Ignite Creation Date:
2025-12-24 @ 6:25 PM
Ignite Modification Date:
2025-12-25 @ 3:55 PM
Study NCT ID:
NCT07268768
Status:
RECRUITING
Last Update Posted:
2025-12-08
First Post:
2025-11-24
Is NOT Gene Therapy:
True
Has Adverse Events:
False
Brief Title:
PERSONOLOGICAL STRUCTURE, COGNITIVE FUNCTIONS AND CENTRAL SENSITIZATION IN HEADACHE
Sponsor:
Organization:
Raw JSON
{'hasResults': False, 'derivedSection': {'miscInfoModule': {'versionHolder': '2025-12-24'}, 'conditionBrowseModule': {'meshes': [{'id': 'D000092122', 'term': 'Bronchiolitis Obliterans Syndrome'}, {'id': 'D020773', 'term': 'Headache Disorders'}, {'id': 'D060825', 'term': 'Cognitive Dysfunction'}, {'id': 'D010554', 'term': 'Personality Disorders'}, {'id': 'D000074822', 'term': 'Treatment Adherence and Compliance'}, {'id': 'D001008', 'term': 'Anxiety Disorders'}, {'id': 'D003863', 'term': 'Depression'}], 'ancestors': [{'id': 'D000092124', 'term': 'Organizing Pneumonia'}, {'id': 'D001989', 'term': 'Bronchiolitis Obliterans'}, {'id': 'D001988', 'term': 'Bronchiolitis'}, {'id': 'D001991', 'term': 'Bronchitis'}, {'id': 'D001982', 'term': 'Bronchial Diseases'}, {'id': 'D012140', 'term': 'Respiratory Tract Diseases'}, {'id': 'D008173', 'term': 'Lung Diseases, Obstructive'}, {'id': 'D008171', 'term': 'Lung Diseases'}, {'id': 'D006086', 'term': 'Graft vs Host Disease'}, {'id': 'D007154', 'term': 'Immune System Diseases'}, {'id': 'D001927', 'term': 'Brain Diseases'}, {'id': 'D002493', 'term': 'Central Nervous System Diseases'}, {'id': 'D009422', 'term': 'Nervous System Diseases'}, {'id': 'D003072', 'term': 'Cognition Disorders'}, {'id': 'D019965', 'term': 'Neurocognitive Disorders'}, {'id': 'D001523', 'term': 'Mental Disorders'}, {'id': 'D015438', 'term': 'Health Behavior'}, {'id': 'D001519', 'term': 'Behavior'}, {'id': 'D001526', 'term': 'Behavioral Symptoms'}]}, 'interventionBrowseModule': {'meshes': [{'id': 'D009483', 'term': 'Neuropsychological Tests'}], 'ancestors': [{'id': 'D011581', 'term': 'Psychological Tests'}, {'id': 'D004191', 'term': 'Behavioral Disciplines and Activities'}]}}, 'protocolSection': {'designModule': {'studyType': 'OBSERVATIONAL', 'designInfo': {'timePerspective': 'PROSPECTIVE', 'observationalModel': 'COHORT'}, 'enrollmentInfo': {'type': 'ESTIMATED', 'count': 64}, 'patientRegistry': False}, 'statusModule': {'overallStatus': 'RECRUITING', 'startDateStruct': {'date': '2025-11-20', 'type': 'ACTUAL'}, 'expandedAccessInfo': {'hasExpandedAccess': False}, 'statusVerifiedDate': '2025-12', 'completionDateStruct': {'date': '2028-11-20', 'type': 'ESTIMATED'}, 'lastUpdateSubmitDate': '2025-12-05', 'studyFirstSubmitDate': '2025-11-24', 'studyFirstSubmitQcDate': '2025-12-05', 'lastUpdatePostDateStruct': {'date': '2025-12-08', 'type': 'ESTIMATED'}, 'studyFirstPostDateStruct': {'date': '2025-12-08', 'type': 'ESTIMATED'}, 'primaryCompletionDateStruct': {'date': '2028-11-20', 'type': 'ESTIMATED'}}, 'outcomesModule': {'primaryOutcomes': [{'measure': 'Neuropsychological assessment', 'timeFrame': '6 months', 'description': '•Cognitive functions: Brief Cognitive Status Exam (BCSE) and/or Montreal Cognitive Assessment (MoCA)'}], 'secondaryOutcomes': [{'measure': 'Central sensitization', 'timeFrame': '6 months', 'description': 'Central Sensitization Inventory (CSI)'}]}, 'oversightModule': {'oversightHasDmc': True, 'isFdaRegulatedDrug': False, 'isFdaRegulatedDevice': False}, 'conditionsModule': {'keywords': ['chronic migraine; central sensitization; cognitive impairment; personality disorders; treatment adherence; anxiety; depression;'], 'conditions': ['Chronic and Episodic Headache', 'Headache Disorders']}, 'descriptionModule': {'briefSummary': "Headache, in its episodic and chronic forms, cannot be considered solely as an isolated neurological symptom, but as a complex condition of a bio-psycho-social nature. While in the episodic form the painful episodes occur intermittently and have a variable impact on daily life, in the chronic form the disease evolves towards persistent pain, with more significant consequences on personal, social and work functioning. The following study protocol aims to investigate in an integrated manner the neurological, cognitive and psychological mechanisms involved in headache, with particular attention to the differences between episodic and chronic forms. The main objective is to assess the neuropsychological profiles and pain response of patients, monitoring their evolution over a period of approximately six months, considering the impact of central sensitisation, personality structure and any psychopathological comorbidities on pain management and treatment adherence. The protocol adopts a multidimensional approach aimed at optimising therapeutic efficacy and improving patients' quality of life, preventing progression to chronicity.", 'detailedDescription': 'This is an observational, prospective study with two assessment timepoints: baseline (T0) and follow-up at approximately six months (T1). The overall duration of the project is estimated at about three years, including enrollment of all planned participants, completion of follow-up, data analysis and dissemination of results.\n\nThe study is conducted at the IRCCS Centro Neurolesi "Bonino-Pulejo" with UTIC P.O. "Piemonte" in Messina, Italy, within the Headache Outpatient Clinic.\n\nThe target population consists of adult patients with a diagnosis of chronic or episodic headache referring to the Headache Outpatient Clinic. Sample size was calculated using G\\*Power 3.1, taking as reference the primary objective of comparing the evolution (baseline vs T1) of main clinical-neuropsychological outcomes between chronic and episodic headache groups. The primary test was modeled as a repeated-measures ANOVA on the group×time interaction (two groups, two measurements), analogous to the interaction component of a linear mixed model.\n\nWith a significance level α = 0.05, statistical power 1-β = 0.90, intra-subject correlation r = 0.60 and two measurements, assuming an interaction effect size f = 0.20 and nonsphericity correction ε = 1, the minimum required sample size is N = 56 subjects (28 per group). Taking into account an expected dropout rate of 15%, the required enrollment was increased to N = 64 participants (32 per group), in order to preserve the planned power for the primary analysis.\n\nInclusion criteria\n\n* Age between 18 and 60 years;\n* Diagnosis of chronic or episodic headache;\n* Patients attending the Headache Outpatient Clinic. Exclusion criteria\n* Presence of severe psychiatric and neurological disorders;\n* Presence of oncological diseases in terminal stage Identification and numbering of subjects In accordance with Good Clinical Practice (GCP), each subject is identified by an unequivocal numerical code that serves as the subject\'s identifier throughout the study. In this protocol, the code consists of a three-digit subject number assigned in progressive order starting from 001 when the subject signs the informed consent form. The investigator records the subject\'s name and corresponding code in a dedicated dataset accessible only to authorized study collaborators, thereby ensuring traceability and confidentiality.\n\nStudy procedures All potentially eligible subjects are informed about the aims and procedures of the study and are free to choose whether to participate. Only after the subject, or his/her legal representative, has agreed to participate and has signed the informed consent form, do the investigators proceed with the planned activities.\n\nClinical data for each subject are stored in a secure database accessible to study collaborators via personal credentials. After verifying the inclusion and exclusion criteria and obtaining informed consent, patients are formally enrolled and scheduled for the baseline assessment (T0).\n\nBaseline visit (T0)\n\nAt T0, the following procedures are performed:\n\n* Verification of inclusion and exclusion criteria\n* Collection of demographic data\n* Collection of clinical history, including headache characteristics, comorbidities and medication use\n\nAfter the clinical assessment, a standardized battery of tests is administered to evaluate dimensions related to chronic pain and quality of life:\n\n* Cognitive functions: Brief Cognitive Status Exam (BCSE) and/or Montreal Cognitive Assessment (MoCA)\n* Pain intensity and central sensitization: Numeric Pain Rating Scale (NPRS) and Central Sensitization Inventory (CSI)\n* Personality: Minnesota Multiphasic Personality Inventory 3 (MMPI-3)\n* Treatment engagement and adherence: Patient Health Engagement Scale (PHE-S) and Morisky Medication Adherence Scale (MMAS)\n* Psychological distress: Beck Depression Inventory (BDI) and State-Trait Anxiety Inventory (STAI)\n* Digital habits: ad-hoc questionnaire on digital behaviors in patients with headache\n\nFollow-up visit (T1) At approximately six months (T1), patients return for follow-up. All standardized instruments administered at T0 are readministered in order to evaluate changes over time in cognitive functioning, pain intensity and sensitization, personality and psychopathological dimensions, treatment adherence and digital habits.'}, 'eligibilityModule': {'sex': 'ALL', 'stdAges': ['ADULT'], 'maximumAge': '60 Years', 'minimumAge': '18 Years', 'samplingMethod': 'NON_PROBABILITY_SAMPLE', 'studyPopulation': 'The target population consists of adult patients with a diagnosis of chronic or episodic headache referring to the Headache Outpatient Clinic. Sample size was calculated using G\\*Power 3.1, taking as reference the primary objective of comparing the evolution (baseline vs T1) of main clinical-neuropsychological outcomes between chronic and episodic headache groups. The primary test was modeled as a repeated-measures ANOVA on the group×time interaction (two groups, two measurements), analogous to the interaction component of a linear mixed model.\n\nWith a significance level α = 0.05, statistical power 1-β = 0.90, intra-subject correlation r = 0.60 and two measurements, assuming an interaction effect size f = 0.20 and nonsphericity correction ε = 1, the minimum required sample size is N = 56 subjects (28 per group). Taking into account an expected dropout rate of 15%, the required enrollment was increased to N = 64 participants (32 per group), in order to preserve the planned power for the p', 'healthyVolunteers': False, 'eligibilityCriteria': 'Inclusion Criteria:\n\n* Age between 18 and 60 years;\n* Diagnosis of chronic or episodic headache;\n* Patients attending the Headache Outpatient Clinic.\n\nExclusion Criteria:\n\n* Presence of severe psychiatric and neurological disorders;\n* Presence of oncological diseases in terminal stage'}, 'identificationModule': {'nctId': 'NCT07268768', 'acronym': 'AURA', 'briefTitle': 'PERSONOLOGICAL STRUCTURE, COGNITIVE FUNCTIONS AND CENTRAL SENSITIZATION IN HEADACHE', 'organization': {'class': 'OTHER', 'fullName': 'IRCCS Centro Neurolesi Bonino Pulejo'}, 'officialTitle': 'Personological Structure, Cognitive Functions and Central Sensitization in Headache: Obstacles and Resources in the Treatment of Chronic and Episodic Headache.', 'orgStudyIdInfo': {'id': 'CEL/U117/25'}}, 'armsInterventionsModule': {'armGroups': [{'label': 'Chronic headache', 'description': 'Patients suffering from chronic headache', 'interventionNames': ['Other: Neuropsychological assessment']}, {'label': 'Episodic headache', 'description': 'Patients suffering from episodic headache', 'interventionNames': ['Other: Neuropsychological assessment']}], 'interventions': [{'name': 'Neuropsychological assessment', 'type': 'OTHER', 'description': 'Standardized and ad hoc test battery for comprehensive neuropsychological assessment', 'armGroupLabels': ['Chronic headache', 'Episodic headache']}]}, 'contactsLocationsModule': {'locations': [{'zip': '98066', 'city': 'Messina', 'state': 'Sicily', 'status': 'RECRUITING', 'country': 'Italy', 'contacts': [{'name': 'Anna Anselmo, Study Principal Investigator', 'role': 'CONTACT', 'email': 'anna.anselmo@irccsme.it', 'phone': '3489266543'}], 'facility': 'Irccs Centro Neurolesi Bonino Pulejo', 'geoPoint': {'lat': 38.19394, 'lon': 15.55256}}], 'centralContacts': [{'name': 'Anna Anselmo, Psychologist', 'role': 'CONTACT', 'email': 'anna.anselmo@irccsme.it', 'phone': '3489266543'}]}, 'ipdSharingStatementModule': {'ipdSharing': 'NO'}, 'sponsorCollaboratorsModule': {'leadSponsor': {'name': 'IRCCS Centro Neurolesi Bonino Pulejo', 'class': 'OTHER'}, 'responsibleParty': {'type': 'PRINCIPAL_INVESTIGATOR', 'investigatorTitle': 'Psychologist', 'investigatorFullName': 'Anna Anselmo', 'investigatorAffiliation': 'IRCCS Centro Neurolesi Bonino Pulejo'}}}}