Investigation of a New Human Model for Itch
Study Details
Study Description
Brief Summary
This third sub-project aims to evaluate the interaction between the TRPM8 receptor and pruritus by studying the anti-pruritic effect of TPRM8-agonist L-menthol on histaminergic and non-histaminergic itch induced using three different pruritogens: histamine, cowhage and papain.
Condition or Disease | Intervention/Treatment | Phase |
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N/A |
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Experimental: Study group
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Other: Papain
Papain will be applied using cowhage spicules inactivated by heat
Other: Histamine
To deliver histamine, standard allergy skin prick test (SPT) lancets are applied
Other: Cowhage
Cowhage spicules are 1-2 mm in length and have a diameter of 1-3 μm. The spicules are inserted by gently rubbing 30-35 spicules into a 1 cm diameter skin area.
Other: L-menthol
A 1 mL aliquot is dispensed onto a 2,5 × 2,5 cm cotton pad and placed on a 6 × 6 cm sheet of medical tape.
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Outcome Measures
Primary Outcome Measures
- Measuring itch intensity by computerized Visual Analog Scale Scoring [For 15 minutes]
We will ask the subjects to rate the sensation of itch on a 100 mm VAS scale ranging from 0 to 100 where 0 indicates "no itch" and 100 indicates "worst itch imaginable
- Measuring pain intensity by computerized Visual Analog Scale Scoring [For 15 minutes]
We will ask the subjects to rate the sensation of pain on a 100 mm VAS scale ranging from 0 to 100 where 0 indicates "no pain" and 100 indicates "worst pain imaginable".
- Superficial blood perfusion measurement [After 15 minutes]
Superficial blood perfusion is measured by a Speckle contrast imager
- Measuring Alloknesis [15 minutes]
Alloknesis is measured by using mildly pruritic, non-painful von Frey nylon filaments of a predetermined intensity (generally 5-30 milliNewton of force).
Secondary Outcome Measures
- Measurement of Cold Detection Thresholds (CDT) [15 minutes]
The tests for thermal sensation will all be conducted using a PATHWAY ATS (Medoc Ltd, Israel) thermal sensory testing device.
- Measurement of Cold PainThresholds (CPT) [15 minutes]
The tests for thermal sensation will all be conducted using a PATHWAY ATS (Medoc Ltd, Israel) thermal sensory testing device.
- Measurement of Heat Pain Thresholds (HPT) [15 minutes]
The tests for thermal sensation will all be conducted using a PATHWAY ATS (Medoc Ltd, Israel) thermal sensory testing device.
- Measurement of Warm Detection Thresholds (WDT) [15 minutes]
The tests for thermal sensation will all be conducted using a PATHWAY ATS (Medoc Ltd, Israel) thermal sensory testing device.
- Measurement of Pain to Supra-threshold Heat Stimuli [15 minutes]
The tests for thermal sensation will all be conducted using a PATHWAY ATS (Medoc Ltd, Israel) thermal sensory testing device.
- Measurement of Mechanical Pain Thresholds (MPT) [15 minutes]
This test is conducted using a pin-prick set.
- Measurement of Mechanical Pain Sensitivity (MPS) [15 minutes]
This test is conducted using a pin-prick set.
- Touch Pleasantness (TP) [15 minutes]
Pleasant touch sensation measured using a standardized sensory brush
Eligibility Criteria
Criteria
Inclusion Criteria:
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Healthy men and women
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18-60 years
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Speak and understand English
Exclusion Criteria:
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Pregnancy or lactation
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Drug addiction defined as any use of cannabis, opioids or other addictive drugs
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Previous or current history of neurological, dermatological, immunological musculoskeletal, cardiac disorder or mental illnesses that may affect the results (e.g. neuropathy, muscular pain in the upper extremities, etc.).
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Lack of ability to cooperate
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Current use of medications that may affect the trial such as antihistamines, antipsychotics and pain killers, as well as systemic or topical steroids.
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Skin diseases
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Moles, scars or tattoos in the area to be treated or tested.
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Hypersensitivity to papaya and mango fruit, cashew nuts, rubber latex
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Consumption of alcohol or painkillers 24 hours before the study days and between these
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Acute or chronic pain
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Participation in other trials within 1 week of study entry (4 weeks in the case of pharmaceutical trials)
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | Aalborg University | Aalborg | Nordjylland | Denmark | 9229 |
Sponsors and Collaborators
- Aalborg University
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- N-20200005 (third sub-project)