UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000055267
Receipt number R000063121
Scientific Title The Exploration of Neurological Foundations of Chronic Postoperative Pain
Date of disclosure of the study information 2024/08/18
Last modified on 2024/08/15 22:10:58

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Basic information

Public title

The Exploration of Neurological Foundations of Chronic Postoperative Pain

Acronym

The Exploration of Neurological Foundations of Chronic Postoperative Pain

Scientific Title

The Exploration of Neurological Foundations of Chronic Postoperative Pain

Scientific Title:Acronym

The Exploration of Neurological Foundations of Chronic Postoperative Pain

Region

Japan


Condition

Condition

Chronic postoperative pain

Classification by specialty

Anesthesiology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

According to overseas studies, 20-30% of patients who undergo thoracic surgery or breast surgery experience prolonged postoperative pain, and 5-10% report severe pain with a Numerical Rating Scale (NRS) score of 5 or higher. Additionally, it is known that about half of chronic postoperative pain patients experience some form of disability due to the pain. However, there are very few studies that have investigated the actual prevalence of chronic postoperative pain in Japan.
Therefore, in this study, we aim to explore the actual prevalence of chronic postoperative pain in patients undergoing elective mastectomy or thoracic surgery at Keio University Hospital.

Basic objectives2

Others

Basic objectives -Others

Recently, changes in brain function have been pointed out as factors contributing to the intractability and chronification of pain. However, research examining changes in brain function related to chronic postoperative pain is scarce, and the mechanisms by which postoperative pain becomes chronic remain unclear, leading to insufficient evaluation and treatment. In this study, we will also explore the relationship between pain intensity and brain function at 1 month after operation, as well as the neurological foundations related to chronic postoperative pain.

Trial characteristics_1

Exploratory

Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

The average NRS at 1 month and at 3-6 months after surgery.

Key secondary outcomes

Resting NRS at 3-6 months after surgery.
Movement-evoked NRS at 3-6 months after surgery.
Resting NRS at 1 month after surgery.
Movement-evoked NRS at 1 month after surgery.
Relationship between postoperative pain intensity and brain function at 3-6 months after surgery.
Relationship between postoperative pain intensity and brain function at 1 month after surgery.
Exploration of factors leading to Chronic Post Surgical Pain based on patient background and perioperative information.


Base

Study type

Observational


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


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

15 years-old <=

Age-upper limit

85 years-old >=

Gender

Male and Female

Key inclusion criteria

Patients classified as ASA-PS Class 1 or 2 according to the American Society of Anesthesiologists' Physical Status Classification System.
Patients who provide written consent to participate in this study.

Key exclusion criteria

Patients who have any pain prior to surgery.
Patients undergoing surgery for pneumothorax or pectus excavatum in the Department of Respiratory Surgery.
Patients undergoing mastectomy with expander insertion.
Other patients who cannot undergo MRI imaging (e.g., those with claustrophobia or magnetic metallic implants in their body).
Patients currently involved in compensation claims related to pain (e.g., workers' compensation, welfare benefits) or ongoing litigation.
Patients deemed unsuitable for this study by the principal investigator or co-investigators.

Target sample size

300


Research contact person

Name of lead principal investigator

1st name Kenta
Middle name
Last name Wakaizumi

Organization

Keio University School of Medicine

Division name

Department of Anesthesiology

Zip code

160-0016

Address

Shinanomachi 35, Shinjyuku-ku, Tokyo

TEL

03-5363-3810

Email

kwaka@keio.jp


Public contact

Name of contact person

1st name Saki
Middle name
Last name Takaoka

Organization

Keio University School of Medicine

Division name

Department of Anesthesiology

Zip code

160-0016

Address

Shinanomachi 35, Shinjyuku-ku, Tokyo

TEL

03-5363-3810

Homepage URL


Email

saki.takaoka@keio.jp


Sponsor or person

Institute

Keio University

Institute

Department

Personal name

Kenta Wakaizumi


Funding Source

Organization

Japan Society for the Promotion of Science

Organization

Division

Category of Funding Organization

Japanese Governmental office

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Keio University School of Medicine Ethics Committee

Address

Shinanomachi 35, Shinjyuku-ku, Tokyo

Tel

03-3353-1211

Email

med-rinri-jimu@adst.keio.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

2024 Year 08 Month 18 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

Preinitiation

Date of protocol fixation

2024 Year 07 Month 30 Day

Date of IRB


Anticipated trial start date

2024 Year 08 Month 20 Day

Last follow-up date

2030 Year 03 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

None


Management information

Registered date

2024 Year 08 Month 17 Day

Last modified on

2024 Year 08 Month 15 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000063121