Exploratory Efficacy Study of Guaifenesin in Upper Back Pain - Full Text View

Purpose

Explore the clinical efficacy of 7-day treatment regimens of guaifenesin in order to investigate the evidence that guaifenesin is an effective treatment for upper back/neck/shoulder muscle spasm/stiffness and pain.

Condition	Intervention
Upper Back Pain	Drug: Guaifenesin Drug: Placebo


Study Type:	Interventional
Study Design:	Allocation: Randomized Intervention Model: Single Group Assignment Masking: Single (Participant) Primary Purpose: Treatment
Official Title:	A Proof of Principle Study to Explore the Utility of Guaifenesin in Upper Back Pain

Resource links provided by NLM:

MedlinePlus related topics: Back Pain

Drug Information available for: Guaifenesin Phenylpropanolamine hydrochloride Triaminic Phenylpropanolamine

U.S. FDA Resources

Further study details as provided by GlaxoSmithKline:

Primary Outcome Measures:

Mean Change From Baseline of Both AM and PM Spasm Assessment Scores [ Time Frame: 7 Days ]
The score was measured as 'assessment at baseline' minus 'assessment after treatment' over 7 day period (mean of all AM and PM changes from baseline). Measurements were based on an 11 categorical Numerical Rating Scale (NRS) with a range from 0 - no spasm to 10 - unbearable spasm.

Secondary Outcome Measures:

Mean Change From Baseline of Both AM and PM NRS Muscle Stiffness Assessment Scores [ Time Frame: 7 Days ]
The score was measured as 'assessment at baseline' minus 'assessment after treatment' over 7 day period (mean of all AM and PM changes from baseline). Measurements were based on an 11 categorical Numerical Rating Scale (NRS) with a range from 0 - no stiffness to 10 - unbearable stiffness.
Mean Change From Baseline of Both AM and PM NRS Tension Assessment Scores [ Time Frame: 7 Days ]
The score was measured as 'assessment at baseline' minus 'assessment after treatment' over 7 day period (mean of all AM and PM changes from baseline). Measurements were based on an 11 categorical Numerical Rating Scale (NRS) with a range from 0 - no tension to 10 - unbearable tension.
Mean Change From Baseline of Both AM and PM NRS Pain Assessment Scores [ Time Frame: 7 Days ]
The score was measured as 'assessment at baseline' minus 'assessment after treatment' over 7 day period (mean of all AM and PM changes from baseline). Measurements were based on an 11 categorical Numerical Rating Scale (NRS) with a range from 0 - no pain to 10 - unbearable pain.
Mean Change From Baseline of Both AM and PM NRS Discomfort Assessment Scores [ Time Frame: 7 Days ]
The score was measured as 'assessment at baseline' minus 'assessment after treatment' over 7 day period (mean of all AM and PM changes from baseline). Measurements were based on an 11 categorical Numerical Rating Scale (NRS) with a range from 0 - no discomfort to 10 - unbearable discomfort.
Muscle Relaxation Scores [ Time Frame: 4 Days, 7 Days ]
The score was measured as mean of both AM and PM assessment scores at Days 4 and 7. Measurements were based on a 5 categorical scale: 0 - no relaxation, 1- a little relaxation, 2 - fair relaxation, 3 - good relaxation, 4 - complete muscle relaxation.
Upper Back/Neck/Shoulder Pain Disability (Vernon-Mior) Index Scores [ Time Frame: Before treatment, 4 Days, 7 Days ]
Vernon-Mior upper back/neck/shoulder components were assessed before the treatment and at Days 4 and 7. Each component (pain intensity, personal care, lifting, reading, headaches, concentration, work, driving, sleeping, and recreation) was assessed based on a 6-point categorical scale (1 to 6), with 1 being the most positive and 6 being the worst.
Global Assessment of Treatment Helpfulness (GATH) [ Time Frame: 4 Days, 7 Days ]
Measured as an overall qualitative score on a 5 point categorical scale: 0-poor, 1-fair, 2-good, 3-very good and 4-excellent.
Global Assessment of Sleep Disturbance (GASD) [ Time Frame: 7 Days ]
Categorized after treatment as: 'decreased', 'increased' or 'stayed the same'.
Global Assessment of Headache Frequency (GAHF) [ Time Frame: 7 Days ]
Categorized after treatment as: 'decreased', 'increased' or 'stayed the same'.
Global Assessment of Headache Intensity (GAHI) [ Time Frame: 7 Days ]
Categorized after treatment as: 'decreased', 'increased' or 'stayed the same'.


Enrollment:	78
Study Start Date:	February 2012
Study Completion Date:	May 2013
Primary Completion Date:	May 2013 (Final data collection date for primary outcome measure)

Arms	Assigned Interventions
Experimental: Arm 1 Guaifenesin 1 tablet BID	Drug: Guaifenesin high and low dose of Guaifenesin each given twice daily over a 4-day treatment period
Experimental: Arm 2 Guaifenesin 2 tablets BID	Drug: Guaifenesin high and low dose of Guaifenesin each given twice daily over a 4-day treatment period
Placebo Comparator: Arm 3 Placebo 1 tablet BID	Drug: Placebo no active ingredient
Placebo Comparator: Arm 4 Placebo 2 tablets BID	Drug: Placebo no active ingredient

Eligibility

Information from the National Library of Medicine

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Ages Eligible for Study:	18 Years to 65 Years (Adult)
Sexes Eligible for Study:	All
Accepts Healthy Volunteers:	No

Criteria

Inclusion Criteria:

Paticipant presents with a new episode of acute upper back/neck/shoulder pain and muscle spasm that:
1. is at least 30 days from previous episode.
2. has an onset occurred within 48 hours of Visit 1.
3. has symptoms consistent with a clinical diagnosis as per the physical examination at Visit 1.
4. has a subject-rated muscle spasm score and a pain score of at least 40 out of 100 on a 100mm VAS.
Paticipant has a normal neurological examination.

Exclusion Criteria:

Medical history: a) Paticipant has a known or suspected intolerance or hypersensitivity to guaifenesin or methocarbamol (or closely related compounds) or any of their stated ingredients. b) Paticipant has history of upper back pain with active hypersensitive spots - trigger point in the muscles of upper back/neck/shoulder/maxillofacial regions. c) Paticipant has a current or recent history of liver and/or kidney disease, neck/back/shoulder injuries, spinal disc disease, myocardial infarction (<12 months from Visit 1) and osteoporosis. d) Subjects have history of other chronic pain e.g. headache, osteoarthritis, arthritis, lower back pain etc.
Medications: a) Paticipant has used a muscle relaxant or narcotic within 2 weeks of Visit 1. b) Paticipant has used monoamine oxidase inhibitors or selegiline within 2 weeks of Visit 1 c) Currently using tricyclic antidepressants, lithium, anticoagulants, or tramadol.
Paticipant is involved in a workers compensation case.
Paticipant is unlikely to refrain from using analgesics, NSAIDs, and other muscle relaxants for the duration of the study, with the exception of cardioprotective doses of aspirin (i.e., ≤ 325 mg/day).
Paticipant is unlikely to refrain from physical therapy, massage therapy, acupuncture, heat treatment, spas, etc for the duration of the study.

Contacts and Locations

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT01562548

Locations


United States, California
Med Investigations
Fair Oaks, California, United States, 95628
San Diego Sports Medicine and Family Health Center
San Diego, California, United States, 92120
United States, Ohio
Radiant Research - Cincinnati
Cincinnati, Ohio, United States, 45249
United States, Texas
Radiant Research, Inc. - TX
San Antonio, Texas, United States, 78229
United States, Utah
J. Lewis Research
Salt Lake City, Utah, United States, 84109

Sponsors and Collaborators

GlaxoSmithKline

Investigators


Study Director:	GSK Clinical Trials	GlaxoSmithKline

More Information


Responsible Party:	GlaxoSmithKline
ClinicalTrials.gov Identifier:	NCT01562548 History of Changes
Other Study ID Numbers:	A3940666
First Submitted:	March 22, 2012
First Posted:	March 26, 2012
Results First Submitted:	March 6, 2014
Results First Posted:	June 3, 2014
Last Update Posted:	June 3, 2014
Last Verified:	March 2014

Keywords provided by GlaxoSmithKline:


upper back/neck/shoulder muscle spasm

Additional relevant MeSH terms:


Back Pain Pain Neurologic Manifestations Nervous System Diseases Signs and Symptoms Guaifenesin Phenylpropanolamine Chlorpheniramine, phenylpropanolamine drug combination Expectorants Respiratory System Agents Adrenergic alpha-Agonists Adrenergic Agonists	Adrenergic Agents Neurotransmitter Agents Molecular Mechanisms of Pharmacological Action Physiological Effects of Drugs Appetite Depressants Anti-Obesity Agents Sympathomimetics Autonomic Agents Peripheral Nervous System Agents Nasal Decongestants Vasoconstrictor Agents