospital. The population includes patients who have been referred for transforaminal epidural steroid injection (TFESI) as part of routine clinical care for sciatica. Data will be collected prospectively during their treatment and follow-up visits.

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

  • Age 18 years or older
  • Presence of clinical and radiological radiculopathy findings consistent with L4, L5, or S1 nerve root involvement
  • Symptoms present for at least 3 months
  • Resistant to conservative treatment
  • Scheduled for transforaminal epidural injection (TFESI) by a pain medicine specialist
  • Being willing to participate in the study and having signed a consent form

Exclusion criteria

Exclusion Criteria:

  • Coagulation disorders
  • Pregnancy
  • History of allergic reaction to the injected substances
  • History of major psychiatric disorders
  • Presence of known coagulopathy
  • Receiving systemic treatment for any reason
  • Having received an epidural steroid injection within the last 3 months
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.

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.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
1,500 participants (estimated)
Patient registry
No
06

What researchers measure

Primary outcomes

  1. Change in pain intensity measured by Numeric Rating Scale (NRS)

    Pain intensity will be assessed using the Numeric Rating Scale (0-10). A reduction of ≥50% from baseline will be considered a positive treatment response.

    Time frame: Baseline, 1 hour, 3 months, 6 months after TFESI

  2. Change in functional status measured by Oswestry Disability Index (ODI)

    Functional disability will be assessed using the validated ODI questionnaire.

    Time frame: Baseline, 3 months, 6 months

Secondary outcomes

  1. Change in psychological status measured by Beck Depression Inventory (BDI)

    Baseline, 3months and 6 months

    Time frame: Depression symptoms will be evaluated using BDI to assess changes related to pain improvement.

  2. Change in health-related quality of life measured by SF-12

    SF-12 will be used to assess the impact of pain and treatment on quality of life.

    Time frame: Baseline, 3 months and 6 months

07

Study locations

1 site
  • Marmara Üniversitesi Tıp Fakültesi, İstanbul , Maltepe 34854 Recruiting
    Istanbul, Maltepe 34854, Turkey (Türkiye)
08

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 Jul 23, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07080307
Lead sponsor
Marmara University
Responsible party
Sponsor
First posted
Jul 23, 2025
Start date
Jul 2025 (estimated)
Primary completion
Apr 2026 (estimated)
Completion
Oct 2026 (estimated)
Last update
Jul 23, 2025

Study contacts

Faruk Kargıoğlu, Asisstant Doctor
Contact
farukkargioglu@outlook.com
+905304774375
Savaş Şencan, Associate Professor
Contact
savas-44@hotmail.com
+905370665713

Oversight

Data monitoring committee
No
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 Jul 2025. You cannot join it, but the record below documents what was studied.

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