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Marsili SyndromeNCT07755930

Marsili Syndrome as a Gateway to Novel Analgesic Targets

A study testing Histamine, Cowhage (Mucuna Pruriens) and Capsaicin 8% Patch in people with Marsili Syndrome, run by Aalborg University at 1 site in Denmark.

Not yet recruiting

Opening soon. The study is approved but enrolment has not started yet. Sites may already take enquiries.

Sites and contacts
Official record
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Trial summary

Congenital insensitivity to pain (CIP) comprises a group of rare genetic disorders caused by mutations in genes essential for pain sensing in humans. Among these, Marsili syndrome is caused by a dominant point mutation in the transcription factor ZFHX2, and it is characterized by markedly reduced sensitivity to… Read more about this study

Who is it for?
Ages 18 to 80 years
Conditions the study is for
Marsili Syndrome
What is being tested?
Histamine, Cowhage (Mucuna Pruriens) and Capsaicin 8% Patch
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
4 participants
Where
1 siteDenmark
Study dates
1 Aug 2026to 31 Dec 2027
Phase
Interventional
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 80 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Healthy men and women aged 18-80 years
  • Marsili syndrome
  • Speak and understand English

Who cannot join

  • Pregnant or breastfeeding
  • Current regular use of cannabis, opioids, cocaine, amphetamines, MDMA/ecstasy, benzodiazepines, barbiturates, hallucinogens, or other central nervous system-active recreational drugs.
  • Current use of prescription medication that may significantly affect pain perception, itch perception, cortical excitability, or inflammatory responses, including opioids, antiepileptic drugs, antidepressants, antipsychotics, systemic corticosteroids, or immunosuppressive medication.
  • Current or previous neurological disease, including epilepsy, stroke, traumatic brain injury, spinal cord injury, multiple sclerosis, Parkinson's disease, or other degenerative neurological disorders.
  • Current or previous severe psychiatric disorder, including major depression, psychosis, bipolar disorder, or severe anxiety disorder.
  • Current or previous clinically significant musculoskeletal, cardiovascular, pulmonary, inflammatory, autoimmune, or dermatological disease that may interfere with study procedures or outcome measures.
Show all 11Show fewer
  • Lack of ability to understand study information, provide informed consent, or cooperate with study procedures.
  • Abnormally disrupted sleep during the 24 hours before the experiment.
  • Contraindications to TMS, including previous epileptic seizure, implanted electronic medical devices, metal implants in the head or jaw, implanted hearing aids, facial metal implants, permanent makeup, or tattoos in the facial area.
  • Inability to pass the Transcranial Magnetic Stimulation Adult Safety Screen.
  • Abnormally disrupted sleep in the 24 hours preceding the experiment

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Silvia Lo Vecchio contact

21397785 ext. 0045

slv@hst.aau.dk

Denmark1 site
  • Center for Neuroplasticity and Pain Faculty of Medicine, Aalborg University Selma Lagerløfs Vej 249 9260 Gistrup, Denmark

    Gistrup, Aalborg, 9260

    Silvia Lo Vecchio, 21397785 ext. 0045, slv@hst.aau.dk

Other trials in Denmark

About this study

Congenital insensitivity to pain (CIP) comprises a group of rare genetic disorders caused by mutations in genes essential for pain sensing in humans. Among these, Marsili syndrome is caused by a dominant point mutation in the transcription factor ZFHX2, and it is characterized by markedly reduced sensitivity to noxious heat, mechanical injury, while other functions remain intact. this project aims to establish the first integrated, system-level characterization of Marsili syndrome by combining human sensory phenotyping with neurophysiological and molecular analyses. The study will be conducted in two sessions of approximately 4 hours each, 24 hours apart from each other

Being tested
Histamine, Cowhage (Mucuna Pruriens), Capsaicin 8% Patch, Knee Injections of hypertonic saline, Cold Pressure Test

What participants receive

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

  • HistamineOther

    To deliver histamine, standard allergy skin prick test (SPT) lancets are applied

  • Cowhage (Mucuna Pruriens)Other

    The spicules will be manually inserted. Approximately 30-35 spicules are gently rubbed into a 1 cm diameter skin area on the forearm

  • Capsaicin 8% PatchDrug

    Capsaicin patches (2x2 cm, dosage form: transdermal patch 8%) will be applied on the selected area. The patch will be left in place for 30 minutes after which it will be removed.

  • Knee Injections of hypertonic salineOther

    Experimental knee pain will be induced with a 0.25-0.30 mL bolus injection of 5% hypertonic saline, which will be injected into the dominant Infrapatellar Fat Pad (IFP)

  • Cold Pressure TestOther

    Participants will be asked to place their hand in the cold-water tank (temperature around 5°C) and to keep it for as long as they can tolerate it.

  • Computerized Conditioned Pain Modulation (CPM)Other

    CPM will be assessed using a double-cuff.

Study groups in NCT07755930
Study groupRoleWhat they receive
Marsili groupExperimentalNot described
Receives: Other: Histamine; Other: Cowhage (Mucuna Pruriens); Drug: Capsaicin 8% Patch; Other: Knee Injections of hypertonic saline; Other: Cold Pressure Test; Other: Computerized Conditioned Pain Modulation (CPM)

What is being measured

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

  1. Measuring pain by computerized Visual Analog Scale Scoring

    We will ask the subjects to rate the sensation of pain on a scale from 0 to100, where 0 represents no pain and 100 represent the worst imaginable pain.

    Measured: Day 1

  2. Measuring pain by computerized Visual Analog Scale Scoring

    We will ask the subjects to rate the sensation of pain on a scale from 0 to100, where 0 represents no pain and 100 represent the worst imaginable pain.

    Measured: Day 2

  3. Measuring Itch by computerized Visual Analog Scale Scoring

    We will ask the subjects to rate the sensation of itch on a scale from 0 to100, where 0 represents no itch and 100 represent the worst imaginable itch.

    Measured: Day 1

  4. Measuring Itch by computerized Visual Analog Scale Scoring

    We will ask the subjects to rate the sensation of itch on a scale from 0 to100, where 0 represents no itch and 100 represent the worst imaginable itch.

    Measured: Day 2

  5. Alloknesis

    Measured using a standardized sensory brush exerting a force of 200 to 400 mN.

    Measured: Day 1

  6. Alloknesis

    Measured using a standardized sensory brush exerting a force of 200 to 400 mN.

    Measured: Day 2

  7. Mechanically evoked itch (MEI)

    MEI is measured by using mildly pruritic, non-painful von Frey nylon filaments of a predetermined intensity (generally 5-30 miliNewton of force).

    Measured: Day 1

  8. Mechanically evoked itch (MEI)

    MEI is measured by using mildly pruritic, non-painful von Frey nylon filaments of a predetermined intensity (generally 5-30 miliNewton of force).

    Measured: Day 2

  9. Mechanical Pain Thresholds (MPT)

    This test is conducted using a pinprick set. The set consists of 7 needles each with a diameter of 0.6 mm and different force applications: 8, 16, 32, 64, 128, 256, and 512 mN.

    Measured: Day 1

  10. Mechanical Pain Thresholds (MPT)

    This test is conducted using a pinprick set. The set consists of 7 needles each with a diameter of 0.6 mm and different force applications: 8, 16, 32, 64, 128, 256, and 512 mN.

    Measured: Day 2

  11. Mechanical Pain Sensitivity (MPS)

    This test is conducted with the same pinprick set used to test the MPT.

    Measured: Day 2

  12. Mechanical Pain Sensitivity (MPS)

    This test is conducted with the same pinprick set used to test the MPT.

    Measured: Day 1

  13. Pressure Pain Threshold

    Pressure pain threshold (PPT) is obtained using a manual pressure algometer

    Measured: Day 1

  14. Pressure Pain Threshold

    Pressure pain threshold (PPT) is obtained using a manual pressure algometer

    Measured: Day 2

  15. Mechanical Suprathreshold Pain Stimulation

    Once PPT has been determined, stimuli of 130% of the PPT will be delivered to the limb or shoulder to create a sensation of subjective mild/moderate pain

    Measured: Day 2

  16. Computerized Cuff Pressure Algometer (CPA)

    A computer-controlled cuff pressure algometer works by inflating a cuff/tourniquet, which is similar in design to those used for measuring blood pressure

    Measured: Day 1

  17. Spatial and Temporal Summation of Pain

    Spatial and temporal summation of pain will be assessed with the use of the computerized cuff pressure algometer

    Measured: Day 1

  18. Cold Detection Thresholds (CDT)

    The tests of thermal sensation will all be conducted using a PATHWAY ATS (Medoc Ltd, Israel) thermal sensory testing device

    Measured: Day 1

  19. Cold Detection Thresholds (CDT)

    The tests of thermal sensation will all be conducted using a PATHWAY ATS (Medoc Ltd, Israel) thermal sensory testing device

    Measured: Day 2

  20. Warm Detection Thresholds (WDT)

    The tests of thermal sensation will all be conducted using a PATHWAY ATS (Medoc Ltd, Israel) thermal sensory testing device

    Measured: Day 1

  21. Warm Detection Thresholds (WDT)

    The tests of thermal sensation will all be conducted using a PATHWAY ATS (Medoc Ltd, Israel) thermal sensory testing device

    Measured: Day 2

  22. Cold Pain Thresholds (CPT)

    The tests of thermal sensation will all be conducted using a PATHWAY ATS (Medoc Ltd, Israel) thermal sensory testing device

    Measured: Day 1

  23. Cold Pain Thresholds (CPT)

    The tests of thermal sensation will all be conducted using a PATHWAY ATS (Medoc Ltd, Israel) thermal sensory testing device

    Measured: Day 2

  24. Heat Pain Thresholds (HPT)

    The tests of thermal sensation will all be conducted using a PATHWAY ATS (Medoc Ltd, Israel) thermal sensory testing device

    Measured: Day 1

  25. Heat Pain Thresholds (HPT)

    The tests of thermal sensation will all be conducted using a PATHWAY ATS (Medoc Ltd, Israel) thermal sensory testing device

    Measured: Day 2

  26. Pain to Supra-threshold Heat Stimuli (STHS)

    The tests of thermal sensation will all be conducted using a PATHWAY ATS (Medoc Ltd, Israel) thermal sensory testing device

    Measured: Day 1

  27. Pain to Supra-threshold Heat Stimuli (STHS)

    The tests of thermal sensation will all be conducted using a PATHWAY ATS (Medoc Ltd, Israel) thermal sensory testing device

    Measured: Day 2

  28. EEG recording

    The EEG signal will be acquired constantly through 64 electrodes placed on the scalp according to the international 10-20 system with a standard EEG cap

    Measured: Day 1

  29. Measuring cortical responses to magnetic stimulation

    Transcranial magnetic stimulation (TMS) will be used to evoke cortical responses (TMSevoked potentials - TEPs) in the left and right motor cortex with a figure-eight-shaped cone coil (200 pulses for each target).

    Measured: Day 1

Secondary outcomes (15)
  1. Superficial blood perfusion

    Superficial blood perfusion (SBP) is measured by a Speckle contrast imager

    Measured: Day 1

  2. Superficial blood perfusion

    Superficial blood perfusion (SBP) is measured by a Speckle contrast imager

    Measured: Day 2

  3. Pain Catastrophizing Scale (PCS).

    The PCS assesses negative and exaggerated coping concerning anticipated or experienced painful stimuli. Thirteen items have to be answered on a 5-point Likert-type scale ranging from 0 (Not at all) to 4 (all the time).

    Measured: Baseline

  4. Itch Catastrophizing Scale (ICS).

    The ICS assesses negative and exaggerated coping concerning anticipated or experienced itchy stimuli. Thirteen items have to be answered on a 5-point Likert-type scale ranging from 0 (Not at all) to 4 (all the time).

    Measured: Baseline

  5. Reinforcement Sensitivity Theory - Personality Questionnaire (RST-PQ).

    The RST-PQ contains in total, 65 items must be answered on a 4-point Likert-type scale

    Measured: Baseline

  6. Depression, Anxiety, Stress Scale (DASS-21)

    The questionnaire measures the magnitude of depression, anxiety, and stress. Each of these three subscales consists of 7 questions answered using a 0-3 Likert scale, with 0 meaning "it did not apply to me", and 3 meaning "it applied to me very much"

    Measured: Baseline

  7. Learned Helplessness Scale (LHS)

    The questionnaire consists of 20 items, and the participant's response to each item is rated on a 4-point Likert scale ranging from strongly agree (1) to strongly disagree (4).

    Measured: Baseline

  8. Positive And Negative Affect Schedule (PANAS)

    Twenty words are associated with the subject's current feelings and have to be rated on a 5-points Likert-type scale, whit 0 corresponding to "not at all" and 5 corresponding to "Very".

    Measured: Baseline

  9. Difficulties in Emotion Regulation Scale Short Form (DERS-SF)

    The questionnaire is an 18-item measure used to identify emotional regulation issues in adults. Participants rate each item on a 5-point Likert scale (from 1 to 5).

    Measured: Baseline

  10. Emotion Regulation Questionnaire (ERQ)

    This questionnaire is designed to assess individual differences in the habitual use of two emotion regulation strategies: cognitive reappraisal and expressive suppression. Respondents answer each item on a 7-point Likert-type scale ranging from 1 (strongly disagree) to 7 (strongly agree), where 4 means (neutral).

    Measured: Baseline

  11. The Pittsburg Sleep Quality Index (PSQI)

    Consists of seven scored from zero to 21 with higher scores reflecting a worse overall quality o: sleep quality, sleep latency, sleep duration, habitual sleep efficiency, sleep disturbances, use of sleeping medication, and daytime dysfunction.

    Measured: Baseline

  12. Multidimensional Assessment of Interoceptive Awareness (MAIA-2)

    MAIA-2 consists of 37 self-report items that evaluates multiple dimensions of interoception, distinguishing between simple detection of bodily signals and the cognitive-affective interpretation of those signals.

    Measured: Baseline

  13. Body Perception Questionnaire (BPQ-SF)

    BPQ-SF consists of 12 self-report items designed to assess the frequency and intensity of perceived autonomic and somatic bodily sensations.

    Measured: Baseline

  14. The International Physical Activity Questionnaire (IPAQ)

    IPAQ is a standardized self-report instrument developed to assess habitual physical activity levels

    Measured: Baseline

  15. Mediterranean Diet Adherence Screener (MEDAS)

    MEDAS is a validated 14-point questionnaire to evaluate dietary habits

    Measured: Baseliene

Timeline

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

  1. First posted10 Aug 2026
  2. Study start1 Aug 2026 (estimated)
  3. Primary completion31 Dec 2026 (estimated)
  4. Study completion31 Dec 2027 (estimated)

Resources

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
Basic science
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
4 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07755930
Sponsor's protocol ID
N-20260041
Status last verified
Aug 2026
First submitted
31 Jul 2026
Last updated
10 Aug 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A study testing Histamine, Cowhage (Mucuna Pruriens) and Capsaicin 8% Patch in people with Marsili Syndrome, run by Aalborg University at 1 site in Denmark.

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 3 inclusion and 11 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: opening soon, as of the sponsor's last update on 10 Aug 2026. 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 Denmark. 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 Silvia Lo Vecchio (21397785 ext. 0045, slv@hst.aau.dk), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Measuring pain by computerized Visual Analog Scale Scoring (time frame: Day 1). The study lists 29 primary outcomes in all. 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 10 Aug 2026.

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