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RecruitingNCT04559048Updated Jan 22, 2024

Investigation of Pain Incidence After FK506 Immunosuppressive Therapy in Liver Transplantation Patients

An observational study in Chronic Pain and Liver Transplantation, sponsored by The Second Hospital of Tangshan. Recruiting at 1 site in China. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2024-01-22.

Sponsored by The Second Hospital of Tangshan · Observational

From the registry’s dates

  • Primary completion was expected by Mar 2024, 2 years 6 months ago, but the record still lists the study as recruiting.
  • Started Sep 2019; still recruiting 7 years later.
Study type
Observational
Model
Cohort
Time perspective
Retrospective
Enrollment
300
Ages
18 Years and older
Sex
All
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Study summary

FK506 (tacrolimus), a calcineurin inhibitor, is widely used as an immunosuppressant to lower the risk of organ rejection after organ transplantation, and to treat T cell-mediated diseases such as eczema and atopic dermatitis. FK506 treatment often accompanies pain sensation in patients with atopic dermatitis or after organ transplantation. In previous studies, the investigators confirmed that FK506 treatment increased neuronal activity of primary afferent neurons and causes pain behavior in naïve mice. In order to further search for objective clinical evidence, the investigators proposed to investigate pain incidence after FK506 immunosuppressive therapy in liver transplantation patients. The investigators will investigate pain incidence and pain intensity in patients who underwent liver transplant from September of 2011 to May of 2018 in the Liver Health Rehabilitation Association. The patients who were divided into two groups based on whether or not FK506 was used in the immunosuppressive therapy. The patients in control group (without FK506 treatment) and FK506-treated group report pain sensation 3 months and 12 months after liver transplant. The investigators will compare the pain incidence between the two groups at both time points. On the other hand, the investigators will further investigate changes in pain sensation after 1st and 2nd reductions of FK506 dose. Pain is reported subjectively by the patient using the visual analogue scale (VAS) 1 month after dose reduction. In our study, 1st and 2nd reductions of FK506 dose refers to the first two dose-adjustments (approximately 6 months apart) that occurred 3-6 months after the liver transplantation.

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Conditions studied

  • Chronic Pain
  • Liver Transplantation

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Keywords

  • Chronic Pain
  • Liver Transplantation
  • FK506
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In context

Chronic Pain

2,930 studies on the registry are indexed under Chronic Pain; 701 are open to participants now.

This study's planned enrollment of 300 is above the median of 126 across 688 observational studies indexed under Chronic Pain.

Browse Chronic Pain studies →

Lead sponsor

The Second Hospital of Tangshan is the lead sponsor of 21 studies on the registry; 1 is open to participants now.

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

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Sampling method
Probability sample

Study population

A retrospective study was conducted in patients who underwent liver transplant from September of 2011 to May of 2018 in the Liver Health Rehabilitation Association(China)

Inclusion criteria

  1. had liver transplantation for end-stage liver disease
  2. was ≥18 years of age at the time of liver transplantation -

Exclusion criteria

Exclusion Criteria:

  1. liver cancer
  2. acute (fulminant) liver failure
  3. multiorgan transplant
  4. chronic postsurgical pain
  5. fibromyalgia, osteoarthritis, low back pain and inflammatory pain of any origin
  6. peripheral and central neuropathic pain of any origin
  7. chronic secondary visceral pain
  8. chronic cancer-related pain that is due to cancer or its treatment -
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Study design

Observational model
Cohort
Time perspective
Retrospective
Enrollment
300 participants (estimated)
Patient registry
No

Groups and cohorts

  • FK506-treated group

    In FK506-treated group, the patients who underwent liver transplant are treated with FK506 immunosuppressive therapy.

    Drug: FK506

  • control group without FK506 treatment

    In control group, the patients who underwent liver transplant are treated without FK506.

Interventions

  • DrugFK506

    FK506 (tacrolimus), a calcineurin inhibitor, is widely used as an immunosuppressant to lower the risk of organ rejection after organ transplantation

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What researchers measure

Primary outcomes

  1. pain incidence

    Pain is defined as painful sensation that lasts or recurs for 1-3 months within 3 months after liver transplantation, or for longer than 3 months within 12 months after liver transplantation.

    Time frame: within 2 years after liver transplantation

  2. pain intensity

    Pain is reported subjectively by the patient using the visual analogue scale (VAS)

    Time frame: within 2 years after liver transplantation

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Study locations

1 of 1 sites recruiting
  • The Second Hospital of Tangshan
    Tangshan, Hebei 063000, China
    Recruiting
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References and documents

Publications

  • Reitamo S, Rustin M, Ruzicka T, Cambazard F, Kalimo K, Friedmann PS, Schoepf E, Lahfa M, Diepgen TL, Judodihardjo H, Wollenberg A, Berth-Jones J, Bieber T; European Tacrolimus Ointment Study Group. Efficacy and safety of tacrolimus ointment compared with that of hydrocortisone butyrate ointment in adult patients with atopic dermatitis. J Allergy Clin Immunol. 2002 Mar;109(3):547-55. doi: 10.1067/mai.2002.121832. PubMed 11898005 ↗
  • Malat GE, Dupuis RE, Kassman B, Rhoads JM, Freeman K, Lichtman S, Johnson MW, Gerber D, Andreoni K, Fair J. Tacrolimus-induced pain syndrome in a pediatric orthotopic liver transplant patient. Pediatr Transplant. 2002 Oct;6(5):435-8. doi: 10.1034/j.1399-3046.2002.02030.x. PubMed 12390434 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jan 22, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT04559048
Lead sponsor
The Second Hospital of Tangshan
Collaborators
Chinese PLA General Hospital
Responsible party
Sponsor
First posted
Sep 22, 2020
Start date
Sep 15, 2019
Primary completion
Mar 15, 2024 (estimated)
Completion
Jun 30, 2024 (estimated)
Last update
Jan 22, 2024

Study contacts

Gang Zhao, M.D.
Contact
tseyyjk@163.com
+8603152058037
Dequn Liu, M.D.
study chair · The Second Hospital of Tangshan

Oversight

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

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