UMIN-ICDS Clinical Trial

Unique ID issued by UMIN UMIN000061985
Receipt number R000070930
Scientific Title Reliability and Validity of the Japanese Version of the Nociception Coma Scale-Revised: A Pain Assessment Tool for Patients with Impaired Consciousness
Date of disclosure of the study information 2026/06/20
Last modified on 2026/06/20 12:08:12

* This page includes information on clinical trials registered in UMIN clinical trial registed system.
* We don't aim to advertise certain products or treatments


Basic information

Public title

Reliability and Validity of the Japanese Version of the Nociception Coma Scale-Revised: A Pain Assessment Tool for Patients with Impaired Consciousness

Acronym

Reliability and Validity of the Japanese Version of the Nociception Coma Scale-Revised: A Pain Assessment Tool for Patients with Impaired Consciousness

Scientific Title

Reliability and Validity of the Japanese Version of the Nociception Coma Scale-Revised: A Pain Assessment Tool for Patients with Impaired Consciousness

Scientific Title:Acronym

Reliability and Validity of the Japanese Version of the Nociception Coma Scale-Revised: A Pain Assessment Tool for Patients with Impaired Consciousness

Region

Japan


Condition

Condition

Cerebrovascular Disease

Classification by specialty

Neurology Neurosurgery

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

The aim of this study was to develop a Japanese version of the NCS-R, examine its reliability and validity, and determine normative values and cutoff values for discriminating nociceptive from non-nociceptive stimulation according to the severity of disorders of consciousness.

Basic objectives2

Bio-equivalence

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Test-retest reliability: The Japanese version of the NCS-R, administered twice on the same day by Rater A

Key secondary outcomes

Inter-rater reliability: The Japanese version of the NCS-R, assessed by Rater A and Rater B on the same day
Concurrent validity: The Japanese version of the NCS-R, the Japanese version of the FLACC Behavioral Assessment Scale (Face, Legs, Activity, Cry, Consolability), and the Japanese version of the Critical-Care Pain Observation Tool (CPOT-J), all assessed by Rater A on the same day
Cutoff Values: Japanese Version of the NCS-R When Rater A Presented Invasive and Non-Invasive Stimuli


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

18 years-old <=

Age-upper limit

100 years-old >=

Gender

Male and Female

Key inclusion criteria

Age 18 years or older
Diagnosis of unresponsive wakefulness syndrome (UWS), minimally conscious state minus (MCS-), or minimally conscious state plus (MCS+) based on the Japanese version of the Coma Recovery Scale-Revised (CRS-R).
No use of muscle relaxants, analgesics, or sedatives within 24 hours prior to the assessment

Key exclusion criteria

Diagnosed as Emerged from Minimal Conscious State (EMCS) based on the 2 consecutive CRS-R assessments performed
Presence of neurodegenerative disease (e.g., dementia)
History of psychiatric disorders
Presence of mechanical ventilation

Target sample size

53


Research contact person

Name of lead principal investigator

1st name Takayuki
Middle name
Last name Kitano

Organization

Hamamatsu Medical Center

Division name

Department of Rehabilitation Technology

Zip code

432-8580

Address

328 Tomizuka-cho, Chuo Ward, Hamamatsu City, Shizuoka Prefecture

TEL

0570-07-1113

Email

kitano.hmc@gmail.com


Public contact

Name of contact person

1st name Takayuki
Middle name
Last name Kitano

Organization

Hamamatsu Medical Center

Division name

Department of Rehabilitation Technology

Zip code

432-8580

Address

328 Tomizuka-cho, Chuo Ward, Hamamatsu City, Shizuoka Prefecture

TEL

0570-07-1113

Homepage URL


Email

kitano.hmc@gmail.com


Sponsor or person

Institute

Hamamatsu Medical Center

Institute

Department

Personal name



Funding Source

Organization

None

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Hamamatsu Medical Center

Address

328 Tomizuka-cho, Chuo Ward, Hamamatsu City, Shizuoka Prefecture

Tel

0570-07-1113

Email

kitano.hmc@gmail.com


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 06 Month 20 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

53

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

No longer recruiting

Date of protocol fixation

2025 Year 04 Month 01 Day

Date of IRB

2025 Year 04 Month 30 Day

Anticipated trial start date

2025 Year 05 Month 22 Day

Last follow-up date

2026 Year 01 Month 20 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

None


Management information

Registered date

2026 Year 06 Month 20 Day

Last modified on

2026 Year 06 Month 20 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/icdr_e/ctr_view.cgi?recptno=R000070930