Cryoneurolysis for Cutaneous Neuropathic Pain
The Effect of Ultrasound-guided Cryoneurolysis on Persistent Cutaneous Neuropathic Pain After Surgery and Trauma
1 other identifier
interventional
25
1 country
1
Brief Summary
Feasibility study with 25 patients investigating the effect of cryoneurolysis on persistent cutaneous neuropathic pain after surgery and trauma. All patients receive active treatment (cryoneurolysis). The study design is unblinded, non-randomized, non-controlled.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for not_applicable
Started Jun 2021
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
May 19, 2021
CompletedFirst Posted
Study publicly available on registry
June 3, 2021
CompletedStudy Start
First participant enrolled
June 7, 2021
CompletedPrimary Completion
Last participant's last visit for primary outcome
January 1, 2023
CompletedStudy Completion
Last participant's last visit for all outcomes
January 1, 2023
CompletedJune 3, 2021
May 1, 2021
1.6 years
May 19, 2021
June 2, 2021
Conditions
Outcome Measures
Primary Outcomes (1)
Success of cryoneurolysis
Frequency of patients with \> 50% reduction of neuropathic pain
1 hour after cryoneurolysis
Secondary Outcomes (13)
Axonal loss estimated before cryoneurolysis
Maximum one year prior to the cryoneurolysis procedure
Hyperalgesia for pinprick
1 hour after cryo procedure compared to baseline
Allodynia for brush
1 hour after cryo procedure compared to baseline
Frequency of NRS score < 4
1 hour, 2 weeks and 1,2,3,4,5 and 6 months after cryo procedure
Pain score
1 hour, 2 weeks and 1,2,3,4,5 and 6 months after cryoneurolysis procedure
- +8 more secondary outcomes
Study Arms (1)
Cryoneurolysis
EXPERIMENTALAll 25 patients will receive cryoneurolysis
Interventions
Eligibility Criteria
You may qualify if:
- Age \> 17 years
- ASA (American Society of Anesthesiologists) physical status classification system I-III
- Informed consent
- Capable of subjective evaluation of pain
- Capable of reading and understanding Danish and informed written consent
- Relevant injury (surgery or trauma) of peripheral nerves
- Plausible cutaneous location of pain
- In the area of pain, at least one of the following (1-8): (1) Hypo/anesthesia for touch/brush (2) Hypo/anesthesia for cold (3) Hypo/anesthesia for warmth (4) Hypo/anesthesia for pinprick (5) Allodynia for touch/brush (6) Allodynia for cold (7) Allodynia for warmth (8) Hyperalgesia for pinprick
- Neuropathic pain score (Douleur Neuropathique en 4 Questions, DN-4) \>3/10
- Definitive diagnosis of neuropathic pain (Finnerup et al 2016)
You may not qualify if:
- Inability to cooperate
- Inability to understand Danish
- Allergy to local anesthetic
- Infection in the area of cryo probe insertion
- Significant competitive chronic pain
- Progressive neurologic disease
- Increased risk at needle insertion and cold exposure (e.g. Raynaud, coagulopathies)
- Uncontrolled severe systemic disease
- Implanted electronic devices unless approved by the relevant medical specialist
- Previous cryoneurolysis with no relevant effect for the same neuropathic pain
- Previous interventional pain therapy (e.g. spinal cord stimulation) with no relevant effect for the same neuropathic pain
- Expected duration of life \< 2 years
- Pregnancy
- Abuse of alcohol, narcotics or medicine
- Current psychiatric disease
- +2 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Aarhus University Hospital
Aarhus, Central Jutland, 8000, Denmark
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Thomas F Bendtsen, MD, PhD
Aarhus University Hospital
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NA
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
May 19, 2021
First Posted
June 3, 2021
Study Start
June 7, 2021
Primary Completion
January 1, 2023
Study Completion
January 1, 2023
Last Updated
June 3, 2021
Record last verified: 2021-05
Data Sharing
- IPD Sharing
- Will not share