{ "FullStudy":{ "Rank":217770, "Study":{ "ProtocolSection":{ "IdentificationModule":{ "NCTId":"NCT01517061", "OrgStudyIdInfo":{ "OrgStudyId":"120054" }, "SecondaryIdInfoList":{ "SecondaryIdInfo":[ { "SecondaryId":"12-NR-0054" } ] }, "Organization":{ "OrgFullName":"National Institutes of Health Clinical Center (CC)", "OrgClass":"NIH" }, "BriefTitle":"Genetics and Phantom Limb Pain", "OfficialTitle":"Integrative Genomic Analysis In Phantom Limb Pain" }, "StatusModule":{ "StatusVerifiedDate":"July 30, 2014", "OverallStatus":"Withdrawn", "ExpandedAccessInfo":{ "HasExpandedAccess":"No" }, "StartDateStruct":{ "StartDate":"January 3, 2012" }, "CompletionDateStruct":{ "CompletionDate":"July 30, 2014" }, "StudyFirstSubmitDate":"January 24, 2012", "StudyFirstSubmitQCDate":"January 24, 2012", "StudyFirstPostDateStruct":{ "StudyFirstPostDate":"January 25, 2012", "StudyFirstPostDateType":"Estimate" }, "LastUpdateSubmitDate":"December 11, 2019", "LastUpdatePostDateStruct":{ "LastUpdatePostDate":"December 12, 2019", "LastUpdatePostDateType":"Actual" } }, "SponsorCollaboratorsModule":{ "LeadSponsor":{ "LeadSponsorName":"National Institute of Nursing Research (NINR)", "LeadSponsorClass":"NIH" } }, "OversightModule":{}, "DescriptionModule":{ "BriefSummary":"Background:\n\n- Many people who lose a limb feel pain in the missing limb. This feeling is called phantom limb pain. Researchers do not fully understand what causes this pain. Differences in people's genes may play a role. Comparing the genes of people with and without phantom limb pain may help researchers better understand this feeling, who is likely to develop it, and how to treat it.\n\nObjectives:\n\n- To study whether genetic differences affect phantom limb pain.\n\nEligibility:\n\n- Individuals at least 18 years of age who have lost an arm or leg at least 3 months ago.\n\nDesign:\n\nParticipants will be screened with a medical history and physical exam.\nParticipants will answer questions about how they lost the limb, and whether they feel phantom limb pain. They will also have a test to measure their sensitivity to heat and cold.\nParticipants will provide a blood sample for genetic testing.", "DetailedDescription":"Objectives:\n\nThe proposed clinical trial will investigate the role of the human genome including genetic variations and gene expression profiles on the development of phantom limb pain (PLP).\n\nStudy population:\n\nPatients will be recruited from military personnel with major limb amputations. A total of one thousand subjects with upper or lower extremity amputations of any level will be enrolled in this study.\n\nDesign:\n\nEight hundred subjects with chronic PLP (PLP patient) and 200 patients without PLP (non-PLP patient) will assess the severity of their pain symptom. Each participant will undergo a routine blood draw from which DNA and RNA will be harvested.\n\nOutcome measures:\n\nUsing Affymetrix SNP 6.0 technology, which identifies up to 1 million single nucleotide polymorphisms (SNPs) and 1 million copy number variations in the human genome, the differences in genomic variations between the PLP and the non-PLP patients will be analyzed. An extreme subset of PLP patients will be tested for their quantitative sensory function and profiled gene expression and epigenetic pattern with the Affymetrix Human Exon ST 1.0 and Illumina Genome Analyzer IIx. These integrative genomic analyses using genetic variations, gene expression and epigenetic profile could explain why some amputees experience chronic PLP and some do not. By studying these responses in patient samples, we will evaluate the role of genomic factors in PLP. SNP frequencies, gene expression and epigenetic profiles between PLP and non-PLP groups will be analyzed." }, "ConditionsModule":{ "ConditionList":{ "Condition":[ "Polymorphism-Genetic", "Amputation", "Pain" ] }, "KeywordList":{ "Keyword":[ "Phantom Limb Pain", "Genetic Polymorphisms", "Genetic Susceptibility", "Amputation" ] } }, "DesignModule":{ "StudyType":"Observational", "DesignInfo":{ "DesignTimePerspectiveList":{ "DesignTimePerspective":[ "Retrospective" ] } }, "EnrollmentInfo":{ "EnrollmentCount":"0", "EnrollmentType":"Actual" } }, "OutcomesModule":{ "PrimaryOutcomeList":{ "PrimaryOutcome":[ { "PrimaryOutcomeMeasure":"SNP frequency between PLP and non-PLP group" } ] }, "SecondaryOutcomeList":{ "SecondaryOutcome":[ { "SecondaryOutcomeMeasure":"Gene expression profile between PLP and non-PLP group" },{ "SecondaryOutcomeMeasure":"Epigenetic profile between PLP and non-PLP group" } ] } }, "EligibilityModule":{ "EligibilityCriteria":"INCLUSION CRITERIA:\n\nPLP GROUP:\n\nat least 18 years of age\nSingle or multiple upper and/or lower limb amputation\nAt least three months post-amputation\nAbility to follow study instructions in English\nCurrently present on-going PLP for at least one month and at least 3 times per week\n\nNON PLP GROUP:\n\n-same with PLP group except:\n\n--Experienced PLP less than 10 times total and/or for less than two weeks\n\nEXCLUSION CRITERIA:\n\nBOTH PLP AND NON-PLP GROUPS:\n\nChronic systemic disease which might affect pain sensitivity and ability to participate in this study s blood draw\nAny disease (such as hemophilia) or medication regimen (such as warfarin) increasing hemorrhage that would make a blood draw dangerous or inadvisable for the subject\nKnown uncontrolled systemic diseases; known cancer not in remission, known on-going infection, lupus, kidney disease requiring dialysis, any other systemic disease which might affect ability to participate in this study s blood draw\nInability to provide his/her own informed consent", "HealthyVolunteers":"No", "Gender":"All", "MinimumAge":"18 Years", "MaximumAge":"60 Years", "StdAgeList":{ "StdAge":[ "Adult" ] } }, "ContactsLocationsModule":{ "OverallOfficialList":{ "OverallOfficial":[ { "OverallOfficialName":"Hyungsuk Kim, D.D.S.", "OverallOfficialAffiliation":"National Institute of Nursing Research (NINR)", "OverallOfficialRole":"Principal Investigator" } ] } }, "ReferencesModule":{ "ReferenceList":{ "Reference":[ { "ReferencePMID":"9767070", "ReferenceType":"background", "ReferenceCitation":"Weinstein SM. Phantom limb pain and related disorders. Neurol Clin. 1998 Nov;16(4):919-36. Review." },{ "ReferencePMID":"6624883", "ReferenceType":"background", "ReferenceCitation":"Sherman RA, Sherman CJ. Prevalence and characteristics of chronic phantom limb pain among American veterans. Results of a trial survey. Am J Phys Med. 1983 Oct;62(5):227-38." },{ "ReferencePMID":"9272791", "ReferenceType":"background", "ReferenceCitation":"Montoya P, Larbig W, Grulke N, Flor H, Taub E, Birbaumer N. The relationship of phantom limb pain to other phantom limb phenomena in upper extremity amputees. Pain. 1997 Aug;72(1-2):87-93." } ] } } }, "DerivedSection":{ "MiscInfoModule":{ "VersionHolder":"April 22, 2020", "RemovedCountryList":{ "RemovedCountry":[ "United States" ] } }, "ConditionBrowseModule":{ "ConditionMeshList":{ "ConditionMesh":[ { "ConditionMeshId":"D000010591", "ConditionMeshTerm":"Phantom Limb" } ] }, "ConditionAncestorList":{ "ConditionAncestor":[ { "ConditionAncestorId":"D000010468", "ConditionAncestorTerm":"Perceptual Disorders" },{ "ConditionAncestorId":"D000019954", "ConditionAncestorTerm":"Neurobehavioral Manifestations" },{ "ConditionAncestorId":"D000009461", "ConditionAncestorTerm":"Neurologic Manifestations" },{ "ConditionAncestorId":"D000009422", "ConditionAncestorTerm":"Nervous System Diseases" },{ "ConditionAncestorId":"D000010149", "ConditionAncestorTerm":"Pain, Postoperative" },{ "ConditionAncestorId":"D000011183", "ConditionAncestorTerm":"Postoperative Complications" },{ "ConditionAncestorId":"D000010335", "ConditionAncestorTerm":"Pathologic Processes" },{ "ConditionAncestorId":"D000012816", "ConditionAncestorTerm":"Signs and Symptoms" },{ "ConditionAncestorId":"D000010146", "ConditionAncestorTerm":"Pain" } ] }, "ConditionBrowseLeafList":{ "ConditionBrowseLeaf":[ { "ConditionBrowseLeafId":"M5963", "ConditionBrowseLeafName":"Disease Susceptibility", "ConditionBrowseLeafRelevance":"low" },{ "ConditionBrowseLeafId":"M11649", "ConditionBrowseLeafName":"Pain", "ConditionBrowseLeafRelevance":"low" },{ "ConditionBrowseLeafId":"M20459", "ConditionBrowseLeafName":"Genetic Predisposition to Disease", "ConditionBrowseLeafRelevance":"low" },{ "ConditionBrowseLeafId":"M12081", "ConditionBrowseLeafName":"Phantom Limb", "ConditionBrowseLeafAsFound":"Phantom Limb", "ConditionBrowseLeafRelevance":"high" },{ "ConditionBrowseLeafId":"M11962", "ConditionBrowseLeafName":"Perceptual Disorders", "ConditionBrowseLeafRelevance":"low" },{ "ConditionBrowseLeafId":"M20410", "ConditionBrowseLeafName":"Neurobehavioral Manifestations", "ConditionBrowseLeafRelevance":"low" },{ "ConditionBrowseLeafId":"M10987", "ConditionBrowseLeafName":"Neurologic Manifestations", "ConditionBrowseLeafRelevance":"low" },{ "ConditionBrowseLeafId":"M11652", "ConditionBrowseLeafName":"Pain, Postoperative", "ConditionBrowseLeafRelevance":"low" },{ "ConditionBrowseLeafId":"M12648", "ConditionBrowseLeafName":"Postoperative Complications", "ConditionBrowseLeafRelevance":"low" } ] }, "ConditionBrowseBranchList":{ "ConditionBrowseBranch":[ { "ConditionBrowseBranchAbbrev":"BC23", "ConditionBrowseBranchName":"Symptoms and General Pathology" },{ "ConditionBrowseBranchAbbrev":"All", "ConditionBrowseBranchName":"All Conditions" },{ "ConditionBrowseBranchAbbrev":"BC10", "ConditionBrowseBranchName":"Nervous System Diseases" },{ "ConditionBrowseBranchAbbrev":"BXM", "ConditionBrowseBranchName":"Behaviors and Mental Disorders" } ] } } } } } }