Pre-emptive Analgesia With Qutenza in Lower Limb Amputation

NCT ID: NCT01748435

Last Updated: 2012-12-12

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

30 participants

Study Classification

OBSERVATIONAL

Study Start Date

2013-02-28

Study Completion Date

2014-05-31

Brief Summary

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Neuropathic (nerve pain) following amputation of a limb is very common, affecting 60-80% of patients (Sherman et al, 1984). It can prolong their recovery making it difficult to fit protheses and mobilise. Current treatment options are limited and existing painkillers have significant side effects. Nevertheless there is some evidence that pre-emptive analgesia (pain relief provided prior to the surgery) has additional benefits after the surgery (Ypsilantis \& Tang, 2010) Qutenza (topical capsaicin 8%)is a novel analgesic agent which is applied directly onto the skin. It works by desensitising to pain receptors in the skin (Nolano et al., 1999) and has been shown to be effective in reducing neuropathic pain in other conditions (Backonja et al., 2008) We propose to evaluate the use of Qutenza for pre-emptive analgesia in patients undergoing amputation of a limb. This is a small, pilot, randomised controlled study of 30 patients undergoing lower limb amputation who will have Qutenza or active control applied prior to surgery. They will be followed up for 12 weeks post-operatively with regular assessment of pain scores, quality of life and wound healing.

Detailed Description

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Conditions

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Neuropathic Pain Lower Limb Amputation

Keywords

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Neuropathic pain Lower limb amputation Pre-emptive analgesia

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Qutenza

Single treatment with QUTENZA (topical capsaicin 8%) transdermal patch

Qutenza

Intervention Type DRUG

Single treatment with Qutenza

Interventions

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Qutenza

Single treatment with Qutenza

Intervention Type DRUG

Other Intervention Names

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Qutenza (topical capsaicin 8%)

Eligibility Criteria

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Inclusion Criteria

* All adult patients \>18 years old undergoing lower limb amputation

Exclusion Criteria

Traumatic amputation Severe active sepsis in non-viable limb Illness necessitating urgent surgery \<24 hours after admission to hospital 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

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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Emma Aitken

Clinical Resrach Fellow

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Emma L Aitken, MBChB

Role: PRINCIPAL_INVESTIGATOR

NHS Greater Glasgow and Clyde

Locations

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Western Infirmary

Glasgow, Lanarkshire, United Kingdom

Site Status

Countries

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United Kingdom

Central Contacts

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Emma L Aitken, MBChB

Role: CONTACT

Phone: 01412111750

Email: [email protected]

David B Kingsmore, MBChB MD

Role: CONTACT

Phone: 01412111750

Email: [email protected]

Facility Contacts

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Emma L Aitken, MBChB

Role: primary

David B Kingsmore, MBChB MD

Role: backup

Other Identifiers

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2012-001587-30

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

GU11SU387

Identifier Type: -

Identifier Source: org_study_id