M79.7
Conditions
Interventions
Group 1: We have followed a cohort of patients with fibromyalgia syndrome (FMS) for more than 10 years. For many participants, long-term follow-up data (=5 years) are available. Based on changes in th
Sponsors
Universitätsklinikum Würzburg
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: Patients aged 18 and older with CRPS (male/female) or FMS (female). Healthy control subjects.
Exclusion criteria
Exclusion criteria: Serious other medical condition that would prevent participation in the study. For microneurography (MNG) and skin biopsy: bleeding disorder. For MNG and MRI: pacemaker or internal defibrillator, pregnant or breastfeeding women.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary endpoint is the resolution or clinical improvement of fibromyalgia syndrome (FMS). Resolution is defined as a reduction of the Fibromyalgia Impact Questionnaire (FIQ) score by = 50%, and improvement as a reduction by = 30%, together with the associated change in the systemic cytokine profile. This parameter will be assessed by comparing the initial examination (baseline at the first clinical visit), two to three follow-up assessments during long-term follow-up (= 5 years), and the current examination conducted as part of the present study. Clinical status will be assessed using the FIQ. In parallel, serum cytokines and chemokines will be measured using the ELLA® system. Additionally, serum Neurofilament Light Chain (NfL) will be determined as a marker of axonal degeneration. | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary endpoints include subjective pain intensity, which is assessed multiple times per day during the one-week Ecological Momentary Assessment (EMA) and Ecological Momentary Intervention (EMI) phase, as well as comorbidities, neuropathic pain symptoms, overall pain burden, and depressive symptoms, all evaluated at the current study visit using various questionnaires. In addition, intraepidermal nerve fiber density (IENFD) is determined once via a skin biopsy with immunohistochemical analysis, while spontaneous activity and excitability of C-nociceptors are examined once using microneurography with electrical, mechanical, and thermal stimulation. Morphology and function of the dorsal root ganglia are assessed once by magnetic resonance imaging (MRI). Finally, autoantibody profiles and the reactivity of peripheral immune cells are evaluated. | — |
Countries
Germany
Contacts
Public ContactClaudia Sommer
Universitätsklinikum Würzburg
Outcome results
None listed