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RecruitingNCT06507748Updated Oct 16, 2026

A Study to Evaluate the Feasibility of a Physiologic Biomarker to Assess Pain and Other Sensory Problems Using Pupillometry in Participants With Neurofibromatosis Type 1 (NF1)

An interventional study of AlgometRx Nociometer(R) in Neurofibromatosis Type 1, sponsored by National Cancer Institute (NCI). Recruiting at 2 sites in United States. Open to participants aged 1 Year to 120 Years. Per ClinicalTrials.gov, last updated 2026-10-16.

Sponsored by National Cancer Institute (NCI) · Not applicable, Interventional, and Device feasibility

From the registry’s dates

  • Started Feb 2026; still recruiting 8 months later.
Updated Oct 13, 2026Primary outcomes revisedInterventions changedGo to Updates ↓
Phase
Not applicable
Study type
Interventional
Enrollment
70
Allocation
Not applicable
Ages
1 Year to 120 Years
Sex
All
01

Study summary

Background:

Neurofibromatosis type 1 (NF1) is a genetic condition that causes tumors to grow along the nerves in the skin, brain, and other parts of the body. People with NF1 often have pain and may experience other abnormal sensations like itching, numbness, or tingling. These symptoms can affect their daily life. Researchers want to learn more about these symptoms and find better ways to measure pain in people with NF1.

Objective:

To learn if a device called the AlgometRx Nociometer(Registered trademark) is effective in measuring pain or other abnormal sensations in people with NF1.

Eligibility:

People aged 1 year and older with NF1.

Design:

Individuals can have up to 3 assessments completed in person. Each assessment may last up to 1.0 to 1.5 hours.

Individuals will be screened. They will complete questionnaires about their health and how bad their pain is. If participants are having blood drawn for other reasons, some additional samples may be used in this study.

The AlgometRx Nociometer includes an electrode that will be placed onto a finger or a toe. The electrode will send non-painful electrical signals to activate nerves in the finger or toe. At the same time, a camera will be used to record changes in the pupil of the eye. The test will be done on all 4 of the participant s limbs; however, researchers may skip 1 or more limbs for various reasons. This test takes about 10 seconds to complete with at least a one-minute rest between testing different limbs.

Individuals will be asked to do a 2nd assessment with the AlgometRx Nociometer that may be done 1 hour later but no more than 72 hours after the first assessment. Participants who will be returning for another visit can opt to do a 3rd assessment that will be done at least 4 weeks but not more than 18 months after the 1st....

Read the detailed description

Background:

  • Chronic pain is a common and often debilitating symptom of neurofibromatosis 1 (NF1) that is related to multiple tumor (e.g., plexiform neurofibromas; PN) and non-tumor (e.g., headaches) manifestations.
  • Patient-reported outcome (PRO) measures have been used to assess pain in PN trials; however, few are validated for NF populations. In addition, the subjective measurement of pain symptoms can be difficult particularly in young children, those with learning disabilities, and due to patients having various types of NF-related pain and other sensory problems.
  • There is a critical unmet need for a simple, non-invasive, and objective measure of pain and other sensory problems for individuals with NF1.
  • AlgometRx Nociometer (Registered Trademark) is a novel integration of infrared video pupillometry and neuroselective stimulation, and the outcome measure obtained from an assessment with this device is the Neuropathy Index. The use of the AlgometRx Nociometer (Registered Trademark) in studies was determined to be non-significant risk (NSR) by the Children s National Hospital (CNH) Institutional Review Board (IRB) based on similar technologies that have been defined by the Food and Drug Administration (FDA) to be NSR.
  • In addition to the early detection and targeted clinical management and monitoring of pain and nociceptive processing in patients with NF1, this device also may help us learn more about the underlying mechanisms of their pain, as well as their symptoms of numbness and tingling (paresthesia), muscle weakness, loss of reflexes/hyperreflexia, and altered sensation.
  • This novel biomarker could fill a critical gap for an objective, simple, and sensitive assessment to quantify and monitor NF-related pain as a physiologic measure for clinical monitoring and as potential surrogate marker for response in treatment trials.

Objective:

-To describe the feasibility of using the AlgometRx Nociometer (Registered Trademark) device to conduct a physiologic assessment of pain in different age groups of participants with NF1.

Eligibility:

  • Participants must have a history of clinical or genetic diagnosis of NF1
  • Age >= 1 year
  • At least one eye with an intact pupillary reflex
  • At least one digit (finger or toe) without open wounds for application of the device
  • Must understand English or Spanish
  • Participants who are \< 18 years must have a caregiver willing to help the child engage in study procedures, assist with fitting the AlgometRx Nociometer (Registered Trademark) device, and complete the observer reported (ObsRO) measures. Note: the caregiver of a child participant >= 5 years old must be able to understand English or Spanish, the caregiver of a child participant 1-4 years old must be able to understand English (to help complete the observational pain measure for the younger children that is only available in English).

Design:

  • The design will be a multi-site diagnostic pilot study to describe the feasibility and acceptability and to evaluate the initial psychometric properties (reliability, validity, sensitivity to change) of a novel objective pain measurement device [AlgometRx Nociometer (Registered Trademark)] for use in future clinical trials for participants with NF1. NCI is the lead site and Children's National Hospital (CNH) is the participating site; both sites will enroll participants with NF1 in this study.
  • A cross-sectional design will be used to describe the acceptability of the assessment with the AlgometRx Nociometer (Registered Trademark) device as well as construct validity of the Neuropathy Index. A longitudinal design will be used to assess test-retest reliability and sensitivity to change of the Neuropathy Index.
  • The sample will consist of 55 evaluable participants who will be placed into 5 cohorts defined by age (1-4; 5-7; 8-12; 13-17; >= 18 years) with approximately 11 participants in each group (plus/minus 3) and total enrollment of 70 participants.
02

Conditions studied

  • Neurofibromatosis Type 1

Keywords

  • Neurofibromatosis Type 1
  • Plexiform Neurofibromas
  • Pain
  • Sensation
  • Clinical outcomes
  • Objective measurement
  • Biomarker
03

In context

Neurofibromatosis 1

176 studies on the registry are indexed under Neurofibromatosis 1; 43 are open to participants now.

This study's planned enrollment of 70 is above the median of 35 across 114 interventional studies indexed under Neurofibromatosis 1.

Browse Neurofibromatosis 1 studies →

Lead sponsor

National Cancer Institute (NCI) is the lead sponsor of 3,556 studies on the registry; 336 are open to participants now.

Of its 411 completed or terminated interventional studies of FDA-regulated products, 373 (91%) have results posted.

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

04

Who can participate

Ages eligible
1 Year to 120 Years
Sexes eligible
All
Accepts healthy volunteers
No

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

  • History of clinical or genetic diagnosis of NF1 as per the 2021 revised diagnostic criteria
  • Age >= 1 year
  • At least one digit (finger or toe) without open wounds for application of the device
  • Individuals must understand English or Spanish
  • Individuals who are \< 18 years must have a caregiver willing to help the child engage in study procedures, assist with fitting the AlgometRx Nociometer (Registered Trademark) device, and complete the observer reported (ObsRO) measures. Note: the caregiver of a child participant >= 5 years old must be able to understand English or Spanish, the caregiver of a child participant 1-4 years old must be able to understand English (to help complete the observational pain measure for the younger children that is only available in English)
  • Ability of individual or parent/guardian to understand and the willingness to sign a written document

Exclusion criteria

EXCLUSION CRITERIA

  • History of eye pathology which precludes pupillometry, such as problems with pupillary reflex, blindness or inability to open at least one eye fully for evaluation
  • Individuals with chronic use of medication that specifically affects their pupillary response, such as atropine-containing eye drops
  • Uncontrolled intercurrent illness evaluated by medical history that would potentially increase the risk to the participant
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.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Phase
Not applicable
Primary purpose
Device feasibility
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
70 participants (estimated)

Study arms

  • Other
    1/Feasibility and longitudinal assessments

    Evaluation with the AlgometRx device and patient- and observer-reported outcome measures

    Device: AlgometRx Nociometer(R)

Interventions

  • DeviceAlgometRx Nociometer(R)

    Novel objective pain measurement device

06

What researchers measure

Primary outcomes

  1. Describe the feasibility of using AlgometRx Nociometer(R) device in different age groups

    Proportion of individuals who successfully complete the AlgometRx Nociometer assessment by each of the five age stratified groups (1-4, 5-7, 8-12, 13-17, 18+ years). This analysis will be performed on the Feasibility Analysis Data Set. Successful completion rate for each age group.

    Time frame: Baseline (enrollment, Time 1)

Secondary outcomes

  1. Describe the acceptability of the physiologic pain assessment using the AlgometRx Nociometer(R) device in different age groups

    Acceptability will be described per age group for the three questions on the Acceptability Questionnaire.

    Time frame: Time 1

  2. Evaluate the test-retest reliability of the physiologic pain measure (Neuropathy Index)

    Test-retest reliability will be measured by the intraclass correlation coefficient in participants with stable pain.

    Time frame: Time 1, repeated 1-72 hours later (Time 2)

  3. Evaluate the construct validity of the physiologic pain measure (Neuropathy Index)

    Convergent and discriminant validity with the PRO/ObsRO measures will be measured through parametric (Pearson s) or nonparametric (Spearman s) tests, depending on the normality and distribution of the data.

    Time frame: Time 1

  4. Evaluate the physiologic pain measure (Neuropathy Index) on sensitivity to change in pain

    Sensitivity to change will be measured through paired t-tests or Wilcoxon signed-rank test, depending on the normality and distribution of the data, to evaluate the statistical significance of the change in scores. We also may use standardized response means, which is a type of effect size, and one of the best methods to estimate responsiveness of measures.

    Time frame: Time 1, repeated 4 weeks to 18 months later (Time 3)

  5. Evaluate safety of physiologic pain assessment

    Evaluated by collection and assessment of ADEs (adverse device effects).

    Time frame: Time 1, Time 2, Time 3

07

Study locations

2 of 2 sites recruiting
  • Children's National Medical Center
    Washington D.C., District of Columbia 20010, United States
    Recruiting
  • National Institutes of Health Clinical Center
    Bethesda, Maryland 20892, United States
    Recruiting
08

References and documents

Individual participant data

Plan to share: Yes — This study will comply with the NIH Data Management and Sharing (DMS) Policy, which applies to all new and ongoing NIH-funded research in the IRP, as of January 25, 2023, that is associated with a ZIA, with a clinical protocol that undergoes scientific review.

Supporting information: Study protocol, Statistical analysis plan, Informed consent form

Time frame: Clinical data available during the study and indefinitely.

Access criteria: Clinical data will be made available via subscription to BTRIS and with the permission of the study PI.

09

Updates

2 registry updates since Sep 25, 2026
Interventions
Changed AlgometRx Nociometer→AlgometRx Nociometer(R)
Oct 13, 2026
Primary outcomes
1 edited
What changed in the outcomes
  • EditedDescribe the feasibility of using AlgometRx Nociometer(R) device in different age groupsTime frame: Baseline (enrollment, Time 1)
Oct 13, 2026
Secondary outcomes
1 edited
What changed in the outcomes
  • EditedDescribe the acceptability of the physiologic pain assessment using the AlgometRx Nociometer(R) device in different age groupsTime frame: Time 1
Oct 13, 2026
Show all 2 updates
  1. Oct 16, 2026
    Minor edits only
    + 1 other change: verification date
  2. Oct 13, 2026
    Primary outcomes 1 edited
    What changed in the outcomes
    • EditedDescribe the feasibility of using AlgometRx Nociometer(R) device in different age groupsTime frame: Baseline (enrollment, Time 1)
    Secondary outcomes 1 edited
    What changed in the outcomes
    • EditedDescribe the acceptability of the physiologic pain assessment using the AlgometRx Nociometer(R) device in different age groupsTime frame: Time 1
    Interventions Changed AlgometRx Nociometer→AlgometRx Nociometer(R)

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT06507748
Responsible party
Sponsor
First posted
Jul 18, 2024
Start date
Feb 18, 2026
Primary completion
May 1, 2027 (estimated)
Completion
May 1, 2027 (estimated)
Last update
Oct 16, 2026

Study contacts

Pamela L Wolters, Ph.D.
Contact
woltersp@mail.nih.gov
(240) 760-6035
Pamela L Wolters, Ph.D.
principal investigator · National Cancer Institute (NCI)

Oversight

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

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