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)
연구 개요
상태
상태
정황
정황
개입 / 치료
개입 / 치료
연구 유형
연구 유형
등록 (추정된)
등록
단계
단계
- 4단계
연락처 및 위치
연구 연락처
연구 연락처
- 이름: Fallon Koenig, MS, CCRP
- 전화번호: 734-936-8778
- 이메일: fakoenig@med.umich.edu
연구 장소
-
-
California
-
Stanford, California, 미국, 94305
- Stanford University
-
연락하다:
- Barbara Hung
- 이메일: barbhung@stanford.edu
-
수석 연구원:
- Dong In Sinn
-
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Florida
-
Jacksonville, Florida, 미국, 32209
- University of Florida-Jacksonville
-
연락하다:
- Grace Bienkowski
- 이메일: grace.bienkowski@jax.ufl.edu
-
수석 연구원:
- Joe Chehade
-
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Illinois
-
Chicago, Illinois, 미국, 60612
- Rush University Medical Center
-
연락하다:
- Bartosz Jacher
- 이메일: Bartosz_Jacher@rush.edu
-
수석 연구원:
- Rabia Malik
-
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Iowa
-
Iowa City, Iowa, 미국, 52242
- University of Iowa
-
수석 연구원:
- Marcelo Correia
-
연락하다:
- Brian Gryzlak
- 이메일: brian-gryzlak@uiowa.edu
-
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Louisiana
-
New Orleans, Louisiana, 미국, 70118
- Tulane University
-
수석 연구원:
- Vivian Fonseca
-
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Maryland
-
Baltimore, Maryland, 미국, 21224
- Johns Hopskins University
-
수석 연구원:
- Eva Tseng
-
-
Michigan
-
Ann Arbor, Michigan, 미국, 48104
- University of Michigan
-
수석 연구원:
- Lynn Ang, MD
-
연락하다:
- Fallon Koenig, MS, CCRP
- 전화번호: 734-936-8778
- 이메일: fakoenig@med.umich.edu
-
-
Minnesota
-
Minneapolis, Minnesota, 미국, 55455
- University of Minnesota
-
연락하다:
- Sarah Hilbert
- 이메일: hilbe010@umn.edu
-
수석 연구원:
- Pitcha Choompongpod
-
Minneapolis, Minnesota, 미국, 55407
- Allina Health-Neurosciences Research
-
연락하다:
- Emeryth Beloy
- 이메일: emeryth.beloy@allina.com
-
수석 연구원:
- Goel Vasudha
-
Rochester, Minnesota, 미국, 55902
- Mayo Clinic Rochester
-
수석 연구원:
- Kamal Shouman
-
-
Missouri
-
Columbia, Missouri, 미국, 65201
- University of Missouri
-
연락하다:
- Megan Burnam-Cole
- 이메일: burnamma@health.missouri.edu
-
수석 연구원:
- Benjamin Crenshaw
-
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Nebraska
-
Omaha, Nebraska, 미국, 68198
- University of Nebraska
-
수석 연구원:
- Cyrus Desouza
-
연락하다:
- Susan Bubach
- 이메일: susan.burbach@unmc.edu
-
연락하다:
- Lisa Kuechenmeister
- 이메일: likuechenmeister@nebraskamed.com
-
-
New York
-
New York, New York, 미국, 10027
- Columbia University
-
New York, New York, 미국, 10065
- Will Cornell Medicine
-
연락하다:
- Michele Steinkamp
- 이메일: mls9004@med.cornell.edu
-
수석 연구원:
- Lisa Witkin
-
-
North Carolina
-
Chapel Hill, North Carolina, 미국, 27599
- University of North Carolina
-
연락하다:
- Elizabeth Burnett
- 이메일: Elizabeth_ODonohue@med.unc.edu
-
수석 연구원:
- Laura Young
-
Durham, North Carolina, 미국, 27708
- Duke University
-
수석 연구원:
- Ranee Chatterjee, MD
-
연락하다:
- Jhoanna Aquino
- 이메일: jhoannazaida.aquino@duke.edu
-
-
Oregon
-
Portland, Oregon, 미국, 97239
- Oregon Health & Science University
-
수석 연구원:
- Rodica Busui
-
연락하다:
- Aly Carlson
- 이메일: carlsaly@ohsu.edu
-
-
Pennsylvania
-
Titusville, Pennsylvania, 미국, 16354
- University of Pittsburgh
-
연락하다:
- Autumn Boyer
- 이메일: ARB352@pitt.edu
-
연락하다:
- Emily Klawson
- 이메일: ekk15@pitt.edu
-
수석 연구원:
- Holly Thomas
-
-
Tennessee
-
Nashville, Tennessee, 미국, 37208
- Meharry Medical College
-
연락하다:
- Abraham Garcia Ortega
- 이메일: agarcia@mmc.edu
-
Nashville, Tennessee, 미국, 37235
- University of Vanderbilt
-
-
Texas
-
Edinburg, Texas, 미국, 78539
- DHR Health Institute for Research and Development
-
연락하다:
- Clarisa Medina
- 이메일: c.medina@dhrhealth.com
-
수석 연구원:
- Marcel Twahirwa
-
McKinney, Texas, 미국, 75071
- BaylorScott & White University Medical Center
-
연락하다:
- Priyanka Rana
- 이메일: Priyanka.Rana@BSWHealth.org
-
수석 연구원:
- Dana Bleakney
-
-
Wisconsin
-
Spooner, Wisconsin, 미국, 54801
- Essentia Health
-
연락하다:
- Nathan Mukai
- 이메일: nathan.mukai@essentiahealth.org
-
수석 연구원:
- Stephen Rostad
-
-
참여기준
자격 기준
자격 기준
공부할 수 있는 나이
- 성인
- 고령자
건강한 자원 봉사자를 받아들입니다
설명
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
공부 계획
연구는 어떻게 설계됩니까?
디자인 세부사항
- 주 목적: 치료
- 할당: 무작위
- 중재 모델: 크로스오버 할당
- 마스킹: 없음(오픈 라벨)
팔의 수
무기와 개입
참가자 그룹 / 팔참가자 그룹 / 팔 |
개입 / 치료개입 / 치료 |
|---|---|
|
실험적: 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 |
|
실험적: 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 |
|
실험적: 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) |
|
실험적: 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).
|
|
실험적: 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) |
|
실험적: 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) |
|
실험적: 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) |
|
실험적: 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).
|
|
실험적: 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).
|
|
실험적: 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).
|
|
실험적: 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).
|
|
실험적: 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).
|
연구는 무엇을 측정합니까?
주요 결과 측정
주요 결과 측정
결과 측정 |
측정값 설명 |
기간 |
|---|---|---|
|
Patient-centered utility function as a measure for efficacy and tolerability
기간: 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.
|
2차 결과 측정
2차 결과 측정
결과 측정 |
측정값 설명 |
기간 |
|---|---|---|
|
Pain intensity
기간: 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.
|
|
Pain interference
기간: 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
기간: 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
기간: 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)
기간: 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
기간: 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
기간: 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
기간: 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
기간: 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
기간: 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
기간: 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
기간: 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
|
공동 작업자 및 조사자
협력자
협력자
수사관
수사관
- 수석 연구원: Brian Callaghan, MD, University of Michigan
연구 기록 날짜
연구 주요 날짜
연구 시작 (추정된)
연구 시작
기본 완료 (추정된)
기본 완료
연구 완료 (추정된)
연구 완료
연구 등록 날짜
최초 제출
최초 제출
QC 기준을 충족하는 최초 제출
QC 기준을 충족하는 최초 제출
처음 게시됨 (실제)
처음 게시됨
연구 기록 업데이트
마지막 업데이트 게시됨 (실제)
마지막 업데이트 게시됨
QC 기준을 충족하는 마지막 업데이트 제출
QC 기준을 충족하는 마지막 업데이트 제출
마지막으로 확인됨
마지막으로 확인됨
추가 정보
이 연구와 관련된 용어
추가 관련 MeSH 약관
기타 연구 ID 번호
기타 연구 ID 번호
- HUM00292431
- BPS-2025C2-45514 (기타 보조금/기금 번호: Patient-Centered Outcomes Research Institute (PCORI))
개별 참가자 데이터(IPD) 계획
개별 참가자 데이터(IPD)를 공유할 계획입니까?
IPD 계획 설명
IPD 공유 기간
IPD 공유 액세스 기준
IPD 공유 지원 정보 유형
- 연구_프로토콜
- ICF
- CSR
약물 및 장치 정보, 연구 문서
미국 FDA 규제 의약품 연구
미국 FDA 규제 기기 제품 연구
미국에서 제조되어 미국에서 수출되는 제품
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