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Efficacy of antibiotic treatment for patients with chronic low back pain and Modic type I changes - randomized placebo-controlled trial

Status
Recruiting
Phases
Phase 4
Study type
Interventional
Source
EU CTIS
Registry ID
CTIS2024-515824-35-01
Enrollment
204
Registered
2024-10-18
Start date
2024-12-17
Completion date
Unknown
Last updated
2025-07-31

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

non-specific low back pain

Brief summary

Pain and disability measured with the Roland Morris Disability Questionnaire (RMDQ)

Detailed description

LBP-intensity (0-10 NRS-scale), Leg pain intensity (0-10 NRS-scale), Global perceived effect (7-point Likert scale), Health-related quality of life (PROMIS-GH-10 and EQ-5D-5L), Self-reported number of days with sick leave, Co-interventions (pharmacological and non-pharmacological), Patients’ satisfaction with treatment (7-point Likert scale), Success of blinding (patient and physician), Compliance (pill count), Pain self-efficacy (Pain Self-Efficacy Questionnaire), Sleep (Pittsburgh Sleep Quality Index), Neuropathic pain (PainDETECT), MRI-imaging at 12 months follow-up (to investigate the outcome of the antibiotic treatment on the Modic changes), LBP-related health care costs measured with cost questionnaires (iMCQ and iPCQ)

Interventions

DRUGPlacebo amoxicillin capsules 500mg

Sponsors

Erasmus Universitair Medisch Centrum Rotterdam (Erasmus MC)
Lead SponsorOTHER

Eligibility

Sex/Gender
All
Age
18 Years to 64 Years

Design outcomes

Primary

MeasureTime frame
Pain and disability measured with the Roland Morris Disability Questionnaire (RMDQ)

Secondary

MeasureTime frame
LBP-intensity (0-10 NRS-scale), Leg pain intensity (0-10 NRS-scale), Global perceived effect (7-point Likert scale), Health-related quality of life (PROMIS-GH-10 and EQ-5D-5L), Self-reported number of days with sick leave, Co-interventions (pharmacological and non-pharmacological), Patients’ satisfaction with treatment (7-point Likert scale), Success of blinding (patient and physician), Compliance (pill count), Pain self-efficacy (Pain Self-Efficacy Questionnaire), Sleep (Pittsburgh Sleep Quality Index), Neuropathic pain (PainDETECT), MRI-imaging at 12 months follow-up (to investigate the outcome of the antibiotic treatment on the Modic changes), LBP-related health care costs measured with cost questionnaires (iMCQ and iPCQ)

Countries

Netherlands

Outcome results

None listed

Source: EU CTIS · Data processed: Feb 4, 2026