Vulnerability and Risk of Neuropathic Pain in Cancer

NCT ID: NCT06511674

Last Updated: 2025-12-08

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

RECRUITING

Clinical Phase

NA

Total Enrollment

625 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-10-28

Study Completion Date

2028-06-30

Brief Summary

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Successive and repeated therapeutic interventions during cancer management - surgery, chemotherapy, radiotherapy - can all, to varying degrees, generate acute pain, central pain sensitization and chronic pain. Almost 58% of patients suffer from chronic pain, often of the neuropathic type, with altered quality of life and disease burden amplified by difficulty in achieving effective relief.

Indeed, neuropathic pain in cancer remains difficult to treat, often arrives insidiously, may persist well beyond cancer remission, and frequently has a fate that is difficult to predict. Current treatments for neuropathic pain are based on the recommendations of learned societies, but therapeutic failures are frequent, and iatrogenic pathology is high. Many factors have been identified as being associated with the development of chronic pain in cancer patients. The intensity of preoperative pain, opioid consumption, age, sleep disorders, cognitive-emotional state, psychological vulnerability and social precariousness are all factors that influence and perpetuate chronic pain linked to cancer and its management. Several studies have shown that 6 months or 1 year after cancer diagnosis, there are various pain trajectories, enabling us to identify several pain patient phenotypes. The patient's overall state of vulnerability at the time of cancer diagnosis has an impact on the trajectory of pain chronicisation, and it is often difficult for clinicians to apprehend this risk. In practice, we lack a validated, easy-to-use tool that would enable us to predict the risk of pain chronicisation for each patient, even before the start of the treatment process.

Detailed Description

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Conditions

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Neuropathic Pain Cancer Predictive

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

SINGLE

Participants
Cancer patients and Healthy Volunteers

Study Groups

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Cancer patients

500 cancer patients: 100 women with breast cancer, 100 women with gynecological cancer, 150 patients with lung cancer (100 men, 50 women) and 150 patients with colorectal cancer (100 men, 50 women).

Group Type EXPERIMENTAL

Cognitive-emotional and pain assessments

Intervention Type OTHER

Data collection on cognitive-emotional and pain parameters using questionnaires.

Healthy volunteers controls

125 healthy control volunteers from the volunteer database

Group Type EXPERIMENTAL

Cognitive-emotional and pain assessments

Intervention Type OTHER

Data collection on cognitive-emotional and pain parameters using questionnaires.

Interventions

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Cognitive-emotional and pain assessments

Data collection on cognitive-emotional and pain parameters using questionnaires.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Patient over 18 years of age,
* Patient suffering from cancer (breast, gynecological, colorectal, lung) and having to undergo one or more anti-cancer therapeutic procedures (chemotherapy, surgery, hormonal therapy, radiotherapy, targeted therapy, etc.),
* Sufficient cooperation and understanding to comply with the study requirements,
* Agreement to give oral consent for the study,
* Affiliation with the French Social Security system.


* Subject over 18 years of age,
* Subject free of any treatment in the 7 days preceding inclusion, in particular no use of analgesics, or judged by the investigator or his representative to be compatible with the study
* Subject with no history of cancer,
* Subject considered to be in good health by the investigator,
* Sufficient cooperation and understanding to comply with the study requirements,
* Agreement to give oral consent to the study,
* Affiliation with the French Social Security system,

Exclusion Criteria

* History of cancer and anti-cancer therapy (surgery, chemotherapy, radiotherapy, hormone therapy, targeted therapy, etc.),
* History and/or presence of primary brain tumors (glioblastoma, meningioma, neurofibroma, etc.) ),
* History of neurological disorders (Parkinson's disease, Alzheimer's disease, dementia, epilepsy, moderate to severe head trauma, etc.),
* Medical and/or surgical history judged by the investigator or his representative to be incompatible with the study,
* Subject whose cooperation and understanding do not allow strict compliance with the conditions laid down in the protocol,
* Pregnant or breast-feeding women,
* Beneficiary of a legal protection measure.


* Subjects with a medical and/or surgical history judged by the investigator or his representative to be incompatible with the trial,
* Subjects whose cooperation and understanding do not allow strict compliance with the conditions laid down in the protocol,
* Pregnant or breast-feeding woman,
* Participating in another clinical trial, or within the exclusion period, or having received a total amount of compensation exceeding 4500 euros over the 12 months preceding the start of the trial,
* Benefiting from a legal protection measure.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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University Hospital, Clermont-Ferrand

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Centre Hospitalier d'Ajaccio

Ajaccio, , France

Site Status RECRUITING

Centre de Lutte contre le Cancer - Institut de Cancérologie de l'Ouest

Angers, , France

Site Status RECRUITING

Centre Hospitalier Henri Mondor d'Aurillac

Aurillac, , France

Site Status RECRUITING

Centre de Lutte contre le Cancer - Institut Bergonié

Bordeaux, , France

Site Status RECRUITING

Centre de Lutte contre le Cancer - Centre François Baclesse

Caen, , France

Site Status RECRUITING

Centre Hospitalier Universitaire Caen Normandie

Caen, , France

Site Status RECRUITING

Centre de Lutte contre le Cancer - Jean Perrin

Clermont-Ferrand, , France

Site Status RECRUITING

CHU de Clermont-Ferrand

Clermont-Ferrand, , France

Site Status RECRUITING

Hôpitaux civils de Colmar

Colmar, , France

Site Status RECRUITING

Centre Régional de Lutte contre le Cancer - Georges Francois Leclerc

Dijon, , France

Site Status RECRUITING

Hôpital privé le Bois

Lille, , France

Site Status RECRUITING

Centre Hospitalier de Montluçon

Montluçon, , France

Site Status NOT_YET_RECRUITING

Centre Hospitalier de Moulins-Yzeure

Moulins, , France

Site Status RECRUITING

Hôpital Saint-Louis APHP

Paris, , France

Site Status RECRUITING

Hôpital Beaujon AP-HP

Paris, , France

Site Status RECRUITING

Institut Godinot

Reims, , France

Site Status RECRUITING

Centre Hospitalier Yves Le Foll

Saint-Brieuc, , France

Site Status RECRUITING

CH Valenciennes

Valenciennes, , France

Site Status RECRUITING

Institut Gustave Roussy

Villejuif, , France

Site Status RECRUITING

Countries

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France

Central Contacts

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Lise LACLAUTRE

Role: CONTACT

473754963 ext. +33

Other Identifiers

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RBHP 2023 PICKERING

Identifier Type: -

Identifier Source: org_study_id

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