The Effect of Ablation of Epidermal Nerve Fibers Using Capsaicin Cream

NCT ID: NCT01883102

Last Updated: 2013-06-21

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

COMPLETED

Clinical Phase

PHASE1

Total Enrollment

1 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-06-30

Study Completion Date

2013-06-30

Brief Summary

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This is a study of epidermal (the outer most layer) nerve fibers (ENFs) in the skin of the body; counts of which are used to determine a disease of nerves called "small nerve fiber neuropathy."

Capsaicin is approved by the Food and Drug Administration (FDA) for pain relief. Since 0.1% capsaicin is known to cause ablation (removal) of ENFs, this study will test whether such ablation results in relief of spontaneous pain, touch, or heat-pain.

Detailed Description

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On the first day, two areas of the skin of the subject's right abdomen will be marked and identified as sites A and B. Each day for one week the subject will be asked to grade her degree of discomfort or pain from 1 to 10 at sites marked A and B every two hours beginning at 8 a.m. and ending at 10 p.m.

Each day except for Saturday and Sunday touch-pressure sensation will be evaluated using monofilaments and heat pain sensation at sites A and B. Also evaluated will be touch pressure pain at each of these sites.

On Thursday of the first week 3 mm punch biopsies of the skin will be obtained from sites A and B and another 3 mm punch biopsy will be obtained on Thursday of the following week from sites A and B.

Following the first biopsy, the experimental creams will be applied to sites A and B. One of the experimental creams contains 0.1% Capsaisin in a bland cream. The second cream contains no Capsaisin. 0.1% Capsaisin is known to destroy the small fibers, especially pain fibers in the skin. Both the investigators applying the cream and the subject will not know which experimental cream contains the Capsaisin. The creams will be applied on Thursday of the first week but only after all testing and skin biopsies have been done. The creams will be left in place except when testing is being done, and they will not be applied after the second set of skin biopsies has been obtained.

The creams will be applied by the investigators and by the subject, care being taken so that the tube marked A is applied to the site marked A, and the tube marked B is applied to the site marked B. Between application to the two sites, investigators and the subject will use different gloves and applicators, carefully washing their hands with soap and water between and after applications.

The subject will be asked not to shower or to immerse herself in water but to use sponge baths, avoiding the tested areas, so that the cream does not move to other areas.

Conditions

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Pain

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

FACTORIAL

Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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Capsaicin 0.1%

Capsaicin cream 0.1% will be applied to site A or B on the subject's abdomen daily for 7 days.

Group Type EXPERIMENTAL

Capsaicin 0.1%

Intervention Type DRUG

Cream will be cleansed from sites A and B with soap and water each morning before reapplying.

Placebo/cream without 0.1% capsaicin

The placebo cream will be applied to site A or B on the subject's abdomen daily for 7 days.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Cream will be cleansed from sites A and B with soap and water each morning before reapplying.

Interventions

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Capsaicin 0.1%

Cream will be cleansed from sites A and B with soap and water each morning before reapplying.

Intervention Type DRUG

Placebo

Cream will be cleansed from sites A and B with soap and water each morning before reapplying.

Intervention Type DRUG

Other Intervention Names

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Capzacin

Eligibility Criteria

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Inclusion Criteria

* pain syndrome
* must be able to be in study for one week

Exclusion Criteria

\- not able to be in study for one week
Minimum Eligible Age

39 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Mayo Clinic

OTHER

Sponsor Role lead

Responsible Party

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Peter J. Dyck, M.D.

MD

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Peter Dyck, MD

Role: PRINCIPAL_INVESTIGATOR

Mayo Clinic

Locations

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Mayo Clinic in Rochester

Rochester, Minnesota, United States

Site Status

Countries

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United States

Other Identifiers

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13-002235

Identifier Type: -

Identifier Source: org_study_id

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