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Neuropathic PainCANOPYNCT06511674

Vulnerability and Risk of Neuropathic Pain in Cancer

A study testing Cognitive-emotional and pain assessments in people with Neuropathic Pain and Cancer, run by University Hospital, Clermont-Ferrand at 19 sites in France.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
Search all trials

Trial summary

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. Read more about this study

Who is it for?
Ages 18 years and olderHealthy volunteers can take part
Conditions the study is for
Neuropathic Pain, Cancer, Predictive
What is being tested?
Cognitive-emotional and pain assessments
Could I receive a placebo?
No, everyone receives an active treatment
How many people
625 participants
Where
19 sitesFrance
Study dates
28 Oct 2024to 30 Jun 2028
Phase
Interventional
Are there results?
Not yet: the study is under way

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
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • 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,
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  • 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,

Who cannot join

  • 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,
Show all 12Show fewer
  • 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.

Trial locations and contacts

19 sites in 1 country. Contact the study team or a site near you to ask about taking part.

19 sites in 1 country

France19 sites, 19 recruiting
  • Centre Hospitalier d'Ajaccio

    Ajaccio, 20000

    Daniel Nicolas

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

    Angers, 49100

    Sabrina Jubier Hamon

    Recruiting
  • Centre Hospitalier Henri Mondor d'Aurillac

    Aurillac, 15000

    Daniela Burlacu

    Recruiting
  • Centre de Lutte contre le Cancer - Institut Bergonié

    Bordeaux, 33000

    Mickaël Desroches

    Laurent Labreze

    Recruiting
  • Centre de Lutte contre le Cancer - Centre François Baclesse

    Caen, 14000

    Franck Le Caer

    Lauriane Fourel

    Recruiting
  • Centre Hospitalier Universitaire Caen Normandie

    Caen, 14000

    Cyril Guillaumé

    Recruiting
  • Centre de Lutte contre le Cancer - Jean Perrin

    Clermont-Ferrand, 63000

    Christine Villatte

    Recruiting
  • CHU de Clermont-Ferrand

    Clermont-Ferrand, 63000

    Gisèle Pickering

    Recruiting
  • Hôpitaux civils de Colmar

    Colmar, 68024

    Erwan Treillet

    Recruiting
  • Centre Régional de Lutte contre le Cancer - Georges Francois Leclerc

    Dijon, 21079

    Christian Minello

    Recruiting
  • Hôpital privé le Bois

    Lille, 59000

    Romain Chiquet

    Recruiting
  • Centre Hospitalier de Montluçon

    Montluçon, 03100

    Orianne DELEPINE

    Not yet recruiting
  • Centre Hospitalier de Moulins-Yzeure

    Moulins, 03000

    Michael Azagury

    Recruiting
  • Hôpital Saint-Louis APHP

    Paris, 75010

    Anne Blazy

    Recruiting
  • Hôpital Beaujon AP-HP

    Paris, 92110

    Bruno Vincent

    Recruiting
  • Institut Godinot

    Reims

    Grégoire OUDOT

    Recruiting
  • Centre Hospitalier Yves Le Foll

    Saint-Brieuc

    Homauon ALIPOUR

    Sylvain Lecoeur

    Recruiting
  • CH Valenciennes

    Valenciennes

    Antoine LEMAIRE

    Recruiting
  • Institut Gustave Roussy

    Villejuif, 94805

    Rita Kortbaoui

    Recruiting

Other trials in France

About this study

Official title: Vulnerability and Risk of Neuropathic Pain in Cancer: Validation of a Predictive Tool to Optimize Treatment.

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.

Being tested
Cognitive-emotional and pain assessments
Medical subject headings
Neuralgia, Neoplasms

What participants receive

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

  • Cognitive-emotional and pain assessmentsOther

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

Study groups in NCT06511674
Study groupRoleWhat they receive
Cancer patientsExperimental500 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).
Receives: Other: Cognitive-emotional and pain assessments
Healthy volunteers controlsExperimental125 healthy control volunteers from the volunteer database
Receives: Other: Cognitive-emotional and pain assessments

What is being measured

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

  1. CANoPy score (Z-score)

    Calculation of the CANoPy score (Z-score) predictive of the development of neuropathic pain.

    The z-scores are then averaged across endpoints for each patient.

    Measured: Baseline

  2. CANoPy score (Z-score)

    Calculation of the CANoPy score (Z-score) predictive of the development of neuropathic pain.

    The z-scores are then averaged across endpoints for each patient.

    Measured: 6 months

  3. CANoPy score (Z-score)

    Calculation of the CANoPy score (Z-score) predictive of the development of neuropathic pain.

    The z-scores are then averaged across endpoints for each patient.

    Measured: 12 months

Secondary outcomes (30)
  1. Pain assessment using the Numerical Pain Scale (EN)

    Numerical Pain Scale (EN): This numerical scale provides a pain assessment from 0 to 10.

    Measured: Baseline

  2. Pain assessment using the Neuropathic Pain Questionnaire (DN4)

    Neuropathic Pain (DN4): This questionnaire estimates the probability of neuropathic pain in a patient, by means of four questions divided into ten items to be ticked. The practitioner or clinical research associate in charge of the study interviews or examines the patient and fills in the questionnaire himself. Each item is marked with a "yes" or "no" answer. Each "yes" is worth a score of 1, and each "no" is worth a score of 0. The sum of the scores gives the patient's score (out of 10); if the patient's score is equal to or greater than 4/10, the test is positive.

    Measured: Baseline

  3. Pain assessment using the Numerical Pain Scale (EN)

    Numerical Pain Scale (EN): This numerical scale provides a pain assessment from 0 to 10.

    Measured: 6 months

  4. Pain assessment using the Neuropathic Pain Questionnaire (DN4)

    Neuropathic Pain (DN4): This questionnaire estimates the probability of neuropathic pain in a patient, by means of four questions divided into ten items to be ticked. The practitioner or clinical research associate in charge of the study interviews or examines the patient and fills in the questionnaire himself. Each item is marked with a "yes" or "no" answer. Each "yes" is worth a score of 1, and each "no" is worth a score of 0. The sum of the scores gives the patient's score (out of 10); if the patient's score is equal to or greater than 4/10, the test is positive.

    Measured: 6 months

  5. Pain assessment using the Numerical Pain Scale (EN)

    Numerical Pain Scale (EN): This numerical scale provides a pain assessment from 0 to 10.

    Measured: 12 months

  6. Pain assessment using the Neuropathic Pain Questionnaire (DN4)

    Neuropathic Pain (DN4): This questionnaire estimates the probability of neuropathic pain in a patient, by means of four questions divided into ten items to be ticked. The practitioner or clinical research associate in charge of the study interviews or examines the patient and fills in the questionnaire himself. Each item is marked with a "yes" or "no" answer. Each "yes" is worth a score of 1, and each "no" is worth a score of 0. The sum of the scores gives the patient's score (out of 10); if the patient's score is equal to or greater than 4/10, the test is positive.

    Measured: 12 months

  7. Assessment of cognitive status using the Functional Assessment of Cancer Therapy - Cognitive Function (FACT-COG) questionnaire

    Functional Assessment of Cancer Therapy COGnitive function (FACT-COG): The Functional Assessment of Cancer Therapy-COGnitive function, known as FACT-COG, is a 37-item self-report questionnaire of perceived cognitive impairment. It assesses mental acuity, attention and concentration, memory, verbal fluency, functional interference, deficits observed by others, changes from previous functioning and impact on quality of life. These items were developed on the basis of interviews with cancer patients and their carers. The FACT-COG has been validated in a study of cancer patients.

    Measured: Baseline

  8. Assessment of cognitive status using the Functional Assessment of Cancer Therapy - Cognitive Function (FACT-COG) questionnaire

    Functional Assessment of Cancer Therapy COGnitive function (FACT-COG): The Functional Assessment of Cancer Therapy-COGnitive function, known as FACT-COG, is a 37-item self-report questionnaire of perceived cognitive impairment. It assesses mental acuity, attention and concentration, memory, verbal fluency, functional interference, deficits observed by others, changes from previous functioning and impact on quality of life. These items were developed on the basis of interviews with cancer patients and their carers. The FACT-COG has been validated in a study of cancer patients.

    Measured: 6 months

  9. Assessment of cognitive status using the Functional Assessment of Cancer Therapy - Cognitive Function (FACT-COG) questionnaire

    Functional Assessment of Cancer Therapy COGnitive function (FACT-COG): The Functional Assessment of Cancer Therapy-COGnitive function, known as FACT-COG, is a 37-item self-report questionnaire of perceived cognitive impairment. It assesses mental acuity, attention and concentration, memory, verbal fluency, functional interference, deficits observed by others, changes from previous functioning and impact on quality of life. These items were developed on the basis of interviews with cancer patients and their carers. The FACT-COG has been validated in a study of cancer patients.

    Measured: 12 months

  10. Assessment of emotional status using the Anxiety and Depression Scale (HAD)

    The Hospital Anxiety Depression (HAD) scale is a 14-item self-administered questionnaire completed by the patient. These items are divided into two subscales: 7 items to assess depression and 7 items to assess anxiety.

    Measured: Baseline

  11. Assessment of emotional status using the Anxiety and Depression Scale (HAD)

    The Hospital Anxiety Depression (HAD) scale is a 14-item self-administered questionnaire completed by the patient. These items are divided into two subscales: 7 items to assess depression and 7 items to assess anxiety.

    Measured: 6 months

  12. Assessment of emotional status using the Anxiety and Depression Scale (HAD)

    The Hospital Anxiety Depression (HAD) scale is a 14-item self-administered questionnaire completed by the patient. These items are divided into two subscales: 7 items to assess depression and 7 items to assess anxiety.

    Measured: 12 months

  13. Evaluation of social vulnerability using the questionnaire Evaluation of Deprivation and Inequalities in Health Examination Centres (EPICES)

    The Evaluation of Deprivation and Inequalities in Health Examination Centres (EPICES) questionnaire consists of 11 binary questions (yes/no) used to calculate an individual score indicating precariousness and health inequalities ranging from 0 to 100.

    Measured: Baseline

  14. Evaluation of social vulnerability using the questionnaire Evaluation of Deprivation and Inequalities in Health Examination Centres (EPICES)

    The Evaluation of Deprivation and Inequalities in Health Examination Centres (EPICES) questionnaire consists of 11 binary questions (yes/no) used to calculate an individual score indicating precariousness and health inequalities ranging from 0 to 100.

    Measured: 6 months

  15. Evaluation of social vulnerability using the questionnaire Evaluation of Deprivation and Inequalities in Health Examination Centres (EPICES)

    The Evaluation of Deprivation and Inequalities in Health Examination Centres (EPICES) questionnaire consists of 11 binary questions (yes/no) used to calculate an individual score indicating precariousness and health inequalities ranging from 0 to 100.

    Measured: 12 months

  16. Assessment of quality of life using the EORTC Core Quality of Life Questionnaire (EORTC QLQ-C30)

    EORTC Core Quality of Life Questionnaire (EORTC QLQ-C30) : The self-reported EORTC Core Quality of Life Questionnaire (EORTC QLQ-C30) is used as a tool to measure the (health-related) quality of life of cancer patients. This tool is used to assess their own level of functioning in different areas of quality of life.The questionnaire comprises 9 subscales, each consisting of several items: 5 subscales measuring functional status, 3 symptom subscales, and an overall subscale measuring quality of life and state of health.

    Measured: Baseline

  17. Assessment of quality of sleep using the Pittsburgh Sleep Quality Index (PSQI)

    Pittsburg Sleep Quality Index (PSQI): The Pittsburg Sleep Quality Index (PSQI) is a self-administered questionnaire comprising 19 items. It was developed to measure sleep quality in the month preceding the patient interview. The questionnaire has 7 components: subjective sleep quality, sleep latency, sleep duration, usual sleep efficiency, sleep disturbance, use of sleep medication and poor daytime sleepiness.

    Measured: Baseline

  18. Assessment of quality of life using the EORTC Core Quality of Life Questionnaire (EORTC QLQ-C30)

    EORTC Core Quality of Life Questionnaire (EORTC QLQ-C30) : The self-reported EORTC Core Quality of Life Questionnaire (EORTC QLQ-C30) is used as a tool to measure the (health-related) quality of life of cancer patients. This tool is used to assess their own level of functioning in different areas of quality of life.The questionnaire comprises 9 subscales, each consisting of several items: 5 subscales measuring functional status, 3 symptom subscales, and an overall subscale measuring quality of life and state of health.

    Measured: 6 months

  19. Assessment of quality of sleep using the Pittsburgh Sleep Quality Index (PSQI)

    Pittsburg Sleep Quality Index (PSQI): The Pittsburg Sleep Quality Index (PSQI) is a self-administered questionnaire comprising 19 items. It was developed to measure sleep quality in the month preceding the patient interview. The questionnaire has 7 components: subjective sleep quality, sleep latency, sleep duration, usual sleep efficiency, sleep disturbance, use of sleep medication and poor daytime sleepiness.

    Measured: 6 months

  20. Assessment of quality of life using the EORTC Core Quality of Life Questionnaire (EORTC QLQ-C30)

    EORTC Core Quality of Life Questionnaire (EORTC QLQ-C30) : The self-reported EORTC Core Quality of Life Questionnaire (EORTC QLQ-C30) is used as a tool to measure the (health-related) quality of life of cancer patients. This tool is used to assess their own level of functioning in different areas of quality of life.The questionnaire comprises 9 subscales, each consisting of several items: 5 subscales measuring functional status, 3 symptom subscales, and an overall subscale measuring quality of life and state of health.

    Measured: 12 months

  21. Assessment of quality of sleep using the Pittsburgh Sleep Quality Index (PSQI)

    Pittsburg Sleep Quality Index (PSQI): The Pittsburg Sleep Quality Index (PSQI) is a self-administered questionnaire comprising 19 items. It was developed to measure sleep quality in the month preceding the patient interview. The questionnaire has 7 components: subjective sleep quality, sleep latency, sleep duration, usual sleep efficiency, sleep disturbance, use of sleep medication and poor daytime sleepiness.

    Measured: 12 months

  22. Assessment of disease perception and beliefs using the Illness Perception Questionnaire Revised (IPQ-R)

    Illness Perception Questionnaire Revised (IPQ-R): The Illness Perception Questionnaire Revised (IPQ-R) is a self-administered questionnaire which assesses representations of the illness. It consists of 70 items divided into three categories: vision of the illness, point of view of the illness and causes of the illness.

    Measured: Baseline

  23. Assessment of disease perception and beliefs using the disease-specific Cancer Locus of Control Scale (CLCS)

    Cancer Locus of Control Scale (CLCS): This 17-item disease-specific controllability scale has been validated in a French population of breast cancer patients and is used to measure the perception of control over serious chronic illness and cancer. The items are rated using a four-point Likert scale (from 1 "strongly disagree" to 4 "strongly agree"). The items are divided into three subscales: perceived control over the course of the disease, internal causal attribution, and religious control.

    Measured: Baseline

  24. Assessment of disease perception and beliefs using the Illness Perception Questionnaire Revised (IPQ-R)

    Illness Perception Questionnaire Revised (IPQ-R): The Illness Perception Questionnaire Revised (IPQ-R) is a self-administered questionnaire which assesses representations of the illness. It consists of 70 items divided into three categories: vision of the illness, point of view of the illness and causes of the illness.

    Measured: 6 months

  25. Assessment of disease perception and beliefs using the disease-specific Cancer Locus of Control Scale (CLCS)

    Cancer Locus of Control Scale (CLCS): This 17-item disease-specific controllability scale has been validated in a French population of breast cancer patients and is used to measure the perception of control over serious chronic illness and cancer. The items are rated using a four-point Likert scale (from 1 "strongly disagree" to 4 "strongly agree"). The items are divided into three subscales: perceived control over the course of the disease, internal causal attribution, and religious control.

    Measured: 6 months

  26. Assessment of disease perception and beliefs using the Illness Perception Questionnaire Revised (IPQ-R)

    Illness Perception Questionnaire Revised (IPQ-R): The Illness Perception Questionnaire Revised (IPQ-R) is a self-administered questionnaire which assesses representations of the illness. It consists of 70 items divided into three categories: vision of the illness, point of view of the illness and causes of the illness.

    Measured: 12 months

  27. Assessment of disease perception and beliefs using the disease-specific Cancer Locus of Control Scale (CLCS)

    Cancer Locus of Control Scale (CLCS): This 17-item disease-specific controllability scale has been validated in a French population of breast cancer patients and is used to measure the perception of control over serious chronic illness and cancer. The items are rated using a four-point Likert scale (from 1 "strongly disagree" to 4 "strongly agree"). The items are divided into three subscales: perceived control over the course of the disease, internal causal attribution, and religious control.

    Measured: 12 months

  28. Assessment of analgesic consumption

    Assessment of analgesic consumption throughout the study.

    Measured: Baseline

  29. Assessment of analgesic consumption

    Assessment of analgesic consumption throughout the study.

    Measured: 6 months

  30. Assessment of analgesic consumption

    Assessment of analgesic consumption throughout the study.

    Measured: 12 months

Timeline

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

  1. First posted22 Jul 2024
  2. Study start28 Oct 2024
  3. Primary completion31 May 2027 (estimated)
  4. Study completion30 Jun 2028 (estimated)

Resources

More details

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

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Prevention
Allocation
Non-randomised
Intervention model
Parallel groups
Masking
Single blind
Who is masked
Participant
Enrolment
625 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06511674
Sponsor's protocol ID
RBHP 2023 PICKERING
Acronym
CANOPY
Status last verified
Jun 2025
First submitted
4 Jul 2024
Last updated
8 Dec 2025
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A study testing Cognitive-emotional and pain assessments in people with Neuropathic Pain and Cancer, run by University Hospital, Clermont-Ferrand at 19 sites in France.

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 12 inclusion and 12 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: looking for participants now, as of the sponsor's last update on 8 Dec 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 19 sites in France. 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?

This study is still under way. Results are not available in the source record yet.

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

Contact Lise LACLAUTRE (473754963 ext. +33, promo_interne_drci@chu-clermontferrand.fr), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

CANoPy score (Z-score) (time frame: Baseline). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 8 Dec 2025.

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