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Veterans' back pain study tests best Non-Drug options

NCT ID NCT04142177

Symptom relief Sponsor: VA Office of Research and Development Source: ClinicalTrials.gov ↗

What the study statuses mean

This study's is highlighted.

Recruitment status, easiest to join first

Recruiting now This study
This trial is taking on new participants right now.
Not yet recruiting
Registered, but not yet taking participants.
By invitation only
Not open to general applications. Only people the study team invites can take part.
Paused
Paused for now. It may or may not start again.
Ongoing
Running, but no longer taking on new participants.
Completed
The trial has finished. Results may not be published yet.
Stopped early
Stopped early, before it reached the end. That can be for many reasons, including safety.
Cancelled
Cancelled before anyone took part.

Expanded access (not trials)

Expanded access
Not a trial. This treatment can be requested outside a study, case by case, for people who qualify.
Expanded access (paused)
Not a trial. The treatment can normally be requested outside a study, but is unavailable right now.
Expanded access (ended)
Not a trial. The treatment could once be requested outside a study, but no longer can.
Approved
The treatment has been approved, so it is available normally rather than through this programme.

When the status isn't known

Details not published
The full record has not been published yet, so there is little to show here.
Status unknown
This status has not been confirmed recently, so it may be out of date.

First seen Jun 27, 2026 · Last updated Jun 27, 2026

Summary

This study aims to find the most effective non-surgical treatments for chronic low back pain in Veterans. Over 2,500 participants will first try either continued care, an online pain self-management program, or enhanced physical therapy. Those who don't improve can then choose from yoga, spinal manipulation, or cognitive behavioral therapy. The goal is to reduce pain interference with daily life.

This is an AI summary of the original study and may miss details. Read our disclaimer.

Study facts

What this study's own registry entry says, in plain language.

Phase

Not a phased trial

Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.

Participants

About 2,529 people

The number the study aims to enrol. It can still change while the study runs.

Started

Jun 2022

Expected to finish

Jun 2027

An estimate. End dates often move.

Lead sponsor

A government agency

The lead sponsor is a US federal agency other than the NIH.

Who can take part

This study's own entry requirements. Only the study team can say for certain whether you qualify.

Ages

18 years and older

Sex

Anyone

Healthy volunteers

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

Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.

Inclusion Criteria: To be eligible to participate in this study, an individual must meet all the following criteria: 1. Low back pain 1. present for at least 6 months, 2. present most days or everyday, 3. interferes the most with activities considering all of the places where the patient experiences pain; 2. Pain, Enjoyment, General Activity (PEG) score of 4 or greater; 3. Veteran age 18 years or older, either sex, any racial or ethnic background; 4. Able to comprehend and willing to sign the study informed consent form; 5. Able and willing to attend in-person treatment sessions; 6. Anticipate continuing care at the enrolling VA for the period of the study; 7. Stable access to the internet at home, work, or other location (e.g. mobile phone), and an email address. Exclusion Criteria: An individual who meets any of the following criteria will be excluded from participation in this study: 1. Currently enrolled in any other interventional study unless exempted by CSP; 2. Acute or chronic illness that would prevent the Veteran from receiving study treatments offered (e.g., uncontrolled hypertension, recent myocardial infarction within the last 6 months, unstable angina, acute congestive heart failure); 3. Neurological impairment related to disease of the spine or other causes preventing participation in any of the treatment modalities under study; 4. Current or recent (last 3 months) treatment involving Cognitive Behavioral Therapy, Spinal manipulation therapy, or Yoga; 5. Current severe alcohol or substance abuse use disorder; 6. Severe psychiatric illness (e.g. current psychosis, current suicidal ideation, or psychiatric illness requiring hospitalization within the last 6 months); 7. Back surgery within the last 6 months, or undergoing evaluation for back surgery or planned back surgery; 8. Cognitive or severe hearing or visual impairment preventing participation in treatment options or outcome measure assessments; 9. Pregnancy

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Conditions

The condition(s) this trial relates to.

Low Back Pain Motor Activity Pain

As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.

Chronic low back pain

How to take part

Only the study team decides who joins. These are the ways to reach them.

  1. The places running it

    13 sites. The list below names each one and where it is.

  2. The official record

    ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.

    Open the record ↗

  3. A doctor treating you

    A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.

Contacts and locations

Locations

  • Asheville VA Medical Center, Asheville, NC

    RECRUITING

    Asheville, North Carolina, 28805-2576, United States

  • Atlanta VA Medical and Rehab Center, Decatur, GA

    RECRUITING

    Decatur, Georgia, 30033-4004, United States

  • Baltimore VA Medical Center VA Maryland Health Care System, Baltimore, MD

    TERMINATED

    Baltimore, Maryland, 21201, United States

  • Bay Pines VA Healthcare System, Pay Pines, FL

    TERMINATED

    Bay Pines, Florida, 33744-0000, United States

  • Hampton VA Medical Center, Hampton, VA

    TERMINATED

    Hampton, Virginia, 23667, United States

  • Hunter Holmes McGuire VA Medical Center, Richmond, VA

    TERMINATED

    Richmond, Virginia, 23249-0001, United States

  • Orlando VA Healthcare System, Orlando, FL

    RECRUITING

    Orlando, Florida, 32827, United States

  • Phoenix VA Health Care System, Phoenix, AZ

    RECRUITING

    Phoenix, Arizona, 85012, United States

  • Richard L. Roudebush VA Medical Center, Indianapolis, IN

    RECRUITING

    Indianapolis, Indiana, 46202-2884, United States

  • Rocky Mountain Regional VA Medical Center, Aurora, CO

    WITHDRAWN

    Aurora, Colorado, 80045, United States

  • South Texas Health Care System, San Antonio, TX

    RECRUITING

    San Antonio, Texas, 78229-4404, United States

  • St. Louis VA Medical Center John Cochran Division, St. Louis, MO

    RECRUITING

    St Louis, Missouri, 63106-1621, United States

  • VA Boston Healthcare System Jamaica Plain Campus, Jamaica Plain, MA

    RECRUITING

    Boston, Massachusetts, 02130-4817, United States

  • VA Loma Linda Healthcare System, Loma Linda, CA

    RECRUITING

    Loma Linda, California, 92357-1000, United States

  • VA Long Beach Healthcare System, Long Beach, CA

    RECRUITING

    Long Beach, California, 90822, United States

  • VA Palo Alto Health Care System, Palo Alto, CA

    RECRUITING

    Palo Alto, California, 94304-1207, United States

  • VA Portland Health Care System, Portland, OR

    RECRUITING

    Portland, Oregon, 97207-2964, United States

  • VA Salt Lake City Health Care System, Salt Lake City, UT

    RECRUITING

    Salt Lake City, Utah, 84148-0001, United States

  • VA Southern Nevada Healthcare System, North Las Vegas, NV

    TERMINATED

    North Las Vegas, Nevada, 89086, United States

More trials for these conditions

Other studies related to the condition(s) this trial covers.