- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02957851
EMONO for the Treatment of Peripheral Neuropathic Pain (ProtoTOP)
September 20, 2018 updated by: Air Liquide Santé International
Equimolar Mixture of Oxygen and Nitrous Oxide (EMONO) for the Treatment of Peripheral Neuropathic Pain: A Randomises, International, Multicentre, Placebo-Controlled, Phenotype-stratified Phase IIa Study
To assess the effect of 3 consecutive days of one-hour administration of Nitrous Oxide/Oxygen 50%/50% (EMONO) versus placebo as Oxygen/Nitrogen 22%/78% (synthetic medical air), in add-on therapy to chronic analgesic treatments, on average pain intensity in patients with chronic peripheral neuropathic pain.
A total of 250 randomised patients to be included in all the participating centres, i.e., 125 randomised patients in each of the 2 study groups treatments
Study Overview
Study Type
Interventional
Enrollment (Actual)
287
Phase
- Phase 2
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
-
-
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Bayeux, France, 14401
- Centre Hospitalier de Bayeux
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Besançon, France, 25030
- Centre Hospitalier Regional Universitaire - Hôpital Jean-Minjoz
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Bordeaux, France, 33000
- Hôpital Pellegrin
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Boulogne-Billancourt, France, 92100
- Hopital Ambroise Pare
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Bron, France, 69677
- Hopital Neurologique Weirthermer
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Clermont-Ferrand, France, 63003
- Centre Hospitalier Universitaire Gabriel Montpied
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Le Bourget, France, 93350
- Clinique du Bourget
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Limoges, France, 87042
- Centre Hospitalier Universitaire Dupuytren
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Marseille, France, 13385
- CHU La Timone
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Metz-Thionville, France, 57530
- Centre Hospitalier Régional de Metz-Thionville
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Montpellier, France, 34295
- Hopital Saint Eloi
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Nantes, France, 44093
- Hôpital Nord Laennec
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Nantes, France, 44046
- Clinique Breteche
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Nantes, France, 44202
- Nouvelles Cliniques Nantaises
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Nimes, France, 30029
- Hôpital Universitaire Carémeau
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Paris, France, 75010
- Hopital Lariboisiere
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Paris, France, 75014
- Hopital Cochin
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Rouen, France, 76000
- Centre Hospitalier Universitaire de Rouen
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Saint-Priest, France, 69800
- Clinique IRIS Saint-Priest
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La Tronche
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Grenoble, La Tronche, France, 38700
- Chu de Grenoble
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-
-
-
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Munchen, Germany, 81675
- Neurologische Klinik Klinikum rechts der Isar
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Josef-Schneider-Str. 11
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Würzburg, Josef-Schneider-Str. 11, Germany, 97080
- Neurologische Klinik Universitätsklinikum
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-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
18 years and older (ADULT, OLDER_ADULT)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion Criteria:
- Patients with a mean pain intensity from 4 to 9 as assessed daily with a Numerating Rating Scale during the 7 day period preceding inclusion in spite of administration of usual pain treatments.
- Neuropathic pain lasting for more than 3 months but less than 10 years
- Definite or probable peripheral neuropathy
Exclusion Criteria:
- legal incapacity
- patient with another concomitant chronic pain
- ongoing major depression
- Chemotherapy-induced peripheral neuropathic pain
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: TREATMENT
- Allocation: RANDOMIZED
- Interventional Model: PARALLEL
- Masking: SINGLE
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
PLACEBO_COMPARATOR: Oxygen/Nitrogen (22%/78%)
Medical Air
|
Other Names:
|
ACTIVE_COMPARATOR: Nitrous Oxide/Oxygen (50%/50%)
EMONO
|
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Pain intensity
Time Frame: 7 days after the last administration of treatment
|
Numeric Rating Scale (NRS)
|
7 days after the last administration of treatment
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Pain intensity
Time Frame: 28 days after the last administration of treatment
|
Numeric Rating Scale (NRS)
|
28 days after the last administration of treatment
|
Pain characteristic
Time Frame: 28 days after the last administration of treatment
|
Neuropathic Pain Symptom Inventory (NPSI)
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28 days after the last administration of treatment
|
Quality of life questionnaire
Time Frame: 28 days after the last administration of treatment
|
Medical Outcome Study Short Form (SF-12)
|
28 days after the last administration of treatment
|
Number of patients with adverse events
Time Frame: through study duration, up to 31 days
|
through study duration, up to 31 days
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Collaborators
Investigators
- Study Chair: Didier Bouhassira, MD, Hospital Ambroise Paré Paris
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
General Publications
- Bouhassira D, Perrot S, Attal N, Ramirez-Gil JF, Delval C, Schaller M, Bessiere B, Houeto P, Sommer C. Combination of inhaled nitrous oxide and oral opioids induces long-lasting analgesic effects in patients with neuropathic pain: ProtoTOP study post hoc exploratory analyses. Pain. 2022 Sep 1;163(9):e1021-e1029. doi: 10.1097/j.pain.0000000000002570. Epub 2021 Dec 20.
- Bouhassira D, Perrot S, Riant T, Martine-Fabre G, Pickering G, Maindet C, Attal N, Ranque Garnier S, Nguyen JP, Kuhn E, Viel E, Kieffert P, Tolle T, Delorme C, Deleens R, Ginies P, Corand-Dousset V, Dal-Col C, Serrie A, Chevrillon E, Gov C, Ramirez-Gil JF, Delval C, Schaller M, Bessiere B, Houeto P, Sommer C; ProtoTOP group. Safety and efficacy of an equimolar mixture of oxygen and nitrous oxide: a randomized controlled trial in patients with peripheral neuropathic pain. Pain. 2021 Apr 1;162(4):1104-1115. doi: 10.1097/j.pain.0000000000002109.
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start
November 1, 2016
Primary Completion (ACTUAL)
August 1, 2018
Study Completion (ACTUAL)
August 1, 2018
Study Registration Dates
First Submitted
October 20, 2016
First Submitted That Met QC Criteria
November 4, 2016
First Posted (ESTIMATE)
November 8, 2016
Study Record Updates
Last Update Posted (ACTUAL)
September 21, 2018
Last Update Submitted That Met QC Criteria
September 20, 2018
Last Verified
September 1, 2018
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Nervous System Diseases
- Pain
- Neurologic Manifestations
- Neuromuscular Diseases
- Peripheral Nervous System Diseases
- Neuralgia
- Physiological Effects of Drugs
- Central Nervous System Depressants
- Peripheral Nervous System Agents
- Analgesics
- Sensory System Agents
- Anesthetics, General
- Anesthetics
- Analgesics, Non-Narcotic
- Anesthetics, Inhalation
- Nitrous Oxide
Other Study ID Numbers
- ALMED-15-C2-054
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
NO
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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