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Trial · NCT03879538

Nitrous Oxide for the Treatment of Complex Regional Pain Syndrome

NCT03879538, Phase 3, Completed, The Cleveland Clinic; results first posted 2024-02-09

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Nitrous Oxide for the Treatment of Complex Regional Pain Syndrome. Trials, record NCT03879538. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT03879538

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
Nitrous Oxide for the Treatment of Complex Regional Pain Syndrome
NCT number
NCT03879538
Status
Completed
Phases
Phase 3
Enrollment
44 participants, actual
Lead sponsor
The Cleveland Clinic
Conditions
Complex Regional Pain Syndrome
Interventions
Nitrous Oxide, Oxygen
First posted
2019-03-18
Last updated
2024-02-09
Results first posted
2024-02-09
Limitations and caveats
limitations include the purely subjective nature of pain which was our primary outcome. Validity of the trial thus depends critically on adequacy of blinding. Because many patients can detect inhaled nitrous oxide, we gave all participants midazolam which has similar effects. But it remains possible that some patients could distinguish nitrous oxide from air, and were thus biased.

Source ClinicalTrials.gov

Registered outcomes3

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryPain Scoreone-week and one-month follow-up time pointsscales ranging from 0 - "no pain" to 10 - "worst pain ever" based on the PROMIS-29 v2.0 questionnaire.
SecondaryPROMIS-29 Survey Physical Health Z-score, Mental Health Z-scoreone-week and one-month follow-ups after treatments were ended
As intermediate scores, T-scores for each of the 7 domains used in the survey need to be estimated from raw data in order to obtain final summary Z-scores measuring physical and mental health. T-scores were obtained from an on-line service provided by the HealthMeasures Scoring Service (https://www.assessmentcenter.net/ac\_scoringservice). Physical and mental summary Z-scores were calculated using the formulas given in the document titled "Calculating physical and mental health summary scores for PROMIS-29 v2.0 and v2.1" (dated on August 8, 2018) by Karen L. Spritzer and Ron D. Hays from the website HealthMeasures.net. High T-scores indicates more of the concept being measured which can be either desirable or undesirable outcome, e.g., high T-score on fatigue is undesirable whereas desirable for physical function. Z-scores are standard scores with mean of 0 and SD of 1 in reference population. High Z-scores are desirable for either physical or mental health.
SecondaryPGIC Scaleone-week and one-month follow-ups.
patient disease perception as measured by the Patient's Global Impression of Change (PGIC) survey (a seven-point scale ranging from 1 - "no change or condition has gotten worse" to 7 - "very much improve").

Outcomes3

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYPain Scoreone-week and one-month follow-up time points
A few patients had missing primary outcome measurements. The Mean (SD) values presented here was based on available raw data. In our formal analysis of treatment effect on primary outcome, we used multiple imputation procedures to impute missing primary outcome values.
score on a scaleMEAN
SECONDARYPROMIS-29 Survey Physical Health Z-score, Mental Health Z-scoreone-week and one-month follow-ups after treatments were endedA few patients had missing values due to withdrawal from the study or failure of follow-up contact.z-scoreMEAN
SECONDARYPGIC Scaleone-week and one-month follow-ups.A few patients had missing values due to withdrawal from the study or study participants can not be reached for follow-up with phone calls.score on a scaleMEDIAN

Results by group16

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Pain ScoreThe Nitrous Oxide Groupone-week follow-up5.9Standard Deviation 1.5score on a scale
Pain ScoreThe Control Groupone-week follow-up6.0Standard Deviation 2.5score on a scale
Pain ScoreThe Nitrous Oxide Groupone-month follow-up6.5Standard Deviation 2.0score on a scale
Pain ScoreThe Control Groupone-month follow-up6.8Standard Deviation 2.2score on a scale
PROMIS-29 Survey Physical Health Z-score, Mental Health Z-scoreThe Nitrous Oxide GroupPhysical health Z-score at one-week follow-up-1.4Standard Deviation 0.71z-score
PROMIS-29 Survey Physical Health Z-score, Mental Health Z-scoreThe Control GroupPhysical health Z-score at one-week follow-up-1.4Standard Deviation 0.78z-score
PROMIS-29 Survey Physical Health Z-score, Mental Health Z-scoreThe Nitrous Oxide GroupPhysical health Z-score at one-month follow-up-1.4Standard Deviation 0.58z-score
PROMIS-29 Survey Physical Health Z-score, Mental Health Z-scoreThe Control GroupPhysical health Z-score at one-month follow-up-1.5Standard Deviation 0.68z-score
PROMIS-29 Survey Physical Health Z-score, Mental Health Z-scoreThe Nitrous Oxide GroupMental health Z-score at one-week follow-up-1.01Standard Deviation 0.81z-score
PROMIS-29 Survey Physical Health Z-score, Mental Health Z-scoreThe Control GroupMental health Z-score at one-week follow-up-0.91Standard Deviation 1.00z-score

Participant flow6

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDThe Nitrous Oxide Group20
Overall StudySTARTEDThe Control Group24
Overall StudyCOMPLETEDThe Nitrous Oxide Group20
Overall StudyCOMPLETEDThe Control Group24
Overall StudyNOT COMPLETEDThe Nitrous Oxide Group0
Overall StudyNOT COMPLETEDThe Control Group0

Adverse events0

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

None in this release.

Adverse event totals6

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityThe Nitrous Oxide Group020
Total, all-cause mortalityThe Control Group024
Total, other adverse eventsThe Nitrous Oxide Group020
Total, other adverse eventsThe Control Group024
Total, serious adverse eventsThe Nitrous Oxide Group020
Total, serious adverse eventsThe Control Group024

Papers0

The papers the trial lists on ClinicalTrials.gov.

None in this release.

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons2

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

ComparisonSource
The Nitrous Oxide Group vs The Control Group: deaths from any causeTrial comparisons
The Nitrous Oxide Group vs The Control Group: serious adverse eventsTrial comparisons

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT03879538

GET https://conductscience.org/api/trials/v1/NCT03879538/registered