ClinicalTrials.gg
Enrolling by invitationNCT06430918Updated Nov 14, 2025

Neuropathic Pain and it's Relation to Sleep Quality in Knee Osteoarthritis

An observational study in Knee Osteoarthritis, Sleep Disturbance and Neuropathic Pain, sponsored by Bozyaka Training and Research Hospital. Enrolling by invitation at 1 site in Turkey (Türkiye). Open to participants aged 18 Years to 80 Years. Per ClinicalTrials.gov, last updated 2025-11-14.

Sponsored by Bozyaka Training and Research Hospital · Observational

Study type
Observational
Model
Case-only
Time perspective
Cross-sectional
Enrollment
150
Ages
18 Years to 80 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 268 studies in Osteoarthritis, Knee with a site in Turkey — 54 open to participants now, 66 under way, 3 of them phase 3. Osteoarthritis, Knee · Turkey.

Planned enrollment
14th of 70
150 · median 84
Started
2024
with 27 others
Observational
70 of 268
21 open now
Primary completion
2026-12
later than 38 of 65 live
Registered
155th of 268
by date

Among the 268 studies in Osteoarthritis, Knee with a site in Turkey, this one is the 14th largest by planned enrollment of the 70 observational ones, is one of 28 that started in 2024, is one of 70 observational ones, reaches primary completion later than 38 of the 65 other live ones, and was the 155th registered.

By phase

268 studies; the count open now beside each. This study's row is marked.

No phase189 · 31 open
Observationalthis study70 · 21 open
Phase 44 · 0 open
Phase 33 · 2 open
Phase 11 · 0 open
Phase 21 · 0 open

By the year they started

First in 2006; this study’s year is marked. 28 started in 2024.

Size and results

Median enrollment 60 across the 198 interventional studies, 84 across the 70 observational. Of the 180 that completed or were terminated, 3 (2%) have results posted.

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Watch this landscapeDownload CSVWith an account: a weekly mail of what changed among 268 studies in Osteoarthritis, Knee with a site in Turkey, or all of them as a file.
02

Study summary

The primary aim is to investigate the frequency and severity of neuropathic pain and its association with night pain in patients with knee osteoarthritis. For this purpose a progressive longitudinal study design was planned. The secondary aim is to investigate the relationship between night pain and neuropathic pain and sleep quality.

Read the detailed description

Osteoarthritis (OA) is the most common form of arthritis in the world. Classically, OA presents with joint pain and loss of function; however, the disease is clinically very variable and can present merely as an asymptomatic incidental finding to a devastating and permanently disabling disorder.

The severity of knee pain caused by osteoarthritis, often does not correlate with the degree of degenerative changes in the joint. In patients reporting night pain, this may be related to inflammation, but in the absence of clinical and laboratory findings of inflammation, it is not possible to explain night pain only by the degree of joint damage. The existence of a relationship between night pain and neuropathic pain may be a guide in looking for neuropathic pain in patients who have night pain and experience this pain severely and thus for planning an appropriate treatment for the patient.

Patients with stage 2-4 knee OA will be evaluated in terms of demographic variables and outcome measurement parameters specified in the case report form. The relationship between neuropathic pain scores and knee pain severity will be sought. It will be studied whether there is a difference in outcome measurement parameters between those with neuropathic pain and those without. Correlation analysis will be performed between sleep quality score and pain intensity scores. The determinants of sleep quality will be evaluated by regression analysis.

American College of Rheumatology criteria will be recruited. Demographics and disease related variables will be recorded.

03

Conditions studied

  • Knee Osteoarthritis
  • Sleep Disturbance
  • Neuropathic Pain
04

Who can participate

Ages eligible
18 Years to 80 Years
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Patients with stage 2-4 knee OA will be evaluated in terms of demographic variables and outcome measurement parameters specified in the case report form.

Eligibility criteria

Inclusion Criteria:

1. Having a clinical diagnosis of knee osteoarthritis according to the American Rheumatology Association/ACR criteria 2. Knee OA is of Kellgren-Lawrence stage 2-4 3. The participant gives signed consent

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Exclusion Criteria:

Exclusion Criteria:

1. Having diabetes mellitus 2. Chronic kidney failure 3. Hypothyroidism 4. Presence of orthopedic disability (such as implant, prosthesis, contracture, shortness) in the lower extremity 4. Neurological diseases that can cause neuropathic pain 5. Presence of fibromyalgia 6. 7. Pregnancy 8. Neurological deficit in the lower extremity 9. Drug use that may cause neuropathy (colchicine, etc.) İn the last 3 months 10. Drug use (antidepressant, antipsychotic, antiepileptic) due to sleep disturbance or widespread pain in the last 3 months.

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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.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

05

Study design

Observational model
Case-only
Time perspective
Cross-sectional
Enrollment
150 participants (estimated)
Target follow-up
1 Day
Patient registry
Yes

Groups and cohorts

  • Patients with knee osteoarthritis

    Knee OA patients diagnosed according to the ACR Classification Criteria

    Other: physical examination, questionnaires and inventories

Interventions

  • Otherphysical examination, questionnaires and inventories

    Questionnaires and inventories related to primary end secondary outcomes will be applied and physical examination will be performed.

    Also known as: Questionnaires and inventories related to primary end secondary outcomes will be applied and physical examination will be performed.

06

What researchers measure

Primary outcomes

  1. Neuropathic pain; 4 Questions Neuropathic Pain Questionnaire

    The DN4 questionnaire (4 Questions Neuropathic Pain Questionnaire) will be used. It is a clinician-administered questionnaire. It consists of ten items. Seven items related to pain quality (i.e. sensory and pain descriptors) are based on an interview with the patient. Three items are based on the clinical examination. The clinician assesses whether there is reduced sensation (hyposthesia) to touch or pinprick and whether light brushing increases or causes pain (allodynia). All of the positive items are scored as one point and total score is sum of the scores of these positive items. The diagnosis is based on 4/10 cut-off value.

    Time frame: through study completion, an average of 1 year

Secondary outcomes

  1. Sleep quality

    Jenkins Sleep Scale.The four-item questionnaire evaluates the frequency and intensity of certain sleep difficulties in respondents. Questions queries the number of days in which the patient was subjected to sleep problems. The maximum possible score is 20 and higher scores indicate much more sleep disturbance. A mean score of two or more is considered as sleep disturbance presence.

    Time frame: through study completion, an average of 1 year

  2. Depression and Anxiety; The Hospital Anxiety and Depression Scale (HADS)

    The Hospital Anxiety and Depression Scale (HADS) was developed by Zigmond and Snaith in 1983. It is used to detect whether the patient is in the depressive or anxious status. It is not a diagnostic tool but gives to physician an idea about the patient's emotional status. It consists of fourteen items. Seven items are related to anxiety and the other seven depression

    Time frame: through study completion, an average of 1 year

  3. Quality of life level; KOOS (KNEE INJURY AND OSTEOARTHRITIS OUTCOME SCORE) "Quality of Life" subgroup

    KOOS evaluates the symptoms and functional problems related to knee OA and knee injury. It consists of five subscales. In this study authors intended to assess the life quality by using the quality of life level subscale of this scale.

    Time frame: through study completion, an average of 1 year

  4. Disability; KOOS (KNEE INJURY AND OSTEOARTHRITIS OUTCOME SCORE) "Activities of Daily Life and Function" subgroup

    Disability; KOOS (KNEE INJURY AND OSTEOARTHRITIS OUTCOME SCORE) "Activities of Daily Life and Function" subgroup

    Time frame: through study completion, an average of 1 year

  5. Night pain (VAS, 0-10 cm) Participants will be asked to report the pain intensity that they feel on a line between 0 and 10, higher scores indicating more intense pain.

    Participants will be asked to report the pain intensity that they feel on a line between 0 and 10, higher scores indicating more intense pain.

    Time frame: through study completion, an average of 1 year

07

Study locations

1 site
  • Izmir Bozyaka Training and Reseach Hospital
    Izmir, 35300, Turkey (Türkiye)
08

References and documents

Publications

  • Hoper J, Schraml L, Gierthmuhlen J, Helfert SM, Rehm S, Hartig S, Schroder O, Lankes M, Traulsen FC, Seekamp A, Baron R. Changes of Somatosensory Phenotype in the Course of Disease in Osteoarthritis Patients. Int J Environ Res Public Health. 2020 Apr 29;17(9):3085. doi: 10.3390/ijerph17093085. PubMed 32365479 ↗
  • Wylde V, Palmer S, Learmonth ID, Dieppe P. Somatosensory abnormalities in knee OA. Rheumatology (Oxford). 2012 Mar;51(3):535-43. doi: 10.1093/rheumatology/ker343. Epub 2011 Nov 24. PubMed 22120461 ↗
09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Started May 2024 (actual). Primary completion is estimated for Dec 2026, 30 months after the start.

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

Registered
May 17, 2024
First posted
May 28, 2024
StartActual
May 16, 2024
Primary completionEst.
Dec 1, 2026
CompletionEst.
Jul 30, 2027
Last update
Nov 14, 2025
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 Nov 14, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06430918
Lead sponsor
Bozyaka Training and Research Hospital
Responsible party
Taciser Kaya (MD, Professor, Bozyaka Training and Research Hospital) — Principal investigator
First posted
May 28, 2024
Start date
May 16, 2024
Primary completion
Dec 1, 2026 (estimated)
Completion
Jul 30, 2027 (estimated)
Last update
Nov 14, 2025

Study contacts

Taciser Kaya, Prof.
principal investigator · Izmir Bozyaka Training and Research Hospital İzmir, Turkey
Berna Kirilmaz Colak, MD
principal investigator · Izmir Bozyaka Training and Research Hospital İzmir, Turkey
Bugra Ince, Assoc. prof.
principal investigator · Izmir Bozyaka Training and Research Hospital İzmir, Turkey

Oversight

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

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