The Effect of Chiropractic Care on Opioid Use for Chronic Spinal Pain: A Feasibility Study

Study acronym: ACCESS-DC
StatusNot Yet Recruiting
PhaseNot applicable
Started

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Trial flagged as At Risk
Primary completion moved at least 6 months later Dec 31, 2027 → Jun 30, 2028
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Record History

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  1. Primary completion pushed from Dec 31, 2027 to Jun 30, 2028 Show 4 more changesShow less
    • Start date: Apr 1, 2026 to Dec 1, 2026
    • Study completion pushed from Mar 31, 2028 to Dec 31, 2028
    • Eligibility criteria expanded, about 7 words
    • Secondary endpoints: details revised at 7 of 7 entries
  2. Primary completion date: May 31, 2026 to Dec 31, 2027v5 Show 5 more changesShow less
    • Start date: Sep 1, 2025 to Apr 1, 2026
    • Enrollment target: 25 to 24
    • Study completion date: Aug 31, 2026 to Mar 31, 2028
    • Study description revised
    • Eligibility criteria shortened, about 1 word
  3. Primary completion date: Sep 30, 2025 to May 31, 2026
    • Start date: Jan 1, 2025 to Sep 1, 2025
    • Study completion date: Dec 31, 2025 to Aug 31, 2026
    v4
  4. Re-verified, no change to tracked fieldsv3
  5. Primary completion date: Jan 31, 2025 to Sep 30, 2025v2 Show 7 more changesShow less
    • Start date: May 1, 2024 to Jan 1, 2025
    • Primary endpoints revised (4)
    • Study completion date: Apr 30, 2025 to Dec 31, 2025
    • Eligibility criteria expanded, about 11 words
    • Secondary endpoints: 8 to 7
    • Study description shortened, about 8 words
    • Collaborators: 6 to 7
  6. Study First Submitted
  • Notable: the trial’s plan changed such as a big move in its timeline or size, a new primary endpoint, sponsor or phase, or recruiting opened or resumed.
The investigators will conduct a pilot cluster randomized controlled trial (RCT) of chiropractic care added to usual medical care, versus usual medical care alone, for adult patients prescribed opioid therapy for chronic non-cancer spinal pain at four community health centers (CHCs) in Canada. These centers provide services to communities and vulnerable populations with high unemployment rates, multiple co-morbidities, and high rates of chronic musculoskeletal disorders that are commonly managed with prescription opioids. The investigators hypothesize that a full-scale (definitive) cluster RCT on the impact of chiropractic care on prescription opioid use for chronic non-cancer spinal pain will be feasible within the Canadian CHC context.
Trial Details
NCT Number NCT06160947
Lead Sponsor McMaster University
Collaborators: Surgical Methods Centre, McMaster University, Michael G. DeGroote Institute for Pain Research and Care, Ontario Chiropractic Association, Alliance for Healthier Communities, Michael G. DeGroote National Pain Centre, Canadian Chiropractic Research Foundation, Canadian Institutes of Health Research (CIHR)
Conditions
(from sponsor)		 Back Pain
Related terms Back Pain
Enrollment 24 participants
Start Date
Primary Completion (estimated)
Study Completion (estimated)
Updated on ClinicalTrials.gov