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出境医 / 临床实验 / Vitamin C Supplement for Lumbar Spine Surgery

Vitamin C Supplement for Lumbar Spine Surgery

Study Description
Brief Summary:
By doing this study, researchers hope to learn effects of Vit C on lumbar spine surgery outcomes.

Condition or disease Intervention/treatment Phase
Lumbar Spine Surgery Dietary Supplement: Vitamin C Dietary Supplement: Placebo Not Applicable

Detailed Description:

Lumbar spine surgeries are common procedures for management of low back pain and their prevalence is increasing. However, their outcomes are less than optimal.

An effective and inexpensive solution to minimizing surgical complications and expediting recovery following lumbar spine surgery could be supplementation using high doses of vitamin C, also known as ascorbic acid. Vit C can help reduce oxidative stress and inflammation and improve immune system and body's own chemicals to fight pain.

The researchers want to examine if Vit C is effective in decreasing pain and pain medications and improving function. Gaining a better understanding of effects of Vit C on patient recovery may lead to improved outcomes.

Study Design
Layout table for study information
Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 40 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Intervention Model Description: 2 groups: placebo and Vitamin C
Masking: Triple (Participant, Care Provider, Outcomes Assessor)
Masking Description: Blinded pilot randomized control trial
Primary Purpose: Treatment
Official Title: Vitamin C Supplementation for Lumbar Spine Surgical Patients
Actual Study Start Date : April 24, 2019
Estimated Primary Completion Date : January 2021
Estimated Study Completion Date : January 2021
Arms and Interventions
Arm Intervention/treatment
Active Comparator: Experimental
Participants will receive Vit C tablets
Dietary Supplement: Vitamin C
Daily use of Vit C tablets

Placebo Comparator: Placebo
Participants will receive placebo tablets
Dietary Supplement: Placebo
Daily use of placebo tablets

Outcome Measures
Primary Outcome Measures :
  1. Recruitment feasibility outcome [ Time Frame: up to 7 weeks ]
    The number of participants recruited and enrolled.

  2. Adherence feasibility outcome [ Time Frame: up to 7 weeks ]
    Calculate adherence in percentage as subjects enrolled versus completed

  3. Pain intensity: numeric rating pain scale [ Time Frame: up to 7 weeks ]
    self reported 0-10 numeric rating pain scale where 0=no pain and 10=most pain imagined

  4. Pain medication consumption [ Time Frame: up to 7 weeks ]
    Use of opioids and non-opioids analgesics documented in patients' health records

  5. Function [ Time Frame: up to 7 weeks ]
    Gait distance in feet will be obtained during physical therapy visit

  6. Would healing [ Time Frame: up to 7 weeks ]
    Surgical incision observation


Secondary Outcome Measures :
  1. Beck depression inventory [ Time Frame: up to 7 weeks ]
    A standard questionnaire with 1 - 40 points, 1=no depression and 40=extreme depression

  2. Vit C level [ Time Frame: up to 7 weeks ]
    Serum level of Vit C in umol/L

  3. Beck anxiety inventory [ Time Frame: up to 7 weeks ]
    A standard questionnaire with 21 questions. Scores 0-21=low anxiety, scores 22-35=moderate anxiety and scores 36 and above=potentially concerning level of anxiety

  4. 2011 Fibromyalgia (FM) survey [ Time Frame: up to 7 weeks ]
    A standard questionnaire for centralized pain. Scores 3-6 in widespread pain index and 9 or greater in symptom severity suggest widespread pain

  5. fatigue questionnaire [ Time Frame: up to 7 weeks ]
    A standard questionnaire with 10 fatigue related questions. Each measured on 1-5 Likert scale. Higher numbers indicate greater fatigue

  6. Pittsburg sleep scale [ Time Frame: up to 7 weeks ]
    A standard questionnaires to examine sleep problems. A total of 5 scores or greater indicate poor sleep quality

  7. Pain catastrophizing scale [ Time Frame: up to 7 weeks ]
    A standard scale to measure catastrophizing thoughts. Higher numbers indicate greater catastrophizing thoughts


Eligibility Criteria
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Ages Eligible for Study:   45 Years to 80 Years   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Patients scheduled to have a lumbar spine fusion
  • Can read and understand the English language
  • BMI 35 or less

Exclusion Criteria:

  • Patients taking certain medications
  • lumbar spine laminectomy or discectomy
  • taking a Vit C supplement
  • pregnancy
  • Cauda equine syndrome or spinal tumor
  • neurological, neurodegenerative or cognitive issues
  • renal pathology
  • sickle cell anemia
  • iron metabolism disorder
Contacts and Locations

Contacts
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Contact: Neena Sharma, PT, PhD, CMPT 913 588-4566 ext 4566 nsharma@kumc.edu

Locations
Layout table for location information
United States, Kansas
University of Kansas Medical Center Recruiting
Kansas City, Kansas, United States, 66160
Contact: Neena Sharma, PT, PhD, CMPT         
Sponsors and Collaborators
University of Kansas Medical Center
Investigators
Layout table for investigator information
Principal Investigator: Neena Sharma, PT, PhD, CMPT University of Kansas Medical Center
Tracking Information
First Submitted Date  ICMJE January 4, 2019
First Posted Date  ICMJE April 17, 2019
Last Update Posted Date February 5, 2020
Actual Study Start Date  ICMJE April 24, 2019
Estimated Primary Completion Date January 2021   (Final data collection date for primary outcome measure)
Current Primary Outcome Measures  ICMJE
 (submitted: April 15, 2019)
  • Recruitment feasibility outcome [ Time Frame: up to 7 weeks ]
    The number of participants recruited and enrolled.
  • Adherence feasibility outcome [ Time Frame: up to 7 weeks ]
    Calculate adherence in percentage as subjects enrolled versus completed
  • Pain intensity: numeric rating pain scale [ Time Frame: up to 7 weeks ]
    self reported 0-10 numeric rating pain scale where 0=no pain and 10=most pain imagined
  • Pain medication consumption [ Time Frame: up to 7 weeks ]
    Use of opioids and non-opioids analgesics documented in patients' health records
  • Function [ Time Frame: up to 7 weeks ]
    Gait distance in feet will be obtained during physical therapy visit
  • Would healing [ Time Frame: up to 7 weeks ]
    Surgical incision observation
Original Primary Outcome Measures  ICMJE Same as current
Change History
Current Secondary Outcome Measures  ICMJE
 (submitted: April 15, 2019)
  • Beck depression inventory [ Time Frame: up to 7 weeks ]
    A standard questionnaire with 1 - 40 points, 1=no depression and 40=extreme depression
  • Vit C level [ Time Frame: up to 7 weeks ]
    Serum level of Vit C in umol/L
  • Beck anxiety inventory [ Time Frame: up to 7 weeks ]
    A standard questionnaire with 21 questions. Scores 0-21=low anxiety, scores 22-35=moderate anxiety and scores 36 and above=potentially concerning level of anxiety
  • 2011 Fibromyalgia (FM) survey [ Time Frame: up to 7 weeks ]
    A standard questionnaire for centralized pain. Scores 3-6 in widespread pain index and 9 or greater in symptom severity suggest widespread pain
  • fatigue questionnaire [ Time Frame: up to 7 weeks ]
    A standard questionnaire with 10 fatigue related questions. Each measured on 1-5 Likert scale. Higher numbers indicate greater fatigue
  • Pittsburg sleep scale [ Time Frame: up to 7 weeks ]
    A standard questionnaires to examine sleep problems. A total of 5 scores or greater indicate poor sleep quality
  • Pain catastrophizing scale [ Time Frame: up to 7 weeks ]
    A standard scale to measure catastrophizing thoughts. Higher numbers indicate greater catastrophizing thoughts
Original Secondary Outcome Measures  ICMJE Same as current
Current Other Pre-specified Outcome Measures Not Provided
Original Other Pre-specified Outcome Measures Not Provided
 
Descriptive Information
Brief Title  ICMJE Vitamin C Supplement for Lumbar Spine Surgery
Official Title  ICMJE Vitamin C Supplementation for Lumbar Spine Surgical Patients
Brief Summary By doing this study, researchers hope to learn effects of Vit C on lumbar spine surgery outcomes.
Detailed Description

Lumbar spine surgeries are common procedures for management of low back pain and their prevalence is increasing. However, their outcomes are less than optimal.

An effective and inexpensive solution to minimizing surgical complications and expediting recovery following lumbar spine surgery could be supplementation using high doses of vitamin C, also known as ascorbic acid. Vit C can help reduce oxidative stress and inflammation and improve immune system and body's own chemicals to fight pain.

The researchers want to examine if Vit C is effective in decreasing pain and pain medications and improving function. Gaining a better understanding of effects of Vit C on patient recovery may lead to improved outcomes.

Study Type  ICMJE Interventional
Study Phase  ICMJE Not Applicable
Study Design  ICMJE Allocation: Randomized
Intervention Model: Parallel Assignment
Intervention Model Description:
2 groups: placebo and Vitamin C
Masking: Triple (Participant, Care Provider, Outcomes Assessor)
Masking Description:
Blinded pilot randomized control trial
Primary Purpose: Treatment
Condition  ICMJE Lumbar Spine Surgery
Intervention  ICMJE
  • Dietary Supplement: Vitamin C
    Daily use of Vit C tablets
  • Dietary Supplement: Placebo
    Daily use of placebo tablets
Study Arms  ICMJE
  • Active Comparator: Experimental
    Participants will receive Vit C tablets
    Intervention: Dietary Supplement: Vitamin C
  • Placebo Comparator: Placebo
    Participants will receive placebo tablets
    Intervention: Dietary Supplement: Placebo
Publications * Not Provided

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Recruitment Information
Recruitment Status  ICMJE Recruiting
Estimated Enrollment  ICMJE
 (submitted: April 15, 2019)
40
Original Estimated Enrollment  ICMJE Same as current
Estimated Study Completion Date  ICMJE January 2021
Estimated Primary Completion Date January 2021   (Final data collection date for primary outcome measure)
Eligibility Criteria  ICMJE

Inclusion Criteria:

  • Patients scheduled to have a lumbar spine fusion
  • Can read and understand the English language
  • BMI 35 or less

Exclusion Criteria:

  • Patients taking certain medications
  • lumbar spine laminectomy or discectomy
  • taking a Vit C supplement
  • pregnancy
  • Cauda equine syndrome or spinal tumor
  • neurological, neurodegenerative or cognitive issues
  • renal pathology
  • sickle cell anemia
  • iron metabolism disorder
Sex/Gender  ICMJE
Sexes Eligible for Study: All
Ages  ICMJE 45 Years to 80 Years   (Adult, Older Adult)
Accepts Healthy Volunteers  ICMJE No
Contacts  ICMJE
Contact: Neena Sharma, PT, PhD, CMPT 913 588-4566 ext 4566 nsharma@kumc.edu
Listed Location Countries  ICMJE United States
Removed Location Countries  
 
Administrative Information
NCT Number  ICMJE NCT03918694
Other Study ID Numbers  ICMJE STUDY00143319
Has Data Monitoring Committee No
U.S. FDA-regulated Product
Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
IPD Sharing Statement  ICMJE
Plan to Share IPD: No
Responsible Party University of Kansas Medical Center
Study Sponsor  ICMJE University of Kansas Medical Center
Collaborators  ICMJE Not Provided
Investigators  ICMJE
Principal Investigator: Neena Sharma, PT, PhD, CMPT University of Kansas Medical Center
PRS Account University of Kansas Medical Center
Verification Date January 2020

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP