| 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 |
Study to investigate pain sensitivity in patients with adrenal insufficiency
Pain Assessment in Adrenal Insufficiency
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
Prospective Pain Vision Assessment in Adrenal Insufficiency
| Japan |
Adrenal insufficiency
| Endocrinology and Metabolism |
Others
NO
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.
Others
Objective and quantitative evaluation of pain and pain threshold, and elucidation of the pathophysiology in patients with adrenal insufficiency
Difference in the change in pain threshold measured by Pain Vision before and after treatment for adrenal insufficiency
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).
Observational
| 20 | years-old | <= |
| 80 | years-old | > |
Male and Female
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.
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).
150
| 1st name | Yoshiaki |
| Middle name | |
| Last name | Hishida |
St. Marianna University School of Medicine
Division of Metabolism and Endocrinology, Department of Internal Medicine
216-8511
2-16-1, Sugao, Miyamae-ku, Kawasaki, Kanagawa, Japan
+81-44-977-8111
y.hishida@marianna-u.ac.jp
| 1st name | Yoshiaki |
| Middle name | |
| Last name | Hishida |
St. Marianna University School of Medicine
Division of Metabolism and Endocrinology, Department of Internal Medicine
216-8511
2-16-1, Sugao, Miyamae-ku, Kawasaki, Kanagawa, Japan
+81-44-977-8111
y.hishida@marianna-u.ac.jp
St. Marianna University School of Medicine
Ministry of Education, Culture, Sports, Science and Technology
Japanese Governmental office
Bioethics Committee (Clinical Trial Subcommittee), St. Marianna University School of Medicine
2-16-1, Sugao, Miyamae-ku, Kawasaki, Kanagawa, Japan
+81-44-977-8111
k-sienbu.mail@marianna-u.ac.jp
NO
| 2026 | Year | 08 | Month | 10 | Day |
Unpublished
Preinitiation
| 2026 | Year | 08 | Month | 07 | Day |
| 2026 | Year | 08 | Month | 19 | Day |
| 2028 | Year | 12 | Month | 31 | Day |
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.
| 2026 | Year | 08 | Month | 09 | Day |
| 2026 | Year | 08 | Month | 09 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000071585