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CompletedNCT03921788NVPPUpdated Oct 23, 2023

Neuropeptides and Venous Pelvic Pain

An observational study in Pelvic Pain, Varicose Veins Pelvic and Pelvic Congestion Syndrome, sponsored by Pirogov Russian National Research Medical University. Completed at 1 site in Russia. Open to female participants aged 18 Years to 45 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2023-10-23.

Sponsored by Pirogov Russian National Research Medical University · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
120
Ages
18 Years to 45 Years
Sex
Female
01

Study summary

Mechanisms of the development of pain in chronic venous diseases (CVD), including pelvic congestion syndrome (PCS), are studied incompletely. The existing hypotheses of the occurrence of venous pelvic pain (VVP) do not allow to answer the question why some patients have no pain syndrome while others have very pronounced pain despite the same morphofunctional changes in the pelvic veins? The investigators are planning to carry out a study aimed at studying the content of calcitonin gene-related peptide (CGRP) and substance P (SP) in the serum of patients with pelvic veins and pelvic pain, and to study the relationship between the values of CGRP and SP in these patients.

Read the detailed description

The first phase of the study includes a set of 3 patient groups: the first is patients with pelvic vein dilation and blood reflux through them in combination with venous pelvic pain; the second is patients with pelvic vein dilatation without venous pelvic pain. The third, control group will include healthy female volunteers without pelvic veins and any chronic pain syndromes.

At the second stage of the study, a study will be made of the levels of calcitonin gene-related peptide (CGRP) and the substance P (SP) in the serum using an ELISA method. In addition, after studying the content of the CGRP and SP in the serum of volunteers, the investigators expect to obtain the reference values of these neuropeptides. In this phase of the study, a statistical analysis of the data obtained will be carried out, a correlation analysis between venous pelvic pain and the level of the CGRP and CP.

The data for each patient will be entered into a specially designed patient questionnaire. It will include clinical and ultrasound data, results of ELISA.

02

Conditions studied

  • Pelvic Pain
  • Varicose Veins Pelvic
  • Pelvic Congestion Syndrome

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Keywords

  • venous pelvic pain
  • pelvic congestion syndrome
  • calcitonin gene-related peptide
  • substance P
03

In context

Pelvic Pain

376 studies on the registry are indexed under Pelvic Pain; 90 are open to participants now.

This study's enrollment of 120 is above the median of 100 across 83 observational studies indexed under Pelvic Pain.

Browse Pelvic Pain studies →

Lead sponsor

Pirogov Russian National Research Medical University is the lead sponsor of 57 studies on the registry; 15 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 45 Years
Sexes eligible
Female
Accepts healthy volunteers
Yes
Sampling method
Non-probability sample

Study population

Women aged 18-45 years

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • The reproductive age of the woman
  • Blood reflux in the parametric, uterine, gonadal veins
  • The absence of any concomitant pathology, accompanied by chronic pelvic pain

Exclusion criteria

Exclusion Criteria:

  • The absence of blood reflux in in the parametric, uterine, gonadal veins
  • The presence of diseases, the clinical course of which suggests the presence of chronic pelvic pain and other varieties of chronic pain, including migraine
  • Pregnancy
05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
120 participants (actual)
Patient registry
No

Groups and cohorts

  • Group 1

    Patients with venous pelvic pain. Pain measurement using a visual analogue scale, the study of calcitonin gene-related peptide and substance P (ELISA)

  • Group 2

    Patients without venous pelvic pain. Pain measurement using a visual analogue scale, the study of calcitonin gene-related peptide and substance P (ELISA)

  • Group 3

    Volunteers without pain syndromes of any location. Pain measurement using a visual analogue scale, the study of calcitonin gene-related peptide and substance P (ELISA)

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What researchers measure

Primary outcomes

  1. The severity of venous pelvic pain

    For the quantitative determination of the severity of venous pelvic pain using a visual analogue scale, measurement in points. The visual analogue scale (VAS) consists of a straight line with the endpoints defining extreme limits such as "no pain at all" and "pain as bad as it could be". The patient is asked to mark his pain level on the line between the two endpoints. The distance between "no pain at all" and the mark then defines the subject's pain.

    Time frame: 5 min

  2. The level of calcitonin-gene-related peptide

    Protocol V (Ab1hr.Std2hr. BtON) was used for the enzyme-linked immunosorbent assay (ELISA). The indicator is measured in ng / ml

    Time frame: 22 hours

  3. The level of substance P

    Protocol V (Ab1hr.Std2hr. BtON) was used for the enzyme-linked immunosorbent assay (ELISA). The indicator is measured in ng / ml

    Time frame: 22 hours

07

Study locations

1 site
  • Department of Faculty Surgery №1
    Moscow, 119049, Russia
08

References and documents

Publications

  • FitzGerald MP. Chronic pelvic pain. Curr Womens Health Rep. 2003 Aug;3(4):327-33. PubMed 12844458 ↗
  • Stones RW, Thomas DC, Beard RW. Suprasensitivity to calcitonin gene-related peptide but not vasoactive intestinal peptide in women with chronic pelvic pain. Clin Auton Res. 1992 Oct;2(5):343-8. doi: 10.1007/BF01824305. PubMed 1422102 ↗
  • Origoni M, Leone Roberti Maggiore U, Salvatore S, Candiani M. Neurobiological mechanisms of pelvic pain. Biomed Res Int. 2014;2014:903848. doi: 10.1155/2014/903848. Epub 2014 Jul 8. PubMed 25110704 ↗

Individual participant data

Plan to share: No

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

Ran from Apr 2019 to primary completion in Dec 2021, 32 months.

Of 33 observational studies under Pelvic Pain, half reached primary completion within 33 months of starting (the median), counting those still running; a quarter within 15. This study's 32 months is close to that.

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

Registered
Apr 12, 2019
First posted
Apr 19, 2019
StartActual
Apr 1, 2019
Primary completionActual
Dec 12, 2021
CompletionActual
Feb 11, 2022
Last update
Oct 23, 2023
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 Oct 23, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03921788
Lead sponsor
Pirogov Russian National Research Medical University
Responsible party
Sergey Gavrilov, MD, PhD (Professor of the Department of Faculty Surgery №1, Pirogov Russian National Research Medical University) — Principal investigator
First posted
Apr 19, 2019
Start date
Apr 1, 2019
Primary completion
Dec 12, 2021
Completion
Feb 11, 2022
Last update
Oct 23, 2023

Study contacts

Natalia V Koroleva, PhD
study chair · Pirogov Russian National Research Medical University

Oversight

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

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This study is completed, as verified in Oct 2023. You cannot join it, but the record below documents what was studied.

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