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Somatosensory Phenotyping of ADPKD

Not yet recruiting
Conditions
ADPKD
Pain
Registration Number
NCT06970028
Lead Sponsor
Universitaire Ziekenhuizen KU Leuven
Brief Summary

Over 60% of patients with ADPKD suffer from pain, mostly in the abdomen, flank and back, often leading to the diagnosis. It is challenging to manage and cure the pain; approximately 39% of patients are not satisfied with their pain treatment, since the pain prevents them from doing various activities, affecting their quality of life. Pain can be present before enlargement of the kidneys, the source of the pain is often unknown and common analgesics are insufficient to manage the pain or cannot be taken due to renal impairment. By further investigating and characterizing the pain phenotype of the ADPKD population, pain management might be improved and alternative therapeutic approaches might be developed. In this clinical study, pain will be assessed in patients with ADPKD using Quantitative Sensory Testing (QST) on the dominant hand and the lower back, together with three questionnaires regarding pain and quality of life. These results will be compared with the somatosensory profile of matched healthy volunteers.

Detailed Description

Not available

Recruitment & Eligibility

Status
NOT_YET_RECRUITING
Sex
All
Target Recruitment
150
Inclusion Criteria

Patients with ADPKD

  • Subject is ≥ 12 years old.
  • Subject is diagnosed with ADPKD.

Healthy volunteers

  • Subject is ≥ 12 years old.
  • Subject is in good general health, based on medical history and vital signs.
  • Subject is matched to the patient group for age, sex and BMI.
Exclusion Criteria

Patients with ADPKD

  • Subject has eczema, scleroderma, psoriasis, dermatitis, or any other abnormality on the skin of the dominant hand and/or lower back which, in the investigator's opinion, might interfere with the study assessments.
  • Subject is currently undergoing dialysis, had a kidney transplant or is a user of tolvaptan.
  • Female who is pregnant or breastfeeding.
  • Simultaneous participation in another study which, in the investigator's opinion, might confound the results of the study.
  • Subject is unable to refrain from drinking alcohol 24 hours prior to each study visit, and/or consumes ≥ 3 alcoholic consumptions per day.
  • Subject is a regular user of cannabis, any illicit drugs and/or has a history of drug abuse.
  • Subject is unable to refrain from drinking caffeinated beverages (such as coffee, tea, cola,...) 24 hours prior to each study visit.
  • Subject has used concomitant drugs and/or treatments in a period smaller than or equal to 5 half-lives prior to enrollment, that may interfere, in the investigator's opinion, with the study results.
  • Subject has a history of any illness or condition which, in the investigator's opinion, may interfere with safe and optimal participation in the study.

Healthy volunteers

  • Subject has a history of any illness or condition which may affect the normal somatosensory functionality.
  • Subject has eczema, scleroderma, psoriasis, dermatitis, or any other abnormality on the skin of the dominant hand and/or lower back which, in the investigator's opinion, might interfere with the study assessments.
  • Female who is pregnant or breast-feeding.
  • Simultaneous participation in another study which, in the investigator's opinion, might confound the results of the study.
  • Subject is unable to refrain from drinking alcohol 24 hours prior to each study visit, and/or consumes ≥ 3 alcoholic consumptions per day.
  • Subject is a regular user of cannabis, any illicit drugs and/or has a history of drug abuse.
  • Subject is unable to refrain from drinking caffeinated beverages (such as coffee, tea, cola,...) 24 hours prior to each study visit.
  • Subject has used concomitant drugs and/or treatments in a period smaller than or equal to 5 half-lives prior to enrollment, that may interfere, in the investigator's opinion, with the study results.
  • Subject has a history of any illness or condition which, in the investigator's opinion, may interfere with safe and optimal participation in the study.

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Somatosensory phenotyping of ADPKD using Quantitative Sensory Testing (QST)Interval of ≤ 3 months between screening and study visit

The somatosensory phenotype of patients with ADPKD will be evaluated using QST on the dominant hand and lower back. These results will be compared with the somatosensory phenotype of matched healthy volunteers.

Describing pain in ADPKD using the ADPKD-PDS questionnaireInterval of ≤ 3 months between screening and study visit

(Potential) pain in the last 7 days will be assessed using the ADPKD-PDS questionnaire, which contains 20 questions (1-5 Likert scale) in 7 domains: Dull Pain Severity, Sharp Pain Severity, Discomfort Severity, Overall Pain and Discomfort Severity, Dull Pain Interference, Sharp Pain Interference, and Discomfort Interference.

Unit of Measure: Total score per domain

Describing neuropathic pain in ADPKD using the DN4 questionnaireInterval of ≤ 3 months between screening and study visit

The DN4 questionnaire will be used to evaluate whether the (potential) pain is neuropathic. The questionnaire consists of 10 yes/no questions, in which a total score of 4/10 or higher is considered indicative of neuropathic pain.

Unit of Measure: Total DN4 score (/10)

Describing quality of life in ADPKD using the ADPKD-IS questionnaireInterval of ≤ 3 months between screening and study visit

Quality of life will be assessed using the ADPKD-IS questionnaire, which consists of 18 questions (1-5 Likert scale) in 3 domains (physical, emotional, fatigue) and 4 additional elements (guilt, sleep, size/shape of abdomen, urinary frequency/urgency).

Unit of Measure: Total score per domain/element

Secondary Outcome Measures
NameTimeMethod
Differences in somatosensory phenotype depending on the sex of patients with ADPKDInterval of ≤ 3 months between screening and study visit

Potential differences in the somatosensory phenotype (QST) of female and male patients with ADPKD will be evaluated using statistical analyses.

Differences in pain and quality of life depending on the sex of patients with ADPKDInterval of ≤ 3 months between screening and study visit.

Potential differences in pain and quality of life, described using questionnaires, of female and male patients with ADPKD will be evaluated using statistical analyses.

Correlation between QST and questionnairesInterval of ≤ 3 months between screening and study visit

A correlation between QST results and results from the questionnaires will be assessed in patients with ADPKD.

Differences in somatosensory phenotype depending on the disease stage of ADPKDInterval of ≤ 3 months between screening and study visit

Potential differences in somatosensory phenotype depending on the disease stage of patients with ADPKD (stage 1-5) will be evaluated using statistical analyses.

Trial Locations

Locations (1)

UZ Leuven

🇧🇪

Leuven, Belgium

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