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| ID | Type | Description | Link |
|---|---|---|---|
| FP00008853 | Other Grant/Funding Number | Advanced Research Projects Agency for Health |
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| Name | Class |
|---|---|
| Tufts University | OTHER |
| The Advanced Research Projects Agency for Health (ARPA-H) | UNKNOWN |
| Walter Reed National Military Medical Center | FED |
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The goal of this clinical trial is to test whether a minimally invasive microneedle patch, called the A-Band (Smart Band-aid), worn on the arm (monitoring key biomarkers in interstitial fluid) and a commercial smartwatch can accurately correlate with self-reported pain in women with chronic pain. A secondary purpose of the study is to identify demographic and clinical variables impacting pain measurement.
The main questions that this study aims to answer are:
Researchers will compare data from these tools with self-reported pain scores in women with chronic pain and healthy women.
Participants will:
This study proposes the collection of interstitial fluid (ISF) from participants using a microneedle patch. ISF is a natural fluid found between your cells that can inform us on your bodily readings and health. A microneedle patch is a safe alternative to standard fluid collection which uses tiny needles to collect the ISF. The patches consist of single-use, sterile (clean) microneedles created from biocompatible materials. These microneedles penetrate the outermost skin layer without causing significant discomfort, pain, or bleeding.
The A-Band is an investigational device and has not been approved for use by the Food and Drug Administration (FDA).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Chronic pain patients | 85 female patients with chronic pain > 3 months duration |
| |
| Healthy control patients | 35 healthy control patients |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| A-Band (Smart Band-Aid) | Device | The A-Band is a smart band-aid placed on the forearm or other designated site that collects interstitial fluid (ISF) from participants using a microneedle patch. ISF is a natural fluid found between your cells that can inform us on your bodily readings and health. A microneedle patch is a safe alternative to standard fluid collection which uses tiny needles to collect the ISF. The patches consist of single-use, sterile (clean) microneedles created from biocompatible materials. These microneedles penetrate the outermost skin layer without causing significant discomfort, pain, or bleeding. |
| Measure | Description | Time Frame |
|---|---|---|
| Difference between patient-reported pain score and objective pain score as calculated by AI | We will measure the difference between the patient-reported pain scores and AI-generated objective pain score in subgroups of chronic pain patients (e.g., nociplastic pain, neuropathic pain, nociceptive pain, mixed pain) and healthy controls (if they have acute pain). | Days 0 thru 7, for 8 total days |
| Measure | Description | Time Frame |
|---|---|---|
| Pain Scores from Biochemical and Biophysical Measurements & Instruments Measured from Questionnaires (affective-motivational and cognitive components) | Biomarker readings from interstitial fluid, blood serum, and a commercial smart band will be inserted into an AI machine learning algorithm and combined with the scores on the instruments measuring the affective and cognitive pain components to develop an "objective" pain score. The affective-motivational component will be determined by scores on the Hospital Anxiety & Depression Scale, Somatic Symptom Scale-8 & Athens Insomnia Scale. The cognitive-evaluative component will be determined by scores on the Pain Catastrophizing Scale, Pain Self-Efficacy Questionnaire-10 and Somatic Symptom Scale-8. |
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Inclusion Criteria:
For chronic pain group:
For healthy controls:
Exclusion Criteria (both groups):
Pregnant or breastfeeding women.
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Biological females with chronic pain and biological females without chronic pain
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Jordan Wood, BS | Contact | 312-695-0915 | jordan.wood1@northwestern.edu |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Northwestern University Feinberg School of Medicine | Recruiting | Chicago | Illinois | 60611 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 35177653 | Background | Guo LL, Pfohl SR, Fries J, Johnson AEW, Posada J, Aftandilian C, Shah N, Sung L. Evaluation of domain generalization and adaptation on improving model robustness to temporal dataset shift in clinical medicine. Sci Rep. 2022 Feb 17;12(1):2726. doi: 10.1038/s41598-022-06484-1. | |
| Background | Wu Z, Yao H, Liebovitz D, Sun J. An iterative self-learning framework for medical domain generalization. Advances in Neural Information Processing Systems. 2024 Feb 13;36. | ||
| 28546750 |
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IPD will be shared upon request with IRB approval.
For 3 years after completion of the study
Investigators with an IRB-approved protocol, after approval from sponsor.
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| Uniformed Services University of the Health Sciences |
| FED |
| Henry M. Jackson Foundation for the Advancement of Military Medicine | OTHER |
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blood, saliva
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| Empatica Smartwatch | Combination Product | A commercial smart band will be worn by participants for 22+ hours a day for approximately 7 days. The smart band collects biophysical data from the participant. This includes data on biomarkers, heart rate and heart rate variability, galvanic skin response, step count, and temperature fluctuations, among other biophysical data. |
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| Questionnaires: Hospital Anxiety & Depression Scale, Central Sensitization Inventory, Pain Catastrophizing Scale, Somatic Symptom Scale-8, Pain Self-Efficacy Questionnaire-10, Athens Insomnia Scale | Behavioral | HADS- measures anxiety and depression (0-21, higher scores signify greater pathology); CSI- measures central sensitization (0-100, higher scores signify greater central sensitization, PCS- measures catastrophizing (0-52, higher scores signify greater catastrophization), SSS-8- measures somatization (0-32, higher scores signify greater somatization), PSEQ-10- measures self-efficacy (0-60, with lower scores signifying low self-efficacy), AIS- measures sleep (0-28, with higher scores signifying greater sleep dysfunction) |
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| From Day 0 thru Day 7, for 8 total days |
| Patient-reported pain score | Patient-reported pain scale on a 0-10 pain scale (Defense and Veterans Pain Rating Scale), recorded at least twice per day upon patch application. | Days 0 thru 7, for 8 total days |
| Walter Reed National Military Medical Center | Not yet recruiting | Bethesda | Maryland | 20814 | United States |
|
| Background |
| Strawbridge R, Young AH, Cleare AJ. Biomarkers for depression: recent insights, current challenges and future prospects. Neuropsychiatr Dis Treat. 2017 May 10;13:1245-1262. doi: 10.2147/NDT.S114542. eCollection 2017. |
| 37373027 | Background | Yang J, Luo R, Yang L, Wang X, Huang Y. Microneedle-Integrated Sensors for Extraction of Skin Interstitial Fluid and Metabolic Analysis. Int J Mol Sci. 2023 Jun 8;24(12):9882. doi: 10.3390/ijms24129882. |
| 35634449 | Background | Diaz MM, Caylor J, Strigo I, Lerman I, Henry B, Lopez E, Wallace MS, Ellis RJ, Simmons AN, Keltner JR. Toward Composite Pain Biomarkers of Neuropathic Pain-Focus on Peripheral Neuropathic Pain. Front Pain Res (Lausanne). 2022 May 11;3:869215. doi: 10.3389/fpain.2022.869215. eCollection 2022. |
| 38204412 | Background | Telli H, Ozdemir C. Is nociplastic pain, a new pain category, associated with biochemical, hematological, and inflammatory parameters? Curr Med Res Opin. 2024 Mar;40(3):469-481. doi: 10.1080/03007995.2024.2304106. Epub 2024 Jan 22. |
| 36385904 | Background | Eldabe S, Obara I, Panwar C, Caraway D. Biomarkers for Chronic Pain: Significance and Summary of Recent Advances. Pain Res Manag. 2022 Nov 7;2022:1940906. doi: 10.1155/2022/1940906. eCollection 2022. |
| 30844399 | Background | Tracey I, Woolf CJ, Andrews NA. Composite Pain Biomarker Signatures for Objective Assessment and Effective Treatment. Neuron. 2019 Mar 6;101(5):783-800. doi: 10.1016/j.neuron.2019.02.019. |
| ID | Term |
|---|---|
| D059350 | Chronic Pain |
| ID | Term |
|---|---|
| D010146 | Pain |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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