Neuropeptides and Venous Pelvic Pain

NCT ID: NCT03921788

Last Updated: 2023-10-23

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

Total Enrollment

120 participants

Study Classification

OBSERVATIONAL

Study Start Date

2019-04-01

Study Completion Date

2022-02-11

Brief Summary

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Mechanisms of the development of pain in chronic venous diseases (CVD), including pelvic congestion syndrome (PCS), are studied incompletely. The existing hypotheses of the occurrence of venous pelvic pain (VVP) do not allow to answer the question why some patients have no pain syndrome while others have very pronounced pain despite the same morphofunctional changes in the pelvic veins? The investigators are planning to carry out a study aimed at studying the content of calcitonin gene-related peptide (CGRP) and substance P (SP) in the serum of patients with pelvic veins and pelvic pain, and to study the relationship between the values of CGRP and SP in these patients.

Detailed Description

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The first phase of the study includes a set of 3 patient groups: the first is patients with pelvic vein dilation and blood reflux through them in combination with venous pelvic pain; the second is patients with pelvic vein dilatation without venous pelvic pain. The third, control group will include healthy female volunteers without pelvic veins and any chronic pain syndromes.

At the second stage of the study, a study will be made of the levels of calcitonin gene-related peptide (CGRP) and the substance P (SP) in the serum using an ELISA method. In addition, after studying the content of the CGRP and SP in the serum of volunteers, the investigators expect to obtain the reference values of these neuropeptides. In this phase of the study, a statistical analysis of the data obtained will be carried out, a correlation analysis between venous pelvic pain and the level of the CGRP and CP.

The data for each patient will be entered into a specially designed patient questionnaire. It will include clinical and ultrasound data, results of ELISA.

Conditions

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Pelvic Pain Varicose Veins Pelvic Pelvic Congestion Syndrome

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Group 1

Patients with venous pelvic pain. Pain measurement using a visual analogue scale, the study of calcitonin gene-related peptide and substance P (ELISA)

No interventions assigned to this group

Group 2

Patients without venous pelvic pain. Pain measurement using a visual analogue scale, the study of calcitonin gene-related peptide and substance P (ELISA)

No interventions assigned to this group

Group 3

Volunteers without pain syndromes of any location. Pain measurement using a visual analogue scale, the study of calcitonin gene-related peptide and substance P (ELISA)

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

* The reproductive age of the woman
* Blood reflux in the parametric, uterine, gonadal veins
* The absence of any concomitant pathology, accompanied by chronic pelvic pain

Exclusion Criteria

* The absence of blood reflux in in the parametric, uterine, gonadal veins
* The presence of diseases, the clinical course of which suggests the presence of chronic pelvic pain and other varieties of chronic pain, including migraine
* Pregnancy
Minimum Eligible Age

18 Years

Maximum Eligible Age

45 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

Yes

Sponsors

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Pirogov Russian National Research Medical University

OTHER

Sponsor Role lead

Responsible Party

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Sergey Gavrilov, MD, PhD

Professor of the Department of Faculty Surgery №1

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Natalia V Koroleva, PhD

Role: STUDY_CHAIR

Pirogov Russian National Research Medical University

Locations

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Department of Faculty Surgery №1

Moscow, , Russia

Site Status

Countries

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Russia

References

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FitzGerald MP. Chronic pelvic pain. Curr Womens Health Rep. 2003 Aug;3(4):327-33.

Reference Type BACKGROUND
PMID: 12844458 (View on PubMed)

Stones RW, Thomas DC, Beard RW. Suprasensitivity to calcitonin gene-related peptide but not vasoactive intestinal peptide in women with chronic pelvic pain. Clin Auton Res. 1992 Oct;2(5):343-8. doi: 10.1007/BF01824305.

Reference Type RESULT
PMID: 1422102 (View on PubMed)

Origoni M, Leone Roberti Maggiore U, Salvatore S, Candiani M. Neurobiological mechanisms of pelvic pain. Biomed Res Int. 2014;2014:903848. doi: 10.1155/2014/903848. Epub 2014 Jul 8.

Reference Type RESULT
PMID: 25110704 (View on PubMed)

Other Identifiers

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01201254811

Identifier Type: -

Identifier Source: org_study_id

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