Qutenza (Topical Capsaicin 8%) for Painful Arteriovenous Fistulae

NCT ID: NCT01748422

Last Updated: 2016-11-11

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Total Enrollment

20 participants

Study Classification

OBSERVATIONAL

Study Start Date

2015-11-30

Study Completion Date

2017-08-31

Brief Summary

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Arteriovenous fistulae are artificial connections between the artery and vein in the arm which allow needles to be inserted for haemodialysising patients wit kidney failure. Occasionally severe debilitating pain can arise from these fistulae for which no cause can be found. Such pain can be very difficult to treat. Many commonly used used painkillers are known to cause significant side effects in patients with renal failure (drowsiness, confusion etc.

Qutenza (topical capsaicin 8%) is a new treatment made from chilli peppers which is applied to the skin as a patch and works directly at the nerve endings in the skin to prevent pain. It therefore should not have the systemic side effects of other drugs. It has been demonstrated to be beneficial in other painful conditions for example post-shingles pain and nerve pain from HIV. It has never been used for critical ischaemia before.

We propose to investigate the efficacy of Qutenza in treating patients with end stage renal failure and chronic pain from their fistulae (AVF). We will recruit 20 patients with painful AVF and treat them with Qutenza. We will follow them up for 12 weeks and monitor the change in their pain scores.

Detailed Description

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Conditions

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Neuropathic Pain Arteriovenous Fistulae

Keywords

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Neuropathic pain Arteriovenous fistulae End stage renal disease

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Experimental: Qutenza

Single treatment with Qutenza (topical capsaicin8%) transdermal patch

Qutenza

Intervention Type DRUG

Transdermal patch

Interventions

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Qutenza

Transdermal patch

Intervention Type DRUG

Other Intervention Names

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Topical capsaicin 8%

Eligibility Criteria

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Inclusion Criteria

* All adult patients \>18 years old with end stage renal disease on dialysis and significant chronic neuropathic pain arising from their arteriovenous fistula (defined as pain with symptoms to suggest a neuropathic element occurring most days for at least a month which has not responded to simple analgesia)

Exclusion Criteria

* Pre-dialysis
* Underlying anatomical/ structural abnormality with AVF contributing to pain
* Diabetic neuropathy resulting in sensory loss
* Hypersensitivity to Qutenza, Emla or any of the excipients
* Broken skin or active ulceration at the site of application
* Severe uncontrolled hypertension (systolic BP \>200)
* Proven cardiac event during the preceding 3 months
* Women who are pregnant or breast feeding
* Lack of capacity or inability to provide informed consent
* Declines participation in the study
Minimum Eligible Age

18 Years

Maximum Eligible Age

100 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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NHS Greater Glasgow and Clyde

OTHER

Sponsor Role lead

Responsible Party

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Dr Patrick Kearns

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Patrick K Kearns, MBChB

Role: PRINCIPAL_INVESTIGATOR

NHS Greater Glasgow and Clyde

Marc Clancy, FRCS, PhD

Role: PRINCIPAL_INVESTIGATOR

NHS Greater Glasgow and Clyde

Locations

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Department of Renal Surgery, Queen Elizabeth University Hospital

Glasgow, Lanarkshire, United Kingdom

Site Status RECRUITING

Countries

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United Kingdom

Central Contacts

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Marc Clancy, PhD FRCS

Role: CONTACT

Phone: 0141 451 6210

Email: [email protected]

Patrick K Kearns, MBChB

Role: CONTACT

Phone: 0141 451 6210

Email: [email protected]

Facility Contacts

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Marc Clancy, FRCS PhD

Role: primary

Patrick K Kearns, MBChB

Role: backup

Other Identifiers

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GU11SB126

Identifier Type: -

Identifier Source: org_study_id