UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000062531
Receipt number R000071585
Scientific Title A prospective study to quantify pain and pain threshold using a sensory and pain quantitative analyzer (Pain Vision) in patients with adrenal insufficiency of all etiologies
Date of disclosure of the study information 2026/08/10
Last modified on 2026/08/09 23:18:02

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Basic information

Public title

Study to investigate pain sensitivity in patients with adrenal insufficiency

Acronym

Pain Assessment in Adrenal Insufficiency

Scientific Title

A prospective study to quantify pain and pain threshold using a sensory and pain quantitative analyzer (Pain Vision) in patients with adrenal insufficiency of all etiologies

Scientific Title:Acronym


Prospective Pain Vision Assessment in Adrenal Insufficiency

Region

Japan


Condition

Condition

Adrenal insufficiency

Classification by specialty

Endocrinology and Metabolism

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

The purpose of this study is to assess pain in patients with adrenal insufficiency using Pain Vision, a minimally invasive, simple, quantitative, and objective method for pain evaluation. This study
will compare pain among patients with different clinical backgrounds, evaluate treatment-related changes in pain, and explore optimal hormone replacement therapy for patients with adrenal insufficiency.

Basic objectives2

Others

Basic objectives -Others

Objective and quantitative evaluation of pain and pain threshold, and elucidation of the pathophysiology in patients with adrenal insufficiency

Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Difference in the change in pain threshold measured by Pain Vision before and after treatment for adrenal insufficiency

Key secondary outcomes

In the subgroup of patients with adrenal insufficiency presenting with arthralgia or myalgia, the secondary outcomes will include changes in pain-compatible current measured by Pain Vision for the same
pain before and after treatment, background factors associated with changes in pain threshold and pain-compatible current, and differences in changes assessed by Pain Vision and the visual analog scale
(VAS).


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

20 years-old <=

Age-upper limit

80 years-old >

Gender

Male and Female

Key inclusion criteria

Patients with adrenal insufficiency or suspected adrenal insufficiency who are scheduled to be admitted to our department, aged 20 years or older and younger than 80 years, regardless of sex.

Key exclusion criteria

Patients who did not provide informed consent; patients with concomitant conditions that may cause peripheral neuropathy (eg, diabetes mellitus or current or previous treatment with chemotherapy
associated with peripheral neuropathy).

Target sample size

150


Research contact person

Name of lead principal investigator

1st name Yoshiaki
Middle name
Last name Hishida

Organization

St. Marianna University School of Medicine

Division name

Division of Metabolism and Endocrinology, Department of Internal Medicine

Zip code

216-8511

Address

2-16-1, Sugao, Miyamae-ku, Kawasaki, Kanagawa, Japan

TEL

+81-44-977-8111

Email

y.hishida@marianna-u.ac.jp


Public contact

Name of contact person

1st name Yoshiaki
Middle name
Last name Hishida

Organization

St. Marianna University School of Medicine

Division name

Division of Metabolism and Endocrinology, Department of Internal Medicine

Zip code

216-8511

Address

2-16-1, Sugao, Miyamae-ku, Kawasaki, Kanagawa, Japan

TEL

+81-44-977-8111

Homepage URL


Email

y.hishida@marianna-u.ac.jp


Sponsor or person

Institute

St. Marianna University School of Medicine

Institute

Department

Personal name



Funding Source

Organization

Ministry of Education, Culture, Sports, Science and Technology

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

Bioethics Committee (Clinical Trial Subcommittee), St. Marianna University School of Medicine

Address

2-16-1, Sugao, Miyamae-ku, Kawasaki, Kanagawa, Japan

Tel

+81-44-977-8111

Email

k-sienbu.mail@marianna-u.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

2026 Year 08 Month 10 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

2026 Year 08 Month 07 Day

Date of IRB


Anticipated trial start date

2026 Year 08 Month 19 Day

Last follow-up date

2028 Year 12 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

In eligible participants, pain threshold will be measured using Pain Vision at admission, together with visual analogue scale (VAS) assessment. In those with arthralgia or myalgia, pain-equivalent current will also be measured. If glucocorticoid therapy must be started before admission because of severe symptoms, the initial Pain Vision and VAS assessments will be performed at the outpatient visit before treatment.

Based on endocrine testing during hospitalization, participants in whom adrenal insufficiency is ruled out will be classified into the control group, whereas those diagnosed with adrenal insufficiency, including those with a pre-existing diagnosis, will be classified into the adrenal insufficiency group. The control group is used because patients evaluated for suspected adrenal insufficiency may have other endocrine disorders affecting pain threshold or peripheral nerve function, and pain measures may also change during hospitalization.

A second Pain Vision and VAS assessment will be performed at a post-discharge outpatient visit in both groups. In the adrenal insufficiency group, glucocorticoid replacement will be initiated as routine clinical care before discharge, allowing assessment of changes in pain threshold and pain-equivalent current after treatment.

The primary outcome is the between-group difference in change in Pain Vision pain threshold from the first to the second assessment. Secondary outcomes include change in pain-equivalent current in participants with arthralgia or myalgia, factors associated with changes in pain measures, and differences in changes assessed by Pain Vision and VAS.


Management information

Registered date

2026 Year 08 Month 09 Day

Last modified on

2026 Year 08 Month 09 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000071585