FibromyalgiaFiETTNCT02406313
Fibromyalgia Therapeutic Education in Thermal Cure
A study testing CTS and ETP in people with Fibromyalgia, run by Association Francaise pour la Recherche Thermale at 1 site in France.
Trial summary
The study evaluates the efficiency, in terms of quality of life improvement, of a patient's therapeutic education program (ETP), based on long term commitment in adapted physical activities carried out during a standardized thermal cure (CTS) for fibromyalgia among patients continuing regular drug treatment or not Read more about this study
- Who is it for?
- Ages 18 to 65 years
- Conditions the study is for
- Fibromyalgia
- What is being tested?
- CTS and ETP
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 152 participants
- Where
- 1 siteFrance
- Study dates
- Mar 2015to 31 Dec 2018
- Phase
- Interventional
- Are there results?
- None posted in the registry
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 to 65 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Diagnostic of fibromyalgia done at least 6 months before thermal cure
- Diagnostic of fibromyalgia confirmed by FIRST questionnaire (score 5) during the initial thermal checkup
- Age between 18 and 65 years
- Access to an Internet connection during remote follow-up
- Affiliation to a social security system (recipient or assignee)
- Signed written inform consent form
Who cannot join
- Infectious diseases with ongoing treatment (except for winter upper respiratory tract pathologies)
- Active tumorous pathology
- Concomitant inflammatory rheumatism
- Stage III chronic venous insufficiency with history of phlebitis and/or pulmonary embolism
- Incapacity to receive treatment in hot water ( ≥36°)
- Total incapacity to practice physical activities of therapeutic education program
Show all 9Show fewer
- Ongoing pregnancy
- Involvement in a structured educational program specific to fibromyalgia during the previous year
- Incapacity to understand French language making the follow up impossible
Trial locations and contacts
1 site in 1 country.
About this study
Official title: Evaluation of the Efficiency of a Therapeutic Education Program in Standardized Thermal Cure for Fibromyalgia Patients
The study evaluates the efficiency, in terms of quality of life improvement, of a patient's therapeutic education program (ETP), based on long term commitment in adapted physical activities carried out during a standardized thermal cure (CTS) for fibromyalgia among patients continuing regular drug treatment or not
Read the detailed description
Fibromyalgia is a poorly known and understood disease. Patients suffer from pain, fatigue, sleep disorders, anxiety, depression, preventing them from moving and going out, resulting in an alteration of social life. Multiple drugs treatment is frequently used but is burdensome and poorly effective. However, thermal cure proved efficacious to improve quality of life during the cure and beyond. This study aims at demonstrating the added value of a patient's therapeutic education program provided during a thermal cure, a moment where patients are available and receptive to guidance.
- Conditions
- Fibromyalgia
- Being tested
- CTS, ETP
- Medical subject headings
- Fibromyalgia
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
CTSOther
Standardized Thermal Cure
ETPOther
Patient Therapeutic Education
| Study group | Role | What they receive |
|---|---|---|
| CTS + ETP | Experimental | Patients following a standardized thermal cure (CTS) follow an additional program called Fibr'eaux (ETP) that consists in discussion groups and physical activities allowing patients to learn how to manage their illness. Receives: Other: CTS; Other: ETP |
| CTS alone | Active comparator | Patients follow a standardized thermal cure that is a sedative, relaxing, antalgic and mobilizing treatment based on muds application, hydrotherapy and physiotherapy. The cure is made of 72 treatments selected among a list including muds application, massages, reeducation in thermal pool, baths and showers. Receives: Other: CTS |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change in quality of life
Change from baseline in quality of life assessed through the self-administered Fibromyalgia Impact Questionnaire (FIQ) month 06 after cure completion.
Measured: Month 06 after cure completion
Secondary outcomes (15)
Change in quality of life
Average change from baseline in pain intensity measured on a Visual Analogical Scale (VAS)
Measured: Week 03, Month 03, Month 12
Responder rate
Rate of patients responding to intervention, i.e. with FIQ score increased from at least 14% as compared to Day 00
Measured: Week 03, Month 03, Month 06, Month 12
Pain intensity
Average change from baseline in pain intensity measured on a Visual Analogical Scale (VAS)
Measured: Week 03, Month 03, Month 06, Month 12
Pain relief
Average change from baseline in pain relief measured on a VAS
Measured: Week 03, Month 03, Month 06, Month 12
Kinesiophobia index
Average change from baseline in kinesiophobia measured by TAMPA scale
Measured: Week 03, Month 03, Month 06, Month 12
Catastrophizing index
Average change from baseline in catastrophizing measured by pain catastrophizing scale (PCS)
Measured: Week 03, Month 03, Month 06, Month 12
Function impairment
Average change from baseline in function impairment measured by the Western Ontario and McMaster Universities Arthritis (WOMAC) scale
Measured: Week 03, Month 03, Month 06, Month 12
Fatigue
Average change from baseline in fatigue measured by Picot scale
Measured: Week 03, Month 03, Month 06, Month 12
Somnolence
Average change from baseline in somnolence measured by Epworth scale
Measured: Week 03, Month 03, Month 06, Month 12
Anxiety and depression
Average change from baseline in anxiety and depression measured by Hospital Anxiety and Average change from baseline in anxiety and depression measured by Hospital ANxiety and Depression scale
Measured: Week 03, Month 03, Month 06, Month 12
Serious adverse reactions (SARs)
Probability of occurrence of SARs
Measured: Day 00 to Month 12
drug consumption
change in drug consumption
Measured: Day 00, Week 03, Month 03, Month 06, Month 12
non-drug treatment consumption
change in non-drug treatment consumption
Measured: Day 00, Week 03, Month 03, Month 06, Month 12
Thermal outbreaks
Probability of occurrence of thermal outbreaks during the cure period
Measured: Day 00 to Week 03
Fibromyalgia outbreaks
Probability of occurrence fibromyalgia outbreaks during remote follow-up
Measured: Week 03 to Month 12
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted2 Apr 2015 (estimated)
- Study startMar 2015
- Primary completionSep 2017
- Study completion31 Dec 2018 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (108)Papers the sponsor has linked to this study.
- Other trials for FibromyalgiaStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- Supportive care
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 152 participants (actual)
Sponsor and investigators
- Lead sponsor
- Association Francaise pour la Recherche Thermale
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
- Investigators
- Philippe DUCAMP, MD, Principal investigator, Centre de Médecine et de Traumatologie du Sport
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02406313
- Sponsor's protocol ID
- 2014-A00464-43
- Acronym
- FiETT
- Status last verified
- Jun 2018
- First submitted
- 25 Mar 2015
- Last updated
- 14 Nov 2018
- Results posted
- No
- Data monitoring committee
- No
- Individual data sharing
- No
Publications
Diatchenko L, Nackley AG, Slade GD, Fillingim RB, Maixner W. Idiopathic pain disorders--pathways of vulnerability. Pain. 2006 Aug;123(3):226-230. doi: 10.1016/j.pain.2006.04.015. Epub 2006 Jun 13. No abstract available.
PubMed 16777329Branco JC, Saraiva F et al. Fibromyalgia Syndrom : A european epidemiological survey. Abstract Sat 0452 Eular 2005
Wolfe F, Ross K, Anderson J, Russell IJ, Hebert L. The prevalence and characteristics of fibromyalgia in the general population. Arthritis Rheum. 1995 Jan;38(1):19-28. doi: 10.1002/art.1780380104.
PubMed 7818567Haute Autorité de Santé. Le syndrome fibromyalgique de l'adulte. Rapport d'orientation. Juillet 2010. 124p
Laroche F. Actualités de la fibromyalgie. Rev Rhum 2009;76:529-36.
Boureau F. Modèles théoriques cognitifs et comportementaux de la douleur chronique Doul et Analg 1999 ; 4 : 265-72
Vlaeyen JWS. Place du concept de " peur de bouger " (ré) apparition du " mal " dans l'analyse et la réhabilitation comportementale des lombalgiques chroniques. Doul et Analg, 1999 ; 4 :281-8
Pincus T, Burton AK, Vogel S, Field AP. A systematic review of psychological factors as predictors of chronicity/disability in prospective cohorts of low back pain. Spine (Phila Pa 1976). 2002 Mar 1;27(5):E109-20. doi: 10.1097/00007632-200203010-00017.
PubMed 11880847Bannwarth B, Blotman F, Le Lay K, Boussetta S, Caubère JP, André E, Taïeb C. Prévalence of fibromyalgia : a large-scale european survey : results in France Eular 2008, Paris, THU0392
Maugars Y, Lamotte M, De Vos C C, Girard L, Caubère JP, André E, Le Lay K, Taïeb C. Fibromyalgia : the avoied cost of the non-diagnosed patient in France. Eular 2008, Paris, THU0386
Boureau F. in Pratique du Traitement de la Douleur. Doin ed. 1988, 402p
Weigent DA, Bradley LA, Blalock JE, Alarcon GS. Current concepts in the pathophysiology of abnormal pain perception in fibromyalgia. Am J Med Sci. 1998 Jun;315(6):405-12. doi: 10.1097/00000441-199806000-00009.
PubMed 9638897Mountz JM, Bradley LA, Modell JG, Alexander RW, Triana-Alexander M, Aaron LA, Stewart KE, Alarcon GS, Mountz JD. Fibromyalgia in women. Abnormalities of regional cerebral blood flow in the thalamus and the caudate nucleus are associated with low pain threshold levels. Arthritis Rheum. 1995 Jul;38(7):926-38. doi: 10.1002/art.1780380708.
PubMed 7612042Valverde O, Mico JA, Maldonado R, Mellado M, Gibert-Rahola J. Participation of opioid and monoaminergic mechanisms on the antinociceptive effect induced by tricyclic antidepressants in two behavioural pain tests in mice. Prog Neuropsychopharmacol Biol Psychiatry. 1994 Oct;18(6):1073-92. doi: 10.1016/0278-5846(94)90132-5.
PubMed 7824761Van Houdenove B, Luyten P. Fibromyalgia and related syndromes characterised by stress intolerance and pain hypersensitivity: do we need a new nosology ? Curr Rheumatol Rev 2007; 3: 304-308
Study at a glance
From the registry record, last updated by the sponsor on 14 Nov 2018. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Evaluation of the Efficiency of a Therapeutic Education Program in Standardized Thermal Cure for Fibromyalgia Patients
- ClinicalTrials.gov ID
- NCT02406313
- Acronym / sponsor ID
- FiETT / 2014-A00464-43
- Conditions
- Fibromyalgia
- Study type
- Interventional
- Recruitment status
- Unknown status
- Enrolment
- 152 participants (actual)
- Lead sponsor
- Association Francaise pour la Recherche ThermaleUniversity, hospital or other
- Study start
- Mar 2015
- Primary completion
- Sep 2017 (actual)
- Study completion
- 31 Dec 2018 (estimated)
- First posted
- 2 Apr 2015 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The study evaluates the efficiency, in terms of quality of life improvement, of a patient's therapeutic education program (ETP), based on long term commitment in adapted physical activities carried out during a standardized thermal cure (CTS) for fibromyalgia among patients continuing regular drug treatment or not
Detailed description
Fibromyalgia is a poorly known and understood disease. Patients suffer from pain, fatigue, sleep disorders, anxiety, depression, preventing them from moving and going out, resulting in an alteration of social life. Multiple drugs treatment is frequently used but is burdensome and poorly effective. However, thermal cure proved efficacious to improve quality of life during the cure and beyond. This study aims at demonstrating the added value of a patient's therapeutic education program provided during a thermal cure, a moment where patients are available and receptive to guidance.
Study design
- Primary purpose
- Supportive care
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| CTS + ETP | Experimental | Other: CTS, Other: ETPPatients following a standardized thermal cure (CTS) follow an additional program called Fibr'eaux (ETP) that consists in discussion groups and physical activities allowing patients to learn how to manage their illness. |
| CTS alone | Active comparator | Other: CTSPatients follow a standardized thermal cure that is a sedative, relaxing, antalgic and mobilizing treatment based on muds application, hydrotherapy and physiotherapy. The cure is made of 72 treatments selected among a list including muds application, massages, reeducation in thermal pool, baths and showers. |
Who may qualify
- Ages
- 18 to 65 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (6 listed)
- Diagnostic of fibromyalgia done at least 6 months before thermal cure
- Diagnostic of fibromyalgia confirmed by FIRST questionnaire (score 5) during the initial thermal checkup
- Age between 18 and 65 years
- Access to an Internet connection during remote follow-up
- Affiliation to a social security system (recipient or assignee)
Key exclusion criteria (9 listed)
- Infectious diseases with ongoing treatment (except for winter upper respiratory tract pathologies)
- Active tumorous pathology
- Concomitant inflammatory rheumatism
- Stage III chronic venous insufficiency with history of phlebitis and/or pulmonary embolism
- Incapacity to receive treatment in hot water ( ≥36°)
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| CTSStandardized Thermal Cure | Other | CTS + ETP, CTS alone |
| ETPPatient Therapeutic Education | Other | CTS + ETP |
Primary outcome
Change in quality of life
Time frame: Month 06 after cure completion
Change from baseline in quality of life assessed through the self-administered Fibromyalgia Impact Questionnaire (FIQ) month 06 after cure completion.
15 secondary outcomes
Change in quality of life
Time frame: Week 03, Month 03, Month 12
Responder rate
Time frame: Week 03, Month 03, Month 06, Month 12
Pain intensity
Time frame: Week 03, Month 03, Month 06, Month 12
Pain relief
Time frame: Week 03, Month 03, Month 06, Month 12
Kinesiophobia index
Time frame: Week 03, Month 03, Month 06, Month 12
Catastrophizing index
Time frame: Week 03, Month 03, Month 06, Month 12
Function impairment
Time frame: Week 03, Month 03, Month 06, Month 12
Fatigue
Time frame: Week 03, Month 03, Month 06, Month 12
Somnolence
Time frame: Week 03, Month 03, Month 06, Month 12
Anxiety and depression
Time frame: Week 03, Month 03, Month 06, Month 12
Serious adverse reactions (SARs)
Time frame: Day 00 to Month 12
drug consumption
Time frame: Day 00, Week 03, Month 03, Month 06, Month 12
non-drug treatment consumption
Time frame: Day 00, Week 03, Month 03, Month 06, Month 12
Thermal outbreaks
Time frame: Day 00 to Week 03
Fibromyalgia outbreaks
Time frame: Week 03 to Month 12
Results and safety
Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 14 Nov 2018.
- Background: PubMed 16777329Diatchenko L, Nackley AG, Slade GD, Fillingim RB, Maixner W. Idiopathic pain disorders--pathways of vulnerability. Pain. 2006 Aug;123(3):226-230. doi: 10.1016/j.pain.2006.04.015. Epub 2006 Jun 13. No abstract available.
- BackgroundBranco JC, Saraiva F et al. Fibromyalgia Syndrom : A european epidemiological survey. Abstract Sat 0452 Eular 2005
- Background: PubMed 7818567Wolfe F, Ross K, Anderson J, Russell IJ, Hebert L. The prevalence and characteristics of fibromyalgia in the general population. Arthritis Rheum. 1995 Jan;38(1):19-28. doi: 10.1002/art.1780380104.
- BackgroundHaute Autorité de Santé. Le syndrome fibromyalgique de l'adulte. Rapport d'orientation. Juillet 2010. 124p
- BackgroundLaroche F. Actualités de la fibromyalgie. Rev Rhum 2009;76:529-36.
- BackgroundBoureau F. Modèles théoriques cognitifs et comportementaux de la douleur chronique Doul et Analg 1999 ; 4 : 265-72
- BackgroundVlaeyen JWS. Place du concept de " peur de bouger " (ré) apparition du " mal " dans l'analyse et la réhabilitation comportementale des lombalgiques chroniques. Doul et Analg, 1999 ; 4 :281-8
- Background: PubMed 11880847Pincus T, Burton AK, Vogel S, Field AP. A systematic review of psychological factors as predictors of chronicity/disability in prospective cohorts of low back pain. Spine (Phila Pa 1976). 2002 Mar 1;27(5):E109-20. doi: 10.1097/00007632-200203010-00017.
- BackgroundBannwarth B, Blotman F, Le Lay K, Boussetta S, Caubère JP, André E, Taïeb C. Prévalence of fibromyalgia : a large-scale european survey : results in France Eular 2008, Paris, THU0392
- BackgroundMaugars Y, Lamotte M, De Vos C C, Girard L, Caubère JP, André E, Le Lay K, Taïeb C. Fibromyalgia : the avoied cost of the non-diagnosed patient in France. Eular 2008, Paris, THU0386
- BackgroundBoureau F. in Pratique du Traitement de la Douleur. Doin ed. 1988, 402p
- Background: PubMed 9638897Weigent DA, Bradley LA, Blalock JE, Alarcon GS. Current concepts in the pathophysiology of abnormal pain perception in fibromyalgia. Am J Med Sci. 1998 Jun;315(6):405-12. doi: 10.1097/00000441-199806000-00009.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Philippe DUCAMP, MD principal investigator
Centre de Médecine et de Traumatologie du Sport
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing CTS and ETP in people with Fibromyalgia, run by Association Francaise pour la Recherche Thermale at 1 site 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 6 inclusion and 9 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: status not confirmed, as of the sponsor's last update on 14 Nov 2018. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site 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?
Results are not available in the source record.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Change in quality of life (time frame: Month 06 after cure completion). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT02406313, which also lists 108 linked publications.
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 14 Nov 2018.