Qutenza for Painful Fistulae
Arteriovenous fistulae are artificial connections between the artery and vein in the arm which allow needles to be inserted for haemodialysisin patients wit hkidney failure. Occasionally severe debilitating pain can arise from these fistulae for which no cause can be found. Such pain can be very difficult to treat. Many commonly used used painkillers are known to cause significant side effects in patients with renal failure (drowsiness, confusion etc.
Qutenza (topical capsaicin 8%) is a new treatment made from chilli peppers which is applied to the skin as a patch and works directly at the nerve endings in the skin to prevent pain. It therefore should not have the systemic side effects of other drugs. It has been demonstrated to be beneficial in other painful conditions for example post-shingles pain and nerve pain from HIV. It has never been used for critical ischaemia before.
We propose to investigate the efficacy of Qutenza in treating patients with end stage renal failure and chronic pain from their fistulae (AVF). We will recruit 20 patients with painful AVF and treat them with Qutenza. We will follow them up for 12 weeks and monitor the change in their pain scores.
|Study Design:||Observational Model: Cohort
Time Perspective: Prospective
|Official Title:||The Role of Qutenza (Topical Capsaicin 8%) in Treating Neuropathic Pain From Arteriovenous Fistulae in Patients With End Stage Renal Failure|
- Neuropathic pain [ Time Frame: 12weeks ] [ Designated as safety issue: No ]As assessed by Visual Analogue Pain Score
- Neuropathic pain [ Time Frame: 1 week, 6 weeks ] [ Designated as safety issue: No ]As assessed by Visual Analogue Pain Score and Brief Pain Inventory
- Qulaity of life [ Time Frame: 6 weeks, 12 weeks ] [ Designated as safety issue: No ]As assessed by EQ-5D
- Safety and tolerability [ Time Frame: 1 week, 6 weeks and 12 weeks ] [ Designated as safety issue: Yes ]Skin will be assessed for breaks/ blisters and tolerability, including the need for rescue analgesia will be recorded
|Study Start Date:||April 2013|
|Estimated Study Completion Date:||July 2014|
|Estimated Primary Completion Date:||April 2014 (Final data collection date for primary outcome measure)|
Single treatment with Qutenza (topical capsaicin8%) transdermal patch
Other Name: Topical capsaicin 8%
|Contact: Marc Clancy, PhD FRCS||01412111750||Marc.Clancy@ggc.scot.nhs.uk|
|Contact: Emma L Aitken, MBChB||01412111750||EmmaAitken@nhs.net|
|Department of Renal Surgery, Western Infirmary||Not yet recruiting|
|Glasgow, Lanarkshire, United Kingdom, G116NY|
|Contact: Marc Clancy, FRCS PhD 01412111750 Marc.Clancy@ggc.scot.nhs.uk|
|Contact: Emma L Aitken, MBChB 01412111750 EmmaAitken@nhs.net|
|Principal Investigator: Marc Clancy, FRCS PhD|
|Principal Investigator:||Marc Clancy, FRCS PhD||NHS Greater Glasgow and Clyde|