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NCT03938168: PAIN PAD

Histological and Molecular Mechanisms of Pain in Patient With Chronic Pain From Adhesions

Completed Last updated 31 December 2024
What this trial tests

trial testing Biopsy, fecal sample in Tissue Adhesion in 61 participants. Completed in 20 December 2024.

Timeline
9 April 2019
Primary endpoint
31 December 2023
20 December 2024

Quick facts

Lead sponsorRadboud University Medical Center
StatusCompleted
Study typeOBSERVATIONAL
Enrollment61
Start date9 April 2019
Primary completion31 December 2023
Estimated completion20 December 2024
Sites3 locations across Netherlands

Drugs / interventions tested

Conditions studied

Sponsor

Radboud University Medical Center

Who can join

18 and older, any sex, with Tissue Adhesion or Chronic Pain. Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

11-20% of patients undergoing abdominal surgery develop chronic abdominal pain. Adhesions are a common cause of chronic pain following surgery. Adhesions develop after up to 90% of laparotomies and 70% of laparoscopic surgeries. Obviously, not all adhesions cause pain. It is still poorly understood why adhesions cause pain in some patients, while other patients with adhesions experience no pain. In this study we explore possible mechanism through which adhesions might cause pain. For this purpose we will assess expression of molecular mediators (such as TRPV-1, SP, and the neurokinin receptor), histological characteristics, and fecal microbioma that might be associated with pain.Expression of these factor will be compared to sample from 30 patients with chronic pain attributed to adhesions, and 30 patients undergoing a reoperation with adhsiolysis for reasons unrelated to pain.

Publications & conference data

2 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Genome-wide association study on chronic postsurgical pain after abdominal surgeries in the UK Biobank.
    Li S, Toneman MK, Mangnus JPM, Strocchi S, et al · · 2025 · cited 2× · PMID 39734325 · DOI 10.1111/anae.16528
  2. Morphological features and molecular mechanisms in peritoneal adhesions from patients with chronic abdominal postoperative pain.
    Toneman MK, Marianne Faas PP, Christian Antoine Marie Gielen MJ, Carotti V, et al · · 2025 · cited 1× · PMID 40412079 · DOI 10.1016/j.ebiom.2025.105746

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