UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000051957
Receipt number R000059300
Scientific Title Homeopathy for chronic nonspecific low back pain: randomized, double-blind, crossover, placebo-controlled clinical trial investigating the efficacy of a lumbar vertebra biotherapic (BIOVERT trial)
Date of disclosure of the study information 2023/08/30
Last modified on 2025/02/20 18:45:14

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Basic information

Public title

Homeopathy for chronic nonspecific low back pain

Acronym

BIOVERT (Bioactive Vertebra)

Scientific Title

Homeopathy for chronic nonspecific low back pain: randomized, double-blind, crossover, placebo-controlled clinical trial investigating the efficacy of a lumbar vertebra biotherapic (BIOVERT trial)

Scientific Title:Acronym

BIOVERT (Bioactive Vertebra)

Region

South America


Condition

Condition

Chronic nonspecific low back pain

Classification by specialty

Medicine in general

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To assess the efficacy and safety of biotherapic lumbar vertebra LM2 in the short-term management of nonspecific chronic low back pain and to estimate its therapeutic duration.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Others

Trial characteristics_2

Explanatory

Developmental phase

Phase II


Assessment

Primary outcomes

Assessment of changes in self-reported pain levels using the Numeric Rating Scale (NRS) score, analysed with a random effects model across both treatment periods.

Key secondary outcomes

Assessment of changes in self-reported disability levels using the Oswestry Disability Index, analysed with a random effects model across both treatment periods. Pain and disability variations, evaluated by the NRS score and Oswestry Disability Index, respectively, after the first and second treatment periods. Adverse events assessed at weeks 2 and 8. Concomitant use of pain medications. Adherence, evaluated by the weight of medication returned/standard weight.


Base

Study type

Interventional


Study design

Basic design

Cross-over

Randomization

Randomized

Randomization unit

Individual

Blinding

Double blind -all involved are blinded

Control

Placebo

Stratification

NO

Dynamic allocation

NO

Institution consideration


Blocking

NO

Concealment



Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

Homeopathy
Lumbar Vertebra LM2 oral solution: the participant must perform 10 succussions to the vial before each dose and administer 1 drop orally in the morning, afternoon, and evening of the solution derived from a globule of the dynamized biotherapic.
Lumbar Vertebra LM2 cream (30 g of base cream containing 10% of the same solution as above): the participant must apply and gently massage a thin layer of the cream onto the lumbar region before bedtime.
The clinical investigator can make dosage adjustments without unmasking, such as escalating the daily dosage to four times if initial response is not observed.

Interventions/Control_2

Placebo
30% hydroalcoholic solution: the participant must perform 10 succussions to the vial before each dose and administer 1 drop orally in the morning, afternoon, and evening.
Inert cream: the participant must apply and gently massage a thin layer of the cream (same base) onto the lumbar region before bedtime.

Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

20 years-old <=

Age-upper limit

60 years-old >=

Gender

Male and Female

Key inclusion criteria

Women and men aged 20 to 60 years, clinically diagnosed with chronic non-specific low back pain by the study's physiotherapist, meeting all the following criteria:
Low back pain lasting at least three months and/or pain in at least half of the days in the past six months.
Pain localized between T12 and gluteal folds.
Pain intensity equal to or greater than three on a 10-unit Numeric Rating Scale (NRS); Oswestry Disability Index score higher than 14%.

Key exclusion criteria

Radicular pain or signs of radiculopathy and/or alerting clinical features indicating specific disorders of the lumbar spine, such as trauma, fever, malaise, night sweats, weight loss, history of cancer, HIV, chronic steroid use, injectable drug use, immunosuppression, relentless pain, urinary or fecal incontinence, saddle anesthesia, bilateral neurological symptoms, lower limb weakness; comorbidities that render the participant incapable of complying with study procedures; pregnancy, or puerperium (up to 60 days after delivery).

Target sample size

120


Research contact person

Name of lead principal investigator

1st name Ubiratan
Middle name Cardinalli
Last name Adler

Organization

Universidade Federal de Sao Carlos (Sao Carlos Federal University) - Sao Carlos/SP/Brazil

Division name

Department of Medicine

Zip code

13565905

Address

Rodovia Washington Luiz, Km 235, Sao Carlos, SP, Brazil

TEL

00551633518340

Email

ubiratanadler@ufscar.br


Public contact

Name of contact person

1st name Ubiratan
Middle name Cardinalli
Last name Adler

Organization

Sao Carlos Federal University

Division name

Department of Medicine

Zip code

13565905

Address

Rodovia Washington Luiz, Km 235, Sao Carlos, SP, Brazil

TEL

00551633518340

Homepage URL

https://www.ufscar.br/a-ufscar

Email

ubiratanadler@ufscar.br


Sponsor or person

Institute

Center for Biological and Health Sciences/Sao Carlos Federal University

Institute

Department

Personal name



Funding Source

Organization

The researchers will fund the BIOVERT study. The Pharmacy HN-Cristiano of Sao Paulo kindly provided study medications and placebos.

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization

Brazilian


Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Universidade Federal de Sao Carlos (UFSCar) Human Research Ethics Committee

Address

Rodovia Washington Luis km 235 Sao Carlos/SP 13.565-905

Tel

00551633519685

Email

cephumanos@ufscar.br


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2023 Year 08 Month 30 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

No longer recruiting

Date of protocol fixation

2023 Year 07 Month 30 Day

Date of IRB

2023 Year 07 Month 30 Day

Anticipated trial start date

2023 Year 08 Month 22 Day

Last follow-up date

2024 Year 10 Month 30 Day

Date of closure to data entry

2024 Year 11 Month 01 Day

Date trial data considered complete


Date analysis concluded



Other

Other related information

February 26, 2024: we have included 59/60 participants, and the study protocol has been accepted for publication.
April 05, 2024: study protocol publication: https://pubmed.ncbi.nlm.nih.gov/38508222/
September 03, 2024: The last follow-up date has been anticipated to be September 30th.
February 20, 2025: all participants ended the study. Data analysis in progress.


Management information

Registered date

2023 Year 08 Month 21 Day

Last modified on

2025 Year 02 Month 20 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000059300