Modality Choice Before and After Failure for the Treatment of Painful Diabetic Neuropathy (MCPAIN)
Modality Choice Before and After Failure for the Treatment of Painful Diabetic Neuropathy (MCPAIN)
Panoramica dello studio
Stato
Stato
Condizioni
Condizioni
Intervento / Trattamento
Intervento / Trattamento
Tipo di studio
Tipo di studio
Iscrizione (Stimato)
Iscrizione
Fase
Fase
- Fase 4
Contatti e Sedi
Contatto studio
Contatto studio
- Nome: Fallon Koenig, MS, CCRP
- Numero di telefono: 734-936-8778
- Email: fakoenig@med.umich.edu
Luoghi di studio
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California
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Stanford, California, Stati Uniti, 94305
- Stanford University
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Contatto:
- Barbara Hung
- Email: barbhung@stanford.edu
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Investigatore principale:
- Dong In Sinn
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Florida
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Jacksonville, Florida, Stati Uniti, 32209
- University of Florida-Jacksonville
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Contatto:
- Grace Bienkowski
- Email: grace.bienkowski@jax.ufl.edu
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Investigatore principale:
- Joe Chehade
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Illinois
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Chicago, Illinois, Stati Uniti, 60612
- Rush University Medical Center
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Contatto:
- Bartosz Jacher
- Email: Bartosz_Jacher@rush.edu
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Investigatore principale:
- Rabia Malik
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Iowa
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Iowa City, Iowa, Stati Uniti, 52242
- University of Iowa
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Investigatore principale:
- Marcelo Correia
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Contatto:
- Brian Gryzlak
- Email: brian-gryzlak@uiowa.edu
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Louisiana
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New Orleans, Louisiana, Stati Uniti, 70118
- Tulane University
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Investigatore principale:
- Vivian Fonseca
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Maryland
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Baltimore, Maryland, Stati Uniti, 21224
- Johns Hopskins University
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Investigatore principale:
- Eva Tseng
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Michigan
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Ann Arbor, Michigan, Stati Uniti, 48104
- University of Michigan
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Investigatore principale:
- Lynn Ang, MD
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Contatto:
- Fallon Koenig, MS, CCRP
- Numero di telefono: 734-936-8778
- Email: fakoenig@med.umich.edu
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Minnesota
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Minneapolis, Minnesota, Stati Uniti, 55455
- University of Minnesota
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Contatto:
- Sarah Hilbert
- Email: hilbe010@umn.edu
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Investigatore principale:
- Pitcha Choompongpod
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Minneapolis, Minnesota, Stati Uniti, 55407
- Allina Health-Neurosciences Research
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Contatto:
- Emeryth Beloy
- Email: emeryth.beloy@allina.com
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Investigatore principale:
- Goel Vasudha
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Rochester, Minnesota, Stati Uniti, 55902
- Mayo Clinic Rochester
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Investigatore principale:
- Kamal Shouman
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Missouri
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Columbia, Missouri, Stati Uniti, 65201
- University of Missouri
-
Contatto:
- Megan Burnam-Cole
- Email: burnamma@health.missouri.edu
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Investigatore principale:
- Benjamin Crenshaw
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Nebraska
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Omaha, Nebraska, Stati Uniti, 68198
- University of Nebraska
-
Investigatore principale:
- Cyrus Desouza
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Contatto:
- Susan Bubach
- Email: susan.burbach@unmc.edu
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Contatto:
- Lisa Kuechenmeister
- Email: likuechenmeister@nebraskamed.com
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New York
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New York, New York, Stati Uniti, 10027
- Columbia University
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New York, New York, Stati Uniti, 10065
- Will Cornell Medicine
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Contatto:
- Michele Steinkamp
- Email: mls9004@med.cornell.edu
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Investigatore principale:
- Lisa Witkin
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North Carolina
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Chapel Hill, North Carolina, Stati Uniti, 27599
- University of North Carolina
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Contatto:
- Elizabeth Burnett
- Email: Elizabeth_ODonohue@med.unc.edu
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Investigatore principale:
- Laura Young
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Durham, North Carolina, Stati Uniti, 27708
- Duke University
-
Investigatore principale:
- Ranee Chatterjee, MD
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Contatto:
- Jhoanna Aquino
- Email: jhoannazaida.aquino@duke.edu
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Oregon
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Portland, Oregon, Stati Uniti, 97239
- Oregon Health & Science University
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Investigatore principale:
- Rodica Busui
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Contatto:
- Aly Carlson
- Email: carlsaly@ohsu.edu
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Pennsylvania
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Titusville, Pennsylvania, Stati Uniti, 16354
- University of Pittsburgh
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Contatto:
- Autumn Boyer
- Email: ARB352@pitt.edu
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Contatto:
- Emily Klawson
- Email: ekk15@pitt.edu
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Investigatore principale:
- Holly Thomas
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Tennessee
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Nashville, Tennessee, Stati Uniti, 37208
- Meharry Medical College
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Contatto:
- Abraham Garcia Ortega
- Email: agarcia@mmc.edu
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Nashville, Tennessee, Stati Uniti, 37235
- University of Vanderbilt
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Texas
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Edinburg, Texas, Stati Uniti, 78539
- DHR Health Institute for Research and Development
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Contatto:
- Clarisa Medina
- Email: c.medina@dhrhealth.com
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Investigatore principale:
- Marcel Twahirwa
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McKinney, Texas, Stati Uniti, 75071
- BaylorScott & White University Medical Center
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Contatto:
- Priyanka Rana
- Email: Priyanka.Rana@BSWHealth.org
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Investigatore principale:
- Dana Bleakney
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Wisconsin
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Spooner, Wisconsin, Stati Uniti, 54801
- Essentia Health
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Contatto:
- Nathan Mukai
- Email: nathan.mukai@essentiahealth.org
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Investigatore principale:
- Stephen Rostad
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Criteri di partecipazione
Criteri di ammissibilità
Criteri di ammissibilità
Età idonea allo studio
- Adulto
- Adulto più anziano
Accetta volontari sani
Descrizione
Inclusion Criteria:
- Diabetes
- Painful Diabetic Neuropathy (confirmed at screening visit)
- Willing to accept random treatment assignment to any of the proposed interventions
Exclusion Criteria:
- Pregnancy or plans to become pregnant during the study
- History of neuropathy from causes other than diabetes as determined through medical and family history, physical and neurologic examinations
- HbA1c >10%
- Participation in an experimental medication trial within 3 months of starting the study
- Undergoing therapy for malignant disease other than basal-cell or squamous-cell skin cancer
- Medical or psychiatric reason for not being a study candidate according to the site PI's discretion
- Contraindications preventing trialing two interventions within any of the 3 modalities
- Cirrhosis of the liver
Piano di studio
Come è strutturato lo studio?
Dettagli di progettazione
- Scopo principale: Trattamento
- Assegnazione: Randomizzato
- Modello interventistico: Assegnazione incrociata
- Mascheramento: Nessuno (etichetta aperta)
Numero di armi
Armi e interventi
Gruppo di partecipanti / ArmGruppo di partecipanti / Arm |
Intervento / TrattamentoIntervento / Trattamento |
|---|---|
|
Sperimentale: Oral Medication then New Oral Medication
Participants randomized to oral medications, and are considered non-responders at 4 months will be rerandomized to a new treatment modality (oral, topical, behavioral).
Those re-randomized to oral medications will select a new oral medication for the next 4 months.
|
Participants will work with their physician to select an oral medication from a list commonly used to treat PDN. Patients will follow standard of care dosing and tapering of the assigned drug. Serotonin-Norepinephrine Reuptake Inhibitors (SNRI's): Duloxetine, Venlafaxine, Desvenlafaxine Tricyclic Antidepressants (TCAs): Amitriptyline, Nortriptyline Gabapentinoids: Gabapentin, Pregabalin Sodium Channel Blockers: Oxcarbazepine, Lamotrigine, Lacosamide |
|
Sperimentale: Oral Medication then Same Oral Medication
Participants randomized to oral medications, and are considered responders at 4 months will continue with the same oral medication for the next 4 months.
|
Participants will work with their physician to select an oral medication from a list commonly used to treat PDN. Patients will follow standard of care dosing and tapering of the assigned drug. Serotonin-Norepinephrine Reuptake Inhibitors (SNRI's): Duloxetine, Venlafaxine, Desvenlafaxine Tricyclic Antidepressants (TCAs): Amitriptyline, Nortriptyline Gabapentinoids: Gabapentin, Pregabalin Sodium Channel Blockers: Oxcarbazepine, Lamotrigine, Lacosamide |
|
Sperimentale: Oral Medication then Topical Medication
Participants randomized to oral medications, and are considered non-responders at 4 months will be rerandomized to a new treatment modality (oral, topical, behavioral).
Those re-randomized to topical medications will select a topical medication for the next 4 months.
|
Participants will work with their physician to select an oral medication from a list commonly used to treat PDN. Patients will follow standard of care dosing and tapering of the assigned drug. Serotonin-Norepinephrine Reuptake Inhibitors (SNRI's): Duloxetine, Venlafaxine, Desvenlafaxine Tricyclic Antidepressants (TCAs): Amitriptyline, Nortriptyline Gabapentinoids: Gabapentin, Pregabalin Sodium Channel Blockers: Oxcarbazepine, Lamotrigine, Lacosamide Participants will work with their physician to select a topical medication from a list commonly used to treat PDN. 0.075% capsaicin cream (4 times daily) 4-5% lidocaine patches (1-4 patches every 24 hours) |
|
Sperimentale: Oral Medication then Cognitive Behavioral Therapy
Participants randomized to oral medications, and are considered non-responders at 4 months will be re-randomized to a new treatment modality (oral, topical, behavioral).
Those re-randomized to a behavioral intervention will begin self-guided CBT for the next 4 months.
|
Participants will work with their physician to select an oral medication from a list commonly used to treat PDN. Patients will follow standard of care dosing and tapering of the assigned drug. Serotonin-Norepinephrine Reuptake Inhibitors (SNRI's): Duloxetine, Venlafaxine, Desvenlafaxine Tricyclic Antidepressants (TCAs): Amitriptyline, Nortriptyline Gabapentinoids: Gabapentin, Pregabalin Sodium Channel Blockers: Oxcarbazepine, Lamotrigine, Lacosamide
Participants will work with study team to begin web-based, self-guided CBT (non-significant risk device) or traditional (one on one) CBT with a therapist (behavioral, not a device).
|
|
Sperimentale: Topical Medication then New Topical Medication
Participants randomized to topical medications, and are considered non-responders at 4 months will be rerandomized to a new treatment modality (oral, topical, behavioral).
Those re-randomized to topical medications will select a new topical medication for the next 4 months.
|
Participants will work with their physician to select a topical medication from a list commonly used to treat PDN. 0.075% capsaicin cream (4 times daily) 4-5% lidocaine patches (1-4 patches every 24 hours) |
|
Sperimentale: Topical Medication then Same Topical Medication
Participants randomized to topical medications, and are considered responders at 4 months will continue with the same topical medication for the next 4 months.
|
Participants will work with their physician to select a topical medication from a list commonly used to treat PDN. 0.075% capsaicin cream (4 times daily) 4-5% lidocaine patches (1-4 patches every 24 hours) |
|
Sperimentale: Topical Medication then Oral Medication
Participants randomized to topical medications, and are considered non-responders at 4 months will be re-randomized to a new treatment modality (oral, topical, behavioral).
Those re-randomized to oral medications will select an oral medication for the next 4 months.
|
Participants will work with their physician to select an oral medication from a list commonly used to treat PDN. Patients will follow standard of care dosing and tapering of the assigned drug. Serotonin-Norepinephrine Reuptake Inhibitors (SNRI's): Duloxetine, Venlafaxine, Desvenlafaxine Tricyclic Antidepressants (TCAs): Amitriptyline, Nortriptyline Gabapentinoids: Gabapentin, Pregabalin Sodium Channel Blockers: Oxcarbazepine, Lamotrigine, Lacosamide Participants will work with their physician to select a topical medication from a list commonly used to treat PDN. 0.075% capsaicin cream (4 times daily) 4-5% lidocaine patches (1-4 patches every 24 hours) |
|
Sperimentale: Topical Medication then Cognitive Behavioral Therapy
Participants randomized to topical medications, and are considered non-responders at 4 months will be re-randomized to a new treatment modality (oral, topical, behavioral).
Those re-randomized to a behavioral intervention will begin self-guided CBT for the next 4 months.
|
Participants will work with their physician to select a topical medication from a list commonly used to treat PDN. 0.075% capsaicin cream (4 times daily) 4-5% lidocaine patches (1-4 patches every 24 hours)
Participants will work with study team to begin web-based, self-guided CBT (non-significant risk device) or traditional (one on one) CBT with a therapist (behavioral, not a device).
|
|
Sperimentale: Cognitive Behavioral Therapy then Same Cognitive Behavioral Therapy
Participants randomized to behavioral interventions will all begin with self-guided CBT.
If considered responders at 4 months they will continue with self-guided CBT for the next 4 months.
|
Participants will work with study team to begin web-based, self-guided CBT (non-significant risk device) or traditional (one on one) CBT with a therapist (behavioral, not a device).
|
|
Sperimentale: Cognitive Behavioral Therapy then New Cognitive Behavioral Therapy
Participants randomized to behavioral interventions will all begin with self-guided CBT.
If considered non-responders at 4 months, they will be rerandomized to a new treatment modality (oral, topical, behavioral).
Those re-randomized to a behavioral intervention will begin traditional CBT for the next 4 months.
|
Participants will work with study team to begin web-based, self-guided CBT (non-significant risk device) or traditional (one on one) CBT with a therapist (behavioral, not a device).
|
|
Sperimentale: Cognitive Behavioral Therapy then Oral Medication
Participants randomized to behavioral interventions will all begin with self-guided CBT.
Non-responders at 4 months will be re-randomized to a new treatment modality (oral, topical, behavioral).
Those re-randomized to oral medications will select an oral medication for the next 4 months.
|
Participants will work with their physician to select an oral medication from a list commonly used to treat PDN. Patients will follow standard of care dosing and tapering of the assigned drug. Serotonin-Norepinephrine Reuptake Inhibitors (SNRI's): Duloxetine, Venlafaxine, Desvenlafaxine Tricyclic Antidepressants (TCAs): Amitriptyline, Nortriptyline Gabapentinoids: Gabapentin, Pregabalin Sodium Channel Blockers: Oxcarbazepine, Lamotrigine, Lacosamide
Participants will work with study team to begin web-based, self-guided CBT (non-significant risk device) or traditional (one on one) CBT with a therapist (behavioral, not a device).
|
|
Sperimentale: Cognitive Behavioral Therapy then Topical Medication
Participants randomized to behavioral interventions will all begin with self-guided CBT.
Non-responders at 4 months will be re-randomized to a new treatment modality (oral, topical, behavioral).
Those re-randomized to topical medications will select a topical medication for the next 4 months.
|
Participants will work with their physician to select a topical medication from a list commonly used to treat PDN. 0.075% capsaicin cream (4 times daily) 4-5% lidocaine patches (1-4 patches every 24 hours)
Participants will work with study team to begin web-based, self-guided CBT (non-significant risk device) or traditional (one on one) CBT with a therapist (behavioral, not a device).
|
Cosa sta misurando lo studio?
Misure di risultato primarie
Misure di risultato primarie
Misura del risultato |
Misura Descrizione |
Lasso di tempo |
|---|---|---|
|
Patient-centered utility function as a measure for efficacy and tolerability
Lasso di tempo: Up to 8 months.
|
Efficacy and tolerability will be assessed and measured as utility function.
Utility function ranges from 0-1.75, 0 being the lowest utility function and 1.75 being the highest utility function.
Utility function that is a composite of efficacy (0-1) and discontinuation (0-1).
|
Up to 8 months.
|
Misure di risultato secondarie
Misure di risultato secondarie
Misura del risultato |
Misura Descrizione |
Lasso di tempo |
|---|---|---|
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Pain intensity
Lasso di tempo: Up to 8 months.
|
Pain intensity as measured by first question of the "Pain, Enjoyment, General Activity" (PEG) numeric rating scale, where a score of 0 is no pain and 10 is the worst pain imaginable.
|
Up to 8 months.
|
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Pain interference
Lasso di tempo: Up to 8 months.
|
Pain interference as measured by the sum of the second two questions of the "Pain, Enjoyment, General Activity" (PEG) numeric rating scale, where a score of 0 is no interference with daily life and 20 is the complete interference with daily life.
|
Up to 8 months.
|
|
Discontinuation
Lasso di tempo: Up to 8 months
|
Rate of treatment discontinuation for any reason, including withdrawal From enrollment to end of treatment at 8 months.
|
Up to 8 months
|
|
Related adverse events
Lasso di tempo: Up to 8 months.
|
Adverse events reported by local sites and determined to be related to the treatment.
|
Up to 8 months.
|
|
Physical functioning/Quality of Life (QOL)
Lasso di tempo: Up to 8 months.
|
Physical function/QOL as measured by the Patient-Reported Outcomes Measurement Information System (PROMIS) Physical functioning Short Form 6b, a 5 question questionnaire.
Each question is measured with a likert scale, where 5 is "without any difficulty" and 1 is "unable to do"
|
Up to 8 months.
|
|
Neuropathy specific QOL
Lasso di tempo: Up to 8 months
|
Neuropathy Quality of Life (NeuroQOL) evaluates symptoms and function in regard to quality of life over the past four weeks.
Range 1-15, higher score indicates neuropathy having a greater impact on quality of life.
|
Up to 8 months
|
|
Depression
Lasso di tempo: Up to 8 months
|
As measured by the Patient Health Questionnaire (PHQ-2), a two-question questionnaire where each depression symptom is scored on a scale of 0-3, where 0 is "not at all" and 3 is "nearly every day".
The total score range is 0-6 where the higher score indicates more depression symptoms.
|
Up to 8 months
|
|
Anxiety
Lasso di tempo: Up to 8 months
|
As measured by the General Anxiety Disorder (GAD-2), a two-question questionnaire where each anxiety symptom is scored on a scale of 0-3, where 0 is "not at all" and 3 is "nearly every day".
The total score range is 0-6 where the higher score indicates more anxiety symptoms.
|
Up to 8 months
|
|
Sleep
Lasso di tempo: Up to 8 months
|
Sleep Quality represented by the sum of scores on the PROMIS Sleep Disturbance 6a and an additional question regarding sleep duration.
|
Up to 8 months
|
|
Pain Catastrophizing
Lasso di tempo: Up to 8 months
|
As measured by the Pain Catastrophizing Scale Short Form 6, where a score of 0 is catastrophizing "not at all" and 52 is catastrophizing "all the time"
|
Up to 8 months
|
|
Global treatment satisfaction
Lasso di tempo: Up to 8 months
|
As measured by Patient Global Impression of Change (PGIC), a single question on a scale of 0-6, where 0 is "very much improved" and 6 is "very much worse".
|
Up to 8 months
|
|
Substance use screener
Lasso di tempo: Up to 8 months
|
As measured by the Tobacco, Alcohol, Prescription Medications, and other Substance (TAPS 1) questionnaire, which is five questions on a scale of 0-4, where 0 is "daily or almost daily use" and 4 is "never use".
|
Up to 8 months
|
Collaboratori e investigatori
Sponsor
Sponsor
Collaboratori
Collaboratori
Investigatori
Investigatori
- Investigatore principale: Brian Callaghan, MD, University of Michigan
Studiare le date dei record
Studia le date principali
Inizio studio (Stimato)
Inizio studio
Completamento primario (Stimato)
Completamento primario
Completamento dello studio (Stimato)
Completamento dello studio
Date di iscrizione allo studio
Primo inviato
Primo inviato
Primo inviato che soddisfa i criteri di controllo qualità
Primo inviato che soddisfa i criteri di controllo qualità
Primo Inserito (Effettivo)
Primo Inserito
Aggiornamenti dei record di studio
Ultimo aggiornamento pubblicato (Effettivo)
Ultimo aggiornamento pubblicato
Ultimo aggiornamento inviato che soddisfa i criteri QC
Ultimo aggiornamento inviato che soddisfa i criteri QC
Ultimo verificato
Ultimo verificato
Maggiori informazioni
Termini relativi a questo studio
Termini MeSH pertinenti aggiuntivi
- Malattie urogenitali
- Malattie del sistema endocrino
- Malattie del sistema nervoso
- Malattie urogenitali maschili
- Malattie renali
- Malattie urologiche
- Malattie urogenitali femminili
- Malattie urogenitali femminili e complicanze della gravidanza
- Malattie neuromuscolari
- Malattie del sistema nervoso periferico
- Diabete mellito
- Complicanze del diabete
- Neuropatie diabetiche
- Nefropatie diabetiche
- Preparati farmaceutici
- Tecniche investigative
- Tecnologia, farmaceutica
- Forme di dosaggio
Altri numeri di identificazione dello studio
Altri numeri di identificazione dello studio
- HUM00292431
- BPS-2025C2-45514 (Altro numero di sovvenzione/finanziamento: Patient-Centered Outcomes Research Institute (PCORI))
Piano per i dati dei singoli partecipanti (IPD)
Hai intenzione di condividere i dati dei singoli partecipanti (IPD)?
Descrizione del piano IPD
Periodo di condivisione IPD
Criteri di accesso alla condivisione IPD
Tipo di informazioni di supporto alla condivisione IPD
- STUDIO_PROTOCOLLO
- ICF
- RSI
Informazioni su farmaci e dispositivi, documenti di studio
Studia un prodotto farmaceutico regolamentato dalla FDA degli Stati Uniti
Studia un dispositivo regolamentato dalla FDA degli Stati Uniti
prodotto fabbricato ed esportato dagli Stati Uniti
Queste informazioni sono state recuperate direttamente dal sito web clinicaltrials.gov senza alcuna modifica. In caso di richieste di modifica, rimozione o aggiornamento dei dettagli dello studio, contattare register@clinicaltrials.gov. Non appena verrà implementata una modifica su clinicaltrials.gov, questa verrà aggiornata automaticamente anche sul nostro sito web .