New drug targets spine pain from bone marrow lesions
NCT ID NCT04238676
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tested an experimental drug called PP353 in 43 adults with long-term low back pain linked to a specific type of bone marrow change (Modic 1) seen on MRI. The main goals were to check safety and see if the drug reduces pain better than a placebo. Participants rated their pain on a 0-10 scale, and researchers also tracked daily function.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 1/2
Runs two stages together: safety and dose first, then whether the treatment works.
- Participants
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43 people
The number who actually took part.
- Started
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Jan 2020
- Finished
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Dec 2024
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 to 70 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Aged between 18 and 70 years, inclusive. * Chronic low back pain in the area associated with vertebral body endplate bone oedema (Modic 1) or vertebral body endplate bone oedema and fat (Modic 1 and 2) at a single lumbar level. * Average LBP NRS score at screening and at Day 1 pre-randomisation ≥ 4 on chronic pain medication and ≥ 6 if not on chronic pain medication; it should be higher than the leg pain NRS score * RMDQ-23 score ≥ 9 at screening and at Day 1 pre-randomisation. * Current episode of chronic low back pain has lasted for ≥ 6 months at the time of randomisation. * Bodyweight of ≥ 50 kg and ≤ 120 kg. * Failure of standard of care therapies used by their treating physician Exclusion Criteria: * Any vertebra with Modic 2 only lesions which: 1. in the opinion of the investigator, after deep palpation of the vertebral spine, is contributing to the low back pain and/or 2. are present within 2 vertebrae from the target lumbar disc. * The target lumbar disc has lost more than half its original anticipated height at the centre or it is \< 5mm in height over the central 15 mm portion * A clear alternative cause for back pain * Gross facet joint degeneration or cases where the investigator believes the primary pain generator to be the facet joints * Interventional back procedure in the 6 months prior to screening or major surgery in the 12 weeks prior to screening * History of alcohol abuse or drugs of abuse in the past 2 years * Any other significant illness * Previously been treated with antimicrobial agents for their low back pain or previously received any antimicrobial intradiscal injection.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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CGM Research Trust
Christchurch, 8083, New Zealand
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Gildhøj Privathospital København
Copenhagen, 2605 Brøndby, Denmark
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Hospital Universitario LA PAZ
Madrid, Spain
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Hospital Vithas Granada
Granada, Spain
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Leeds General Infirmary
Leeds, LS1 3EX, United Kingdom
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Oxford University Hospitals NHS Foundation Trust
Oxford, Oxford, OX3 9DU, United Kingdom
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Royal Preston Hospital
Preston, Lancashire, PR2 9HT, United Kingdom
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University Hospital Coventry & Warwickshire
Coventry, CV2 2DX, United Kingdom
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University Hospital Of Wales
Cardiff, Wales, CF14 4XW, United Kingdom
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University Hospital Southampton Nhs Foundation Trust
Southampton, SO16 6YD, United Kingdom
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Other studies related to the condition(s) this trial covers.
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