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CompletedNCT01963910LipTRPUpdated Mar 4, 2014

Double-blind Trial of Mannitol Cream to Block the Effect of Capsaicin Cream

An interventional study of 30% Mannitol in vehicle cream and vehicle cream in Pain, sponsored by University of British Columbia. Completed at 1 site in Canada. Open to participants aged 19 Years to 80 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2014-03-04.

Sponsored by University of British Columbia · Not applicable, Interventional, and Basic science

Phase
Not applicable
Study type
Interventional
Enrollment
25
Allocation
Randomized
Ages
19 Years to 80 Years
Sex
All
01

Study summary

Capsaicin is a TRPV1 (transient receptor potential vanilloid 1) agonist, causing pain upon application. The investigators wish to determine whether mannitol blocks the effect of capsaicin application. As both cream bases are identical and mannitol addition is the only difference between the creams, if the mannitol cream is more effective in blocking the effect of capsaicin on the TRPV1 (transient receptor potential vanilloid 1) receptor, the investigators will have established that mannitol down-regulates or blocks the TRPV1 (transient receptor potential vanilloid 1) receptor.

Read the detailed description

Capsaicin cream, which stimulates the TRPV1 (transient receptor potential vanilloid 1) receptor, causing a burning sensation, will be applied to both halves of the upper lip until a burning sensation with 8/10 intensity on an NRS (Visual Analog Scale) scale is experienced or five minutes have elapsed. Following this, the capsaicin cream will be wiped off and 30% mannitol in vehicle cream ( isopropyl palmitate, caprylic capric triglyceride, propylene glycol, ceteareth 20, cetearyl alcohol, glyceryl stearate, polyethylene glycol 100 stearate, dimethicone, octyldodecanol, lecithin, ethylhexyl glycerin and phenoxy ethanol) will be applied to one half of the upper lip, and vehicle cream alone will be applied to the other half. Cream assignment will be randomized and neither the subject nor the person applying the cream will know which half upper lip has which cream. Every minute for 10 minutes, the heat sensation felt in each half upper lip will be measured, using a visual scale from 0 to 10. A repeated measures analysis of variance will compare the NRS (Visual Analog Scale) scores from the 30% mannitol cream, to the NRS (Visual Analog Scale)scores from the vehicle cream. Significance will be accepted if P less than .05.

02

Conditions studied

  • Pain

Keywords

  • Mannitol
  • TRPV1 receptor
  • Pain
  • Burning pain
  • neuropathy
  • neuropathic pain
03

In context

Lead sponsor

University of British Columbia is the lead sponsor of 1,309 studies on the registry; 253 are open to participants now.

Of its 6 completed or terminated interventional studies of FDA-regulated products, 1 (17%) have results posted.

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

04

Who can participate

Ages eligible
19 Years to 80 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • Age between 19 and 80 years

Exclusion criteria

Exclusion Criteria:

  • Diet containing capsaicin (Cayenne pepper, capsicum) (spicy foods), more than once a week.
  • Meal containing capsaicin (spicy foods) within 5 days prior to the experiment.
  • Any lesion, cracking, cold sore or abrasion on the lips
  • Inability to tolerate capsaicin containing "spicy foods"
  • Wearing lipstick or lip balm on the upper lip
  • Inability to fill out an NRS pain scale
  • Use of painkilling medication, within 24 hours of the study.
  • Allergy to any of the ingredients of the creams, or to mannitol
  • History of contact or allergic dermatitis
  • Pregnant or nursing women
05

Study design

Phase
Not applicable
Primary purpose
Basic science
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Care provider, Outcomes assessor)
Enrollment
25 participants (actual)

Study arms

  • Active comparator
    Mannitol in vehicle cream

    Once the capsaicin has been removed, .2 mL of 30% mannitol in vehicle cream will be applied to one half of the upper lip and kept there for 10 minutes.

    Drug: 30% Mannitol in vehicle cream

  • Placebo comparator
    Vehicle Cream

    Once the capsaicin has been removed, .2 mL of vehicle cream will be applied to the other half of the upper lip and kept there for 10 minutes.

    Drug: vehicle cream

Interventions

  • Drug30% Mannitol in vehicle cream

    applied to one half of the upper lip following removal of capsaicin cream.

    Also known as: mannitol cream, Mannitol, mannite, manna sugar, C6H8(OH)6

  • Drugvehicle cream

    application to the other half of the upper lip following capsaicin cream removal

06

What researchers measure

Primary outcomes

  1. NRS heat score, once per minute

    Every minute after capsaicin cream application, subject will indicate NRS (numerical rating scale)heat score. When the score has reached 8/10 or after five minutes, the cream will be removed. The time needed to reach 8/10 heat score and the heat score achieved, or the score at five minutes will be recorded. Following application of the test creams, NRS (Visual Analog Scale) heat scores will be recorded once per minute for each side for 10 minutes.

    Time frame: 15 minutes per subject

Secondary outcomes

  1. Side effects of capsaicin cream on upper lip

    The subject will be observed for redness, swelling, or other side effects following the capsaicin cream application. These side effects will be recorded

    Time frame: One hour

Other outcomes

  1. Side effects of test creams

    The subjects will be observed for side effects of the mannitol cream or the vehicle cream

    Time frame: one hour

07

Study locations

1 site
  • Dr. Helene Bertrand Inc., 220-1940 Lonsdale Ave.
    North Vancouver, British Columbia V7M 2K2, Canada
08

References and documents

Publications

  • Ngom PI, Dubray C, Woda A, Dallel R. A human oral capsaicin pain model to assess topical anesthetic-analgesic drugs. Neurosci Lett. 2001 Dec 28;316(3):149-52. doi: 10.1016/s0304-3940(01)02401-6. PubMed 11744224 ↗
  • Boudreau SA, Wang K, Svensson P, Sessle BJ, Arendt-Nielsen L. Vascular and psychophysical effects of topical capsaicin application to orofacial tissues. J Orofac Pain. 2009 Summer;23(3):253-64. PubMed 19639105 ↗
  • Bertrand H, Kyriazis M, Reeves KD, Lyftogt J, Rabago D. Topical Mannitol Reduces Capsaicin-Induced Pain: Results of a Pilot-Level, Double-Blind, Randomized Controlled Trial. PM R. 2015 Nov;7(11):1111-1117. doi: 10.1016/j.pmrj.2015.05.002. Epub 2015 May 12. PubMed 25978942 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 4, 2014, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT01963910
Lead sponsor
University of British Columbia
Responsible party
Helene Bertrand (Clinical instructor Department of Family Practice, University of British Columbia) — Principal investigator
First posted
Oct 16, 2013
Start date
Dec 2013
Primary completion
Jan 2014
Completion
Jan 2014
Last update
Mar 4, 2014

Study contacts

Helene Bertrand, MD, CM, CCFP
principal investigator · Department of family practice, University of British Columbia

Oversight

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

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This study is completed, as verified in Feb 2014. You cannot join it, but the record below documents what was studied.

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