Predictive Biomarker for Endoscopic Therapy in Chronic Pancreatitis
- Conditions
- Chronic Pancreatitis
- Registration Number
- NCT06267365
- Lead Sponsor
- NYU Langone Health
- Brief Summary
This is an observational prospective study to develop predictive biomarkers for pain response in participants with chronic pancreatitis scheduled for endoscopic therapy. Participants will undergo baseline assessments including electroencephalography (EEG), quantitative sensory testing (QST), and psychosocial questionnaires. Response to endoscopic therapy will be assessed at approximately 3, 6, 12 and 18 months post-procedure using questionnaires.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- RECRUITING
- Sex
- All
- Target Recruitment
- 100
- adults older than 18 years;
- Cambridge III or IV criteria for Chronic Pancreatitis (CP); or M-ANNHEIM criteria for definitive chronic pancreatitis;
- scheduled for endoscopic therapy for ductal obstruction (may include lithotripsy, pancreatic duct dilation, or stone extraction to facilitate successful stenting) as part of routine clinical care based on multidisciplinary review;
- pain present for ≥ 3 days per week for ≥ 3 months;
- average pain over the last week ≥ 4 on a 11-point numeric rating scale (NRS).
- chronic pain syndrome other than CP;
- episode of acute pancreatitis within 2 months of enrollment;
- endoscopic therapy including Endoscopic retrograde cholangiopancreatography (ERCP), Endoscopic ultrasound (EUS) Guided Celiac Plexus Block or pancreatic surgery < 6 months prior to enrollment;
- active illicit drug use (excludes marijuana use);
- American Society of Anesthesiologists classification > 3;
- immune-mediated pancreatitis or associated pancreatic neoplasms
- Major neurological disease such as stroke, uncontrolled epilepsy, dementia
- Diagnosis of schizophrenia
- Chronic benzodiazepine use. Use of short acting benzodiazepine on as needed basis is acceptable if participant is able to hold benzodiazepine prior to EEG recording.
- Pregnancy
Study & Design
- Study Type
- OBSERVATIONAL
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method Change from Baseline in Brief Pain Inventory (BPI) Score at Month 3 Post-Operation Baseline, Month 3 Post-Operation BPI is a 9-item assessment of pain. Each item is rated on a Likert scale from 0 (No Pain) to 10 (Pain as bad as you can imagine). The total score is the sum of responses and ranges from 0-90; higher scores indicate greater pain.
- Secondary Outcome Measures
Name Time Method Change from Baseline in Sleep Duration at Month 18 Post-Procedure Baseline, Month 18 Post-Procedure Number of Participants who use Opioids at Month 12 Month 12 Change from Baseline in PROMIS - Fatigue - Short Form 6a Score at Month 12 Post-Procedure Baseline, Month 12 Post-Procedure The PROMIS Fatigue - Short Form 6a is a 6-item assessment of fatigue in the past 7 days. Items are ranked on a Likert scale from 1-5. The raw score is the sum of responses and is transformed into a T-score a mean of 50 and standard deviation of 10. Scores range from 0-100; higher scores indicate greater prevalence of fatigue.
Change from Baseline in BPI Score at Month 12 Post-Operation Baseline, Month 12 Post-Operation BPI is a 9-item assessment of pain. Each item is rated on a Likert scale from 0 (No Pain) to 10 (Pain as bad as you can imagine). The total score is the sum of responses and ranges from 0-90; higher scores indicate greater pain.
Change from Baseline in BPI Score at Month 18 Post-Operation Baseline, Month 18 Post-Operation BPI is a 9-item assessment of pain. Each item is rated on a Likert scale from 0 (No Pain) to 10 (Pain as bad as you can imagine). The total score is the sum of responses and ranges from 0-90; higher scores indicate greater pain.
Change from Baseline in Patient Reported Outcome System (PROMIS) - Physical Function - Short Form 6b Score at Month 3 Post-Operation Baseline, Month 3 Post-Operation The PROMIS Physical Function Short Form 6b comprises 6 questions assessing general physical function. Each item is rated on a Likert scale from 1 (Unable to do) to 5 (Without any difficulty). The raw score is the sum of responses and is transformed into a T-score a mean of 50 and standard deviation of 10. Scores range from 0-100; higher scores indicate greater physical function.
Change from Baseline in PROMIS - Physical Function - Short Form 6b Score at Month 6 Post-Operation Baseline, Month 6 Post-Operation The PROMIS Physical Function Short Form 6b comprises 6 questions assessing general physical function. Each item is rated on a Likert scale from 1 (Unable to do) to 5 (Without any difficulty). The raw score is the sum of responses and is transformed into a T-score a mean of 50 and standard deviation of 10. Scores range from 0-100; higher scores indicate greater physical function.
Number of Participants who use Opioids at Month 3 Month 3 Change from Baseline in PROMIS - Depression - Short Form 4a Score at Month 6 Post-Procedure Baseline, Month 6 Post-Procedure The PROMIS Depression - Short Form 4a is a 4-item assessment of symptoms of depression in the past 7 days. Items are ranked on a Likert scale from 1 (never) to 5 (always). The raw score is the sum of responses and is transformed into a T-score a mean of 50 and standard deviation of 10. Scores range from 0-100; higher scores indicate greater prevalence of depressive symptoms.
Change from Baseline in PROMIS - Depression - Short Form 4a Score at Month 12 Post-Procedure Baseline, Month 12 Post-Procedure The PROMIS Depression - Short Form 4a is a 4-item assessment of symptoms of depression in the past 7 days. Items are ranked on a Likert scale from 1 (never) to 5 (always). The raw score is the sum of responses and is transformed into a T-score a mean of 50 and standard deviation of 10. Scores range from 0-100; higher scores indicate greater prevalence of depressive symptoms.
Change from Baseline in PROMIS - Depression - Short Form 4a Score at Month 18 Post-Procedure Baseline, Month 18 Post-Procedure The PROMIS Depression - Short Form 4a is a 4-item assessment of symptoms of depression in the past 7 days. Items are ranked on a Likert scale from 1 (never) to 5 (always). The raw score is the sum of responses and is transformed into a T-score a mean of 50 and standard deviation of 10. Scores range from 0-100; higher scores indicate greater prevalence of depressive symptoms.
Change from Baseline in PROMIS - Anxiety- Short Form 4a Score at Month 3 Post-Procedure Baseline, Month 3 Post-Procedure The PROMIS Anxiety- Short Form 4a is a 4-item assessment of symptoms of anxiety in the past 7 days. Items are ranked on a Likert scale from 1 (never) to 5 (always). The raw score is the sum of responses and is transformed into a T-score a mean of 50 and standard deviation of 10. Scores range from 0-100; higher scores indicate greater prevalence of anxiety.
Change from Baseline in BPI Score at Month 6 Post-Operation Baseline, Month 6 Post-Operation BPI is a 9-item assessment of pain. Each item is rated on a Likert scale from 0 (No Pain) to 10 (Pain as bad as you can imagine). The total score is the sum of responses and ranges from 0-90; higher scores indicate greater pain.
Change from Baseline in PROMIS - Physical Function - Short Form 6b Score at Month 12 Post-Operation Baseline, Month 12 Post-Operation The PROMIS Physical Function Short Form 6b comprises 6 questions assessing general physical function. Each item is rated on a Likert scale from 1 (Unable to do) to 5 (Without any difficulty). The raw score is the sum of responses and is transformed into a T-score a mean of 50 and standard deviation of 10. Scores range from 0-100; higher scores indicate greater physical function.
Number of Participants who use Opioids at Baseline Baseline Change from Baseline in PROMIS - Physical Function - Short Form 6b Score at Month 18 Post-Operation Baseline, Month 18 Post-Operation The PROMIS Physical Function Short Form 6b comprises 6 questions assessing general physical function. Each item is rated on a Likert scale from 1 (Unable to do) to 5 (Without any difficulty). The raw score is the sum of responses and is transformed into a T-score a mean of 50 and standard deviation of 10. Scores range from 0-100; higher scores indicate greater physical function.
Number of Participants who use Opioids at Month 18 Month 18 Change from Baseline in PROMIS - Depression - Short Form 4a Score at Month 3 Post-Procedure Baseline, Month 3 Post-Procedure The PROMIS Depression - Short Form 4a is a 4-item assessment of symptoms of depression in the past 7 days. Items are ranked on a Likert scale from 1 (never) to 5 (always). The raw score is the sum of responses and is transformed into a T-score a mean of 50 and standard deviation of 10. Scores range from 0-100; higher scores indicate greater prevalence of depressive symptoms.
Number of Participants who use Opioids at Month 6 Month 6 Change from Baseline in PROMIS - Anxiety- Short Form 4a Score at Month 6 Post-Procedure Baseline, Month 6 Post-Procedure The PROMIS Anxiety- Short Form 4a is a 4-item assessment of symptoms of anxiety in the past 7 days. Items are ranked on a Likert scale from 1 (never) to 5 (always). The raw score is the sum of responses and is transformed into a T-score a mean of 50 and standard deviation of 10. Scores range from 0-100; higher scores indicate greater prevalence of anxiety.
Change from Baseline in PROMIS - Anxiety- Short Form 4a Score at Month 12 Post-Procedure Baseline, Month 12 Post-Procedure The PROMIS Anxiety- Short Form 4a is a 4-item assessment of symptoms of anxiety in the past 7 days. Items are ranked on a Likert scale from 1 (never) to 5 (always). The raw score is the sum of responses and is transformed into a T-score a mean of 50 and standard deviation of 10. Scores range from 0-100; higher scores indicate greater prevalence of anxiety.
Change from Baseline in PROMIS - Anxiety- Short Form 4a Score at Month 18 Post-Procedure Baseline, Month 18 Post-Procedure The PROMIS Anxiety- Short Form 4a is a 4-item assessment of symptoms of anxiety in the past 7 days. Items are ranked on a Likert scale from 1 (never) to 5 (always). The raw score is the sum of responses and is transformed into a T-score a mean of 50 and standard deviation of 10. Scores range from 0-100; higher scores indicate greater prevalence of anxiety.
Change from Baseline in PROMIS - Neuropathic Pain Quality 5a Score at Month 3 Post-Procedure Baseline, Month 3 Post-Procedure The PROMIS Neuropathic Pain Quality 5a is a 5-item assessment of symptoms of neuropathic pain in the past 7 days. Items are ranked on a Likert scale from 1 (not at all) to 5 (very much). The raw score is the sum of responses and is transformed into a T-score a mean of 50 and standard deviation of 10. Scores range from 0-100; higher scores indicate greater prevalence of neuropathic pain.
Change from Baseline in PROMIS - Neuropathic Pain Quality 5a Score at Month 6 Post-Procedure Baseline, Month 6 Post-Procedure The PROMIS Neuropathic Pain Quality 5a is a 5-item assessment of symptoms of neuropathic pain in the past 7 days. Items are ranked on a Likert scale from 1 (not at all) to 5 (very much). The raw score is the sum of responses and is transformed into a T-score a mean of 50 and standard deviation of 10. Scores range from 0-100; higher scores indicate greater prevalence of neuropathic pain.
Change from Baseline in PROMIS - Neuropathic Pain Quality 5a Score at Month 12 Post-Procedure Baseline, Month 12 Post-Procedure The PROMIS Neuropathic Pain Quality 5a is a 5-item assessment of symptoms of neuropathic pain in the past 7 days. Items are ranked on a Likert scale from 1 (not at all) to 5 (very much). The raw score is the sum of responses and is transformed into a T-score a mean of 50 and standard deviation of 10. Scores range from 0-100; higher scores indicate greater prevalence of neuropathic pain.
Change from Baseline in PROMIS - Neuropathic Pain Quality 5a Score at Month 18 Post-Procedure Baseline, Month 18 Post-Procedure The PROMIS Neuropathic Pain Quality 5a is a 5-item assessment of symptoms of neuropathic pain in the past 7 days. Items are ranked on a Likert scale from 1 (not at all) to 5 (very much). The raw score is the sum of responses and is transformed into a T-score a mean of 50 and standard deviation of 10. Scores range from 0-100; higher scores indicate greater prevalence of neuropathic pain.
Change from Baseline in PROMIS - Sleep Disturbance - Short Form 6a Score at Month 3 Post-Procedure Baseline, Month 3 Post-Procedure The PROMIS Sleep Disturbance - Short Form 6a is a 6-item assessment of sleep disturbance in the past 7 days. Items are ranked on a Likert scale from 1-5. The raw score is the sum of responses and is transformed into a T-score a mean of 50 and standard deviation of 10. Scores range from 0-100; higher scores indicate greater prevalence of sleep disturbance.
Change from Baseline in PROMIS - Sleep Disturbance - Short Form 6a Score at Month 6 Post-Procedure Baseline, Month 6 Post-Procedure The PROMIS Sleep Disturbance - Short Form 6a is a 6-item assessment of sleep disturbance in the past 7 days. Items are ranked on a Likert scale from 1-5. The raw score is the sum of responses and is transformed into a T-score a mean of 50 and standard deviation of 10. Scores range from 0-100; higher scores indicate greater prevalence of sleep disturbance.
Change from Baseline in PROMIS - Sleep Disturbance - Short Form 6a Score at Month 12 Post-Procedure Baseline, Month 12 Post-Procedure The PROMIS Sleep Disturbance - Short Form 6a is a 6-item assessment of sleep disturbance in the past 7 days. Items are ranked on a Likert scale from 1-5. The raw score is the sum of responses and is transformed into a T-score a mean of 50 and standard deviation of 10. Scores range from 0-100; higher scores indicate greater prevalence of sleep disturbance.
Change from Baseline in PROMIS - Sleep Disturbance - Short Form 6a Score at Month 18 Post-Procedure Baseline, Month 18 Post-Procedure The PROMIS Sleep Disturbance - Short Form 6a is a 6-item assessment of sleep disturbance in the past 7 days. Items are ranked on a Likert scale from 1-5. The raw score is the sum of responses and is transformed into a T-score a mean of 50 and standard deviation of 10. Scores range from 0-100; higher scores indicate greater prevalence of sleep disturbance.
Change from Baseline in PROMIS - Fatigue - Short Form 6a Score at Month 3 Post-Procedure Baseline, Month 3 Post-Procedure The PROMIS Fatigue - Short Form 6a is a 6-item assessment of fatigue in the past 7 days. Items are ranked on a Likert scale from 1-5. The raw score is the sum of responses and is transformed into a T-score a mean of 50 and standard deviation of 10. Scores range from 0-100; higher scores indicate greater prevalence of fatigue.
Change from Baseline in PROMIS - Fatigue - Short Form 6a Score at Month 6 Post-Procedure Baseline, Month 6 Post-Procedure The PROMIS Fatigue - Short Form 6a is a 6-item assessment of fatigue in the past 7 days. Items are ranked on a Likert scale from 1-5. The raw score is the sum of responses and is transformed into a T-score a mean of 50 and standard deviation of 10. Scores range from 0-100; higher scores indicate greater prevalence of fatigue.
Change from Baseline in PROMIS - Fatigue - Short Form 6a Score at Month 18 Post-Procedure Baseline, Month 18 Post-Procedure The PROMIS Fatigue - Short Form 6a is a 6-item assessment of fatigue in the past 7 days. Items are ranked on a Likert scale from 1-5. The raw score is the sum of responses and is transformed into a T-score a mean of 50 and standard deviation of 10. Scores range from 0-100; higher scores indicate greater prevalence of fatigue.
Change from Baseline in Pain Catastrophizing Scale (PCS) Score at Month 3 Post-Procedure Baseline, Month 3 Post-Procedure The PCS is a 13-item assessment of the prevalence of thoughts and feelings associated with pain. Each item is rated on a Likert scale from 0 (not at all) to 4 (all the time). The total score is the sum of responses and ranges from 0 to 52; higher scores indicate greater pain catastrophizing.
Change from Baseline in PCS Score at Month 6 Post-Procedure Baseline, Month 6 Post-Procedure The PCS is a 13-item assessment of the prevalence of thoughts and feelings associated with pain. Each item is rated on a Likert scale from 0 (not at all) to 4 (all the time). The total score is the sum of responses and ranges from 0 to 52; higher scores indicate greater pain catastrophizing.
Change from Baseline in PCS Score at Month 12 Post-Procedure Baseline, Month 12 Post-Procedure The PCS is a 13-item assessment of the prevalence of thoughts and feelings associated with pain. Each item is rated on a Likert scale from 0 (not at all) to 4 (all the time). The total score is the sum of responses and ranges from 0 to 52; higher scores indicate greater pain catastrophizing.
Change from Baseline in PCS Score at Month 18 Post-Procedure Baseline, Month 18 Post-Procedure The PCS is a 13-item assessment of the prevalence of thoughts and feelings associated with pain. Each item is rated on a Likert scale from 0 (not at all) to 4 (all the time). The total score is the sum of responses and ranges from 0 to 52; higher scores indicate greater pain catastrophizing.
Change from Baseline in Sleep Duration at Month 3 Post-Procedure Baseline, Month 3 Post-Procedure Change from Baseline in Sleep Duration at Month 6 Post-Procedure Baseline, Month 6 Post-Procedure Change from Baseline in Sleep Duration at Month 12 Post-Procedure Baseline, Month 12 Post-Procedure Change from Baseline in Tobacco, Alcohol, Prescription medications, and other Substance (TAPS) Score at Month 3 Post-Procedure Baseline, Month 3 Post-Procedure TAPS consists of a combined screening component (TAPS-1) followed by a brief followed by a brief assessment (TAPS-2) for those who screen positive. Scores on these questions generate a risk level per substance endorsed, based on a range of possible scores per substance. Scores range from 0-4; higher scores indicate a higher likelihood of problematic substance use.
Change from Baseline in TAPS Score at Month 6 Post-Procedure Baseline, Month 6 Post-Procedure TAPS consists of a combined screening component (TAPS-1) followed by a brief followed by a brief assessment (TAPS-2) for those who screen positive. Scores on these questions generate a risk level per substance endorsed, based on a range of possible scores per substance. Scores range from 0-4; higher scores indicate a higher likelihood of problematic substance use.
Change from Baseline in TAPS Score at Month 12 Post-Procedure Baseline, Month 12 Post-Procedure TAPS consists of a combined screening component (TAPS-1) followed by a brief followed by a brief assessment (TAPS-2) for those who screen positive. Scores on these questions generate a risk level per substance endorsed, based on a range of possible scores per substance. Scores range from 0-4; higher scores indicate a higher likelihood of problematic substance use.
Change from Baseline in TAPS Score at Month 18 Post-Procedure Baseline, Month 18 Post-Procedure TAPS consists of a combined screening component (TAPS-1) followed by a brief followed by a brief assessment (TAPS-2) for those who screen positive. Scores on these questions generate a risk level per substance endorsed, based on a range of possible scores per substance. Scores range from 0-4; higher scores indicate a higher likelihood of problematic substance use.
Change from Baseline in Patient Global Impression of Change (PGIC) Score at Month 3 Post-Procedure Baseline, Month 3 Post-Procedure PGIC is a 1-item assessment of patient's perception of the change in activity limitation, symptoms, emotions and overall quality of life related to their condition since beginning treatment. The item is rated on a scale from 1 (no change) to 7 (a great deal better). The final score is the numerical rating; higher scores indicate greater change.
Change from Baseline in PGIC Score at Month 6 Post-Procedure Baseline, Month 6 Post-Procedure PGIC is a 1-item assessment of patient's perception of the change in activity limitation, symptoms, emotions and overall quality of life related to their condition since beginning treatment. The item is rated on a scale from 1 (no change) to 7 (a great deal better). The final score is the numerical rating; higher scores indicate greater change.
Change from Baseline in PGIC Score at Month 12 Post-Procedure Baseline, Month 12 Post-Procedure PGIC is a 1-item assessment of patient's perception of the change in activity limitation, symptoms, emotions and overall quality of life related to their condition since beginning treatment. The item is rated on a scale from 1 (no change) to 7 (a great deal better). The final score is the numerical rating; higher scores indicate greater change.
Change from Baseline in PGIC Score at Month 18 Post-Procedure Baseline, Month 18 Post-Procedure PGIC is a 1-item assessment of patient's perception of the change in activity limitation, symptoms, emotions and overall quality of life related to their condition since beginning treatment. The item is rated on a scale from 1 (no change) to 7 (a great deal better). The final score is the numerical rating; higher scores indicate greater change.
Change from Baseline in Patient Health Questionnaire-2 (PHQ-2) Score at Month 3 Post-Procedure Baseline, Month 3 Post-Procedure PHQ-2 is a 2-item assessment of patient health in the last 2 weeks. Items are rated on a Likert scale from 0 (not at all) to 3 (nearly every day). The total score is the sum of responses and ranges from 0 to 6; lower scores indicate better health.
Change from Baseline in PHQ-2 Score at Month 6 Post-Procedure Baseline, Month 6 Post-Procedure PHQ-2 is a 2-item assessment of patient health in the last 2 weeks. Items are rated on a Likert scale from 0 (not at all) to 3 (nearly every day). The total score is the sum of responses and ranges from 0 to 6; lower scores indicate better health.
Change from Baseline in PHQ-2 Score at Month 12 Post-Procedure Baseline, Month 12 Post-Procedure PHQ-2 is a 2-item assessment of patient health in the last 2 weeks. Items are rated on a Likert scale from 0 (not at all) to 3 (nearly every day). The total score is the sum of responses and ranges from 0 to 6; lower scores indicate better health.
Change from Baseline in PHQ-2 Score at Month 18 Post-Procedure Baseline, Month 18 Post-Procedure PHQ-2 is a 2-item assessment of patient health in the last 2 weeks. Items are rated on a Likert scale from 0 (not at all) to 3 (nearly every day). The total score is the sum of responses and ranges from 0 to 6; lower scores indicate better health.
Change from Baseline in Generalized Anxiety Disorder 2 (GAD-2) Score at Month 3 Post-Procedure Baseline, Month 3 Post-Procedure GAD-2 is a 2-item assessment of symptoms of anxiety in the past two weeks. Items are rated on a Likert scale from 0 (not at all) to 3 (nearly every day).The total score is the sum of responses and ranges from 0-6; higher scores indicate greater symptoms of anxiety.
Change from Baseline in GAD-2 Score at Month 6 Post-Procedure Baseline, Month 6 Post-Procedure GAD-2 is a 2-item assessment of symptoms of anxiety in the past two weeks. Items are rated on a Likert scale from 0 (not at all) to 3 (nearly every day).The total score is the sum of responses and ranges from 0-6; higher scores indicate greater symptoms of anxiety.
Change from Baseline in GAD-2 Score at Month 12 Post-Procedure Baseline, Month 12 Post-Procedure GAD-2 is a 2-item assessment of symptoms of anxiety in the past two weeks. Items are rated on a Likert scale from 0 (not at all) to 3 (nearly every day).The total score is the sum of responses and ranges from 0-6; higher scores indicate greater symptoms of anxiety.
Change from Baseline in GAD-2 Score at Month 18 Post-Procedure Baseline, Month 18 Post-Procedure GAD-2 is a 2-item assessment of symptoms of anxiety in the past two weeks. Items are rated on a Likert scale from 0 (not at all) to 3 (nearly every day).The total score is the sum of responses and ranges from 0-6; higher scores indicate greater symptoms of anxiety.
Change from Baseline in Pain, Enjoyment of Life and General Activity (PEG) Scale at Month 3 Post-Procedure Baseline, Month 3 Post-Procedure PEG is a 3-item assessment of pain and how it interferes with activities of daily life. Each item is rated on a scale from 0 (does not interfere) to 10 (completely interferes). The total score is the average of the 3 items and ranges from 0-10; higher scores indicate greater pain interference.
Change from Baseline in PEG Scale at Month 6 Post-Procedure Baseline, Month 6 Post-Procedure PEG is a 3-item assessment of pain and how it interferes with activities of daily life. Each item is rated on a scale from 0 (does not interfere) to 10 (completely interferes). The total score is the average of the 3 items and ranges from 0-10; higher scores indicate greater pain interference.
Change from Baseline in PEG Scale at Month 12 Post-Procedure Baseline, Month 12 Post-Procedure PEG is a 3-item assessment of pain and how it interferes with activities of daily life. Each item is rated on a scale from 0 (does not interfere) to 10 (completely interferes). The total score is the average of the 3 items and ranges from 0-10; higher scores indicate greater pain interference.
Change from Baseline in PEG Scale at Month 18 Post-Procedure Baseline, Month 18 Post-Procedure PEG is a 3-item assessment of pain and how it interferes with activities of daily life. Each item is rated on a scale from 0 (does not interfere) to 10 (completely interferes). The total score is the average of the 3 items and ranges from 0-10; higher scores indicate greater pain interference.
Trial Locations
- Locations (1)
NYU Langone Health
🇺🇸New York, New York, United States