Trial Outcomes & Findings for Effect of Nicotine on Chronic Pelvic Pain (NCT NCT00440505)

NCT ID: NCT00440505

Last Updated: 2018-08-14

Results Overview

Pain assessment by patient reported in visual analog score (VAS) with 0=no pain and 10=worst pain.

Recruitment status

COMPLETED

Study phase

PHASE4

Target enrollment

20 participants

Primary outcome timeframe

1 day

Results posted on

2018-08-14

Participant Flow

This double-blind prospective study was approved by the Institutional Review Board of Columbia University Medical Center. Written consent was obtained from all subjects. Women presenting with chronic pelvic pain to a gynecologist or to the pain clinic at New York Presbyterian Hospital were eligible for inclusion.

Twenty-six women were recruited for the study. Six women declined to participate after consenting but before commencing treatment; these women are not included in the analysis.

Participant milestones

Participant milestones
Measure
Placebo First, Then Nicotine 5 mg, Then Nicotine 10 mg
Placebo patch for one day in first intervention period, nicotine 5 mg patch for one day in second intervention period and nicotine 10 mg patch for one day in the third intervention period.
Placebo First, Then Nicotine 10 mg, Then Nicotine 5 mg
Placebo patch for one day in first intervention period, nicotine 10 mg patch for one day in second intervention period and nicotine 5 mg patch for one day in the third intervention period.
Nicotine 5 mg First, Then Nicotine 10 mg, Then Placebo
Nicotine 5 mg patch for one day in first intervention period, nicotine 10 mg patch for one day in second intervention period and placebo patch for one day in the third intervention period.
Nicotine 5 mg First, Then Placebo, Then Nicotine 10 mg
Nicotine 5 mg patch for one day in first intervention period, placebo patch for one day in second intervention period and nicotine 10 mg patch for one day in the third intervention period.
Nicotine 10 mg First, Then Nicotine 5 mg, Then Placebo
Nicotine 10 mg patch for one day in first intervention period, nicotine 5 mg patch for one day in second intervention period and placebo patch for one day in the third intervention period.
Nicotine 10 mg First, Then Placebo, Then Nicotine 5 mg
Nicotine 10 mg patch for one day in first intervention period, placebo patch for one day in second intervention period and nicotine 5 mg patch for one day in the third intervention period.
First Intervention
STARTED
5
2
1
2
5
5
First Intervention
COMPLETED
5
2
1
2
5
5
First Intervention
NOT COMPLETED
0
0
0
0
0
0
Second Intervention
STARTED
5
2
1
2
5
5
Second Intervention
COMPLETED
5
2
1
2
5
5
Second Intervention
NOT COMPLETED
0
0
0
0
0
0
Third Intervention
STARTED
5
2
1
2
5
5
Third Intervention
COMPLETED
5
2
1
1
5
5
Third Intervention
NOT COMPLETED
0
0
0
1
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Effect of Nicotine on Chronic Pelvic Pain

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Entire Study Population
n=20 Participants
Age, Categorical
<=18 years
0 Participants
n=99 Participants
Age, Categorical
Between 18 and 65 years
20 Participants
n=99 Participants
Age, Categorical
>=65 years
0 Participants
n=99 Participants
Sex: Female, Male
Female
20 Participants
n=99 Participants
Sex: Female, Male
Male
0 Participants
n=99 Participants
Region of Enrollment
United States
20 participants
n=99 Participants

PRIMARY outcome

Timeframe: 1 day

Population: This analysis was per protocol. One patient dropped out of the study before the third intervention period. This patient does not have data for the 10 mg nicotine patch.

Pain assessment by patient reported in visual analog score (VAS) with 0=no pain and 10=worst pain.

Outcome measures

Outcome measures
Measure
Placebo
n=20 Participants
Placebo patch administered for one day in either first intervention period, second intervention period or third intervention period.
Nicotine 5 mg
n=20 Participants
Nicotine 5 mg patch administered for one day in either first intervention period, second intervention period or third intervention period.
Nicotine 10 mg
n=19 Participants
Nicotine 10 mg patch administered for one day in either first intervention period, second intervention period or third intervention period.
Pain Score
7.1 Units on a scale
Standard Deviation 3.1
6.4 Units on a scale
Standard Deviation 3.0
6.9 Units on a scale
Standard Deviation 3.2

SECONDARY outcome

Timeframe: 1 day

Population: This analysis was per protocol. One patient dropped out of the study before the third intervention period. This patient does not have data for the 10 mg nicotine patch.

Patient self-assessment of psychological distress in brief rating scale with no psychological distress=0 and maximum psychological distress=90.

Outcome measures

Outcome measures
Measure
Placebo
n=20 Participants
Placebo patch administered for one day in either first intervention period, second intervention period or third intervention period.
Nicotine 5 mg
n=20 Participants
Nicotine 5 mg patch administered for one day in either first intervention period, second intervention period or third intervention period.
Nicotine 10 mg
n=19 Participants
Nicotine 10 mg patch administered for one day in either first intervention period, second intervention period or third intervention period.
Patient Self-assessment of Psychological Distress
40.2 Units on a scale
Standard Deviation 18.3
36.7 Units on a scale
Standard Deviation 18.6
37.5 Units on a scale
Standard Deviation 18.2

SECONDARY outcome

Timeframe: 1 day

Population: This analysis was per protocol. Only data from those patients who returned the pain diaries with the above information to the research staff by mail were included in the analysis.

Number of participants who reported increases in daily pain medication after treatment with each intervention compared to their normal daily pain medication regime.

Outcome measures

Outcome measures
Measure
Placebo
n=13 Participants
Placebo patch administered for one day in either first intervention period, second intervention period or third intervention period.
Nicotine 5 mg
n=13 Participants
Nicotine 5 mg patch administered for one day in either first intervention period, second intervention period or third intervention period.
Nicotine 10 mg
n=13 Participants
Nicotine 10 mg patch administered for one day in either first intervention period, second intervention period or third intervention period.
Number of Participants Who Reported an Increase in Daily Pain Medication Regime
2 Participants
3 Participants
2 Participants

SECONDARY outcome

Timeframe: 1 day

Population: This analysis was per protocol. Only data from those patients who returned the pain diaries with the above information to the research staff by mail were included in the analysis.

Nausea assessment by patient reported on a numerical rating scale (NRS) with 0=no nausea and 10=extreme nausea.

Outcome measures

Outcome measures
Measure
Placebo
n=13 Participants
Placebo patch administered for one day in either first intervention period, second intervention period or third intervention period.
Nicotine 5 mg
n=13 Participants
Nicotine 5 mg patch administered for one day in either first intervention period, second intervention period or third intervention period.
Nicotine 10 mg
n=13 Participants
Nicotine 10 mg patch administered for one day in either first intervention period, second intervention period or third intervention period.
Nausea
2.3 Units on a scale
Standard Deviation 1.8
2.3 Units on a scale
Standard Deviation 2.1
2.3 Units on a scale
Standard Deviation 2.1

Adverse Events

Placebo

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Nicotine 5mg

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Nicotine 10mg

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Pamela Flood, MD

Columbia University

Phone: 212-305-2008

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place