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A Study to Investigate the Effects of a New Treatment in Patients With Chronic Pain

Primary Purpose

Peripheral Neuropathies

Status
Completed
Phase
Not Applicable
Locations
France
Study Type
Interventional
Intervention
Heat pain stimuli A
Video A
Administration of T4P1001 capsules
Heat pain stimuli B
Video B
Administration of placebo capsules
Sponsored by
Tools4Patient
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional basic science trial for Peripheral Neuropathies focused on measuring Pain

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Men or women of at least 18 years of age
  • Body weight of more than 40 kg and less than 120 kg with a BMI between 19-31 kg/m2 inclusive
  • Diagnosed with Peripheral Neuropathic Pain (PNP) since at least 6 months
  • Being affiliated with the national welfare system
  • Are reliable and willing to make themselves available for the duration of the study and are willing to follow study procedures
  • Have given written informed consent approved by the relevant Ethics Committee (EC) governing the study site

PNP disease diagnosis inclusion criteria:

  • Patient with chronic PNP supported by a distinct neuroanatomical plausible distribution with sensory signs and symptoms, and consecutive to one of the following causes: a traumatic event, a surgical procedure (excluding limb amputation), radiculopathy, post-herpetic or post-zooster neuralgia, diabetic polyneuropathy or post-anticancer chemotherapy. Diagnosis will have to be confirmed by the DN4 questionnaire at the screening visit (pain is considered as neuropathic if DN4 score ≥ 4)
  • Pain present since at least 6 months
  • Patients will be required to have a score between 4 and 8 inclusive on the mean Average Pain Score (APS) Numeric Rating Scale (NRS) during the baseline period preceding randomization (data collected in patient diary) and to have completed at least 4 days of pain assessment

Exclusion Criteria:

  • Pregnant, breastfeeding, or willing to be pregnant within 2 months
  • With a current or recent history, as determined by the Investigator, of severe, progressive, and/or uncontrolled renal, hepatic, hematological, gastrointestinal, endocrine, pulmonary, cardiac, neurological, or cerebral disease which would interfere with the patient's participation in the study
  • Uncontrolled epilepsy
  • Any current primary psychiatric condition, including major depression or major personality disorders (such as Axe II of Diagnostic and Statistical Manual of Mental Disorders (DSM-IV); personality disorders and mental retardation)
  • Alcohol dependence or regular use of known drugs of abuse (e.g., amphetamines, barbiturates, benzodiazepines, cannabinoids, cocaine, methadone, opiates, and phencyclidine)
  • Acute disease state within 7 days before Visit 2
  • Any other relevant medical disorder likely to interfere with the trial or represent a risk for the patient
  • Any close relationship with the Investigators or the Sponsor (i.e. belonging to immediate family or subordination link)
  • Patient under legal protection, according to the national law
  • Patient currently enrolled in a clinical trial involving use of an investigational drug or device, or concurrently enrolled in any other type of medical research judged not to be scientifically or medically compatible with this study, or in an exclusion period according to national law

Exclusion criteria related to PNP:

  • Neuropathic pain due to trigeminal neuralgia, central pain, complex regional pain syndrome and phantom limb pain
  • Plan to have a session of physiotherapy or comportemental therapy such as gestion of pain, hypnosis, sophrology, meditation program during the study
  • Have initiated or have planned an electrical stimulation (or neurostimulation) therapy within 2 weeks prior to Visit 1 or during the study period up to Visit 5
  • Patient changed his/her " regular therapy " in the last 4 months

Sites / Locations

  • CIC Clermont-Ferrand, CHU Clermont-Ferrand

Arms of the Study

Arm 1

Arm 2

Arm Type

Active Comparator

Sham Comparator

Arm Label

T4P1001

Placebo

Arm Description

Outcomes

Primary Outcome Measures

Patient 's Change From Baseline of Pain Severity as Measured by the Weekly Means of the Daily Average Pain Scores (APS) During 4 Weeks of Treatment
11-point Numeric Rating Scale (NRS). Scale from 0 to 10, 0 meaning no pain, 10 pain as bad as you can imagine. Lower values represent a better outcome. Unit: arithmetic average of 7 days of a 11-point NRS

Secondary Outcome Measures

Patient 's Change From Baseline of Pain Severity as Measured by the Weekly Means of the Daily Worst Pain Scores (WPS)
11-point Numeric Rating Scale (NRS) Scale from 0 to 10, 0 meaning no pain, 10 pain as bad as you can imagine. Lower values represent a better outcome. Unit: arithmetic average of 7 days of a 11-point NRS
Patient's Change From Baseline of Investigator Global Assessment of Change (IGAC)
IGAC is an investigator subjective evaluation of patient condition using a NRS from 0 to 10 with 0 meaning best and 10 worst Lower values represent a better outcome.
Patient's Change of Pain Intensity After Heat Pain Stimuli From Baseline to End of Treatment Period
11-point Numeric Rating Scale (NRS) from 0 to 10; 0 meaning no pain, 10 pain as bad as you can imagine Lower values represent a better outcome Unit: arithmetic average on 6 reported scores per Visit.
Patient 's Change From Baseline of Pain Severity as Measured by the Weekly Means of the Brief Pain Inventory (BPI).
Arithmetic average of 3 questions on an 11-point Numeric Rating Scale (NRS) from 0 to 10, 0 meaning no pain, 10 pain as bad as you can imagine. Lower values represent a better outcome

Full Information

First Posted
November 14, 2014
Last Updated
December 27, 2017
Sponsor
Tools4Patient
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1. Study Identification

Unique Protocol Identification Number
NCT02301169
Brief Title
A Study to Investigate the Effects of a New Treatment in Patients With Chronic Pain
Official Title
A Study to Investigate the Effects of T4P1001 Treatment in Patients With Peripheral Neuropathic Pain
Study Type
Interventional

2. Study Status

Record Verification Date
December 2017
Overall Recruitment Status
Completed
Study Start Date
March 2014 (undefined)
Primary Completion Date
November 2014 (Actual)
Study Completion Date
November 2014 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Tools4Patient

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The purpose of this clinical trial conducted in patients suffering from chronic pain is to study the relationship between individual patients' profile and their analgesic response.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Peripheral Neuropathies
Keywords
Pain

7. Study Design

Primary Purpose
Basic Science
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
42 (Actual)

8. Arms, Groups, and Interventions

Arm Title
T4P1001
Arm Type
Active Comparator
Arm Title
Placebo
Arm Type
Sham Comparator
Intervention Type
Behavioral
Intervention Name(s)
Heat pain stimuli A
Intervention Type
Behavioral
Intervention Name(s)
Video A
Intervention Type
Drug
Intervention Name(s)
Administration of T4P1001 capsules
Intervention Description
This treatment is given as add on therapy to patients' regular analgesic
Intervention Type
Behavioral
Intervention Name(s)
Heat pain stimuli B
Intervention Type
Behavioral
Intervention Name(s)
Video B
Intervention Type
Drug
Intervention Name(s)
Administration of placebo capsules
Intervention Description
This treatment is given as add on therapy to patients' regular analgesic
Primary Outcome Measure Information:
Title
Patient 's Change From Baseline of Pain Severity as Measured by the Weekly Means of the Daily Average Pain Scores (APS) During 4 Weeks of Treatment
Description
11-point Numeric Rating Scale (NRS). Scale from 0 to 10, 0 meaning no pain, 10 pain as bad as you can imagine. Lower values represent a better outcome. Unit: arithmetic average of 7 days of a 11-point NRS
Time Frame
Time zero equals baseline (Day 1) up to Day 42
Secondary Outcome Measure Information:
Title
Patient 's Change From Baseline of Pain Severity as Measured by the Weekly Means of the Daily Worst Pain Scores (WPS)
Description
11-point Numeric Rating Scale (NRS) Scale from 0 to 10, 0 meaning no pain, 10 pain as bad as you can imagine. Lower values represent a better outcome. Unit: arithmetic average of 7 days of a 11-point NRS
Time Frame
Time zero equals baseline (Day 1) up to Day 42
Title
Patient's Change From Baseline of Investigator Global Assessment of Change (IGAC)
Description
IGAC is an investigator subjective evaluation of patient condition using a NRS from 0 to 10 with 0 meaning best and 10 worst Lower values represent a better outcome.
Time Frame
Time zero equals baseline (Day 1) up to Day 28
Title
Patient's Change of Pain Intensity After Heat Pain Stimuli From Baseline to End of Treatment Period
Description
11-point Numeric Rating Scale (NRS) from 0 to 10; 0 meaning no pain, 10 pain as bad as you can imagine Lower values represent a better outcome Unit: arithmetic average on 6 reported scores per Visit.
Time Frame
Time zero equals baseline (Day 1) up to Day 28
Title
Patient 's Change From Baseline of Pain Severity as Measured by the Weekly Means of the Brief Pain Inventory (BPI).
Description
Arithmetic average of 3 questions on an 11-point Numeric Rating Scale (NRS) from 0 to 10, 0 meaning no pain, 10 pain as bad as you can imagine. Lower values represent a better outcome
Time Frame
Time zero equals baseline (Day 1) up to Day 28

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Men or women of at least 18 years of age Body weight of more than 40 kg and less than 120 kg with a BMI between 19-31 kg/m2 inclusive Diagnosed with Peripheral Neuropathic Pain (PNP) since at least 6 months Being affiliated with the national welfare system Are reliable and willing to make themselves available for the duration of the study and are willing to follow study procedures Have given written informed consent approved by the relevant Ethics Committee (EC) governing the study site PNP disease diagnosis inclusion criteria: Patient with chronic PNP supported by a distinct neuroanatomical plausible distribution with sensory signs and symptoms, and consecutive to one of the following causes: a traumatic event, a surgical procedure (excluding limb amputation), radiculopathy, post-herpetic or post-zooster neuralgia, diabetic polyneuropathy or post-anticancer chemotherapy. Diagnosis will have to be confirmed by the DN4 questionnaire at the screening visit (pain is considered as neuropathic if DN4 score ≥ 4) Pain present since at least 6 months Patients will be required to have a score between 4 and 8 inclusive on the mean Average Pain Score (APS) Numeric Rating Scale (NRS) during the baseline period preceding randomization (data collected in patient diary) and to have completed at least 4 days of pain assessment Exclusion Criteria: Pregnant, breastfeeding, or willing to be pregnant within 2 months With a current or recent history, as determined by the Investigator, of severe, progressive, and/or uncontrolled renal, hepatic, hematological, gastrointestinal, endocrine, pulmonary, cardiac, neurological, or cerebral disease which would interfere with the patient's participation in the study Uncontrolled epilepsy Any current primary psychiatric condition, including major depression or major personality disorders (such as Axe II of Diagnostic and Statistical Manual of Mental Disorders (DSM-IV); personality disorders and mental retardation) Alcohol dependence or regular use of known drugs of abuse (e.g., amphetamines, barbiturates, benzodiazepines, cannabinoids, cocaine, methadone, opiates, and phencyclidine) Acute disease state within 7 days before Visit 2 Any other relevant medical disorder likely to interfere with the trial or represent a risk for the patient Any close relationship with the Investigators or the Sponsor (i.e. belonging to immediate family or subordination link) Patient under legal protection, according to the national law Patient currently enrolled in a clinical trial involving use of an investigational drug or device, or concurrently enrolled in any other type of medical research judged not to be scientifically or medically compatible with this study, or in an exclusion period according to national law Exclusion criteria related to PNP: Neuropathic pain due to trigeminal neuralgia, central pain, complex regional pain syndrome and phantom limb pain Plan to have a session of physiotherapy or comportemental therapy such as gestion of pain, hypnosis, sophrology, meditation program during the study Have initiated or have planned an electrical stimulation (or neurostimulation) therapy within 2 weeks prior to Visit 1 or during the study period up to Visit 5 Patient changed his/her " regular therapy " in the last 4 months
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Alvaro Pereira
Organizational Affiliation
Tools4Patient
Official's Role
Study Director
Facility Information:
Facility Name
CIC Clermont-Ferrand, CHU Clermont-Ferrand
City
Clermont-Ferrand
ZIP/Postal Code
63003
Country
France

12. IPD Sharing Statement

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A Study to Investigate the Effects of a New Treatment in Patients With Chronic Pain

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