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

Status: Recruiting
Location: See all (18) locations...
Intervention Type: Other
Study Type: Interventional
Study Phase: Not Applicable
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. 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.

Eligibility
Participation Requirements
Sex: All
Minimum Age: 18
Healthy Volunteers: t
View:

• 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,

• 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,

Locations
Other Locations
France
Centre Hospitalier d'Ajaccio
RECRUITING
Ajaccio
Centre de Lutte contre le Cancer - Institut de Cancérologie de l'Ouest
RECRUITING
Angers
Centre Hospitalier Henri Mondor d'Aurillac
RECRUITING
Aurillac
Centre de Lutte contre le Cancer - Institut Bergonié
RECRUITING
Bordeaux
Centre de Lutte contre le Cancer - Centre François Baclesse
RECRUITING
Caen
Centre Hospitalier Universitaire Caen Normandie
RECRUITING
Caen
Centre de Lutte contre le Cancer - Jean Perrin
RECRUITING
Clermont-ferrand
CHU de Clermont-Ferrand
RECRUITING
Clermont-ferrand
Hôpitaux civils de Colmar
RECRUITING
Colmar
Centre Régional de Lutte contre le Cancer - Georges Francois Leclerc
RECRUITING
Dijon
Hôpital privé le Bois
RECRUITING
Lille
Centre Hospitalier de Moulins-Yzeure
RECRUITING
Moulins
Hôpital Beaujon AP-HP
RECRUITING
Paris
Hôpital Saint-Louis APHP
RECRUITING
Paris
Institut Godinot
RECRUITING
Reims
Centre Hospitalier Yves Le Foll
RECRUITING
Saint-brieuc
CH Valenciennes
RECRUITING
Valenciennes
Institut Gustave Roussy
RECRUITING
Villejuif
Contact Information
Primary
Lise LACLAUTRE
promo_interne_drci@chu-clermontferrand.fr
473754963
Time Frame
Start Date: 2024-10-28
Estimated Completion Date: 2028-06-30
Participants
Target number of participants: 625
Treatments
Experimental: Cancer patients
500 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).
Experimental: Healthy volunteers controls
125 healthy control volunteers from the volunteer database
Related Therapeutic Areas
Sponsors
Leads: University Hospital, Clermont-Ferrand

This content was sourced from clinicaltrials.gov