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Intradiscal linezolid (PP353) treatment for chronic low back pain associated with Modic change type 1: an international, first-in-human, randomised, sham procedure-controlled, double-blind, phase 1b clinical trial

Abstract:

BackgroundOral amoxicillin reduced pain and disability in patients with chronic Low Back Pain (cLBP) and vertebral endplate bone oedema (Modic changes type 1; MC1) in two randomised controlled trials (RCTs), providing evidence that cLBP with MC1 may be caused by a chronic bacterial infection of the disc. Disc tissue is poorly vascularised, and oral antibiotics will not achieve optimal antibacterial concentration. Linezolid has been formulated for intradiscal administration (PP353) to deliver ...

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Publication status:
Published
Peer review status:
Peer reviewed

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Publisher copy:
10.1016/j.eclinm.2026.103764

Authors

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Role:
Author
ORCID:
0009-0002-2913-3387
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Institution:
University of Oxford
Role:
Author


Publisher:
Elsevier
Journal:
EClinicalMedicine More from this journal
Volume:
92
Pages:
103764
Article number:
103764
Publication date:
2026-02-02
Acceptance date:
2026-01-08
DOI:
EISSN:
2589-5370
ISSN:
2589-5370
Pmid:
41768986


Language:
English
Keywords:
Pubs id:
2404751
Local pid:
pubs:2404751
Source identifiers:
3836707
Deposit date:
2026-03-10
ARK identifier:
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