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出境医 / 临床实验 / Neuropeptides and Venous Pelvic Pain (NVPP)

Neuropeptides and Venous Pelvic Pain (NVPP)

Study Description
Brief Summary:
Mechanisms of the development of pain in chronic venous diseases (CVD), including pelvic congestion syndrome (PCS), are studied incompletely. The existing hypotheses of the occurrence of venous pelvic pain (VVP) do not allow to answer the question why some patients have no pain syndrome while others have very pronounced pain despite the same morphofunctional changes in the pelvic veins? The investigators are planning to carry out a study aimed at studying the content of calcitonin gene-related peptide (CGRP) and substance P (SP) in the serum of patients with pelvic veins and pelvic pain, and to study the relationship between the values of CGRP and SP in these patients.

Condition or disease
Pelvic Pain Varicose Veins Pelvic Pelvic Congestion Syndrome

Detailed Description:

The first phase of the study includes a set of 3 patient groups: the first is patients with pelvic vein dilation and blood reflux through them in combination with venous pelvic pain; the second is patients with pelvic vein dilatation without venous pelvic pain. The third, control group will include healthy female volunteers without pelvic veins and any chronic pain syndromes.

At the second stage of the study, a study will be made of the levels of calcitonin gene-related peptide (CGRP) and the substance P (SP) in the serum using an ELISA method. In addition, after studying the content of the CGRP and SP in the serum of volunteers, the investigators expect to obtain the reference values of these neuropeptides. In this phase of the study, a statistical analysis of the data obtained will be carried out, a correlation analysis between venous pelvic pain and the level of the CGRP and CP.

The data for each patient will be entered into a specially designed patient questionnaire. It will include clinical and ultrasound data, results of ELISA.

Study Design
Layout table for study information
Study Type : Observational
Estimated Enrollment : 120 participants
Observational Model: Cohort
Time Perspective: Prospective
Official Title: Study of the Role of Vasoactive Neuropeptides in the Genesis of Venous Pelvic Pain
Actual Study Start Date : April 1, 2019
Estimated Primary Completion Date : October 2022
Estimated Study Completion Date : April 2023
Arms and Interventions
Group/Cohort
Group 1
Patients with venous pelvic pain. Pain measurement using a visual analogue scale, the study of calcitonin gene-related peptide and substance P (ELISA)
Group 2
Patients without venous pelvic pain. Pain measurement using a visual analogue scale, the study of calcitonin gene-related peptide and substance P (ELISA)
Group 3
Volunteers without pain syndromes of any location. Pain measurement using a visual analogue scale, the study of calcitonin gene-related peptide and substance P (ELISA)
Outcome Measures
Primary Outcome Measures :
  1. The severity of venous pelvic pain [ Time Frame: 5 min ]
    For the quantitative determination of the severity of venous pelvic pain using a visual analogue scale, measurement in points. The visual analogue scale (VAS) consists of a straight line with the endpoints defining extreme limits such as "no pain at all" and "pain as bad as it could be". The patient is asked to mark his pain level on the line between the two endpoints. The distance between "no pain at all" and the mark then defines the subject's pain.

  2. The level of calcitonin-gene-related peptide [ Time Frame: 22 hours ]

    Protocol V (Ab1hr.Std2hr. BtON) was used for the enzyme-linked immunosorbent assay (ELISA).

    The indicator is measured in ng / ml


  3. The level of substance P [ Time Frame: 22 hours ]

    Protocol V (Ab1hr.Std2hr. BtON) was used for the enzyme-linked immunosorbent assay (ELISA).

    The indicator is measured in ng / ml



Eligibility Criteria
Layout table for eligibility information
Ages Eligible for Study:   18 Years to 45 Years   (Adult)
Sexes Eligible for Study:   Female
Accepts Healthy Volunteers:   Yes
Sampling Method:   Non-Probability Sample
Study Population
Women aged 18-45 years
Criteria

Inclusion Criteria:

  • The reproductive age of the woman
  • Blood reflux in the parametric, uterine, gonadal veins
  • The absence of any concomitant pathology, accompanied by chronic pelvic pain

Exclusion Criteria:

  • The absence of blood reflux in in the parametric, uterine, gonadal veins
  • The presence of diseases, the clinical course of which suggests the presence of chronic pelvic pain and other varieties of chronic pain, including migraine
  • Pregnancy
Contacts and Locations

Contacts
Layout table for location contacts
Contact: Sergey G Gavrilov, MD 89169299947 gavriloffsg@mail.ru
Contact: Galina Yu Vassilieva, PhD 89169047087 galvassilieva@mail.ru

Locations
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Russian Federation
Department of Faculty Surgery №1 Recruiting
Moscow, Russian Federation, 119049
Contact: Galina G Vassilieva, PhD, PhD    89169047087    galvassilieva@mail.ru   
Contact: Anastasiya S Grishenkova    89162851112    ngrishenkova@rambler.ru   
Sponsors and Collaborators
Pirogov Russian National Research Medical University
Investigators
Layout table for investigator information
Study Chair: Natalia V Koroleva, PhD Pirogov Russian National Research Medical University
Tracking Information
First Submitted Date April 12, 2019
First Posted Date April 19, 2019
Last Update Posted Date September 16, 2020
Actual Study Start Date April 1, 2019
Estimated Primary Completion Date October 2022   (Final data collection date for primary outcome measure)
Current Primary Outcome Measures
 (submitted: April 17, 2019)
  • The severity of venous pelvic pain [ Time Frame: 5 min ]
    For the quantitative determination of the severity of venous pelvic pain using a visual analogue scale, measurement in points. The visual analogue scale (VAS) consists of a straight line with the endpoints defining extreme limits such as "no pain at all" and "pain as bad as it could be". The patient is asked to mark his pain level on the line between the two endpoints. The distance between "no pain at all" and the mark then defines the subject's pain.
  • The level of calcitonin-gene-related peptide [ Time Frame: 22 hours ]
    Protocol V (Ab1hr.Std2hr. BtON) was used for the enzyme-linked immunosorbent assay (ELISA). The indicator is measured in ng / ml
  • The level of substance P [ Time Frame: 22 hours ]
    Protocol V (Ab1hr.Std2hr. BtON) was used for the enzyme-linked immunosorbent assay (ELISA). The indicator is measured in ng / ml
Original Primary Outcome Measures Same as current
Change History
Current Secondary Outcome Measures Not Provided
Original Secondary Outcome Measures Not Provided
Current Other Pre-specified Outcome Measures Not Provided
Original Other Pre-specified Outcome Measures Not Provided
 
Descriptive Information
Brief Title Neuropeptides and Venous Pelvic Pain
Official Title Study of the Role of Vasoactive Neuropeptides in the Genesis of Venous Pelvic Pain
Brief Summary Mechanisms of the development of pain in chronic venous diseases (CVD), including pelvic congestion syndrome (PCS), are studied incompletely. The existing hypotheses of the occurrence of venous pelvic pain (VVP) do not allow to answer the question why some patients have no pain syndrome while others have very pronounced pain despite the same morphofunctional changes in the pelvic veins? The investigators are planning to carry out a study aimed at studying the content of calcitonin gene-related peptide (CGRP) and substance P (SP) in the serum of patients with pelvic veins and pelvic pain, and to study the relationship between the values of CGRP and SP in these patients.
Detailed Description

The first phase of the study includes a set of 3 patient groups: the first is patients with pelvic vein dilation and blood reflux through them in combination with venous pelvic pain; the second is patients with pelvic vein dilatation without venous pelvic pain. The third, control group will include healthy female volunteers without pelvic veins and any chronic pain syndromes.

At the second stage of the study, a study will be made of the levels of calcitonin gene-related peptide (CGRP) and the substance P (SP) in the serum using an ELISA method. In addition, after studying the content of the CGRP and SP in the serum of volunteers, the investigators expect to obtain the reference values of these neuropeptides. In this phase of the study, a statistical analysis of the data obtained will be carried out, a correlation analysis between venous pelvic pain and the level of the CGRP and CP.

The data for each patient will be entered into a specially designed patient questionnaire. It will include clinical and ultrasound data, results of ELISA.

Study Type Observational
Study Design Observational Model: Cohort
Time Perspective: Prospective
Target Follow-Up Duration Not Provided
Biospecimen Not Provided
Sampling Method Non-Probability Sample
Study Population Women aged 18-45 years
Condition
  • Pelvic Pain
  • Varicose Veins Pelvic
  • Pelvic Congestion Syndrome
Intervention Not Provided
Study Groups/Cohorts
  • Group 1
    Patients with venous pelvic pain. Pain measurement using a visual analogue scale, the study of calcitonin gene-related peptide and substance P (ELISA)
  • Group 2
    Patients without venous pelvic pain. Pain measurement using a visual analogue scale, the study of calcitonin gene-related peptide and substance P (ELISA)
  • Group 3
    Volunteers without pain syndromes of any location. Pain measurement using a visual analogue scale, the study of calcitonin gene-related peptide and substance P (ELISA)
Publications *
  • FitzGerald MP. Chronic pelvic pain. Curr Womens Health Rep. 2003 Aug;3(4):327-33. Review.
  • Stones RW, Thomas DC, Beard RW. Suprasensitivity to calcitonin gene-related peptide but not vasoactive intestinal peptide in women with chronic pelvic pain. Clin Auton Res. 1992 Oct;2(5):343-8.
  • Origoni M, Leone Roberti Maggiore U, Salvatore S, Candiani M. Neurobiological mechanisms of pelvic pain. Biomed Res Int. 2014;2014:903848. doi: 10.1155/2014/903848. Epub 2014 Jul 8. Review.

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Recruitment Information
Recruitment Status Recruiting
Estimated Enrollment
 (submitted: April 17, 2019)
120
Original Estimated Enrollment Same as current
Estimated Study Completion Date April 2023
Estimated Primary Completion Date October 2022   (Final data collection date for primary outcome measure)
Eligibility Criteria

Inclusion Criteria:

  • The reproductive age of the woman
  • Blood reflux in the parametric, uterine, gonadal veins
  • The absence of any concomitant pathology, accompanied by chronic pelvic pain

Exclusion Criteria:

  • The absence of blood reflux in in the parametric, uterine, gonadal veins
  • The presence of diseases, the clinical course of which suggests the presence of chronic pelvic pain and other varieties of chronic pain, including migraine
  • Pregnancy
Sex/Gender
Sexes Eligible for Study: Female
Ages 18 Years to 45 Years   (Adult)
Accepts Healthy Volunteers Yes
Contacts
Contact: Sergey G Gavrilov, MD 89169299947 gavriloffsg@mail.ru
Contact: Galina Yu Vassilieva, PhD 89169047087 galvassilieva@mail.ru
Listed Location Countries Russian Federation
Removed Location Countries  
 
Administrative Information
NCT Number NCT03921788
Other Study ID Numbers 01201254811
Has Data Monitoring Committee No
U.S. FDA-regulated Product
Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
IPD Sharing Statement
Plan to Share IPD: No
Responsible Party Sergey Gavrilov, MD, PhD, Pirogov Russian National Research Medical University
Study Sponsor Pirogov Russian National Research Medical University
Collaborators Not Provided
Investigators
Study Chair: Natalia V Koroleva, PhD Pirogov Russian National Research Medical University
PRS Account Pirogov Russian National Research Medical University
Verification Date April 2020