Exploring the Genetics of Neuropathic Pain

Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age18-70
SponsorOslo University Hospital

About this trial

In the present study the investigators will search for new genetic variants relevant for the development of neuropathic pain.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

The patient is between 18 and 70 years old.

The patient has consented.

The patient is referred for evaluation of possible distal symmetric polyneuropathy (DSPN).

The patient has filled out the questionnaires.

Disqualifiers

The patient is too sick to participate (eg. bedridden, fever).

The patient is unable to consent (eg. dementia, speech problems, psychiatric disorder).

Inflammatory acute polyneuropathy.

Trial population

All patients that are referred for suspected distal symmetric polyneuropathy and meet the inclusion criteria, will be included in the project. Furthermore, there will be collected blood tests from patients with definite and probable polyneuropathy.

Trial design

Design model

Case-control

Time perspective

Cross-sectional

Treatments tested in this trial

  • Nerve conduction Studies

    Genetic

    Patients will be genotyped for comparison of patients With and without pain, With different clinical subgroups as mentioned.

Treatment groups

5,000 Participants
are divided into 6 treatment groups

6

Treatment groups

See each treatment group below.

Group A: Polyneuropathy with pain1 intervention
Group B: Polyneuropathy without pain1 intervention
Group C: Diabetic polyneuropathy with pain1 intervention
Group D: Diabetic polyneuropathy without pain1 intervention
Group E: Carpal tunnel syndrome with pain1 intervention
Group F: Carpal tunnel syndrome without pain1 intervention

Trial outcomes

Primary outcomes

1

Genetic variants associated with neuropathic pain.

Relevant genotypes will be found using genome-wide association study (GWAS) methodology, ie. with no assumptions regarding which genetic variants that may be relevant (no hypotheses regarding specific variants). This is going to be conducted by using array genotyping (SNPs) in order to identify genetic variants that might be associated with neuropathic pain. Genetic variants will be defined and named according to standard practice, without any room for local or study specific adaptations.

Time frame
Baseline
2

Phenotype; neuropathic pain yes/no

Patients will be divided in two groups; neuropathy With pain (= neuropathic pain) and neuropathy without pain. For definition of neuropathic pain, the Neupsig guidelines (Finnerup et al, Pain 2016) will be used.It is estimated that about 600 patients will be included yearly for this purpose

Time frame
Baseline
3

Phenotype; subgroup analysis of patients with neuropathic pain based on grading of pain

Patients with neuropathic pain will be further subdivided in groups based on pain reports. Pain will be graded using validated questionnaires. The "Brief Pain Inventory-BPI" (Cleeland et al, 1994) questionnaire will be used as primary resource for pain grading, on a scale from 0 to 10 (0: no pain, 1-3: mild pain, 4-10: strong pain).

Time frame
Baseline

Secondary outcomes

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Oslo University Hospital

Lead sponsor

Haukeland University Hospital

Collaborator

Helse Stavanger HF

Collaborator

St. Olavs Hospital

Collaborator

University Hospital of North Norway

Collaborator

University of Oxford

Collaborator

Danish Pain Research Center

Collaborator

Oslo Metropolitan University

Collaborator