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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT03952377
Registration number
NCT03952377
Ethics application status
Date submitted
13/05/2019
Date registered
16/05/2019
Titles & IDs
Public title
Safety and Efficacy of SX600 Administered by Lumbosacral Transforaminal Epidural Injection for Radicular Pain
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Scientific title
A Double-Blind, Randomized, Placebo-Controlled, Parallel-Group Phase I/II, First-in-Human Study to Assess the Safety and Efficacy of Two Doses of SX600 Administered by Lumbosacral Transforaminal Epidural Injection in Patients With Radicular Pain Secondary to Lumbar Intervertebral Disc Herniation
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Secondary ID [1]
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CLIN-0012-STA19-01
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Universal Trial Number (UTN)
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Trial acronym
SALIENT
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Lumbar Radiculopathy
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Condition category
Condition code
Neurological
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Other neurological disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - SX600
Treatment: Drugs - Placebo
Placebo comparator: 0.9% Sodium Chloride for Injection -
Experimental: 12.5 mg SX600 - Low Dose
Experimental: 25.0 mg SX600 - High Dose
Treatment: Drugs: SX600
Transforaminal Epidural Injection
Treatment: Drugs: Placebo
Transforaminal Epidural Injection
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Intervention code [1]
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Treatment: Drugs
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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The Proportion of Subjects With a 50% or Greater Improvement in Mean Worst Daily Leg Pain (Responders).
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Assessment method [1]
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Timepoint [1]
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Baseline to 60 days
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Secondary outcome [1]
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The Proportion of Subjects Who Are Responders (Defined as Having a 50% or Greater Improvement in Mean Worst Daily Leg Pain)
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Assessment method [1]
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Timepoint [1]
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Baseline to 14, 30, 60, 90, 120, 150, and 180 days
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Secondary outcome [2]
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Change in Functional Outcomes as Measured by Patient's Global Impression of Change
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Assessment method [2]
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Very much improved, or much improved from baseline
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Timepoint [2]
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Baseline, 14, 30, 60, 90, 120, 150, and 180 days
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Secondary outcome [3]
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Change in Functional Outcomes as Measured by the Oswestry Disability Index
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Assessment method [3]
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0 - 20%: Minimal disability 21% - 40%: Moderate disability 41% - 60%: Severe disability 61% - 80%: Crippling back pain 81% - 100%: Bed-bound or exaggerating their symptoms
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Timepoint [3]
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Baseline, 14, 30, 60, 90, 120, 150, and 180 days
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Secondary outcome [4]
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Change From Baseline in Short Form 36 Questionnaire (SF-36)
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Assessment method [4]
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SF-36 is a self-administered, generic health status questionnaire consisting of 36 questions that measure 8 health concepts: physical functioning, bodily pain, role limitations due to physical health problems, role limitations due to personal or emotional problems, emotional well-being, social functioning, energy/fatigue, and general health perceptions. Each health concept has a range of possible total scores from 0 to 100. A high score defines a more favorable health state. The mean overall total score will be reported.
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Timepoint [4]
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Baseline, 14, 30, 60, 90, 120, 150, and 180 days
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Secondary outcome [5]
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The Proportion of Subjects Who Are Responders (Defined as Having a 30% or Greater Improvement in Mean Worst Daily Leg Pain)
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Assessment method [5]
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Timepoint [5]
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Baseline to 14, 30, 60, 90, 120, 150, and 180 days
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Secondary outcome [6]
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Proportion of Subjects Who Required Rescue Medication, as Reported in Patient Diary
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Assessment method [6]
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Timepoint [6]
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Baseline through 180 days
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Secondary outcome [7]
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Time to Loss of Response in the Subset of Patients Who Are Responders at Day 14 (50% or Greater Improvement in Mean Worst Daily Leg Pain)
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Assessment method [7]
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Timepoint [7]
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Day 14 through 180 days
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Eligibility
Key inclusion criteria
Main
* Adult aged 18 to 65 years, capable of providing informed consent, capable of complying with the outcome instruments, and meeting the attendance requirements for review as defined in the study
* Presenting with a history of radicular pain of duration of 4 weeks to 6 months, having failed conservative therapy.
* Mean Worst Daily Leg Pain score of =5.0 and =9.0
* Women of child-bearing potential must use a medically accepted method of contraception for the duration of the study plus 30 days and register a negative pregnancy test prior to dosing
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Minimum age
18
Years
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Maximum age
65
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
* Documented history of allergy or intolerance to components of the Investigational Medicinal Product, relevant radiologic contrast media, or local anaesthetics
* Is pregnant or lactating
* Has been taking corticosteroid medications routinely in the past 6 months or has received an epidural corticosteroid injection within 12 weeks of screening
* Has a BMI greater than 40 kg/m2
* Has radiological evidence of clinically significant foraminal stenosis at L4-L5 or L5-S1 or of clinically significant spinal stenosis, or spondylolisthesis (Grade 2 or higher). (Note, asymptomatic foraminal stenosis at other spinal levels is not excluded).
* Has Diabetes Mellitus (Type 1 or Type 2)- prior confirmed HbA1c or OGTT
* Has a history of significant leg pain unrelated to disc herniation that would significantly compromise assessment of back or leg radicular pain
* Has had lumbar back surgery
* Has received an implantable device for pain management
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people assessing the outcomes
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 1
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Stopped early
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
4/11/2019
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
21/06/2022
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Sample size
Target
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Accrual to date
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Final
56
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Recruitment in Australia
Recruitment state(s)
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Recruitment hospital [1]
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Research Site 03 - Adelaide
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Recruitment hospital [2]
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Research Site 12 - Adelaide
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Recruitment hospital [3]
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Research Site 10 - Blacktown
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Recruitment hospital [4]
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Research Site 06 - Frankston
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Recruitment hospital [5]
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Research Site 05 - Newcastle
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Recruitment hospital [6]
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Research Site 02 - Sydney
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Recruitment hospital [7]
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Research Site 04 - Sydney
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Recruitment hospital [8]
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Research Site 09 - Sydney
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Recruitment hospital [9]
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Research Site 11 - Sydney
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Recruitment hospital [10]
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Research Site 08 - Townsville
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Recruitment postcode(s) [1]
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- Adelaide
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Recruitment postcode(s) [2]
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- Blacktown
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Recruitment postcode(s) [3]
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- Frankston
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Recruitment postcode(s) [4]
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- Newcastle
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Recruitment postcode(s) [5]
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- Sydney
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Recruitment postcode(s) [6]
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- Townsville
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
SpineThera Australia PTY LTD
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Address
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Country
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Ethics approval
Ethics application status
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Summary
Brief summary
This is a Phase I/II, double-blind, parallel-group, randomized, placebo-controlled multi-centre trial in 180 patients randomized 1:1:1 to receive the IMP (Dexamethasone acetate microspheres for extended-release injectable micro-suspension, SX600 at 12.5 mg or 25.0 mg) or Placebo (0.9% Sodium Chloride for Injection, BP) via transforaminal epidural injection to the lumbosacral epidural space.
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Trial website
https://clinicaltrials.gov/study/NCT03952377
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Willem Volschenk
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Address
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Genesis Research Services
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for scientific queries
Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
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What supporting documents are/will be available?
No Supporting Document Provided
Type
Other Details
Attachment
Study protocol
https://cdn.clinicaltrials.gov/large-docs/77/NCT03952377/Prot_002.pdf
Statistical analysis plan
https://cdn.clinicaltrials.gov/large-docs/77/NCT03952377/SAP_003.pdf
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT03952377