An interventional study of Esketamine(Continuous infusion) and Remifentanil (Target-Controlled Infusion) in Chronic Pain, sponsored by Beijing Tiantan Hospital. Not yet recruiting at 1 site in China. Open to participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2024-08-13.
Sponsored by Beijing Tiantan Hospital · Not applicable, Interventional, and Other
The diagnosis of chronic pain currently lacks objective and quantifiable biomarkers. This study aims to observe the EEG characteristics of patients with chronic pain following spinal cord injury and subsequently administer analgesic interventions with remifentanil, esketamine, flurbiprofen, and spinal cord stimulation. The correlation between EEG features and pain intensity will be examined. The research aims to advance the objectification of chronic pain diagnosis and treatment.
1,948 studies on the registry are indexed under Spinal Cord Injuries; 505 are open to participants now.
This study's planned enrollment of 60 is above the median of 24 across 1,566 interventional studies indexed under Spinal Cord Injuries.
Browse Spinal Cord Injuries studies →Beijing Tiantan Hospital is the lead sponsor of 465 studies on the registry; 281 are open to participants now.
Counted across the registry records on this site, refreshed daily.
Spinal Cord Injury Patients With Chronic Pain
Inclusion Criteria:
Exclusion Criteria:
Spinal Cord Injury Patients Without Pain
Inclusion Criteria:
Exclusion Criteria:
Other: No intervention
Drug: Esketamine(Continuous infusion) · Device: Spinal Cord Stimulation
Drug: Remifentanil (Target-Controlled Infusion) · Device: Spinal Cord Stimulation
Drug: Flurbiprofen (Single intravenous injection) · Device: Spinal Cord Stimulation
Continuous intravenous infusion of esketamine at a dose of 0.2 mg/(kg · h). Collect resting-state EEG data and NRS scores 40 minutes after administration.
The plasma drug concentrations of remifentanil were set at 0.5 ng/ml, 1 ng/ml, and 1.5 ng/ml. After each plasma drug concentration reached a steady state, the NRS scores were assessed, and resting-state EEG was recorded for at least 5 minutes.
Single intravenous injection of Flurbiprofen at a dose of 100 mg. Collect resting-state EEG data and NRS scores 10 minutes after administration.
Collect resting-state EEG data and NRS scores with the spinal cord stimulator both turned off and on.
Collect resting-state EEG data and NRS scores.
EEG Spectral Characteristics
EEG power spectrum characteristics of chronic pain in patients with spinal cord injury under esketamine, remifentanil, flurbiprofen administration and spinal cord stimulation, including the δ, θ, α, β, and γ frequency bands. administration, including the δ, θ, α, β, and γ frequency bands.
Time frame: During the trial(up to 3 hours for each subject).
Numeric Rating Scale(NRS)
Numerical Rating Scale Assessment Pre- and Post-Analgesic Treatment. The NRS ranges from 0 to 10, with 0-3 indicating mild pain, 4-6 indicating moderate pain, and 7-10 indicating severe pain.
Time frame: During the trial(through study completion, 7 days)
Generalized Anxiety Disorder(GAD-7)
The GAD-7 scale ranges from 0 to 21 points, with a higher score indicating a higher level of anxiety.
Time frame: During the trial(through study completion, 7 days)
Patient Health Questionnaire-9(PHQ-9)
The PHQ-9 scale ranges from 0 to 27 points, with a higher score indicating a higher level of depression.
Time frame: During the trial(through study completion, 7 days)
This study is not yet recruiting, as verified in Aug 2024. You cannot join it, but the record below documents what was studied.
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Beijing Tiantan Hospital