ClinicalTrials.gg
Status unknownNCT03347669NEFIUpdated Dec 5, 2017

A Pilot Study of Small Fiber Neuropathy Prevalence in Fibromyalgia Patients Compared to Healthy Subjects Using Sudoscan®

An interventional study of Sudoscan® in Fibromyalgia, sponsored by University Hospital, Clermont-Ferrand. Status unknown at 1 site in France. Open to participants aged 18 Years to 65 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2017-12-05.

Sponsored by University Hospital, Clermont-Ferrand · Not applicable, Interventional, and Diagnostic

The sponsor has not verified this record recently (last verified Dec 2017), so the status shown — last known as Recruiting — may be out of date.
Phase
Not applicable
Study type
Interventional
Enrollment
100
Allocation
Randomized
Ages
18 Years to 65 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-13

Among 49 studies in Fibromyalgia with a site in France — 4 open to participants now, 5 under way, none of them phase 3. Fibromyalgia · France.

Planned enrollment
20th of 46
100 · median 80
Started
2017
the only one that year
No phase
31 of 49
3 open now
Registered
30th of 49
by date
Lead sponsor
4 of 49
University Hospital, Clermont-Ferrand

Among the 49 studies in Fibromyalgia with a site in France, this one is the 20th largest by planned enrollment of the 46 interventional ones that give a count, is the only one that started in 2017, is one of 31 with no phase, and was the 30th registered.

Fibromyalgia

1,243 studies on the registry are indexed under Fibromyalgia; 255 are open to participants now.

Browse Fibromyalgia studies →

Open to participants now

4 of the 49 studies in Fibromyalgia with a site in France are open now. Recruiting first, the newest first:

All 4 open studies →

A study can be open while its sites in France have not opened yet or have stopped. Only those recruiting at a site in France →

Who these studies take

Of the 160 Fibromyalgia studies recruiting now, 50 (31%) set no upper age limit and 96 (60%) stop at 75 or younger; 14 take children under 18; 35 take healthy volunteers.

This study: 18 Years to 65 Years · all sexes · healthy volunteers too.

The full table on the hub →

This tab as a report to print or save as PDF → With an account.

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 49 studies in Fibromyalgia with a site in France, or all of them as a file.
02

Study summary

Fibromyalgia (FM) is characterized by chronic diffuse pain and affects 0.5 to 5% of the population, with a higher prevalence in women1. This condition is characterized by joint and muscle pain, also associated with fatigue, migraine, sleeps disorders, depression and irritable bowel syndrome2. The presentation of these various symptoms varies greatly from one patient to another, with great heterogeneity in clinical, physical, social, psychological and therapeutic responses. . A recent parliamentary inquiry report called for recognition of the disease and recommended to build a unified care path for patients; a collective expertise is led by INSERM to help in patient care. Faced with the heterogeneity of FM, several international studies have attempted to identify subgroups of patients based essentially on clinical symptoms of the disease3-8, including a recent Korean study of 313 patients9, which suggested four groups, but with methodological limitations, not taking into account the new criteria10 for evaluating FM.

Recent studies have also shown that there is a peripheral neuropathic component in the mechanisms of this pathology, demonstrated by a decrease in the density of the epidermal nerve fibers11-12, called small fiber neuropathy (SFN) neuropathy. It is an attack of small sensory and sympathetic nerve fibers, causing pain, paresthesia as well as disturbances of the autonomous system. Other studies also suggested that a significant proportion of patients diagnosed with fibromyalgia had SFN, demonstrated by cutaneous biopsy13-14 or confocal microscopy of the cornea15. A new device, the Sudoscan®, makes it possible to detect a SFN much simpler, faster and less invasive than the technique of ophthalmology or biopsy. Although this Sudoscan® test has been used extensively in conditions such as diabetes16-19, no study has been used to assess the presence of SFN in FM.

The aim of this pilot study is to identify the prevalence of SFN in FM patients, using this new non-invasive device, in order to have a better defined representation of the prevalence of small-fiber neuropathy in an FM population compared to a group of healthy volunteer matched in age, sex, BMI and by menopausal status for women.

Read the detailed description

Only one visit (2 to 3h) :

Inclusion of the patient Clinical examination ; evaluation of pain for FM patients Measurement of the electrochemical conductance of the hands and feet using Sudoscan® Evaluation of quality of life, anxiety, depression, sleep quality, fatigue, catastrophizing and social precarity End of study

03

Conditions studied

  • Fibromyalgia

Keywords

  • Fibromyalgia
  • Small fiber neuropathy
  • Sudoscan®
04

Who can participate

Ages eligible
18 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Eligibility criteria

Inclusion Criteria:

    • Patient over 18 years of age and under 65 years of age,
  • Male or female patient,
  • Patient with fibromyalgia (according to the ACR criteria of 2016),
  • Cooperation and understanding sufficient to comply with the requirements of the study,
  • Acceptance of written consent,
  • Affiliation to the French Social Security system.

Inclusion criteria healthy subjects:

  • Subject of more than 18 years,
  • Woman or man,
  • Healthy voluntary non-painful subjects matched by age (+/- 5 years), by sex, by (+/- 10%) and by menopausal status for women,
  • Cooperation and understanding sufficient to comply with the requirements of the study,
  • Acceptance of written consent,
  • Affiliation to the French Social Security system,
  • Registration or acceptance of registration in the National Register of Volunteers participating in research.

Exclusion Criteria:

  • Exclusion criteria patients:
  • Patient with a physical inability to place the palms of the hands or the soles of the feet on the electrodes of Sudoscan®,
  • Patient with a medical and / or surgical history judged by the investigator or his representative to be incompatible with the test (in particular a disease known to give neuropathies of small fibers: diabetes, Gougerot-Sjögren's disease, vasculitis, sarcoidosis, chronic ethylism ...),
  • Pregnant or nursing woman
  • Patient participating in another clinical trial, or in a period of exclusion, or having received a total amount of compensation in excess of EUR 4500 over the 12 months preceding the start of the trial,
  • Patient benefiting from a measure of legal protection (curatorship, guardianship, safeguard of justice ...),
  • Patient not affiliated to the French Social Security system.

Exclusion criteria healthy subjects :

  • Physical inability to place the palms of the hands or the soles of the feet on the electrodes of Sudoscan®.
  • Medical and / or surgical history judged by the investigator or his representative to be incompatible with the test,
  • Pregnant or nursing woman
  • Participating in another clinical trial, or within the exclusion period, or having received a total amount of compensation in excess of EUR 4500 over the 12 months preceding the start of the trial,
  • Cooperation and an understanding that does not permit strict compliance with the conditions laid down in the Protocol,
  • Benefiting from a measure of legal protection (curatorship, guardianship, safeguard of justice ...),
  • Not affiliated to the French Social Security system.
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

05

Study design

Phase
Not applicable
Primary purpose
Diagnostic
Allocation
Randomized
Intervention model
Single group
Masking
None (open label)
Enrollment
100 participants (estimated)

Study arms

  • Experimental
    FM patients

    50 fibromyalgia patients/50 healthy subjects

    Device: Sudoscan®

  • Active comparator
    Healthy subjects

    50 fibromyalgia patients/50 healthy subjects

    Device: Sudoscan®

Interventions

  • DeviceSudoscan®

    Sudoscan® is a new device that provides rapid, non-invasive and reproducible quantitative assessment of sweat function. It makes it possible to measure the ability of the sweat glands to release chloride ions in response to electrochemical activation and thus to detect the presence of a neuropathy with small fibers. This new device therefore makes it possible to detect an SFN in a much simpler and faster way than the technique of ophthalmology, or biopsy. Sudoscan® has been tested to assess the neuropathies of small nerve fibers in several diseases, in particular diabetes, chemotherapy-induced polyneuropathy, familial amyloid polyneuropathy or Fabry disease. The interest of Sudoscan® lies in the fact that this device is non-invasive and rapid. Its diagnostic value has been compared with other neurophysiological tests.

06

What researchers measure

Primary outcomes

  1. Measure of the electrochemical conductance (µS) using Sudoscan®

    Evaluation of the prevalence of fibromyalgia patients with small fibro neuropathy in comparison with healthy volunteers by measuring the electrochemical conductance of the palms of the hands (middle right and left hands) and feet (middle right and left) in μS using Sudoscan®.

    Time frame: at day 1

Secondary outcomes

  1. Biometric criteria

    Collection of the age in years

    Time frame: at day 1

  2. Biometric criteria

    Collection of sex, (male or female)

    Time frame: at day 1

  3. Biometric criteria

    Collection weight in kilograms, height in meters, weight and eight will be combined to report BMI in kg/m²,

    Time frame: at day 1

  4. Biometric criteria

    phototype Fitzpatrick classification

    Time frame: at day 1

  5. Numerical scale

    This scale allows the patient to note pain on a graduation with a minimum score of 0 and a maximum score of 10. Higher value represent worse outcome.

    Time frame: at day 1

  6. Brief Pain Inventory

    The BPI gives two main scores: a pain severity score and a pain interference score

    Time frame: at day 1

  7. Fibromyalgia Impact Questionnaire

    The revised FIQ questionnaire is a 10-item self-questionnaire that assesses the impact of fibromyalgia. The first item is subdivided into 10 questions that assess the impact of the disease in everyday life

    Time frame: at day 1

  8. Quality of life (SF-12)

    12 questions and an index is determined for both physical and mental health (0-100). Higher scores indicate greater physical and mental health

    Time frame: at day 1

  9. Anxiety and Depression (HAD)

    The HAD scale is a 14-item self-administered questionnaire completed by the patient. These items are divided into two subscales: 7 items to assess depression and 7 items to assess anxiety. Higher value represent worse outcome.

    Time frame: at day 1

  10. Depression (Beck Depression Inventory)

    Each item consists of 4 sentences corresponding to 4 degrees of increasing intensity of a symptom: from 0 to 3. In the counting, it is necessary to take into account the highest rating chosen for the same series. The overall score is obtained by adding the scores of the 13 items. The range of the scale is from 0 to 39. The higher the score, the more the subject is depressed.

    Time frame: at day 1

  11. Pittsburgh Sleep Quality Index

    19-item self-administered questionnaire used to assess the quality of sleep. Higher value represent worse quality of sleep.

    Time frame: at day 1

  12. Chronic fatigue Severity Scale

    9-item self-questionnaire to assess the patient's fatigue intensity. The patient is asked to circle a number from 1 to 7 for each question, a low value representing a low intensity. Higher value represents worse fatigue.

    Time frame: at day 1

  13. Pain Catastrophizing Scale

    This questionnaire consists of 13 items. The patient will have to indicate how much he has thoughts or emotions when he feels pain by giving a score between 0 and 4, 0: not at all, 4: all the time. The final score is the sum of the scores for each question. Higher value represent worse outcome.

    Time frame: at day 1

  14. Assessment of socio-professional category, precariousness and health inequalities (Score EPICES).

    The EPICES questionnaire consists of 11 binary questions (yes / no) to calculate an individual score indicating the precariousness and inequalities of health ranging from 0 to 100. Higher value represent worse outcome.

    Time frame: at day 1

  15. Measure of the electrochemical conductance (µS) using Sudoscan®

    Assess the reproducibility (2 passes) of Sudoscan® in each participant: measurement of the electrochemical conductance of the palms of the hands (middle right and left hands) and feet (middle right and left) in μS using the Sudoscan®, 30 minutes after the first measurement.

    Time frame: at day 1

07

Study locations

1 of 1 sites recruiting
  • CHU Clermont-Ferrand
    Clermont-Ferrand, 63003, France
    Recruiting
    • Patrick LACARIN · Contactplacarin@chu-clermontferrand.fr · 04 73 75 11 95
    • Gisèle PICKERING · Principal investigator
    • Claude DUBRAY · Sub investigator
    • Gilles DUCHEIX · Sub investigator
    • Christian DUALE · Sub investigator
    • Xavier MOISSET · Sub investigator
    • Jean-Jacques DUBOST · Sub investigator
    • Fabienne MARCAILLOU · Sub investigator
08

References and documents

Publications

  • Perrot S, Choy E, Petersel D, Ginovker A, Kramer E. Survey of physician experiences and perceptions about the diagnosis and treatment of fibromyalgia. BMC Health Serv Res. 2012 Oct 10;12:356. doi: 10.1186/1472-6963-12-356. PubMed 23051101 ↗
  • Tagami J, Tao L, Pashley DH. Correlation among dentin depth, permeability, and bond strength of adhesive resins. Dent Mater. 1990 Jan;6(1):45-50. doi: 10.1016/0109-5641(90)90044-f. PubMed 2198182 ↗
  • Aktas A, Walsh D, Rybicki L. Symptom clusters: myth or reality? Palliat Med. 2010 Jun;24(4):373-85. doi: 10.1177/0269216310367842. PubMed 20507866 ↗
  • Flor H, Turk DC. Psychophysiology of chronic pain: do chronic pain patients exhibit symptom-specific psychophysiological responses? Psychol Bull. 1989 Mar;105(2):215-59. doi: 10.1037/0033-2909.105.2.215. PubMed 2648442 ↗
  • Giesecke T, Williams DA, Harris RE, Cupps TR, Tian X, Tian TX, Gracely RH, Clauw DJ. Subgrouping of fibromyalgia patients on the basis of pressure-pain thresholds and psychological factors. Arthritis Rheum. 2003 Oct;48(10):2916-22. doi: 10.1002/art.11272. PubMed 14558098 ↗
  • Wilson HD, Robinson JP, Turk DC. Toward the identification of symptom patterns in people with fibromyalgia. Arthritis Rheum. 2009 Apr 15;61(4):527-34. doi: 10.1002/art.24163. PubMed 19333980 ↗
  • de Souza JB, Goffaux P, Julien N, Potvin S, Charest J, Marchand S. Fibromyalgia subgroups: profiling distinct subgroups using the Fibromyalgia Impact Questionnaire. A preliminary study. Rheumatol Int. 2009 Mar;29(5):509-15. doi: 10.1007/s00296-008-0722-5. Epub 2008 Sep 27. PubMed 18820930 ↗
  • Bergman S. Psychosocial aspects of chronic widespread pain and fibromyalgia. Disabil Rehabil. 2005 Jun 17;27(12):675-83. doi: 10.1080/09638280400009030. PubMed 16012060 ↗
  • Salaffi F, Mozzani F, Draghessi A, Atzeni F, Catellani R, Ciapetti A, Di Carlo M, Sarzi-Puttini P. Identifying the symptom and functional domains in patients with fibromyalgia: results of a cross-sectional Internet-based survey in Italy. J Pain Res. 2016 May 13;9:279-86. doi: 10.2147/JPR.S100829. eCollection 2016. PubMed 27257392 ↗
  • Macfarlane GJ, Kronisch C, Dean LE, Atzeni F, Hauser W, Fluss E, Choy E, Kosek E, Amris K, Branco J, Dincer F, Leino-Arjas P, Longley K, McCarthy GM, Makri S, Perrot S, Sarzi-Puttini P, Taylor A, Jones GT. EULAR revised recommendations for the management of fibromyalgia. Ann Rheum Dis. 2017 Feb;76(2):318-328. doi: 10.1136/annrheumdis-2016-209724. Epub 2016 Jul 4. PubMed 27377815 ↗
  • Caro XJ, Winter EF. Evidence of abnormal epidermal nerve fiber density in fibromyalgia: clinical and immunologic implications. Arthritis Rheumatol. 2014 Jul;66(7):1945-54. doi: 10.1002/art.38662. PubMed 24719395 ↗
  • Doppler K, Rittner HL, Deckart M, Sommer C. Reduced dermal nerve fiber diameter in skin biopsies of patients with fibromyalgia. Pain. 2015 Nov;156(11):2319-2325. doi: 10.1097/j.pain.0000000000000285. PubMed 26164586 ↗
  • Oaklander AL, Herzog ZD, Downs HM, Klein MM. Objective evidence that small-fiber polyneuropathy underlies some illnesses currently labeled as fibromyalgia. Pain. 2013 Nov;154(11):2310-2316. doi: 10.1016/j.pain.2013.06.001. Epub 2013 Jun 5. PubMed 23748113 ↗
  • Uceyler N, Zeller D, Kahn AK, Kewenig S, Kittel-Schneider S, Schmid A, Casanova-Molla J, Reiners K, Sommer C. Small fibre pathology in patients with fibromyalgia syndrome. Brain. 2013 Jun;136(Pt 6):1857-67. doi: 10.1093/brain/awt053. Epub 2013 Mar 9. PubMed 23474848 ↗
  • Ramirez M, Martinez-Martinez LA, Hernandez-Quintela E, Velazco-Casapia J, Vargas A, Martinez-Lavin M. Small fiber neuropathy in women with fibromyalgia. An in vivo assessment using corneal confocal bio-microscopy. Semin Arthritis Rheum. 2015 Oct;45(2):214-9. doi: 10.1016/j.semarthrit.2015.03.003. Epub 2015 Mar 19. PubMed 26094164 ↗
  • Karnaukhov VK. [Significance of dyskinesia of the large intestine in the diagnosis of nonspecific ulcerative colitis]. Sov Med. 1973 Apr;36(4):97-100. No abstract available. Russian. PubMed 4770015 ↗
  • Selvarajah D, Cash T, Davies J, Sankar A, Rao G, Grieg M, Pallai S, Gandhi R, Wilkinson ID, Tesfaye S. SUDOSCAN: A Simple, Rapid, and Objective Method with Potential for Screening for Diabetic Peripheral Neuropathy. PLoS One. 2015 Oct 12;10(10):e0138224. doi: 10.1371/journal.pone.0138224. eCollection 2015. PubMed 26457582 ↗
  • Agarwal R, Gupta KP, Kumar S, Mehrotra NK. Assessment of some tumorigenic risks associated with fresh and used cutting oil. Indian J Exp Biol. 1986 Aug;24(8):508-10. No abstract available. PubMed 3817891 ↗
  • Mao F, Liu S, Qiao X, Zheng H, Xiong Q, Wen J, Liu L, Tang M, Zhang S, Zhang Z, Ye H, Lu B, Li Y. Sudoscan is an effective screening method for asymptomatic diabetic neuropathy in Chinese type 2 diabetes mellitus patients. J Diabetes Investig. 2017 May;8(3):363-368. doi: 10.1111/jdi.12575. Epub 2016 Oct 5. PubMed 27607763 ↗
  • Pickering G, Achard A, Corriger A, Sickout-Arondo S, Macian N, Leray V, Lucchini C, Cardot JM, Pereira B. Electrochemical Skin Conductance and Quantitative Sensory Testing on Fibromyalgia. Pain Pract. 2020 Apr;20(4):348-356. doi: 10.1111/papr.12857. Epub 2019 Dec 24. PubMed 31705738 ↗
09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Nov 2017 (actual). Primary completion is estimated for Apr 2018, 5 months after the start.

Of 437 non-industry interventional studies with no phase under Fibromyalgia, half reached primary completion within 16 months of starting (the median), counting those still running; a quarter within 6 and three quarters within 31. This study's planned 5 months is below that.

Counting every sponsor, half of 450 studies reached it within 15 months; a quarter within 6 and three quarters within 30.

How these figures are worked out, and which studies are left out of them.

Registered
Nov 8, 2017
First posted
Nov 20, 2017
StartActual
Nov 6, 2017
Primary completionEst.
Apr 2018
CompletionEst.
Sep 2018
Last update
Dec 5, 2017
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Dec 5, 2017, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03347669
Responsible party
Sponsor
First posted
Nov 20, 2017
Start date
Nov 6, 2017
Primary completion
Apr 2018 (estimated)
Completion
Sep 2018 (estimated)
Last update
Dec 5, 2017

Study contacts

Patrick LACARIN
Contact
placarin@chu-clermontferrand.fr
04 73 75 11 95
Gisèle PICKERING
principal investigator · University Hospital, Clermont-Ferrand

Oversight

FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is status unknown, as verified in Dec 2017. You cannot join it, but the record below documents what was studied.

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