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Trial registered on ANZCTR
Registration number
ACTRN12614000147684
Ethics application status
Approved
Date submitted
29/01/2014
Date registered
5/02/2014
Date last updated
5/02/2014
Type of registration
Prospectively registered
Titles & IDs
Public title
Longitudinal Imaging of Lumbar Patients and Controls
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Scientific title
MRI Longitudinal imaging for acute lumbar pain
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Secondary ID [1]
283805
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Nil Known
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Universal Trial Number (UTN)
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Trial acronym
LILAC
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Acute Lumbar Pain
290781
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Condition category
Condition code
Musculoskeletal
291148
291148
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0
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Other muscular and skeletal disorders
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Intervention/exposure
Study type
Observational
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Patient registry
False
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
Participants with acute lumbar pain will be observed. We will recruit participants within 2 weeks of the onset of pain and perform the initial MRI scan within 3 weeks of pain onset. We will use MRI scanning to observe any possible changes that occur over 12 weeks. We will aim to scan participants at Week 1, Week 2, Week 6 and Week 12 from initial baseline scan.
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Intervention code [1]
288490
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Not applicable
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Comparator / control treatment
10 control participants will be included in this study. These participants will have no current lumbar pain and a maximum of two previous episodes of low back pain. These control participants will be scanned at Week 1, Week 2, Week 6 and Week 12 from initial baseline scan.
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Control group
Active
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Outcomes
Primary outcome [1]
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Change in MRI findings
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Assessment method [1]
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Timepoint [1]
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12 weeks
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Primary outcome [2]
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Change in pain (NPRS)
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Assessment method [2]
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Timepoint [2]
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12 weeks
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Secondary outcome [1]
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Cross-sectional comparison of physical examination findings and MRI findings at baseline.
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Assessment method [1]
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Timepoint [1]
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Day 1 - physical assessment and baseline MRI performed sequentially on the same day.
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Eligibility
Key inclusion criteria
For case participants:
1. Present to a primary care practitioner with recent onset low back pain of less than 2 weeks duration
2. To be available to enrol in study and have initial MRI scan within 3 weeks from onset of pain episode
3. Current pain intensity greater than or equal to 5 on numerical pain rating scale (0-10 scale)
4. The current episode of low back pain started suddenly (pain intensity increased by at least 5 points on NPRS over a period of less than 24 hours)
5. Age less than 50 years of age
For control participants:
1. No current low back pain
2. A maximum of two previous low back episodes.
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Minimum age
15
Years
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Maximum age
50
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
1. Nerve root compromise, previous spinal surgery, canal stenosis, fracture, cancer, inflammatory joint diseases, infection, or “cauda equina” syndrome
2. Inadequate English language or cognitive abilities to complete outcome measures
3. Contraindication to MRI.
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Study design
Purpose
Natural history
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Duration
Longitudinal
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Selection
Case control
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Timing
Prospective
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Statistical methods / analysis
This is a pilot study so the numbers of participants has been pre-determined to be small.
The following brief analysis plan is as follows:
1. Longitudinal analysis to investigate and allow comparison of changes in MRI findings between cases and controls
2. Analyse the ability of changes in MRI findings to predict changes in low back pain symptoms
3. Cross-sectional analysis to assess the relationship between baseline MRI findings and clinical examination.
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
10/02/2014
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Actual
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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
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Sample size
Target
30
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
NSW
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Funding & Sponsors
Funding source category [1]
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Government body
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Name [1]
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Arthritis NSW
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Address [1]
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Locked Bag 2216, North Ryde NSW 1670
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Country [1]
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Australia
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Primary sponsor type
University
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Name
Macquarie University
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Address
Macquarie University, NSW 2109
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
287166
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Address [1]
287166
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Country [1]
287166
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
290332
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Human Research Ethics Committee (Medical Sciences)
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Ethics committee address [1]
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Research Office C5C Research HUB East, Level 3, Room 324 Macquarie University NSW 2109
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Ethics committee country [1]
290332
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Australia
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Date submitted for ethics approval [1]
290332
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Approval date [1]
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27/11/2013
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Ethics approval number [1]
290332
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5201300630
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Summary
Brief summary
Back pain is very common, and the leading cause of disability in Australia. The relationship between MRI findings and symptoms in people with LBP remains unclear. There are very few high quality research papers investigating the relationship between MRI findings and low back pain. Very few studies have performed repeated MRIs and in these studies scans have been separated by long periods of time. Almost nothing is known about the changes in MRI findings in the first 6 weeks after an episode of low back pain despite this being the critical time period when most changes in clinical symptoms occur. To investigate the potential importance of MRI findings as a source of low back pain, it is essential to track these findings closely during an episode of low back pain and investigate the relationship between changes in MRI and changes in patient’s symptoms.
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Trial website
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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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Dr Mark Hancock
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Address
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Department of Health Professions
Macquarie University
NSW 2109
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Country
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Australia
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Phone
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+61 2 9850 6622
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Fax
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+61 2 9850 8062
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Email
45122
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[email protected]
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Contact person for public queries
Name
45123
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Mark Hancock
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Address
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Department of Health Professions
Macquarie University
NSW 2109
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Country
45123
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Australia
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Phone
45123
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+61 2 98506622
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Fax
45123
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+61 2 9850 8062
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Email
45123
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[email protected]
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Contact person for scientific queries
Name
45124
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Mark Hancock
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Address
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Department of Health Professions
Macquarie University
NSW 2109
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Country
45124
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Australia
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Phone
45124
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+61 2 98506622
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Fax
45124
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+61 2 9850 8062
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Email
45124
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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