[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100631243":3},{"organization":4,"armGroups":7,"interventions":25,"overallOfficials":40,"centralContacts":44,"locations":52,"responsibleParty":112,"collaborators":114,"id":123,"slug":124,"hasResults":125,"nctId":126,"briefTitle":127,"officialTitle":128,"acronym":129,"eligibilityCriteria":130,"healthyVolunteers":125,"sex":131,"minAge":31,"maxAge":31,"enrollmentInfo":132,"targetDuration":31,"studyType":135,"phases":136,"briefSummary":138,"conditions":139,"keywords":141,"overallStatus":54,"whyStopped":31,"lastUpdateSubmitDate":148,"lastUpdatePostDateStruct":149,"startDateStruct":152,"completionDateStruct":154,"leadSponsor":156,"locationsCount":157},{"fullName":5,"class":6},"Northwestern University","OTHER",[8,14,20],{"label":9,"type":10,"description":11,"interventionNames":12},"Positive framing- ESI","EXPERIMENTAL","Patients will review around 5 slides detailing ESI in a very positive light and references, with study personnel available to answer questions.",[13],"Behavioral: Behavioral manipulation of ESI expectations",{"label":15,"type":16,"description":17,"interventionNames":18},"Neutral framing- ESI","PLACEBO_COMPARATOR","Patients will review 1 slide that portrays ESI in a neutral light.",[19],"Other: No behavioral manipulation of ESI expectations",{"label":21,"type":16,"description":22,"interventionNames":23},"Pharmacotherapy with gabapentin, nortriptyline and\u002For duloxetine","Patients will review 1 slide that portrays adjuvant medications for neuropathic pain in a neutral light.",[24],"Other: No behavioral manipulation of pharmacotherapy expectations",[26,32,36],{"type":27,"name":28,"description":29,"armGroupLabels":30,"otherNames":31},"BEHAVIORAL","Behavioral manipulation of ESI expectations","5-slide summary of ESI portrayed in a positive light, accompanied by a study investigator.",[9],null,{"type":6,"name":33,"description":34,"armGroupLabels":35,"otherNames":31},"No behavioral manipulation of ESI expectations","1-slide summary of ESI portrayed in a neutral light.",[15],{"type":6,"name":37,"description":38,"armGroupLabels":39,"otherNames":31},"No behavioral manipulation of pharmacotherapy expectations","1-slide summary of medications for neuropathic pain portrayed in a neutral light.",[21],[41],{"name":42,"affiliation":5,"role":43},"Steven P Cohen, MD","PRINCIPAL_INVESTIGATOR",[45,49],{"name":42,"role":46,"phone":47,"phoneExt":31,"email":48},"CONTACT","312-695-2500","steven.cohen@northwestern.edu",{"name":50,"role":46,"phone":47,"phoneExt":31,"email":51},"Jordan Wood, BS","Jordan.Wood1@northwestern.edu",[53,70,81,96],{"facility":5,"status":54,"city":55,"state":56,"zip":57,"country":58,"countryCode":59,"cosmosGeoPoint":60,"geoPoint":65,"contacts":66},"RECRUITING","Chicago","Illinois","60611","United States","US",{"type":61,"coordinates":62},"Point",[63,64],-87.65005,41.85003,{"lat":64,"lon":63},[67,68],{"name":42,"role":46,"phone":47,"phoneExt":31,"email":48},{"name":50,"role":46,"phone":69,"phoneExt":31,"email":51},"3126952500",{"facility":71,"status":72,"city":73,"state":74,"zip":75,"country":58,"countryCode":59,"cosmosGeoPoint":76,"geoPoint":80,"contacts":31},"Walter Reed National Military Medical Center","ENROLLING_BY_INVITATION","Bethesda","Maryland","20814",{"type":61,"coordinates":77},[78,79],-77.10026,38.98067,{"lat":79,"lon":78},{"facility":82,"status":54,"city":83,"state":31,"zip":31,"country":84,"countryCode":85,"cosmosGeoPoint":86,"geoPoint":90,"contacts":91},"Phramongkutklao Military Hospital","Bangkok","Thailand","TH",{"type":61,"coordinates":87},[88,89],100.50144,13.75398,{"lat":89,"lon":88},[92],{"name":93,"role":46,"phone":94,"phoneExt":31,"email":95},"Chartchai Maschunchai, MD","662-763-9300","oattee87@gmail.com",{"facility":97,"status":98,"city":99,"state":31,"zip":31,"country":100,"countryCode":101,"cosmosGeoPoint":102,"geoPoint":106,"contacts":107},"First Lviv Medical Union","NOT_YET_RECRUITING","Lviv","Ukraine","UA",{"type":61,"coordinates":103},[104,105],24.02324,49.83826,{"lat":105,"lon":104},[108],{"name":109,"role":46,"phone":110,"phoneExt":31,"email":111},"Roma Smolynets, MD","380-32-258-1101","smoroman9@gmail.com",{"type":113,"investigatorFullName":31,"investigatorTitle":31,"investigatorAffiliation":31,"oldNameTitle":31,"oldOrganization":31},"SPONSOR",[115,117,119,121],{"name":116,"class":6},"Phramongkutklao College of Medicine and Hospital",{"name":118,"class":6},"Ramathibodi Hospital",{"name":71,"class":120},"FED",{"name":97,"class":122},"UNKNOWN","100631243","procedural-framing-and-epidural-steroid-injection-outcomes-100631243",false,"NCT07498140","Procedural Framing and Epidural Steroid Injection Outcomes","PEACE Study: Psychophysical Enhancement to Augment Conservative and Epidural Steroid Injection Outcomes: A Multi-Center International Randomized Trial","PEACE","Inclusion Criteria:\n\n* Age \\> 18\n* Lumbosacral radicular pain based on history and physical exam (e.g. pain radiating into one or both lower extremities, sensory loss, muscle weakness, positive straight leg raising test etc.)\n* Duration of pain \\>6 weeks\n* NRS leg pain score \\> 4 (or if 3\u002F10, greater or equal to back pain)\n* MRI evidence of spinal pathology consistent with symptoms\n* Candidates for ESI and pharmacotherapy\n\nExclusion Criteria:\n\n* Untreated coagulopathy\n* Previous spine surgery\n* No MRI or non-concordant MRI study\n* Leg pain \\> 15 years duration\n* Epidural steroid injection within past 2 years\n* Signs or symptoms of cauda equina syndrome\n* Previous failed trials with gabapentin and pregabalin and tricyclic antidepressants and duloxetine\n* Allergic reactions to contrast dye prohibiting injection (e.g., tranforaminal ESI), gabapentinoids, tricyclic antidepressants or duloxetine, and contraindications to all of the above medications\n* Referrals from surgery for diagnostic injections for surgical evaluation\n* Serious medical (e.g. congestive heart failure) or psychiatric (untreated depression) condition that might preclude optimal outcome\n* Pregnancy\n* Inability to understand basic English","ALL",{"count":133,"type":134},210,"ESTIMATED","INTERVENTIONAL",[137],"NA","Back pain is the leading cause of disability and military medical boards across the globe. Epidural steroid injections (ESI) are the most commonly performed pain procedure in the world.\n\nThere is strong evidence that the placebo effect for all pain treatments, including ESI, is greater than the intrinsic effect. The placebo effect is highly dependent on a patient's 'expectations', and therefore how the procedure is framed.\n\nThis study aims to compare ESI when the procedure is framed very positively- as is often done in clinical practice vs. more neutrally (which is less commonly done in clinical practice but consistent with evidence). The placebo effect is also stronger for procedures than medications. The evidence on the benefits of ESI is highly dependent on whether it is compiled by interventional doctors who perform the procedure or non-interventional researchers.\n\nIn order to determine how 'framing' a treatment affects pain outcomes, the investigative team will conduct a 3-arm randomized trial comparing positive framing of ESI, neutral framing of ESI, and medications, in patients with lumbosacral radiculopathy.",[140],"Lumbosacral Radiculopathy",[142,143,144,145,146,147],"Back pain","Lumbar radiculopathy","Epidural steroid injection","Placebo effect","Sciatica","Positive framing","2026-06-22",{"date":150,"type":151},"2026-06-25","ACTUAL",{"date":153,"type":151},"2026-03-30",{"date":155,"type":134},"2028-06-30",{"name":5,"class":6},4]