Neuropathic PainGeNeupNCT03862365
Exploring the Genetics of Neuropathic Pain
An observational study of Neuropathic Pain and Genetic Predisposition, run by Oslo University Hospital at 5 sites in Norway.
Trial summary
In the present study the investigators will search for new genetic variants relevant for the development of neuropathic pain. Read more about this study
- Who is it for?
- Ages 18 to 70 years
- Conditions the study is for
- Neuropathic Pain, Genetic Predisposition, Polyneuropathies
- What is being tested?
- Nerve conduction Studies
- How many people
- 5,000 participants
- Where
- 5 sitesNorway
- Study dates
- 1 Aug 2018to 31 Dec 2027
- How long will I take part?
- 1 Day
- Phase
- Observational
- Are there results?
- Not yet: the study is under way
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 70 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Study population: All patients that are referred for suspected distal symmetric polyneuropathy and meet the inclusion criteria, will be included in the project. Furthermore, there will be collected blood tests from patients with definite and probable polyneuropathy.
Who may be able to join
- The patient is between 18 and 70 years old.
- The patient has consented.
- The patient is referred for evaluation of possible distal symmetric polyneuropathy (DSPN).
- The patient has filled out the questionnaires.
Who cannot join
- The patient is too sick to participate (eg. bedridden, fever).
- The patient is unable to consent (eg. dementia, speech problems, psychiatric disorder).
- Inflammatory acute polyneuropathy.
Trial locations and contacts
5 sites in 1 country. Contact the study team or a site near you to ask about taking part.
5 sites in 1 country
Norway5 sites, 5 recruiting
- Recruiting
Haukeland University Hospital
Bergen, 5021
Ina Hjelland, M.D., +4755975000, ina.hjelland@helse-bergen.no
- Recruiting
Oslo University Hospital
Oslo, 0450
Kristian B. Nilsen, M.D., +4791372241, uxnikq@ous-hf.no
Øystein Dunker, M.D., +4793293484, anoyes@ous-hf.no
- Recruiting
Helse Stavanger HF
Stavanger, 4011
Marie Bu Kvaløy, M.D., +4751518430, marie.bu.kvaloy@sus.no
- Recruiting
University Hospital of North Norway
Tromsø, 9019
Sissel Løseth, M.D., +4777627102, sissel.loseth@unn.no
- Recruiting
St. Olavs Hospital
Trondheim, 7030
Trond Sand, M.D., +4772576006, trond.sand@ntnu.no
About this study
In the present study the investigators will search for new genetic variants relevant for the development of neuropathic pain.
Read the detailed description
Neuropathic pain is defined as "pain caused by a lesion or disease of the somatosensory nervous system". Neuropathic pain is a huge health problem worldwide, with an estimated prevalence of 7-8 % in the general population. In the present study the investigators will search for new genetic variants relevant for the development of this type of pain.
Peripheral nerve lesions only progress to neuropathic pain in some patients, yet is not completely understood why or how. Genetic studies of patients with rare neuropathic disorders have been important for elucidating novel molecular mechanisms of neuropathic pain, and new drugs for neuropathic pain are now being developed based on these findings. By using genetic association studies, one may identify new genetic variants which may help to identify key molecular mechanisms for a larger group of patients with neuropathic pain.
This project will use existing population-based cohorts, as well as establish a specific registry and biobank for patients with neuropathy in order to address these specific needs. This will allow the investigators to identify a large number of individuals with probable neuropathic pain and individuals with pain-free peripheral neuropathy (disease controls). International collaboration will contribute to study a large group of patients, which will be important in order to reach the project's goals. The results from the project are expected to increase current knowledge on the mechanisms of neuropathic pain, opening up new opportunities for innovative and improved treatments.
Dissemination of results will be organized in close collaboration with patient representatives, and will be done regularly throughout the course of the project. The will focus both on internal dissemination to the participating hospitals, and external dissemination through participation in conferences, submissions to scientific journals and by publishing patient-friendly information booklets and proactively informing media outlets and patient organizations.
- Conditions
- Neuropathic Pain, Genetic Predisposition, Polyneuropathies
- Being tested
- Nerve conduction Studies
- Keywords
- reliability, validity
- Medical subject headings
- Neuralgia, Genetic Predisposition to Disease, Polyneuropathies
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Nerve conduction StudiesGenetic
Also called Genetical analysis
Patients will be genotyped for comparison of patients With and without pain, With different clinical subgroups as mentioned.
| Study group | Role | What they receive |
|---|---|---|
| Polyneuropathy with pain | Clinical and diagnostic test evaluation for the establishment of polyneuropathy with pain. Receives: Genetic: Nerve conduction Studies | |
| Polyneuropathy without pain | Clinical and diagnostic test evaluation for the establishment of polyneuropathy without pain. Receives: Genetic: Nerve conduction Studies | |
| Diabetic polyneuropathy with pain | Clinical and diagnostic test evaluation for the establishment of diabetic polyneuropathy with pain. Receives: Genetic: Nerve conduction Studies | |
| Diabetic polyneuropathy without pain | Clinical and diagnostic test evaluation for the establishment of diabetic polyneuropathy without pain. Receives: Genetic: Nerve conduction Studies | |
| Carpal tunnel syndrome with pain | Clinical and diagnostic test evaluation for the establishment of carpal tunnel syndrome with pain. Receives: Genetic: Nerve conduction Studies | |
| Carpal tunnel syndrome without pain | Clinical and diagnostic test evaluation for the establishment of carpal tunnel syndrome without pain. Receives: Genetic: Nerve conduction Studies |
What is being measured
The primary outcome is the main question the study is designed to answer.
Genetic variants associated with neuropathic pain.
Relevant genotypes will be found using genome-wide association study (GWAS) methodology, ie. with no assumptions regarding which genetic variants that may be relevant (no hypotheses regarding specific variants). This is going to be conducted by using array genotyping (SNPs) in order to identify genetic variants that might be associated with neuropathic pain. Genetic variants will be defined and named according to standard practice, without any room for local or study specific adaptations.
Measured: Baseline
Phenotype; neuropathic pain yes/no
Patients will be divided in two groups; neuropathy With pain (= neuropathic pain) and neuropathy without pain. For definition of neuropathic pain, the Neupsig guidelines (Finnerup et al, Pain 2016) will be used.It is estimated that about 600 patients will be included yearly for this purpose
Measured: Baseline
Phenotype; subgroup analysis of patients with neuropathic pain based on grading of pain
Patients with neuropathic pain will be further subdivided in groups based on pain reports. Pain will be graded using validated questionnaires. The "Brief Pain Inventory-BPI" (Cleeland et al, 1994) questionnaire will be used as primary resource for pain grading, on a scale from 0 to 10 (0: no pain, 1-3: mild pain, 4-10: strong pain).
Measured: Baseline
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted5 Mar 2019
- Study start1 Aug 2018
- Primary completion1 Jan 2027 (estimated)
- Study completion31 Dec 2027 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Neuropathic PainStudies of the same condition, open and under way.
- More trials run by Oslo University HospitalThe sponsor's other registered studies.
- 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
- Observational
- Observational model
- Case-control
- Time perspective
- Cross-sectional
- Enrolment
- 5,000 participants (estimated)
- Target duration
- 1 Day
Sponsor and investigators
- Lead sponsor
- Oslo University Hospital
- Sponsor type
- University, hospital or other
- Collaborators
- Haukeland University Hospital, Helse Stavanger HF, St. Olavs Hospital, University Hospital of North Norway, University of Oxford, Danish Pain Research Center, Oslo Metropolitan University
- Responsible party
- Principal investigator, Kristian Bernhard Nilsen, Oslo University Hospital
- Investigators
- John Anker Zwart, M.D., Study chair, Oslo University HospitalDavid Benett, M.D., Principal investigator, University of OxfordIna Hjelland, M.D., Principal investigator, Haukeland University HospitalMargreth Grotle, Pr., Principal investigator, Oslo Metropolitan UniversityMarie Bu Kvaløy, M.D., Principal investigator, Helse Stavanger HFTrond Sand, M.D., Principal investigator, St. Olavs HospitalSissel Løseth, M.D., Principal investigator, University of North NorwayTroels Jensen, M.D., Principal investigator, Danish pain research senter
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03862365
- Sponsor's protocol ID
- 2017/1593
- Acronym
- GeNeup
- Status last verified
- Nov 2023
- First submitted
- 11 Dec 2018
- Last updated
- 7 Nov 2023
- Results posted
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- Undecided
Publications
Spildrejorde M, Dunker O, Allen SM, Kvaloy MB, Uglem M, Hjelland I, Loseth S, Bennett DL, Zwart JA, Winsvold BS, Gervin K, Selmer KK, Nilsen KB. Genome-wide association study of neuropathic pain. Pain. 2026 Mar 1;167(3):731-738. doi: 10.1097/j.pain.0000000000003848. Epub 2025 Nov 21.
PubMed 41359007
Study at a glance
From the registry record, last updated by the sponsor on 7 Nov 2023. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Exploring the Genetics of Neuropathic Pain
- ClinicalTrials.gov ID
- NCT03862365
- Acronym / sponsor ID
- GeNeup / 2017/1593
- Conditions
- Neuropathic Pain, Genetic Predisposition, Polyneuropathies
- Keywords
- reliability, validity
- Study type
- Observational
- Recruitment status
- Recruiting
- Enrolment
- 5,000 participants (estimated)
- Lead sponsor
- Oslo University HospitalUniversity, hospital or other
- Collaborators
- Haukeland University Hospital, Helse Stavanger HF, St. Olavs Hospital, University Hospital of North Norway, University of Oxford, Danish Pain Research Center, Oslo Metropolitan University
- Study start
- 1 Aug 2018 (actual)
- Primary completion
- 1 Jan 2027 (estimated)
- Study completion
- 31 Dec 2027 (estimated)
- First posted
- 5 Mar 2019 (actual)
- 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.
In the present study the investigators will search for new genetic variants relevant for the development of neuropathic pain.
Detailed description
Neuropathic pain is defined as "pain caused by a lesion or disease of the somatosensory nervous system". Neuropathic pain is a huge health problem worldwide, with an estimated prevalence of 7-8 % in the general population. In the present study the investigators will search for new genetic variants relevant for the development of this type of pain.
Peripheral nerve lesions only progress to neuropathic pain in some patients, yet is not completely understood why or how. Genetic studies of patients with rare neuropathic disorders have been important for elucidating novel molecular mechanisms of neuropathic pain, and new drugs for neuropathic pain are now being developed based on these findings. By using genetic association studies, one may identify new genetic variants which may help to identify key molecular mechanisms for a larger group of patients with neuropathic pain.
This project will use existing population-based cohorts, as well as establish a specific registry and biobank for patients with neuropathy in order to address these specific needs. This will allow the investigators to identify a large number of individuals with probable neuropathic pain and individuals with pain-free peripheral neuropathy (disease controls). International collaboration will contribute to study a large group of patients, which will be important in order to reach the project's goals. The results from the project are expected to increase current knowledge on the mechanisms of neuropathic pain, opening up new opportunities for innovative and improved treatments.
Dissemination of results will be organized in close collaboration with patient representatives, and will be done regularly throughout the course of the project. The will focus both on internal dissemination to the participating hospitals, and external dissemination through participation in conferences, submissions to scientific journals and by publishing patient-friendly information booklets and proactively informing media outlets and patient organizations.
Study design
- Observational model
- Case-control
- Time perspective
- Cross-sectional
- Target follow-up
- 1 Day
- Number of arms
- 6
| Arm | Type | Receives |
|---|---|---|
| Polyneuropathy with pain | – | Genetic: Nerve conduction StudiesClinical and diagnostic test evaluation for the establishment of polyneuropathy with pain. |
| Polyneuropathy without pain | – | Genetic: Nerve conduction StudiesClinical and diagnostic test evaluation for the establishment of polyneuropathy without pain. |
| Diabetic polyneuropathy with pain | – | Genetic: Nerve conduction StudiesClinical and diagnostic test evaluation for the establishment of diabetic polyneuropathy with pain. |
| Diabetic polyneuropathy without pain | – | Genetic: Nerve conduction StudiesClinical and diagnostic test evaluation for the establishment of diabetic polyneuropathy without pain. |
| Carpal tunnel syndrome with pain | – | Genetic: Nerve conduction StudiesClinical and diagnostic test evaluation for the establishment of carpal tunnel syndrome with pain. |
| Carpal tunnel syndrome without pain | – | Genetic: Nerve conduction StudiesClinical and diagnostic test evaluation for the establishment of carpal tunnel syndrome without pain. |
Who may qualify
- Ages
- 18 to 70 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
- Study population
- All patients that are referred for suspected distal symmetric polyneuropathy and meet the inclusion criteria, will be included in the project. Furthermore, there will be collected blood tests from patients with definite and probable polyneuropathy.
Key inclusion criteria (4 listed)
- The patient is between 18 and 70 years old.
- The patient has consented.
- The patient is referred for evaluation of possible distal symmetric polyneuropathy (DSPN).
- The patient has filled out the questionnaires.
Key exclusion criteria (3 listed)
- The patient is too sick to participate (eg. bedridden, fever).
- The patient is unable to consent (eg. dementia, speech problems, psychiatric disorder).
- Inflammatory acute polyneuropathy.
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 |
|---|---|---|
| Nerve conduction StudiesAlso: Genetical analysisPatients will be genotyped for comparison of patients With and without pain, With different clinical subgroups as mentioned. | Genetic | Carpal tunnel syndrome with pain, Carpal tunnel syndrome without pain, Diabetic polyneuropathy with pain, Diabetic polyneuropathy without pain, Polyneuropathy with pain, Polyneuropathy without pain |
Primary outcome
Genetic variants associated with neuropathic pain.
Time frame: Baseline
Relevant genotypes will be found using genome-wide association study (GWAS) methodology, ie. with no assumptions regarding which genetic variants that may be relevant (no hypotheses regarding specific variants). This is going to be conducted by using array genotyping (SNPs) in order to identify genetic variants that might be associated with neuropathic pain. Genetic variants will be defined and named according to standard practice, without any room for local or study specific adaptations.
Phenotype; neuropathic pain yes/no
Time frame: Baseline
Patients will be divided in two groups; neuropathy With pain (= neuropathic pain) and neuropathy without pain. For definition of neuropathic pain, the Neupsig guidelines (Finnerup et al, Pain 2016) will be used.It is estimated that about 600 patients will be included yearly for this purpose
Phenotype; subgroup analysis of patients with neuropathic pain based on grading of pain
Time frame: Baseline
Patients with neuropathic pain will be further subdivided in groups based on pain reports. Pain will be graded using validated questionnaires. The "Brief Pain Inventory-BPI" (Cleeland et al, 1994) questionnaire will be used as primary resource for pain grading, on a scale from 0 to 10 (0: no pain, 1-3: mild pain, 4-10: strong pain).
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 7 Nov 2023.
- Derived from this study: PubMed 41359007Spildrejorde M, Dunker O, Allen SM, Kvaloy MB, Uglem M, Hjelland I, Loseth S, Bennett DL, Zwart JA, Winsvold BS, Gervin K, Selmer KK, Nilsen KB. Genome-wide association study of neuropathic pain. Pain. 2026 Mar 1;167(3):731-738. doi: 10.1097/j.pain.0000000000003848. Epub 2025 Nov 21.
- Individual participant dataSharing planned: Undecided
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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.
John Anker Zwart, M.D. study chair
Oslo University Hospital
David Benett, M.D. principal investigator
University of Oxford
Ina Hjelland, M.D. principal investigator
Haukeland University Hospital
5 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Neuropathic Pain and Genetic Predisposition, run by Oslo University Hospital at 5 sites in Norway.
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 4 inclusion and 3 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: looking for participants now, as of the sponsor's last update on 7 Nov 2023. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 5 sites in Norway. 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?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact Kristian B. Nilsen, M.D (+4791372241, uxnikq@ous-hf.no), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Genetic variants associated with neuropathic pain. (time frame: Baseline). The study lists 3 primary outcomes in all. 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 NCT03862365, which also lists 1 linked publication.
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 7 Nov 2023.