UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000051995
Receipt number R000059342
Scientific Title Investigation of Molecular Basis of Sympathetically Maintained Pain in Chronic Orofacial Pain
Date of disclosure of the study information 2023/08/24
Last modified on 2024/05/13 09:21:32

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Basic information

Public title

Study on Molecular Basis of Stellate Ganglion Block for Chronic Pain

Acronym

Study on Molecular Basis of Stellate Ganglion Block for Chronic Pain

Scientific Title

Investigation of Molecular Basis of Sympathetically Maintained Pain in Chronic Orofacial Pain

Scientific Title:Acronym

Investigation of Molecular Basis of Sympathetically Maintained Pain in Chronic Orofacial Pain

Region

Japan


Condition

Condition

Chronic primary orofacial pain, Chronic secondary orofacial pain

Classification by specialty

Anesthesiology Oral surgery Dental medicine

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

Many cases of chronic orofacial pain are classified as neuropathic or nociplastic pain disorders. These conditions are often influenced by social and psychological stress and tend to be refractory. Sympathetically maintained pain (SMP), which involves sympathetic nervous system activity, is considered to contribute to these conditions. Stellate ganglion block (SGB) has been employed as an interventional treatment for the SMP in the orofacial region. However, the molecular underpinnings altered by SGBs and the pathophysiology of the SMP in the orofacial region remain largely unknown. This study aims to comprehensively explore changes in factors related to pain and stress pre- and post-SGBs.

Basic objectives2

Others

Basic objectives -Others

Understanding the Pathophysiology of Chronic Orofacial Pain

Trial characteristics_1

Exploratory

Trial characteristics_2

Explanatory

Developmental phase

Not applicable


Assessment

Primary outcomes

Pain- and stress-related biomarkers on pre- and post-SGB in saliva (i.e. Brain-derived neurotrophic factor (BDNF), nerve growth factor (NGF), cortisol, alpha-amylase, chromogranin A).

Key secondary outcomes

Other pain- and stress-related biomarkers in saliva or blood (i.e. serotonin, noradrenaline, interleukin-1beta (IL-1beta), IL-6, IL-8, substance P, endorphin, dehydroepiandrosterone, noradrenaline, tumor necrosis factor (TNF-alpha), prostaglandin, leukotriene, enkephalin, bradykinin, vasopressin).
Blood pressure, pulse rate, SPO2, heart rate variability and pain intensity on pre- and post-SGB.


Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Self control

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Treatment

Type of intervention

Maneuver

Interventions/Control_1

Unilateral stellate ganglion block with local anesthetic (0.5-1% lidocaine hydrochloride, 4-8mL)

Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

20 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

Patients with primary or secondary oral-facial pain lasting more than 3 months

Key exclusion criteria

Contraindications to SGB, failures of SGB, accidents by SGB, patients with diagnosed psychiatric disorder.

Target sample size

30


Research contact person

Name of lead principal investigator

1st name Hidetaka
Middle name
Last name Kuroda

Organization

Kanagawa Dental University

Division name

Department of Dental Anesthesiology

Zip code

238-0003

Address

82 Inaoka Yokosuka Kanagawa, Japan

TEL

+81-46-822-8751

Email

kuroda@kdu.ac.jp


Public contact

Name of contact person

1st name Hidetaka
Middle name
Last name Kuroda

Organization

Kanagawa Dental University Hospital

Division name

Department of Dental Anesthesiology

Zip code

238-0004

Address

1-23 Ogawa Yokosuka Kanagawa, Japan

TEL

+81-46-822-8896

Homepage URL


Email

kuroda@kdu.ac.jp


Sponsor or person

Institute

Kanagawa Dental University

Institute

Department

Personal name



Funding Source

Organization

Kanagawa Dental University

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization



Other related organizations

Co-sponsor

Tokyo Dental College

Name of secondary funder(s)



IRB Contact (For public release)

Organization

Ethics Committee of Kanagawa Dental University

Address

82 Inaoka Yokosuka Kanagawa, Japan

Tel

+81-46-822-8751

Email

kenkyo@kdu.ac.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2023 Year 08 Month 24 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Enrolling by invitation

Date of protocol fixation

2023 Year 08 Month 10 Day

Date of IRB

2023 Year 08 Month 10 Day

Anticipated trial start date

2023 Year 08 Month 24 Day

Last follow-up date

2027 Year 03 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2023 Year 08 Month 24 Day

Last modified on

2024 Year 05 Month 13 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000059342