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Trial Title: Ziconotide for Non-cancer Pain by Intrathecal Administration

NCT ID: NCT06541184

Condition: Pain, Chronic

Conditions: Official terms:
Chronic Pain
Ziconotide

Conditions: Keywords:
ziconotide
intrathecal analgesia
non-cancer pain
severe chronic pain

Study type: Observational [Patient Registry]

Overall status: Not yet recruiting

Study design:

Time perspective: Other

Intervention:

Intervention type: Drug
Intervention name: Ziconotide [Prialt]
Description: Intrathecal injection of ziconotide, using an internal pump, surgically inserted by a trained neurosurgeon or anesthesiologist, under general anesthesia.
Arm group label: Patients treated by ziconotide-based intrathecal analgesia (ITA)

Summary: Although ziconotide's marketing authorization does not restrict its use to a given type of pain, the drug has been used mainly in cancer patients. Most data on ziconotide-based intrathecal (IT) treatment has therefore been obtained in this population, for whom the drug's place is clearly documented (national and international recommendations). In contrast the management of non-cancer pain is less straightforward, partly because of the very large range of possible clinical conditions, and the utilization of ziconotide is poorly documented, mainly described in single-centre small series. Due to the lack of data, physicians are often reluctant to undertake this type of treatment, which may represent a loss of opportunity for patients. This registry aims at providing information on patients suffering from non-cancer pain refractory to standard therapy, treated by ziconotide-based intrathecal analgesia. Patients suffering from all types of non-malignant pain will be eligible for the study, including but not limited to spinal cord injury, radiculopathy, failed back surgery, diabetic neuropathy, central pain syndrome, complex regional pain syndrome, chemotherapy-induced neuropathy, fibromyalgia. The collected data will cover the first 2 years of treatment.

Criteria for eligibility:

Study pop:
Patients with chronic non-cancer pain requiring interventional techniques, and eligible to ziconotide-containing intrathecal therapy.

Sampling method: Probability Sample
Criteria:
Inclusion Criteria: 1. Age ≥18 years, 2. Chronic non-cancer pain requiring interventional techniques, and eligible to ziconotide-containing intrathecal therapy, 3. Having received information on and not opposed to data collection, Inclusion criteria specific for the retrospective cohort: Currently treated by ziconotide-based ITA according to SmPC whatever the duration of treatment Inclusion criteria specific for the prospective cohort: Naïve of ITA and candidate to ziconotide-based ITA or already treated by IT route without ziconotide, scheduled for addition of ziconotide in the pump Exclusion Criteria: 1. Contraindication to intrathecal therapy or to ziconotide 2. Any condition that may jeopardize appropriate follow-up of the treatment 3. Patient under guardianship or deprived of liberty by a judicial or administrative decision or unable to express opposition to data collection.

Gender: All

Minimum age: 18 Years

Maximum age: N/A

Healthy volunteers: No

Locations:

Facility:
Name: Clinique de la Casamance

Address:
City: Aubagne
Country: France

Contact:
Last name: Nadjet BOUCHEMOT, MD
Email: nadjet.bouchemot@gmail.com

Investigator:
Last name: Nadjet BOUCHEMOT, MD
Email: Principal Investigator

Facility:
Name: Hospices Civils de Lyon

Address:
City: Bron
Country: France

Contact:
Last name: Manon Duraffourg, MD
Email: manon.duraffourg@chu-lyon.fr

Investigator:
Last name: Manon Duraffourg
Email: Principal Investigator

Facility:
Name: Polyclinique du Parc

Address:
City: Caen
Country: France

Contact:
Last name: Violaine D'ANS, MD
Email: violaine.dans@orange.fr

Investigator:
Last name: Violaine D'ANS, MD
Email: Principal Investigator

Facility:
Name: CHD Vendée

Address:
City: La Roche-sur-Yon
Country: France

Contact:
Last name: Yves-Marie PLUCHON, MD
Email: yves-marie.pluchon@ght85.fr

Investigator:
Last name: Yves-Marie PLUCHON, MD
Email: Principal Investigator

Facility:
Name: CH Laon

Address:
City: Laon
Country: France

Contact:
Last name: Jean-Marie LE BORGNE, MD
Email: jean-marie.leborgne@ch-laon.fr

Investigator:
Last name: Jean-Marie LE BORGNE, MD
Email: Principal Investigator

Facility:
Name: CHU Lille

Address:
City: Lille
Country: France

Contact:
Last name: Gilles LEBUFFE, PhD
Email: gilles.lebuffe@chu-lille.fr

Investigator:
Last name: Gilles LEBUFFE, PhD
Email: Principal Investigator

Facility:
Name: Centre Léon Bérard

Address:
City: Lyon
Country: France

Contact:
Last name: Olivier Renard, MD
Email: olivier.renard@lyon.unicancer.fr

Investigator:
Last name: Olivier Renard, MD
Email: Principal Investigator

Facility:
Name: Hopital Saint Joseph

Address:
City: Paris
Country: France

Contact:
Last name: Marie-Christine DJIAN, MD
Email: mcdjian@ghpsj.fr

Investigator:
Last name: Marie-Christine DJIAN, MD
Email: Principal Investigator

Facility:
Name: CHU Poitiers

Address:
City: Poitiers
Country: France

Contact:
Last name: Laure POUPIN, MD
Email: laure.poupin@chu-poitiers.fr

Investigator:
Last name: Laure POUPIN, MD
Email: Principal Investigator

Facility:
Name: CHU Reims

Address:
City: Reims
Country: France

Contact:
Last name: Benoit MARLIER, MD
Email: bmarlier@chu-reims.fr

Investigator:
Last name: Benoit MARLIER, MD
Email: Principal Investigator

Facility:
Name: CH Yves Le foll

Address:
City: Saint-Brieuc
Country: France

Contact:
Last name: Homauon ALIPOUR, MD
Email: homauon.alipour@armorsante.bzh

Investigator:
Last name: Homauon ALIPOUR, MD
Email: Principal Investigator

Start date: September 15, 2024

Completion date: September 15, 2029

Lead sponsor:
Agency: ESTEVE Pharmaceuticals SAS
Agency class: Industry

Source: ESTEVE Pharmaceuticals SAS

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT06541184

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