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Evaluation of the Efficacy of Somatosensory Rehabilitation of Pain by Vibrotactile Stimulation on Static Mechanical Allodynia (RESISTAL)

Primary Purpose

Allodynia

Status
Completed
Phase
Not Applicable
Locations
France
Study Type
Interventional
Intervention
Standard Medical treatment
Vibrotactile stimulation
Sham Stimulation with Vibradol device switched off
Sponsored by
CRRF La Châtaigneraie
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Allodynia focused on measuring static mechanical allodynia, somatosensory rehabilitation, vibrotactile stimulation

Eligibility Criteria

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

Eligibility Criteria

  1. Male or female patients aged ≥18 years;
  2. Static mechanical allodynia for less than 3 months, whatever its etiology and topography;
  3. Probable peripheral or central neuropathic pain or defined according to the IASP criteria;
  4. Neuropathic pain diagnostic questionnaire DN4 score ≥ 4/10;
  5. Chronic pain with average intensity ≥ 4/10;
  6. Analgesic treatment unchanged within 15 days prior to screening, and not planned to be modified during the study;
  7. Patient who can attend follow-up visits during the study;
  8. Patient affiliated to a health insurance plan or entitled;
  9. Patient must be able to give informed consent in accordance with ICH GCP guidelines and local legislation and/or regulations.

Exclusion Criteria:

  1. Patient with neuralgia (spontaneous pain) with or without allodynia;
  2. Patient not able to participate actively to the rehabilitation exercises for physical reason, cognitive reason (ability to understand instructions) or behavioural reason (e.g. addiction...);
  3. Patient with complex regional pain syndrome (type I);
  4. Patients for whom cares cannot avoid any touch with allodynia area;
  5. Patient previously treated by a transcutaneous electrical nerve stimulation (TENS);
  6. Prior treatment by somatosensory rehabilitation;
  7. Duration of stay in the medical center < 11 weeks;
  8. Patient with cognitive disorder;
  9. Allodynia area of the patient presenting with conditions not recommended for vibrotactile stimulation: wound, unhealed nerve suture, recent skin transplantation, fragile organ such as eye.

Sites / Locations

  • CRRF La Chataigneraie Convention

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Sham Comparator

Other

Arm Label

Vibrotactile stimulation

Sham Stimulation with Vibradol device switched off

Standard Medical treatment

Arm Description

Patients in this arm will have treatment by medications and rehabilitation treatment by vibrotactile at medical center stimulation at home by soft tissue non stimulation on allodynia area

Patients in this arm will have treatment by medications and rehabilitation Sham vibrotactile treatment at medical center but with Vibradol device switched off abdominal breath exercises at home non stimulation on allodynia area

Observational group, treated as usually by medications and rehabilitation.

Outcomes

Primary Outcome Measures

Change of baseline in reduction of surface of allodynia area
Evaluate by the 15 g mono filament (Allodynographie) the reduction of surface of allodynia area

Secondary Outcome Measures

Change of baseline in reduction of pain
Reduction of pain will be evaluated by QDSA questionnaire.
Change of baseline in reduction of allodynia intensity
Reduction of allodynia intensity will be measured with the method with the colors
Change of baseline of patient's satisfaction with regard to received care
Patient's satisfaction with regard to pain relief will be evaluated by VAS
Analgesics consumption
Amount of analgesic drugs
Afterglow effect
An evaluation of static mechanical allodynia in surface and intensity at 6 months

Full Information

First Posted
August 31, 2015
Last Updated
November 10, 2020
Sponsor
CRRF La Châtaigneraie
Collaborators
Hôpitaux Universitaires Paris Ile-de-Franc Ouest
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1. Study Identification

Unique Protocol Identification Number
NCT02571010
Brief Title
Evaluation of the Efficacy of Somatosensory Rehabilitation of Pain by Vibrotactile Stimulation on Static Mechanical Allodynia
Acronym
RESISTAL
Official Title
Pilot Study to Evaluate the Effectiveness of Somatosensory Rehabilitation of Pain by Vibrotactile Stimulation on Static Mechanical Allodynia of Less Than Three Months Duration
Study Type
Interventional

2. Study Status

Record Verification Date
November 2020
Overall Recruitment Status
Completed
Study Start Date
October 2015 (Actual)
Primary Completion Date
May 2, 2019 (Actual)
Study Completion Date
May 2, 2019 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
CRRF La Châtaigneraie
Collaborators
Hôpitaux Universitaires Paris Ile-de-Franc Ouest

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
This study aims to demonstrate that somatosensory rehabilitation of pain associated with static mechanical allodynia has superior efficacy over placebo treatment as well as over spontaneous changes.
Detailed Description
This is a monocenter study. 45 patients will be enrolled in the study, allocated by randomization in 3 arms of 15 patients each. During the 38 week duration of the study, enrolled patients will be assessed at: initial evaluation (first week of the study), intermediary evaluation for every week and every modification of intensity of pain, final evaluation at 10 weeks, follow-up evaluation at 6 months.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Allodynia
Keywords
static mechanical allodynia, somatosensory rehabilitation, vibrotactile stimulation

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
17 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Vibrotactile stimulation
Arm Type
Experimental
Arm Description
Patients in this arm will have treatment by medications and rehabilitation treatment by vibrotactile at medical center stimulation at home by soft tissue non stimulation on allodynia area
Arm Title
Sham Stimulation with Vibradol device switched off
Arm Type
Sham Comparator
Arm Description
Patients in this arm will have treatment by medications and rehabilitation Sham vibrotactile treatment at medical center but with Vibradol device switched off abdominal breath exercises at home non stimulation on allodynia area
Arm Title
Standard Medical treatment
Arm Type
Other
Arm Description
Observational group, treated as usually by medications and rehabilitation.
Intervention Type
Other
Intervention Name(s)
Standard Medical treatment
Intervention Description
Standard treatment with drugs and usual rehabilitation
Intervention Type
Device
Intervention Name(s)
Vibrotactile stimulation
Intervention Description
Rehabilitation by vibrotactile stimulation at medical center
Intervention Type
Device
Intervention Name(s)
Sham Stimulation with Vibradol device switched off
Intervention Description
Sham Rehabilitation at medical center but with Vibradol device switched off
Primary Outcome Measure Information:
Title
Change of baseline in reduction of surface of allodynia area
Description
Evaluate by the 15 g mono filament (Allodynographie) the reduction of surface of allodynia area
Time Frame
At baseline, each week during the 10 week treatment period and at 6 months
Secondary Outcome Measure Information:
Title
Change of baseline in reduction of pain
Description
Reduction of pain will be evaluated by QDSA questionnaire.
Time Frame
At baseline, at each week, at 10 weeks and at 6 months
Title
Change of baseline in reduction of allodynia intensity
Description
Reduction of allodynia intensity will be measured with the method with the colors
Time Frame
At baseline, at each week, at 10 weeks and at 6 months
Title
Change of baseline of patient's satisfaction with regard to received care
Description
Patient's satisfaction with regard to pain relief will be evaluated by VAS
Time Frame
At baseline, at each week, at 10 weeks and at 6 months
Title
Analgesics consumption
Description
Amount of analgesic drugs
Time Frame
At 6 months
Title
Afterglow effect
Description
An evaluation of static mechanical allodynia in surface and intensity at 6 months
Time Frame
At 6 months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Eligibility Criteria Male or female patients aged ≥18 years; Static mechanical allodynia for less than 3 months, whatever its etiology and topography; Probable peripheral or central neuropathic pain or defined according to the IASP criteria; Neuropathic pain diagnostic questionnaire DN4 score ≥ 4/10; Chronic pain with average intensity ≥ 4/10; Analgesic treatment unchanged within 15 days prior to screening, and not planned to be modified during the study; Patient who can attend follow-up visits during the study; Patient affiliated to a health insurance plan or entitled; Patient must be able to give informed consent in accordance with ICH GCP guidelines and local legislation and/or regulations. Exclusion Criteria: Patient with neuralgia (spontaneous pain) with or without allodynia; Patient not able to participate actively to the rehabilitation exercises for physical reason, cognitive reason (ability to understand instructions) or behavioural reason (e.g. addiction...); Patient with complex regional pain syndrome (type I); Patients for whom cares cannot avoid any touch with allodynia area; Patient previously treated by a transcutaneous electrical nerve stimulation (TENS); Prior treatment by somatosensory rehabilitation; Duration of stay in the medical center < 11 weeks; Patient with cognitive disorder; Allodynia area of the patient presenting with conditions not recommended for vibrotactile stimulation: wound, unhealed nerve suture, recent skin transplantation, fragile organ such as eye.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Rania Belmahfoud, MD
Organizational Affiliation
CRRF La Chataigneraie Convention
Official's Role
Study Chair
First Name & Middle Initial & Last Name & Degree
Valérie Zingale
Organizational Affiliation
CRRF La Chataigneraie Convention
Official's Role
Study Director
Facility Information:
Facility Name
CRRF La Chataigneraie Convention
City
Paris
State/Province
Île-de-France
ZIP/Postal Code
75015
Country
France

12. IPD Sharing Statement

Learn more about this trial

Evaluation of the Efficacy of Somatosensory Rehabilitation of Pain by Vibrotactile Stimulation on Static Mechanical Allodynia

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