Trial Outcomes & Findings for Opioid Taper Study (NCT NCT03912298)

NCT ID: NCT03912298

Last Updated: 2022-02-07

Results Overview

Pain perception will be measured using the cold-pressor test (CPT) employing procedures consistent with those described in the literature. Order of pain testing will vary, and three aspects of the pain response will be captured at each study session: evoked pain; temporal summation; and conditioned pain modulation, which map on to the hypothesized peripheral, spinal and supra-spinal mechanisms of OIH. Reported are cold-pressor pain tolerance prior to and following taper.

Recruitment status

COMPLETED

Target enrollment

7 participants

Primary outcome timeframe

up to one year (length of taper individualized and varies)

Results posted on

2022-02-07

Participant Flow

Participant milestones

Participant milestones
Measure
Chronic Pain Patients Undergoing Opioid Taper
Chronic pain patients undergoing an individualized opioid taper to a safer daily dose of opioid for up to one year.
Overall Study
STARTED
7
Overall Study
COMPLETED
7
Overall Study
NOT COMPLETED
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Opioid Taper Study

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Chronic Pain Patients Undergoing Opioid Taper
n=7 Participants
Chronic pain patients undergoing opioid taper
Age, Continuous
55 years
STANDARD_DEVIATION 15.49 • n=5 Participants
Sex: Female, Male
Female
5 Participants
n=5 Participants
Sex: Female, Male
Male
2 Participants
n=5 Participants
Race/Ethnicity, Customized
Race · White
6 Participants
n=5 Participants
Race/Ethnicity, Customized
Race · Other
1 Participants
n=5 Participants
Region of Enrollment
United States
7 Participants
n=5 Participants
mg morphine equivalents/day or MME/day
291.85 daily morphine mg equivalents
STANDARD_DEVIATION 182.62 • n=5 Participants

PRIMARY outcome

Timeframe: up to one year (length of taper individualized and varies)

Pain perception will be measured using the cold-pressor test (CPT) employing procedures consistent with those described in the literature. Order of pain testing will vary, and three aspects of the pain response will be captured at each study session: evoked pain; temporal summation; and conditioned pain modulation, which map on to the hypothesized peripheral, spinal and supra-spinal mechanisms of OIH. Reported are cold-pressor pain tolerance prior to and following taper.

Outcome measures

Outcome measures
Measure
Chronic Pain Patients Undergoing Opioid Taper
n=7 Participants
Chronic pain patients undergoing opioid taper
Pain Perception Measured Using the Cold-pressor Test (CPT)
pre taper pain tolerance (baseline)
24.01 seconds
Standard Deviation 20.63
Pain Perception Measured Using the Cold-pressor Test (CPT)
post-taper pain tolerance (timeframe variable)
42.02 seconds
Standard Deviation 41.83

PRIMARY outcome

Timeframe: up to one year (individualized, variable taper length)

Conditioned pain modulation will be measured using the quantitative sensory testing (QST) employing procedures consistent with those described in the literature to capture supra-spinal mechanisms of OIH. To detect conditioned modulation, the subject is asked to verbally report the severity of pain experienced on a visual analogue scale (0- no pain, 10-worst pain ever) to a three-second painful heat stimulus (47○C) delivered at 12-15 second intervals, in the presence or absence of the non-dominant limb being immerged in a cold-water bath (12○C). The reported value is the difference between the average of pain scores reported in the absence of vs. the presence of the counter-stimulation. Reported are changes in the conditioned pain modulation assay both prior to and following taper. Taper is individualized thus length of taper varies between subjects.

Outcome measures

Outcome measures
Measure
Chronic Pain Patients Undergoing Opioid Taper
n=7 Participants
Chronic pain patients undergoing opioid taper
Conditioned Pain Modulation Measured Using the Quantitative Sensory Testing (QST)
pre-taper conditioned pain modulation (baseline)
-0.14 units on a visual analogue scale
Standard Deviation 0.42
Conditioned Pain Modulation Measured Using the Quantitative Sensory Testing (QST)
post taper conditioned pain modulation (individualized taper, thus time length varies)
-0.40 units on a visual analogue scale
Standard Deviation 0.79

Adverse Events

Chronic Pain Patients Undergoing Opioid Taper

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Peggy Compton

University of Pennsylvania

Phone: 2158986679

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place