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Peripheral Neuropathic PainASCENDNCT01737294

Observation of the Use of QUTENZA™ in Standard Clinical Practice

An observational study of Peripheral Neuropathic Pain, run by Astellas Pharma Europe Ltd. at 50 sites in 7 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

This non-interventional study will evaluate the efficacy, tolerability, health related quality of life and use of health resources associated with QUTENZA treatment when QUTENZA is used in standard clinical practice. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Peripheral Neuropathic Pain
What is being tested?
Qutenza exposure
How many people
429 participants
Where
50 sitesin 7 countries
Study dates
Feb 2012to Aug 2014
Phase
Observational
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Study population: Patients receiving QUTENZA for PNP in routine clinical practice

Who may be able to join

  • 1. The investigator has decided to treat the patient with QUTENZA as part of provision of standard care for the treatment of peripheral neuropathic pain in non-diabetic adults either alone or in combination with other medicinal products for pain
  • 2. The patient is willing and able to comply with protocol requirements for the duration of study participation

Who cannot join

  • 1. The neuropathic painful areas are located only on the face, above the hairline of the scalp, and/or in proximity to mucous membranes
  • 2. The patient has a history of Type I or Type II diabetes mellitus
  • 3. The patient has a diagnosis of any major psychiatric disorder or evidence of cognitive impairment including dementia that, in the opinion of the investigator, may interfere with patient's ability to complete study evaluations
  • 4. The patient has received any prior treatment with QUTENZA patches, including blinded patches administered as part of a clinical trial
  • 5. The patient has hypersensitivity to capsaicin (i.e. chilli peppers or over-the-counter [OTC] capsaicin products), any QUTENZA excipients or adhesives, or local anesthetics
  • 6. The patient has participated in any other clinical study or received an investigational drug within 30 days prior to Screening Visit
  • 7. The patient currently engages in any active substance abuse or has a history of chronic substance abuse within 1 year prior to the Screening Visit; or any prior chronic substance abuse (including alcoholism) likely to re-occur during the study period as judged by the investigator
  • 8. The patient, in the opinion of the investigator, is not suitable to participate in this NIS for any reason

Trial locations and contacts

50 sites in 7 countries.

50 sites in 7 countries

Greece11 sites
  • Site 202 Antonios Tavernarakis General Hospital of Athens ''Evangelismos'' - Neurology Clinic

    Athens, Attica, 10676

  • Site 206 Dimosthenis Mitsikostas Hellenic Navy Hospital of Athens - Neurology Clinic

    Athens, Attica, 11521

  • Site 205 Antonios Kodounis 251 General Airforce Hospital of Athens - Neurology Clinic

    Athens, Attica, 11525

  • Site 209 Grigorios Panagopoulos- General Hospital of Athens ''G.Gennimatas'' - Neurology Clinic

    Athens, Attica, 11527

  • Site 211 Panagiotis Kokotis Aeginitio University Hospital of Athens - A' Neurology Clinic

    Athens, Attica, 11528

  • Site 213 Mediterraneo Hospital

    Athens

  • Site 210 General Hospital of Athens ''G.Gennimatas'' - Neurology Clinic, Athens

    Attica, 11528

  • Site 208 Alexandros Papadimitriou University General Hospital of Larisa - Neurology Clinic

    Larissa, Larisa, 41110

  • Site 212 2 Pindarou and Tseva Str, Koumerki

    Thebes, 32200

  • Site 203 Georgios Georgiadis General Hospital of Thessaloniki ''Ippokratio'' - Neurology Clinic

    Thessaloniki, Thessaloniki, 54642

  • Site 204 Nikolaos Vlaikidis General Hospital of Thessaloniki ''G.Papanikolaou'' - 3rd Neurology Clinic

    Thessaloniki, Thessaloniki, 57010

Other trials in Greece

Portugal11 sites
  • Site 608 Hospital Divino Espirito Santo, E.P.E.

    Açores, 9500-370

  • Site 607 Hospital Garcia da Orta

    Almada, 2801-951

  • Site 602 Hospital Professor Dr. Fernando da Fonseca

    Amadora, 2720-276

  • Site 603 Hospital Infante D. Pedro EPE

    Aveiro, 3814-501

  • Site 611 Centro Hospitalar Cova da Beira - Hospital Universitário Quinta do Alvito

    Covilha, 6200-251

  • Site 609 Hospital de Faro

    Faro, 8000-386

  • Site 601 Centro Hospitalar Lisboa Norte- Hospital Santa Maria

    Lisbon, 1649-035

  • Site 605 Hospital S. João da Madeira

    Madeirã, 3700-190

  • Site 606 Centro Hospitalar do Porto-Hospital Santo António

    Porto, 4099-001

  • Site 604 Hospital São João

    Porto, 4200 - 319

  • Site 610 Hospital S. Teotónio

    Viseu, 3504-509

Other trials in Portugal

Austria7 sites
  • Site 103 Abteilung für Anästhesiologie und Intensivmedizin LKH Hartberg

    Graz, 8020

  • Site 107 Interdisziplinäre Schmerzambulanz Univ. Klinik f. Anästhesiologie und Intensivmedizin Graz, Auenbruggerplatz 29

    Graz, 8036

  • Site 104 Abteilung für Anästhesie und allgemeine Intensivmedizin Allgemein öffentliches Klinikum-Klagenfurt am Wörthersee St. Veiter Strasse 47

    Hartberg, 8230

  • Site 105 Abteilung für Anästhesiologie und operative Intensivmedizin Allgemeines Krankenhaus Linz Krankenhausstraße 9

    Klagenfurt, 9020

  • Site 106 Interdisziplinäre Schmerzambulanz Univ. Klinik f. Anästhesiologie und Intensivmedizin Graz Auenbruggerplatz 29

    Linz, 4021

  • Site 102 Krankenhaus der Elisabethinen GmbH Abteilung für Anästhesie und Intensivmedizin Elisabethinergasse 14

    Vienna, 1020

  • Site 101 Krankenhaus der Barmherzigen Brüder Abteilung für Anästhesiologie, Intensivmedizin und Schmerztherapie Johannes von Gott Platz 1

    Vienna, 1090

Other trials in Austria

Italy7 sites
  • Site 306 Ospedale regionale "Umberto Parini"

    Aosta, AO, 11100

  • Site 305 Azienda Ospedaliero-Universitaria Consorziale Policlinico

    Bari, BA, 70100

  • Site 308 Spedali Riuniti di Bergamo

    Bergamo, BG, 24100

  • Site 302 Ospedale di Stato della Repubblica di San Marino

    Borgo Maggiore, RSM, 47893

  • Site 301 A.O. Spedali Civili di Brescia

    Brescia, BS, 25100

  • Site 303 L'INM Neuromed, Istituto Neurologico Mediterraneo

    Pozzilli, IS, 86077

  • Site 304 Ospedale SS. Annunziata

    Taranto, TA, 74100

Other trials in Italy

Spain7 sites
  • Site 702 Hospital Municipal de Badalona

    Badalona, Barcelona, 8911

  • Site 703 Fundació Puigvert

    Barcelona, Barcelona, 8025

  • Site 705 Hospital Clinic

    Barcelona, Barcelona, 8036

  • Site 704 Hospital de Basurto

    Bilbao, Vizcaya, 48013

  • Site 707 Hospital de Galdakano

    Galdakano, Vizcaya, 48960

  • Site 706 Complejo Hospitalario de Navarra

    Pamplona, Pamplona, 31008

  • Site 708 Clínica Universitaria de Navarra

    Pamplona, Pamplona, 31008

Other trials in Spain

United Kingdom5 sites
  • Site 804 Royal Infirmary of Edinburgh

    Edinburgh, EH16 4SA

  • Site 803 Western General Hospital

    Edinburgh, EH4 2XU

  • Site 801 Chelsea and Westminster Hospital

    London, SW10 9NH

  • Site 805 Princess Elizabeth Hospital

    St Martins, GY1 3EX

  • Site 802 West Cumberland General Hospital

    Whitehaven, Cumbria, CA28 8JG

Other trials in United Kingdom

Switzerland2 sites
  • Site 902 Leiter der Schmerzklinik Bethesda-Spital Gellertstrasse 144

    Basel, 4052

  • Site 901 Schmerzzentrum St. Gallen Kantonspital St.Gallen

    Sankt Gallen, 9007

Other trials in Switzerland

About this study

Official title: The Use of QUTENZA™ in Standard Clinical Practice: a Phase IV, Multicentre, European Non-interventional Study

This non-interventional study will evaluate the efficacy, tolerability, health related quality of life and use of health resources associated with QUTENZA treatment when QUTENZA is used in standard clinical practice.

The patient's primary diagnosis of peripheral neuropathic pain (PNP) will be classified into subtypes: post-herpetic neuralgia (PHN); HIV-associated neuropathy (HIV-AN); neuropathic back pain; cancer-related neuropathic pain; post-operative \& post-traumatic neuropathic pain; and 'other' neuropathies.

Read the detailed description

A detailed medical history will be taken, with particular emphasis on the primary PNP diagnosis. In addition to all current neuropathic pain medications, all previous therapies (pharmacological and surgical) for PNP from the point of primary diagnosis will be documented.

QUTENZA treatments may be repeated up to every 90 days, in line with the Summary of Product Characteristics document (SPC) as determined by the persistence or return of pain.

Patients who have not required treatment for 365 days or longer may re-enter a treatment cycle if their treating physician decides to retreat them with QUTENZA in the course of standard clinical management.

The duration of participation for each patient will be at least 12 months following first QUTENZA treatment.

Short questionnaires will be completed by the investigator whilst in contact with the patient (either in person or by telephone) at the following time points: 1) Screening prior to the first QUTENZA treatment; 2) at each QUTENZA treatment visit; 3) 2 weeks, 8 weeks following the first QUTENZA treatment 4) 12 weeks following each QUTENZA treatment; 5) any additional contact with the patient outside the protocol schedule.

For patients not returning for retreatment with QUTENZA within any of 6 months, 9 months, and 1 year of their previous QUTENZA treatment further follow-up questionnaires will be completed.

End of study (EoS) is defined as one year after the last patient enrolled receives their first QUTENZA treatment.

Being tested
Qutenza exposure
Keywords
Phase IV, Peripheral Neuropathic Pain, QUTENZA

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Qutenza exposureDrug

    Also called Capsaicin

    Cutaneous patch

Study groups in NCT01737294
Study groupRoleWhat they receive
Treatment with QUTENZAPatients with Peripheral Neuropathic Pain
Receives: Drug: Qutenza exposure

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Percent change in average pain NPRS (Numeric Pain Rating Scale) scores

    Measured: From Baseline to mean of all scores recorded between week 2 and week 8 following first treatment

  2. Time to retreatment

    From the 1st treatment to the End of Study (The End of Study is defined as the completion of one year of follow-up from the first Qutenza treatment of the last patient enrolled)

    Measured: Between 1st & 2nd treatments (up to a maximum of 24 months)

Secondary outcomes (18)
  1. Proportion of patients achieving 30% decrease in average pain NPRS score

    Measured: From Baseline to mean of all scores recorded between weeks 2 & 8 following 1st treatment

  2. Proportion of patients achieving 50% decrease in average pain NPRS score

    Measured: From Baseline to mean of all scores recorded between weeks 2 & 8 following 1st treatment

  3. Percent change in "average pain" NPRS score

    From the 1st treatment to the End of Study (The End of Study is defined as the completion of one year of follow-up from the first Qutenza treatment of the last patient enrolled)

    Measured: From baseline to mean of all scores between Week 2 and Week 8 and Weeks 2 and Week 12 following retreatment(s)

  4. Proportion of patients achieving a 30% decrease in their "average pain" NPRS score (maintenance response)

    From the 1st treatment to the End of Study (The End of Study is defined as the completion of one year of follow-up from the first Qutenza treatment of the last patient enrolled)

    Measured: From Baseline to the mean of all scores between week 2 and week 8 and between week 2 and week 12 following retreatment(s)

  5. Proportion of patients achieving a 50% decrease in their "average pain" NPRS score (maintenance response)

    From the 1st treatment to the End of Study (The End of Study is defined as the completion of one year of follow-up from the first Qutenza treatment of the last patient enrolled)

    Measured: From Baseline to the mean of all scores between week 2 and week 8 and between week 2 and week 12 following retreatment(s)

  6. Absolute change in "average pain" NPRS score

    From the 1st treatment to the End of Study (The End of Study is defined as the completion of one year of follow-up from the first Qutenza treatment of the last patient enrolled)

    Measured: From baseline to the average of pain scores assessed between Weeks 2 & 12 following 1st and subsequent treatment(s)

  7. Proportion of patients achieving a 2-point absolute decrease in their "average pain" NPRS score

    From the 1st treatment to the End of Study (The End of Study is defined as the completion of one year of follow-up from the first Qutenza treatment of the last patient enrolled)

    Measured: From baseline to the average of pain scores assessed between Weeks 2 & 12 following 1st and subsequent treatment(s)

  8. Mean "Average pain" NPRS score

    From the 1st treatment to the End of Study (The End of Study is defined as the completion of one year of follow-up from the first Qutenza treatment of the last patient enrolled)

    Measured: At each time point following 1st and subsequent treatment(s) (up to a maximum of 24 months)

  9. Time (in days) between successive retreatments

    From the 1st treatment to the End of Study (The End of Study is defined as the completion of one year of follow-up from the first Qutenza treatment of the last patient enrolled)

    Measured: Between successive retreatments (up to a maximum of 24 months)

  10. Number of QUTENZA patches used with each treatment

    Measured: Day 1 of each treatment

  11. Relative change in treatment area size

    From the 1st treatment to the End of Study (The End of Study is defined as the completion of one year of follow-up from the first Qutenza treatment of the last patient enrolled)

    Measured: At first treatment and each retreatment (up to a maximum of 24 months)

  12. Change in concomitant pain medications

    Percentage remaining on opioids, anticonvulsants, antidepressants

    Measured: From baseline to End of Study (up to 24 months)

  13. Change in health-related quality of life

    Measured by the EQ-5D (Euroqol-5 dimensions) index

    Measured: From baseline to End of Study (up to 24 months)

  14. Change in health resource use

    Number of contacts with health professionals in prior 4 weeks

    Measured: From baseline to End of Study (up to 24 months)

  15. Patient Global Impression of Change

    Percentage reporting any degree of improvement. Week 2 after 1st Treatment to End of Study

    Measured: At each follow-up after 1st and subsequent treatment(s) (up to a maximum of 24 months)

  16. Patient Self Assessment of Treatment

    Week 2 after 1st Treatment to End of Study

    Measured: At 12 weeks, 6 months, 9 months, and 12 months after 1st and subsequent retreatment(s)

  17. Change in Work Productivity and Activity Impairment scores

    Week 2 after 1st Treatment to End of Study

    Measured: Baseline, week 12, 6 months, 9 months, and 12 months after 1st and subsequent treatment(s)

  18. Percentage of patients requiring rescue measures during and after treatment with QUTENZA

    Measured: From Baseline to End of Study (up to 24 months)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted29 Nov 2012 (estimated)
  2. Study startFeb 2012
  3. Primary completionAug 2014
  4. Study completionAug 2014

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Cohort
Time perspective
Prospective
Enrolment
429 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01737294
Sponsor's protocol ID
QTZ-EC-0003
Acronym
ASCEND
Status last verified
Oct 2014
First submitted
22 Oct 2012
Last updated
6 Oct 2014
Results posted
No
Data monitoring committee
No

Publications

  • Mankowski C, Poole CD, Ernault E, Thomas R, Berni E, Currie CJ, Treadwell C, Calvo JI, Plastira C, Zafeiropoulou E, Odeyemi I. Effectiveness of the capsaicin 8% patch in the management of peripheral neuropathic pain in European clinical practice: the ASCEND study. BMC Neurol. 2017 Apr 21;17(1):80. doi: 10.1186/s12883-017-0836-z.

    PubMed 28431564

Questions about this trial

What is this clinical trial studying?

An observational study of Peripheral Neuropathic Pain, run by Astellas Pharma Europe Ltd. at 50 sites in 7 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 2 inclusion and 8 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 6 Oct 2014. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 50 sites in Greece, Portugal, Austria, Italy, Spain and 2 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Percent change in average pain NPRS (Numeric Pain Rating Scale) scores (time frame: From Baseline to mean of all scores recorded between week 2 and week 8 following first treatment). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT01737294, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 6 Oct 2014.

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