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Pompe Disease (Late-onset)NCT04907162

Musculoskeletal Nociceptive Pain in Participants With Neuromuscular Disorders

An observational study of Pompe Disease (Late-onset) and Myotonic Dystrophy Type 1 (DM1), run by LMU Klinikum at 1 site in Germany.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The primary aim is to characterize the prevalence, severity and quality of musculoskeletal nociceptive pain in adult patients with neuromuscular disorders (NMD). The secondary objectives are to evaluate whether severity and distribution of muscle pain is associated with muscle function, and to assess whether muscle… Read more about this study

Who is it for?
Ages 18 years and olderHealthy volunteers can take part
What is being tested?
Beck depression inventory fast screen, German Pain Inventory and Brief Pain Inventory
How many people
82 participants
Where
1 siteGermany
Study dates
15 Apr 2021to 15 Aug 2022
Phase
Observational
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 years and older
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Study population: Approximately 70 patients with defined NMD (see inclusion criteria) will be enrolled. For a control group, 20 healthy volunteers will be enrolled. All patients must be ≥ 18 years of age.

Who may be able to join

  • The participant is willing and able to provide signed informed consent.
  • The participant is able and willing to perform study-related assessments.
  • The participant is ≥18 years of age
  • The participant has one of the following diagnoses:
  • histologically confirmed inclusion body myositis (IBM), or
  • genetically confirmed late-onset Pompe disease (LOPD), or
Show all 10Show fewer
  • genetically confirmed spinal muscular atrophy type 3 (SMA3), or
  • genetically confirmed myotonic dystrophy type 1, or
  • genetically confirmed myotonic dystrophy type 2, or
  • genetically confirmed facio-scapulo-humeral muscle dystrophy (FSHD).

Who cannot join

  • The participant is participating in another clinical study or using an investigational treatment.
  • The participant, in the opinion of the Investigator, is unable to adhere to the requirements of the study.
  • The participant has currently a severe depression, assessed by the Beck depression inventory fast screen (BDI-FS) with a score ≥ 4

Trial locations and contacts

1 site in 1 country.

Germany1 site
  • Friedrich-Baur-Institute

    München, Bavaria, 80336

Other trials in Germany

About this study

Official title: Nociceptive Pain in Neuromuscular Disorders - Low Interventional Pilot Study to Assess Musculoskeletal Pain in Neuromuscular Disorders (NMD)

The primary aim is to characterize the prevalence, severity and quality of musculoskeletal nociceptive pain in adult patients with neuromuscular disorders (NMD). The secondary objectives are to evaluate whether severity and distribution of muscle pain is associated with muscle function, and to assess whether muscle pain is associated with alterations of muscle elasticity and muscle stiffness. Results of patients with neuromuscular disorders will be compared to age- and gender-matched healthy volunteers. Approx. 70 patients with neuromuscular disorders and 20 healthy volunteers will be enrolled, including patients with the following neuromuscular disorders: histologically confirmed inclusion body myositis (IBM), genetically confirmed late-onset Pompe disease (LOPD), genetically confirmed spinal muscular atrophy type 3 (SMA3), genetically confirmed facio-scapulo-humeral muscle dystrophy (FSHD), genetically confirmed myotonic dystrophy type 1 or type 2 (DM1, DM2). The duration of patient recruitment will be around 12 months.

Read the detailed description

The explorative, cross-sectional low-interventional pilot study evaluates the prevalence, severity and quality of musculoskeletal nociceptive pain in participants with defined neuromuscular disorders (NMD). Adult participants with the following neuromuscular disorders will be included: histologically confirmed inclusion body myositis (IBM), genetically confirmed late-onset Pompe disease (LOPD), genetically confirmed spinal muscular atrophy type 3 (SMA3), genetically confirmed facio-scapulo-humeral muscle dystrophy (FSHD) and genetically confirmed myotonic dystrophy type 1 or type 2 (DM1, DM2). 20 healthy participants will be enrolled as a control group. The Beck depression inventory fast screen (BDI-FS) will be used as a screening. If there is a possibility of major depression (with a BDI ≥4), patients will be excluded from the study. So only patients with BDI-FS score ≤3 at screening will be enrolled. Patients will be asked to complete the following validated disease-related and quality-of-life questionnaires: German Pain Inventory (module A and abbreviated module S and L and V), Brief Pain Inventory (BPI) and Fatigue Severity and Disability Scale (FSS). Demographic and disease related data will be obtained. A neuromuscular examination will be conducted. A clinical evaluation of muscle strength using the MRC-Scale (Medical Research Council-Scale) will be performed on both sides deltoid muscles, biceps brachii muscles, triceps brachii muscles, hip flexors, hip extensors, quadriceps femoris muscles, foot extensor and foot flexor muscles as well as axial muscles and neck flexors and extensors. The Quick Motor Function Test (QMFT) with 16 items will be performed to assess muscle and movement functions of the participants. To ensure a high level of objective measurement, muscle strength will also be assessed by using handheld dynamometry. The following muscle groups will be tested: arm abduction, elbow flexion, elbow extension, hip flexion, hip extension, knee extension, knee flexion, foot extension, foot flexion. A six-minute-walk test (6MWT) will be performed once. Additionally, first signs of muscle pain or muscle cramps will be recorded (including the quality and intensity of pain). The Borg scale to rate dyspnea will be administered before starting the 6MWT and after completing the 6MWT. For diagnosis of myofascial pain, a Pressure Pain Threshold test by using a pressure algometer is included for the trapezius, deltoid and supraspinatus muscles, the rectus femoris muscles, and the tibialis anterior muscles until the patient feels any sensation of pain. Measurement of muscle stiffness, muscle tone, relaxation periods and viscoelasticity of selected muscles will be assessed by a myotonometer. Data collected in this study will be reported using summary tables, figures, and patient data listings. Differences between the patients and the healthy volunteers will be analyzed.

Being tested
Beck depression inventory fast screen, German Pain Inventory, Brief Pain Inventory, Fatigue Severity and Disability Scale (FSS), Quick Motor Function Test
Keywords
nociceptive pain, musculoskeletal
Medical subject headings
Glycogen Storage Disease Type II, Myotonic Dystrophy, Spinal Muscular Atrophies of Childhood, Myositis, Inclusion Body, Nociceptive Pain

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Beck depression inventory fast screenDiagnostic test

    Also called BDI-FS

    Beck depression inventory fast screen questionnaire to detect severe depression for eligibility.

  • German Pain InventoryDiagnostic test

    Also called Deutscher Schmerzfragebogen (DSF)

    German Pain Inventory questionnaire for evaluation of pain. Module A, abbreviated questions of module S (sociodemographic questions S1, S2, S3, S4, S5 and S8) and module L (quality of life) and V (therapies) will be used.

  • Brief Pain InventoryDiagnostic test

    Also called BPI

    Validated questionnaire for pain.

  • Fatigue Severity and Disability Scale (FSS)Diagnostic test

    Also called FSS

    Validated questionnaire for perceived fatigue

  • Quick Motor Function TestDiagnostic test

    Also called QMFT

    An evaluator observes the performance of a patient and scores the items separately on a 5-point ordinal scale (ranging from 0 to 4). A total score is obtained by adding the scores of all items and ranges between 0 and 64 points.

  • Handheld Dynamometry (HHD)Diagnostic test

    Also called HHD

    To ensure a high level of objective measurement, muscle strength will also be assessed by handheld dynamometry. The following muscle groups will be tested: Arm abduction, elbow flexion, elbow extension, hip flexion, hip extension, knee extension, knee flexion, foot extension, foot flexion.

  • Six-minute walk test (6MWT)Diagnostic test

    Also called 6MWT

    It is a sub-maximal exercise test used to assess aerobic capacity and endurance. The distance covered over a time of 6 minutes is used as the outcome by which to compare changes in performance capacity.

  • Pressure pain thresholdDiagnostic test

    Also called PPT

    For diagnosis of myofascial pain, pressure algometers are designed and conventionally used to measure deep pressure pain thresholds or tenderness resistance (Park, Kim et al. 2011), and the reliability of pressure pain thresholds according to raters or measurement frequencies has been proven to be relatively high (Chung, Um et al. 1992). The threshold is then determined as the arithmetic mean of the 3 series (in kPa). The measurement will be stopped immediately as the patient feels sensations of "burning", "stinging", "drilling" or "aching. Pressure algometry measurements will be performed on the trapezius, deltoid and supraspinatus muscles, the rectus femoris muscles, and the tibialis anterior muscles.

  • Myotonometer AssessmentDiagnostic test

    Muscle stiffness, muscle tone, relaxation periods and viscoelasticity will be assessed by a myotonometer of selected muscles (non-invasive measurement). The method of measurement consists of recording damped natural oscillation of soft biological tissue in the form of an acceleration signal and the subsequent simultaneous computation of the parameters of State of Tension, Biomechanical and Viscoelastic properties. Measurements will be performed on the trapezius, deltoid and supraspinatus muscles, the rectus femoris muscles, and the tibialis anterior muscles.

  • Vital signsDiagnostic test

    Also called Vital parameters (VP)

    Vital signs (blood pressure, heart rate, respiratory rate) will be measured before and after the six-Minute-Walk-Test (6MWT).

  • Borg ScaleDiagnostic test

    the Borg scale will be assessed, which is a self-reported questionnaire designed to subjectively assess dyspnea and exertion during activity (Borg 1982). The Borg scale rates dyspnea on a scale of 0 to 10 incorporating nonlinear spacing of verbal descriptors of the level of intensity of dyspnea. A higher Borg score indicates more severe dyspnea. The Borg scale will be administered before starting the 6MWT (≤ 5 minutes) and after completing the 6MWT (≤ 5 minutes).

Study groups in NCT04907162
Study groupRoleWhat they receive
Neuromuscular disease (NMD) PatientsThe patient has one of the following neuromuscular diagnoses: 1. histologically (muscle biopsy) confirmed inclusion body myositis (IBM), or 2. genetically confirmed late-onset Pompe disease (LOPD), or 3. genetically confirmed spinal muscular atrophy type 3 (SMA3), or 4. genetically confirmed myotonic dystrophy type 1, or 5. genetically confirmed myotonic dystrophy type 2, or 6. genetically confirmed facio-scapulo-humeral muscle dystrophy (FSHD).
Receives: Diagnostic Test: Beck depression inventory fast screen; Diagnostic Test: German Pain Inventory; Diagnostic Test: Brief Pain Inventory; Diagnostic Test: Fatigue Severity and Disability Scale (FSS); Diagnostic Test: Quick Motor Function Test; Diagnostic Test: Handheld Dynamometry (HHD); Diagnostic Test: Six-minute walk test (6MWT); Diagnostic Test: Pressure pain threshold; Diagnostic Test: Myotonometer Assessment; Diagnostic Test: Vital signs; Diagnostic Test: Borg Scale
Healthy controlno known neuromuscular disorder
Receives: Diagnostic Test: Beck depression inventory fast screen; Diagnostic Test: German Pain Inventory; Diagnostic Test: Brief Pain Inventory; Diagnostic Test: Fatigue Severity and Disability Scale (FSS); Diagnostic Test: Quick Motor Function Test; Diagnostic Test: Handheld Dynamometry (HHD); Diagnostic Test: Six-minute walk test (6MWT); Diagnostic Test: Pressure pain threshold; Diagnostic Test: Myotonometer Assessment; Diagnostic Test: Vital signs; Diagnostic Test: Borg Scale

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Prevalence of musculoskeletal pain in defined neuromuscular diseases

    The primary aim is to characterize the prevalence of musculoskeletal pain in adult patients with neuromuscular disorders (NMD).

    Measured: Only at baseline visit

Secondary outcomes (9)
  1. Association between musculoskeletal pain and muscle function, assessed by Medical research council (MRC) grading (0-5)

    Assessed by Medical research council (MRC) grading (0-5)

    Measured: Only at baseline visit

  2. Association between musculoskeletal pain and muscle function, assessed by quick motor function test (QMFT)

    Assessed by quick motor function test (QMFT)

    Measured: Only at baseline visit

  3. Association between musculoskeletal pain and muscle function, assessed by Pressure Pain Threshold (PPT)

    Assessed by Pressure Pain Threshold (PPT)

    Measured: Only at baseline visit

  4. Association between musculoskeletal pain and muscle function, assessed by a Myotonometer

    Assessed by a Myotonometer (incl. relaxation time, stiffness, muscle tone, relaxation periods and viscoelasticity)

    Measured: Only at baseline visit

  5. Assessment of Questionnaire: Beck depression inventory fast screen

    Association between Depression and musculoskeletal pain

    Measured: Only at baseline visit

  6. Assessment of Questionnaire: Brief Pain Inventory

    Association between Depression and musculoskeletal pain

    Measured: Only at baseline visit

  7. Assessment of Questionnaire: Fatigue Severity Scale (FSS)

    Association between Depression and musculoskeletal pain

    Measured: Only at baseline visit

  8. Characterization of musculoskeletal pain (quality and severity) assessed by the German Pain Questionnaire

    Characterization of quality and severity of musculoskeletal pain

    Measured: Only at baseline visit

  9. Characterization of musculoskeletal pain (quality and severity) assessed by the Brief Pain Inventory (BPI)

    Characterization (quality and severity) of musculoskeletal pain

    Measured: Only at baseline visit

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted28 May 2021
  2. Study start15 Apr 2021
  3. Primary completion15 Aug 2022
  4. Study completion15 Aug 2022

Resources

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
Prospective
Enrolment
82 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04907162
Sponsor's protocol ID
PainNMD Version 1
Status last verified
Aug 2022
First submitted
21 May 2021
Last updated
24 Aug 2022
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

An observational study of Pompe Disease (Late-onset) and Myotonic Dystrophy Type 1 (DM1), run by LMU Klinikum at 1 site in Germany.

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 10 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: finished, as of the sponsor's last update on 24 Aug 2022. 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 Germany. 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?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

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?

Prevalence of musculoskeletal pain in defined neuromuscular diseases (time frame: Only at baseline visit). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 24 Aug 2022.

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