- ICH GCP
- US Clinical Trials Registry
- Klinisk utprøving NCT05299294
Observasjonsstudie av bruken av 8 % kapsaicinplaster hos barn 0 til 18 år (CAPSULE)
Pasienter under 18 år med validert 8 % capsaicin-plasterbehandling i rutinehelsetjenester vil bli tilbudt å delta i studien. Hvis de godtar det like godt som foreldrene, vil de bli inkludert i studien.
Medisinske data vil bli registrert og hjemme vil barnet eller hans familie samle inn smertevurderingsdata.
Toleransen vil bli overvåket hjemme ved telefonsamtale fra etterforskningsteamet hver 24. time frem til normalisering. (Mindre enn 24 timer for 75 %, 100 % til 72 timer på upubliserte personlige serier.) Barn vil bli vurdert via skalaer ved inkludering og 1 mnd, 3 mnd og 6 mnd.
Studieoversikt
Status
Forhold
Intervensjon / Behandling
Detaljert beskrivelse
Barn og tenåringer under 18 år, med kronisk lokalisert nevropatisk smerte, kan behandles med capsaicin 8 % plaster. Hvis denne indikasjonen er validert i pediatrisk konsultasjon med kronisk smerte, vil de bli tilbudt å delta i studien. Hvis de godtar det like godt som foreldrene, vil de bli inkludert i studien.
Behandlingssøknaden vil følge anbefalingene og realiseres i poliklinikken med utdannede sykepleiere.
Toleranse vil bli vurdert ved telefonsamtale hver 24. time av etterforskningsteamet frem til normalisering. Forventet varighet er mindre enn 24 timer for 75 % pasienter og 100 % ved 72 timer, fra upubliserte personopplysninger.
Effekten vil bli overvåket med vanlige smerte- og nevropatiske smerteverktøy, tilpasset alder og kognitive kapasiteter, en måned etter påføring.
Behandling kan utføres tre ganger om nødvendig med tre måneders intervall mellom hver påføring av kapsaicinplaster.
Studietype
Registrering (Antatt)
Kontakter og plasseringer
Studiesteder
-
-
-
Amiens, Frankrike, 80054
- CHU d'Amiens
-
Lyon, Frankrike
- Chu Lyon
-
-
France
-
Angers, France, Frankrike, 49933
- CHU Angers
-
Bordeaux, France, Frankrike, 33076
- CHU Bordeaux
-
Bourg-en-Bresse, France, Frankrike, 01000
- CHR Bourg en Bresse
-
Brest, France, Frankrike, 29609
- CHU de Brest
-
Caen, France, Frankrike, 14000
- CHU Caen
-
Lille, France, Frankrike, 59037
- CHU Lille
-
Limoges, France, Frankrike, 87042
- CHU Limoges
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Marseille, France, Frankrike, 13005
- CHU Marseille
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Montpellier, France, Frankrike, 34090
- CHU Montpellier
-
Nancy, France, Frankrike, 54511
- CHU Nancy
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Nantes, France, Frankrike, 44093
- CHU Nantes
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Paris, France, Frankrike, 75019
- CHU Robert Debre
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Paris, France, Frankrike, 75571
- CHU Trousseau
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Rouen, France, Frankrike, 76031
- CHU Rouen
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Strasbourg, France, Frankrike, 67098
- CHRU Strasbourg
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Toulouse, France, Frankrike, 31059
- CHU Toulouse
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Tours, France, Frankrike, 37044
- CHU Tours
-
Villejuif, France, Frankrike, 94805
- Institut Gustave Roussy
-
-
Deltakelseskriterier
Kvalifikasjonskriterier
Alder som er kvalifisert for studier
Tar imot friske frivillige
Prøvetakingsmetode
Studiepopulasjon
pasienter under 18 år med kronisk lokalisert nevropatisk smerte og capsaicin 8 % lappindikasjon validert i et pediatrisk senter for kronisk smerte.
pasienter med utviklingshemming aksepteres
Beskrivelse
Inklusjonskriterier:
- kronisk lokalisert nevropatisk smerte
- capsaicin 8 % lappbehandlingsindikasjon validert i et pediatrisk senter for kronisk smerte
- avtale om deltakelse fra barn og foreldre
Ekskluderingskriterier:
- allerede behandlet med capsaicin 8% plaster i samme kroppsområde
- allerede behandlet i samme studie i et annet etterforskningssenter
- ikke villige til å delta eller foreldre som ikke ønsker å delta i studien
Studieplan
Hvordan er studiet utformet?
Designdetaljer
- Observasjonsmodeller: Bare etui
- Tidsperspektiver: Potensielle
Hva måler studien?
Primære resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
|---|---|---|
|
Success or failure of pain treatment
Tidsramme: 6 months after last patch application
|
The success is defined by the absence of use of pharmacological or non-pharmacological treatments taken for pain relief or to improve comfort, including to aid sleep, 6 months after capsaicin last patch application.
The list of treatments is defined as follows: antiepileptic drug, tricyclic antidepressant, SNRI antidepressant, weak opioids, strong opioids, other pharmacological treatments, non-pharmacological pain-related devices.
|
6 months after last patch application
|
Sekundære resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
|---|---|---|
|
Use of pharmacological treatment
Tidsramme: Baseline
|
Use (yes/no) of at least one of these pharmacological treatments : antiepileptic, tricyclic antidepressant, SNRI antidepressant, weak opioid, strong opioid, other pharmacological treatment.
|
Baseline
|
|
Use of pharmacological treatment
Tidsramme: 6 months after last patch application
|
Use (yes/no) of at least one of these pharmacological treatments : antiepileptic, tricyclic antidepressant, SNRI antidepressant, weak opioid, strong opioid, other pharmacological treatment.
|
6 months after last patch application
|
|
Use of antiepileptic treatment
Tidsramme: Baseline
|
Use of antiepileptic treatment (yes/no).
|
Baseline
|
|
Use of antiepileptic treatment
Tidsramme: 6 months after last patch application
|
Use of antiepileptic treatment (yes/no).
|
6 months after last patch application
|
|
Use of tricyclic antidepressant treatment
Tidsramme: Baseline
|
Use of tricyclic antidepressant treatment (yes/no).
|
Baseline
|
|
Use of tricyclic antidepressant treatment
Tidsramme: 6 months after last patch application
|
Use of tricyclic antidepressant treatment (yes/no).
|
6 months after last patch application
|
|
Use of SNRI antidepressant treatment
Tidsramme: Baseline
|
Use of SNRI antidepressant treatment (yes/no).
|
Baseline
|
|
Use of SNRI antidepressant treatment
Tidsramme: 6 months after last patch application
|
Use of SNRI antidepressant treatment (yes/no).
|
6 months after last patch application
|
|
Use of weak opioid treatment
Tidsramme: Baseline
|
Use of weak opioid treatment (yes/no).
|
Baseline
|
|
Use of weak opioid treatment
Tidsramme: 6 months after last patch application
|
Use of weak opioid treatment (yes/no).
|
6 months after last patch application
|
|
Use of strong opioid treatment
Tidsramme: Baseline
|
Use of strong opioid treatment (yes/no).
|
Baseline
|
|
Use of strong opioid treatment
Tidsramme: 6 months after last patch application
|
Use of strong opioid treatment (yes/no).
|
6 months after last patch application
|
|
Use of other pharmacological treatment
Tidsramme: Baseline
|
Use of other pharmacological treatment (yes/no)
|
Baseline
|
|
Use of other pharmacological treatment
Tidsramme: 6 months after last patch application
|
Use of other pharmacological treatment (yes/no)
|
6 months after last patch application
|
|
Use of non-pharmacological treatment
Tidsramme: Baseline
|
Use (yes/no) of at least one of these non-pharmacological treatments : limitation of rubbing, mobility aid, restriction of movement, use of adapted tools, other non-pharmacological treatment.
|
Baseline
|
|
Use of non-pharmacological treatment
Tidsramme: 6 months after last patch application
|
Use (yes/no) of at least one of these non-pharmacological treatments : limitation of rubbing, mobility aid, restriction of movement, use of adapted tools, other non-pharmacological treatment.
|
6 months after last patch application
|
|
Use of pharmocological or non-pharmacological treatment
Tidsramme: Baseline
|
Use (yes/no) of at least one of these treatments : antiepileptic, tricyclic antidepressant, SNRI antidepressant, weak opioid, strong opioid, other pharmacological treatment, limitation of rubbing, mobility aid, restriction of movement, use of adapted tools, other non-pharmacological treatment.
|
Baseline
|
|
Use of pharmocological or non-pharmacological treatment
Tidsramme: 6 months after last patch application
|
Use (yes/no) of at least one of these treatments : antiepileptic, tricyclic antidepressant, SNRI antidepressant, weak opioid, strong opioid, other pharmacological treatment, limitation of rubbing, mobility aid, restriction of movement, use of adapted tools, other non-pharmacological treatment.
|
6 months after last patch application
|
|
Indication of capsaicin use
Tidsramme: Baseline
|
Indication for treatment with capsaicin will be collected (context of emergence of pain).
|
Baseline
|
|
Erythema
Tidsramme: Baseline
|
Presence of erythema up to 120 hours after patch application (yes/no).
|
Baseline
|
|
Erythema
Tidsramme: Month 3 if applicable
|
Presence of erythema up to 120 hours after patch application (yes/no).
|
Month 3 if applicable
|
|
Erythema
Tidsramme: Month 6 if applicable
|
Presence of erythema up to 120 hours after patch application (yes/no).
|
Month 6 if applicable
|
|
Cooling
Tidsramme: Baseline
|
Use of cooling up to 120 hours after patch application (yes/no).
|
Baseline
|
|
Cooling
Tidsramme: Month 6 if applicable
|
Use of cooling up to 120 hours after patch application (yes/no).
|
Month 6 if applicable
|
|
Cooling
Tidsramme: Month 3 if applicable
|
Use of cooling up to 120 hours after patch application (yes/no).
|
Month 3 if applicable
|
|
Duration of cooling
Tidsramme: Baseline
|
Duration of cooling is defined according to the first time point at which cooling is permanently discontinued. (Example: if cooling is permanently discontinued at 48 hours, the duration of cooling is classified as "Less than 48 hours"). |
Baseline
|
|
Duration of cooling
Tidsramme: Month 3 if applicable
|
Duration of cooling is defined as the first time point at which cooling is permanently discontinued. (Example: if cooling is permanently discontinued at 48 hours, the duration of cooling is classified as "Less than 48 hours"). |
Month 3 if applicable
|
|
Duration of cooling
Tidsramme: Month 6 if applicable
|
Duration of cooling is defined as the first time point at which cooling is permanently discontinued. (Example: if cooling is permanently discontinued at 48 hours, the duration of cooling is classified as "Less than 48 hours"). |
Month 6 if applicable
|
|
Change in continuous pain
Tidsramme: Baseline and 6 months after last patch application
|
Continuous pain will be measured with VAS (Visual Analogic Scale), paediatric VAS, NS (Numerical Scale) or Revised Faces Pain Scales depending on patient age.
All ranges from 0 to 10. Higher score is worse outcome.
|
Baseline and 6 months after last patch application
|
|
Change in intermittent pain
Tidsramme: Baseline and 6 months after last patch application
|
Intermittent pain will be measured with VAS (Visual Analogic Scale), paediatric VAS, NS (Numerical Scale) or Revised Faces Pain Scales depending on patient age.
All ranges from 0 to 10. Higher score is worse outcome.
|
Baseline and 6 months after last patch application
|
|
Condition assessment
Tidsramme: Baseline
|
DN4 questionnaire score.
The score ranges from 0 to 10, with 10 indicating the worst outcome.
|
Baseline
|
|
Condition assessment
Tidsramme: Baseline
|
NPSI questionnaire global score.
The global score ranges from 0 to 100, with 100 indicating the worst outcome.
|
Baseline
|
|
Condition assessment
Tidsramme: Baseline
|
NPSI questionnaire first subscore (superficial spontaneous pain).
The subscore ranges from 0 to 10, with 10 indicating the worst outcome.
|
Baseline
|
|
Condition assessment
Tidsramme: Baseline
|
NPSI questionnaire second subscore (deep spontaneous pain).
The subscore ranges from 0 to 10, with 10 indicating the worst outcome.
|
Baseline
|
|
Condition assessment
Tidsramme: Baseline
|
NPSI questionnaire third subscore (paroxysmal pain).
The subscore ranges from 0 to 10, with 10 indicating the worst outcome.
|
Baseline
|
|
Condition assessment
Tidsramme: Baseline
|
NPSI questionnaire forth subscore (evoked pain).
The subscore ranges from 0 to 10, with 10 indicating the worst outcome.
|
Baseline
|
|
Condition assessment
Tidsramme: Baseline
|
NPSI questionnaire fifth subscore (paresthesia / dysesthesia).
The subscore ranges from 0 to 10, with 10 indicating the worst outcome.
|
Baseline
|
Samarbeidspartnere og etterforskere
Sponsor
Etterforskere
- Hovedetterforsker: Philippe J Le Moine, MD, CHRU of Brest
Studierekorddatoer
Studer hoveddatoer
Studiestart (Faktiske)
Primær fullføring (Antatt)
Studiet fullført (Antatt)
Datoer for studieregistrering
Først innsendt
Først innsendt som oppfylte QC-kriteriene
Først lagt ut (Faktiske)
Oppdateringer av studieposter
Sist oppdatering lagt ut (Faktiske)
Siste oppdatering sendt inn som oppfylte QC-kriteriene
Sist bekreftet
Mer informasjon
Begreper knyttet til denne studien
Nøkkelord
Ytterligere relevante MeSH-vilkår
- Smerte
- Nevrologiske manifestasjoner
- Sykdommer i nervesystemet
- Nevromuskulære sykdommer
- Sykdommer i det perifere nervesystemet
- Patologiske tilstander, tegn og symptomer
- Tegn og symptomer
- Kronisk smerte
- Nevralgi
- Helsevesenets kvalitet, tilgang og evaluering
- Undersøkelsesteknikker
- Epidemiologiske metoder
- Helsevesenets evalueringsmekanismer
- Kvalitet på helsehjelpen
- Folkehelse
- Miljø og folkehelse
- Datainnsamling
Andre studie-ID-numre
- 29BRC21.0184 (CAPSULE)
Plan for individuelle deltakerdata (IPD)
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