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CompletedNCT01737294ASCENDUpdated Oct 6, 2014

Observation of the Use of QUTENZA™ in Standard Clinical Practice

An observational study in Peripheral Neuropathic Pain, sponsored by Astellas Pharma Europe Ltd.. Completed at 50 sites in 7 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2014-10-06.

Sponsored by Astellas Pharma Europe Ltd. · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
429
Ages
18 Years and older
Sex
All
01

Study summary

This non-interventional study will evaluate the efficacy, tolerability, health related quality of life and use of health resources associated with QUTENZA treatment when QUTENZA is used in standard clinical practice.

The patient's primary diagnosis of peripheral neuropathic pain (PNP) will be classified into subtypes: post-herpetic neuralgia (PHN); HIV-associated neuropathy (HIV-AN); neuropathic back pain; cancer-related neuropathic pain; post-operative \& post-traumatic neuropathic pain; and 'other' neuropathies.

Read the detailed description

A detailed medical history will be taken, with particular emphasis on the primary PNP diagnosis. In addition to all current neuropathic pain medications, all previous therapies (pharmacological and surgical) for PNP from the point of primary diagnosis will be documented.

QUTENZA treatments may be repeated up to every 90 days, in line with the Summary of Product Characteristics document (SPC) as determined by the persistence or return of pain.

Patients who have not required treatment for 365 days or longer may re-enter a treatment cycle if their treating physician decides to retreat them with QUTENZA in the course of standard clinical management.

The duration of participation for each patient will be at least 12 months following first QUTENZA treatment.

Short questionnaires will be completed by the investigator whilst in contact with the patient (either in person or by telephone) at the following time points: 1) Screening prior to the first QUTENZA treatment; 2) at each QUTENZA treatment visit; 3) 2 weeks, 8 weeks following the first QUTENZA treatment 4) 12 weeks following each QUTENZA treatment; 5) any additional contact with the patient outside the protocol schedule.

For patients not returning for retreatment with QUTENZA within any of 6 months, 9 months, and 1 year of their previous QUTENZA treatment further follow-up questionnaires will be completed.

End of study (EoS) is defined as one year after the last patient enrolled receives their first QUTENZA treatment.

02

Conditions studied

  • Peripheral Neuropathic Pain

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Keywords

  • Phase IV
  • Peripheral Neuropathic Pain
  • QUTENZA
03

In context

Neuralgia

1,287 studies on the registry are indexed under Neuralgia; 256 are open to participants now.

This study's enrollment of 429 is above the median of 100 across 260 observational studies indexed under Neuralgia.

Browse Neuralgia studies →

Lead sponsor

Astellas Pharma Europe Ltd. is the lead sponsor of 30 studies on the registry; 2 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Patients receiving QUTENZA for PNP in routine clinical practice

Inclusion criteria

    1. The investigator has decided to treat the patient with QUTENZA as part of provision of standard care for the treatment of peripheral neuropathic pain in non-diabetic adults either alone or in combination with other medicinal products for pain
    1. The patient is willing and able to comply with protocol requirements for the duration of study participation

Exclusion criteria

Exclusion Criteria:

    1. The neuropathic painful areas are located only on the face, above the hairline of the scalp, and/or in proximity to mucous membranes
    1. The patient has a history of Type I or Type II diabetes mellitus
    1. The patient has a diagnosis of any major psychiatric disorder or evidence of cognitive impairment including dementia that, in the opinion of the investigator, may interfere with patient's ability to complete study evaluations
    1. The patient has received any prior treatment with QUTENZA patches, including blinded patches administered as part of a clinical trial
    1. The patient has hypersensitivity to capsaicin (i.e. chilli peppers or over-the-counter [OTC] capsaicin products), any QUTENZA excipients or adhesives, or local anesthetics
    1. The patient has participated in any other clinical study or received an investigational drug within 30 days prior to Screening Visit
    1. The patient currently engages in any active substance abuse or has a history of chronic substance abuse within 1 year prior to the Screening Visit; or any prior chronic substance abuse (including alcoholism) likely to re-occur during the study period as judged by the investigator
    1. The patient, in the opinion of the investigator, is not suitable to participate in this NIS for any reason
05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
429 participants (actual)

Groups and cohorts

  • Treatment with QUTENZA

    Patients with Peripheral Neuropathic Pain

    Drug: Qutenza exposure

Interventions

  • DrugQutenza exposure

    Cutaneous patch

    Also known as: Capsaicin

06

What researchers measure

Primary outcomes

  1. Percent change in average pain NPRS (Numeric Pain Rating Scale) scores

    Time frame: From Baseline to mean of all scores recorded between week 2 and week 8 following first treatment

  2. Time to retreatment

    From the 1st treatment to the End of Study (The End of Study is defined as the completion of one year of follow-up from the first Qutenza treatment of the last patient enrolled)

    Time frame: Between 1st & 2nd treatments (up to a maximum of 24 months)

Secondary outcomes

  1. Proportion of patients achieving 30% decrease in average pain NPRS score

    Time frame: From Baseline to mean of all scores recorded between weeks 2 & 8 following 1st treatment

  2. Proportion of patients achieving 50% decrease in average pain NPRS score

    Time frame: From Baseline to mean of all scores recorded between weeks 2 & 8 following 1st treatment

  3. Percent change in "average pain" NPRS score

    From the 1st treatment to the End of Study (The End of Study is defined as the completion of one year of follow-up from the first Qutenza treatment of the last patient enrolled)

    Time frame: From baseline to mean of all scores between Week 2 and Week 8 and Weeks 2 and Week 12 following retreatment(s)

  4. Proportion of patients achieving a 30% decrease in their "average pain" NPRS score (maintenance response)

    From the 1st treatment to the End of Study (The End of Study is defined as the completion of one year of follow-up from the first Qutenza treatment of the last patient enrolled)

    Time frame: From Baseline to the mean of all scores between week 2 and week 8 and between week 2 and week 12 following retreatment(s)

  5. Proportion of patients achieving a 50% decrease in their "average pain" NPRS score (maintenance response)

    From the 1st treatment to the End of Study (The End of Study is defined as the completion of one year of follow-up from the first Qutenza treatment of the last patient enrolled)

    Time frame: From Baseline to the mean of all scores between week 2 and week 8 and between week 2 and week 12 following retreatment(s)

  6. Absolute change in "average pain" NPRS score

    From the 1st treatment to the End of Study (The End of Study is defined as the completion of one year of follow-up from the first Qutenza treatment of the last patient enrolled)

    Time frame: From baseline to the average of pain scores assessed between Weeks 2 & 12 following 1st and subsequent treatment(s)

  7. Proportion of patients achieving a 2-point absolute decrease in their "average pain" NPRS score

    From the 1st treatment to the End of Study (The End of Study is defined as the completion of one year of follow-up from the first Qutenza treatment of the last patient enrolled)

    Time frame: From baseline to the average of pain scores assessed between Weeks 2 & 12 following 1st and subsequent treatment(s)

  8. Mean "Average pain" NPRS score

    From the 1st treatment to the End of Study (The End of Study is defined as the completion of one year of follow-up from the first Qutenza treatment of the last patient enrolled)

    Time frame: At each time point following 1st and subsequent treatment(s) (up to a maximum of 24 months)

  9. Time (in days) between successive retreatments

    From the 1st treatment to the End of Study (The End of Study is defined as the completion of one year of follow-up from the first Qutenza treatment of the last patient enrolled)

    Time frame: Between successive retreatments (up to a maximum of 24 months)

  10. Number of QUTENZA patches used with each treatment

    Time frame: Day 1 of each treatment

  11. Relative change in treatment area size

    From the 1st treatment to the End of Study (The End of Study is defined as the completion of one year of follow-up from the first Qutenza treatment of the last patient enrolled)

    Time frame: At first treatment and each retreatment (up to a maximum of 24 months)

  12. Change in concomitant pain medications

    Percentage remaining on opioids, anticonvulsants, antidepressants

    Time frame: From baseline to End of Study (up to 24 months)

  13. Change in health-related quality of life

    Measured by the EQ-5D (Euroqol-5 dimensions) index

    Time frame: From baseline to End of Study (up to 24 months)

  14. Change in health resource use

    Number of contacts with health professionals in prior 4 weeks

    Time frame: From baseline to End of Study (up to 24 months)

  15. Patient Global Impression of Change

    Percentage reporting any degree of improvement. Week 2 after 1st Treatment to End of Study

    Time frame: At each follow-up after 1st and subsequent treatment(s) (up to a maximum of 24 months)

  16. Patient Self Assessment of Treatment

    Week 2 after 1st Treatment to End of Study

    Time frame: At 12 weeks, 6 months, 9 months, and 12 months after 1st and subsequent retreatment(s)

  17. Change in Work Productivity and Activity Impairment scores

    Week 2 after 1st Treatment to End of Study

    Time frame: Baseline, week 12, 6 months, 9 months, and 12 months after 1st and subsequent treatment(s)

  18. Percentage of patients requiring rescue measures during and after treatment with QUTENZA

    Time frame: From Baseline to End of Study (up to 24 months)

07

Study locations

50 sites
  • Site 103 Abteilung für Anästhesiologie und Intensivmedizin LKH Hartberg
    Graz, 8020, Austria
  • Site 107 Interdisziplinäre Schmerzambulanz Univ. Klinik f. Anästhesiologie und Intensivmedizin Graz, Auenbruggerplatz 29
    Graz, 8036, Austria
  • Site 104 Abteilung für Anästhesie und allgemeine Intensivmedizin Allgemein öffentliches Klinikum-Klagenfurt am Wörthersee St. Veiter Strasse 47
    Hartberg, 8230, Austria
  • Site 105 Abteilung für Anästhesiologie und operative Intensivmedizin Allgemeines Krankenhaus Linz Krankenhausstraße 9
    Klagenfurt am Wörthersee, 9020, Austria
  • Site 106 Interdisziplinäre Schmerzambulanz Univ. Klinik f. Anästhesiologie und Intensivmedizin Graz Auenbruggerplatz 29
    Linz, 4021, Austria
  • Site 102 Krankenhaus der Elisabethinen GmbH Abteilung für Anästhesie und Intensivmedizin Elisabethinergasse 14
    Vienna, 1020, Austria
  • Site 101 Krankenhaus der Barmherzigen Brüder Abteilung für Anästhesiologie, Intensivmedizin und Schmerztherapie Johannes von Gott Platz 1
    Vienna, 1090, Austria
  • Site 202 Antonios Tavernarakis General Hospital of Athens ''Evangelismos'' - Neurology Clinic
    Athens, Attica 10676, Greece
  • Site 206 Dimosthenis Mitsikostas Hellenic Navy Hospital of Athens - Neurology Clinic
    Athens, Attica 11521, Greece
  • Site 205 Antonios Kodounis 251 General Airforce Hospital of Athens - Neurology Clinic
    Athens, Attica 11525, Greece
  • Site 209 Grigorios Panagopoulos- General Hospital of Athens ''G.Gennimatas'' - Neurology Clinic
    Athens, Attica 11527, Greece
  • Site 211 Panagiotis Kokotis Aeginitio University Hospital of Athens - A' Neurology Clinic
    Athens, Attica 11528, Greece
  • Site 213 Mediterraneo Hospital
    Athens, Greece
  • Site 210 General Hospital of Athens ''G.Gennimatas'' - Neurology Clinic, Athens
    Attica, 11528, Greece
  • Site 208 Alexandros Papadimitriou University General Hospital of Larisa - Neurology Clinic
    Larisa, 41110, Greece
  • Site 203 Georgios Georgiadis General Hospital of Thessaloniki ''Ippokratio'' - Neurology Clinic
    Thessaloniki, 54642, Greece
  • Site 204 Nikolaos Vlaikidis General Hospital of Thessaloniki ''G.Papanikolaou'' - 3rd Neurology Clinic
    Thessaloniki, 57010, Greece
  • Site 212 2 Pindarou and Tseva Str, Koumerki
    Thiva, 32200, Greece
  • Site 306 Ospedale regionale "Umberto Parini"
    Aosta, AO 11100, Italy
  • Site 305 Azienda Ospedaliero-Universitaria Consorziale Policlinico
    Bari, BA 70100, Italy
  • Site 308 Spedali Riuniti di Bergamo
    Bergamo, BG 24100, Italy
  • Site 301 A.O. Spedali Civili di Brescia
    Brescia, BS 25100, Italy
  • Site 303 L'INM Neuromed, Istituto Neurologico Mediterraneo
    Pozzilli, IS 86077, Italy
  • Site 302 Ospedale di Stato della Repubblica di San Marino
    Borgo Maggiore, RSM 47893, Italy
  • Site 304 Ospedale SS. Annunziata
    Taranto, TA 74100, Italy
  • Site 608 Hospital Divino Espirito Santo, E.P.E.
    Acores, 9500-370, Portugal
  • Site 607 Hospital Garcia da Orta
    Almada, 2801-951, Portugal
  • Site 602 Hospital Professor Dr. Fernando da Fonseca
    Amadora, 2720-276, Portugal
  • Site 603 Hospital Infante D. Pedro EPE
    Aveiro, 3814-501, Portugal
  • Site 611 Centro Hospitalar Cova da Beira - Hospital Universitário Quinta do Alvito
    Covilhã, 6200-251, Portugal
  • Site 609 Hospital de Faro
    Faro, 8000-386, Portugal
  • Site 601 Centro Hospitalar Lisboa Norte- Hospital Santa Maria
    Lisbon, 1649-035, Portugal
  • Site 605 Hospital S. João da Madeira
    Madeira, 3700-190, Portugal
  • Site 606 Centro Hospitalar do Porto-Hospital Santo António
    Porto, 4099-001, Portugal
  • Site 604 Hospital São João
    Porto, 4200 - 319, Portugal
  • Site 610 Hospital S. Teotónio
    Viseu, 3504-509, Portugal
  • Site 702 Hospital Municipal de Badalona
    Badalona, Barcelona 8911, Spain
  • Site 704 Hospital de Basurto
    Bilbao, Vizcaya 48013, Spain
  • Site 707 Hospital de Galdakano
    Galdakano, Vizcaya 48960, Spain
  • Site 703 Fundació Puigvert
    Barcelona, 8025, Spain
  • Site 705 Hospital Clinic
    Barcelona, 8036, Spain
  • Site 706 Complejo Hospitalario de Navarra
    Pamplona, 31008, Spain
  • Site 708 Clínica Universitaria de Navarra
    Pamplona, 31008, Spain
  • Site 902 Leiter der Schmerzklinik Bethesda-Spital Gellertstrasse 144
    Basel, 4052, Switzerland
  • Site 901 Schmerzzentrum St. Gallen Kantonspital St.Gallen
    Saint Gallen, 9007, Switzerland
  • Site 802 West Cumberland General Hospital
    Whitehaven, Cumbria CA28 8JG, United Kingdom
  • Site 804 Royal Infirmary of Edinburgh
    Edinburgh, EH16 4SA, United Kingdom
  • Site 803 Western General Hospital
    Edinburgh, EH4 2XU, United Kingdom
  • Site 801 Chelsea and Westminster Hospital
    London, SW10 9NH, United Kingdom
  • Site 805 Princess Elizabeth Hospital
    St Martins, GY1 3EX, United Kingdom
08

References and documents

Publications

  • Mankowski C, Poole CD, Ernault E, Thomas R, Berni E, Currie CJ, Treadwell C, Calvo JI, Plastira C, Zafeiropoulou E, Odeyemi I. Effectiveness of the capsaicin 8% patch in the management of peripheral neuropathic pain in European clinical practice: the ASCEND study. BMC Neurol. 2017 Apr 21;17(1):80. doi: 10.1186/s12883-017-0836-z. PubMed 28431564 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Oct 6, 2014, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT01737294
Lead sponsor
Astellas Pharma Europe Ltd.
Responsible party
Sponsor
First posted
Nov 29, 2012
Start date
Feb 2012
Primary completion
Aug 2014
Completion
Aug 2014
Last update
Oct 6, 2014

Study contacts

Company Medical Expert
study director · Astellas Pharma Europe Ltd.

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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