Clinical trials data
Cognitive tests in pain and fatigue trials: 681 registered studies
Every registered pain and fatigue study on ClinicalTrials.gov that names a cognitive test in an outcome measure: the tests used most, how often as a primary outcome, which tests go together, how large the studies are and when they measure the outcome.
- Registered pain and fatigue studies name a cognitive test in an outcome
- 681
- Led by industry
- 53
The tests pain and fatigue trials use most
The Stroop Color-Word Test leads: 114 of the 681 studies name it, 17%. Next comes the Trail Making Test (94). As a primary outcome, the Stroop Color-Word Test leads with 43 studies.
- 1
Stroop Color-Word Test114 studies, 43 as a primary outcome
- 2
Trail Making Test94 studies, 27 as a primary outcome
- 3
Symbol Coding82 studies, 17 as a primary outcome
- 4
Verbal Learning72 studies, 16 as a primary outcome
- 5
Digit Span Test61 studies, 29 as a primary outcome
- 6
Verbal Fluency53 studies, 17 as a primary outcome
- 7
Psychomotor Vigilance Task35 studies, 17 as a primary outcome
- 8
N-Back Task31 studies, 12 as a primary outcome
- 9
Paced Visual Serial Addition Test28 studies, 13 as a primary outcome
- 10
Continuous Performance Test27 studies, 10 as a primary outcome
- 11
Simple Reaction Time22 studies, 11 as a primary outcome
- 12
Go/No-Go Task22 studies, 8 as a primary outcome
- 13
Rapid Visual Information Processing18 studies, 9 as a primary outcome
- 14
Category Fluency16 studies, 5 as a primary outcome
- 15
Paired Associate Learning14 studies, 3 as a primary outcome
- 16
Choice Reaction Time13 studies, 7 as a primary outcome
- 17
Task Switching Test13 studies, 2 as a primary outcome
- 18
Eriksen Flanker Task12 studies, 7 as a primary outcome
- 19
Attention Network Test12 studies, 3 as a primary outcome
- 20
Tower Planning11 studies, 5 as a primary outcome
- 21
Card Sorting Test (Berg)11 studies, 3 as a primary outcome
- 22
Corsi Block-Tapping Test10 studies, 7 as a primary outcome
- 23
Stop-Signal Task9 studies, 4 as a primary outcome
- 24
Matrix Reasoning9 studies, 3 as a primary outcome
- 25
Finger Tapping Task8 studies, 2 as a primary outcome
A test as a primary outcomeOnly in secondary or other outcomes
23% of pain and fatigue studies name only instruments outside the library, such as clinician-administered screening scales. They count in every figure on this page and are not listed. The explorer below holds all 98 tests.
Tests used together
- Stroop Color-Word Test and Trail Making Test26 studies name both
- Digit Span Test and Trail Making Test25 studies name both
- Symbol Coding and Verbal Learning22 studies name both
- Trail Making Test and Verbal Learning21 studies name both
- Digit Span Test and Verbal Fluency19 studies name both
- Digit Span Test and Verbal Learning19 studies name both
- Trail Making Test and Verbal Fluency18 studies name both
- Verbal Fluency and Verbal Learning16 studies name both
- Stroop Color-Word Test and Verbal Fluency13 studies name both
- Symbol Coding and Trail Making Test13 studies name both
Studies by start year
A test as a primary outcomeOnly in secondary or other outcomes
Show as a table
| Start year | Studies | A test as a primary outcome |
|---|---|---|
| 2000 | 1 | 0 |
| 2001 | 0 | 0 |
| 2002 | 3 | 0 |
| 2003 | 0 | 0 |
| 2004 | 3 | 2 |
| 2005 | 1 | 0 |
| 2006 | 4 | 2 |
| 2007 | 6 | 2 |
| 2008 | 7 | 4 |
| 2009 | 6 | 2 |
| 2010 | 7 | 2 |
| 2011 | 9 | 3 |
| 2012 | 11 | 4 |
| 2013 | 16 | 5 |
| 2014 | 14 | 5 |
| 2015 | 13 | 7 |
| 2016 | 27 | 6 |
| 2017 | 33 | 6 |
| 2018 | 37 | 11 |
| 2019 | 37 | 12 |
| 2020 | 32 | 11 |
| 2021 | 60 | 29 |
| 2022 | 48 | 15 |
| 2023 | 69 | 23 |
| 2024 | 78 | 34 |
| 2025 | 81 | 26 |
| 2026 | 74 | 26 |
Phases and sponsors
By phase
- Early phase 114 studies, 8 as a primary outcome
- Phase 117 studies, 7 as a primary outcome
- Phase 1/210 studies, 0 as a primary outcome
- Phase 257 studies, 11 as a primary outcome
- Phase 2/312 studies, 2 as a primary outcome
- Phase 329 studies, 7 as a primary outcome
- Phase 426 studies, 7 as a primary outcome
- Not applicable399 studies, 142 as a primary outcome
- Observational117 studies, 53 as a primary outcome
Sponsors and study types
Lead sponsor: industry 53, NIH 2, universities, hospitals and others 626. Interventional 564, observational 117.
Status, results, interventions and countries
Status
- Recruiting126 studies, 35 as a primary outcome
- Not yet recruiting46 studies, 13 as a primary outcome
- Active, not recruiting16 studies, 3 as a primary outcome
- Completed357 studies, 126 as a primary outcome
- Stopped early37 studies, 19 as a primary outcome
- Status unknown99 studies, 41 as a primary outcome
What they test
- Behavioral157 studies, 50 as a primary outcome
- Drug179 studies, 47 as a primary outcome
- Device127 studies, 44 as a primary outcome
- Dietary supplement45 studies, 23 as a primary outcome
- Procedure21 studies, 6 as a primary outcome
- Diagnostic test18 studies, 9 as a primary outcome
- Biological3 studies, 2 as a primary outcome
- Radiation3 studies, 1 as a primary outcome
- Combination product2 studies, 0 as a primary outcome
- Other181 studies, 67 as a primary outcome
- None given49 studies, 22 as a primary outcome
Intervention types as registered. A study can list several; observational studies often list none.
Where their sites are
- United States216 studies, 81 as a primary outcome
- Türkiye62 studies, 26 as a primary outcome
- Canada35 studies, 11 as a primary outcome
- Spain31 studies, 7 as a primary outcome
- United Kingdom29 studies, 12 as a primary outcome
- France28 studies, 6 as a primary outcome
- China27 studies, 7 as a primary outcome
- Italy24 studies, 9 as a primary outcome
- Belgium23 studies, 10 as a primary outcome
- Denmark21 studies, 4 as a primary outcome
- Germany18 studies, 6 as a primary outcome
- Norway18 studies, 1 as a primary outcome
50 countries in all. A study with sites in several counts in each; 46 list no site.
Reported results
Completed studies with results posted on ClinicalTrials.gov, a results paper the registry links to the study, or both.
Completed pain and fatigue studies: 149 of 357, 42%
Every completed study with a cognitive outcome: 3,626 of 7,953, 46%
| Results | Completed pain and fatigue studies | Every completed study |
|---|---|---|
| Results on ClinicalTrials.gov and a paper | 27, 8% | 776, 10% |
| Results on ClinicalTrials.gov only | 42, 12% | 1,139, 14% |
| A results paper only | 80, 22% | 1,711, 22% |
| Neither | 208, 58% | 4,327, 54% |
How many participants they enroll
- Early phase 136 median, 28 to 60
- Phase 132 median, 20 to 76
- Phase 1/233 median, 15 to 56
- Phase 2100 median, 49 to 148
- Phase 2/371 median, 40 to 105
- Phase 372 median, 44 to 157
- Phase 4102 median, 30 to 254
- Not applicable59 median, 30 to 100
- Observational93 median, 50 to 183
Show as a table
| Phase | Studies with a size | Median | Middle half |
|---|---|---|---|
| Early phase 1 | 13 | 36 | 28 to 60 |
| Phase 1 | 17 | 32 | 20 to 76 |
| Phase 1/2 | 10 | 33 | 15 to 56 |
| Phase 2 | 55 | 100 | 49 to 148 |
| Phase 2/3 | 12 | 71 | 40 to 105 |
| Phase 3 | 29 | 72 | 44 to 157 |
| Phase 4 | 25 | 102 | 30 to 254 |
| Not applicable | 393 | 59 | 30 to 100 |
| Observational | 115 | 93 | 50 to 183 |
When the cognitive outcome is measured
Latest time point of each outcome
- Within a day184 outcomes, 80 as a primary outcome
- Up to 4 weeks200 outcomes, 72 as a primary outcome
- 1 to 3 months290 outcomes, 93 as a primary outcome
- 3 to 6 months95 outcomes, 27 as a primary outcome
- 6 to 12 months79 outcomes, 16 as a primary outcome
- 1 to 2 years28 outcomes, 14 as a primary outcome
- Over 2 years12 outcomes, 4 as a primary outcome
- No duration given95 outcomes, 44 as a primary outcome
A test as a primary outcomeOnly in secondary or other outcomes
888 of the 983 outcome measures give a duration. A single visit counts as within a day.
Median time to the primary outcome, by test
| Test | Primary outcomes | Median |
|---|---|---|
| Stroop Color-Word Test | 34 | 2 weeks |
| Digit Span Test | 25 | 8 weeks |
| Trail Making Test | 24 | 9 weeks |
| Psychomotor Vigilance Task | 16 | 3 weeks |
| Verbal Fluency | 16 | 10 weeks |
| Symbol Coding | 15 | 9 weeks |
| Verbal Learning | 15 | 13 weeks |
| Simple Reaction Time | 11 | 3 weeks |
| Continuous Performance Test | 10 | 6 weeks |
| Paced Visual Serial Addition Test | 10 | 13 weeks |
Explore the pain and fatigue studies
521 studies match. 196 name a library test in a primary outcome. Median size 60 participants. Median time to the primary outcome: 5 weeks.
Loading 521 studies; the filters turn on when they arrive.
2026 is partly planned starts. Not shown: 4 planned to start after 2026.
Show as a table
| Start year | Studies | As a primary outcome |
|---|---|---|
| 2000 | 1 | 0 |
| 2001 | 0 | 0 |
| 2002 | 3 | 0 |
| 2003 | 0 | 0 |
| 2004 | 3 | 2 |
| 2005 | 1 | 0 |
| 2006 | 4 | 2 |
| 2007 | 6 | 2 |
| 2008 | 7 | 4 |
| 2009 | 5 | 2 |
| 2010 | 7 | 2 |
| 2011 | 8 | 3 |
| 2012 | 10 | 4 |
| 2013 | 16 | 5 |
| 2014 | 12 | 5 |
| 2015 | 12 | 7 |
| 2016 | 22 | 6 |
| 2017 | 25 | 5 |
| 2018 | 25 | 9 |
| 2019 | 22 | 7 |
| 2020 | 25 | 10 |
| 2021 | 46 | 25 |
| 2022 | 38 | 13 |
| 2023 | 45 | 17 |
| 2024 | 58 | 28 |
| 2025 | 58 | 18 |
| 2026 | 58 | 20 |
Library tests named most
Largest condition groups
Phases
Participants
Lead sponsor: industry 48, NIH 2, other 471. Interventional 450, observational 71.
As a primary outcomeSecondary or other outcome
The studies, newest registration first
Each number opens the study's record on ClinicalTrials.gov.
| Study | Start | Phase | Conditions | Participants | Lead sponsor | Status | Library tests named, with the latest time point |
|---|---|---|---|---|---|---|---|
| NCT07906847 | Start2026 | PhaseObservational | ConditionsPain and fatigue | Participants80 | Lead sponsorOther | StatusNot yet recruiting | Library tests named
|
| NCT07898722 | Start2025 | PhaseNot applicable | ConditionsAnxiety, PTSD and OCD, Pain and fatigue | Participants40 | Lead sponsorOther | StatusCompleted | Library tests named
|
| NCT07894965 | Start2026 | PhaseNot applicable | ConditionsPain and fatigue | Participants90 | Lead sponsorOther | StatusNot yet recruiting | Library tests named
|
| NCT07889466 | Start2025 | PhaseNot applicable | ConditionsSleep and sleep disorders, Pain and fatigue | Participants203 | Lead sponsorOther | StatusCompleted | Library tests named
|
| NCT07886606 | Start2021 | PhaseEarly phase 1 | ConditionsSubstance use and addiction, Pain and fatigue | Participants34 | Lead sponsorOther | StatusRecruiting | Library tests named
|
| NCT07885085 | Start2027 | PhaseObservational | ConditionsMild cognitive impairment, Substance use and addiction, Delirium, surgery and intensive care, Pain and fatigue | Participants552 | Lead sponsorOther | StatusNot yet recruiting | Library tests named
|
| NCT07867041 | Start2024 | PhaseNot applicable | ConditionsPain and fatigue | Participants24 | Lead sponsorOther | StatusCompleted | Library tests named
|
| NCT07852156 | Start2026 | PhaseNot applicable | ConditionsMultiple sclerosis, Pain and fatigue | Participants42 | Lead sponsorOther | StatusRecruiting | Library tests named
|
| NCT07851896 | Start2026 | PhaseNot applicable | ConditionsPain and fatigue | Participants40 | Lead sponsorOther | StatusNot yet recruiting | Library tests named
|
| NCT07843108 | Start2026 | PhasePhase 1/2 | ConditionsPain and fatigue | Participants8 | Lead sponsorIndustry | StatusActive, not recruiting | Library tests named
|
| NCT07842302 | Start2026 | PhaseNot applicable | ConditionsMultiple sclerosis, Pain and fatigue | Participants80 | Lead sponsorOther | StatusNot yet recruiting | Library tests named
|
| NCT07820475 | Start2026 | PhaseObservational | ConditionsPain and fatigue | Participants400 | Lead sponsorOther | StatusNot yet recruiting | Library tests named
|
| NCT07802860 | Start2026 | PhaseNot applicable | ConditionsPain and fatigue | Participants30 | Lead sponsorOther | StatusNot yet recruiting | Library tests named
|
| NCT07792850 | Start2027 | PhaseNot applicable | ConditionsPain and fatigue | Participants625 | Lead sponsorOther | StatusNot yet recruiting | Library tests named
|
| NCT07791355 | Start2026 | PhaseNot applicable | ConditionsPain and fatigue | Participants25 | Lead sponsorOther | StatusRecruiting | Library tests named
|
| NCT07786987 | Start2026 | PhaseObservational | ConditionsMultiple sclerosis, Pain and fatigue | Participants50 | Lead sponsorOther | StatusNot yet recruiting | Library tests named
|
| NCT07783074 | Start2026 | PhaseObservational | ConditionsMultiple sclerosis, Healthy volunteers, COVID-19 and long COVID, Pain and fatigue | Participants122 | Lead sponsorOther | StatusRecruiting | Library tests named
|
| NCT07779304 | Start2026 | PhaseNot applicable | ConditionsPain and fatigue | Participants32 | Lead sponsorOther | StatusNot yet recruiting | Library tests named
|
| NCT07766980 | Start2026 | PhasePhase 2 | ConditionsPain and fatigue | Participants20 | Lead sponsorOther | StatusRecruiting | Library tests named
|
| NCT07766213 | Start2026 | PhaseObservational | ConditionsMultiple sclerosis, Pain and fatigue | Participants60 | Lead sponsorOther | StatusRecruiting | Library tests named
|
| NCT07761611 | Start2026 | PhaseNot applicable | ConditionsPain and fatigue | Participants118 | Lead sponsorOther | StatusNot yet recruiting | Library tests named
|
| NCT07755475 | Start2025 | PhaseNot applicable | ConditionsPain and fatigue | Participants50 | Lead sponsorIndustry | StatusCompleted | Library tests named
|
| NCT07752329 | Start2026 | PhaseNot applicable | ConditionsPain and fatigue | Participants70 | Lead sponsorOther | StatusNot yet recruiting | Library tests named
|
| NCT07742605 | Start2025 | PhaseNot applicable | ConditionsPain and fatigue | Participants35 | Lead sponsorIndustry | StatusCompleted | Library tests named
|
| NCT07740967 | Start2026 | PhaseNot applicable | ConditionsSleep and sleep disorders, Pain and fatigue, Cardiovascular disease | Participants34 | Lead sponsorOther | StatusRecruiting | Library tests named
|
Questions, answered from the data
Which cognitive test do pain and fatigue trials use most?
The Stroop Color-Word Test: 114 of the 681 registered studies name it in an outcome measure, 17%. Next come the Trail Making Test (94) and Symbol Coding (82).
Which cognitive test do pain and fatigue trials use most as a primary outcome?
The Stroop Color-Word Test, named in a primary outcome by 43 studies. 237 of the 681 studies, 35%, name a cognitive test in a primary outcome.
How many participants does a phase 2 pain and fatigue trial enroll?
Half of the phase 2 pain and fatigue studies enroll 100 participants or fewer, and the middle half enroll 49 to 148. 55 of them give a size.
How long after the start do pain and fatigue trials measure a cognitive outcome?
Half of the primary outcomes that name a library test are measured within 5 weeks of the start, and the middle half from the first day to 12 weeks. 306 primary outcomes give a duration.
Which cognitive tests do pain and fatigue trials use together?
The Stroop Color-Word Test with the Trail Making Test most often: 26 studies name both. Next, the Digit Span Test with the Trail Making Test (25).
How many completed pain and fatigue trials have reported results?
149 of the 357 completed pain and fatigue studies, 42%, have reported results: 69 posted them on ClinicalTrials.gov, 107 have a results paper linked to the registry record, and 27 did both. The other 208 show neither. Of all completed studies with a cognitive outcome, 46% have reported results.
How the studies are counted
For each test family, the census runs ClinicalTrials.gov's own outcome search for the family's names and reads every study first posted by the day the family was counted. These studies were read on 10 November 2026. A study counts once on a page, however many tests it names. Counts for a test cover every version of the task under any of its names, so a page can count studies that used a commercial version.
The census adds two things to each record and changes nothing in it: which outcome list names the test (primary, then secondary, then other), and the condition groups, matched on the study's condition names and MeSH terms. A study can fall in several groups; one whose only condition is cognitive impairment or decline falls in “Cognitive impairment and decline”. Studies that name only instruments outside the library count in every total and share but are not listed.
A second read on 10 November 2026 added each study's overall status, whether results are posted, its intervention types, the countries of its sites and the time frame of the outcome that names each test. A time frame counts by the latest time point it names: “Baseline, 12 and 24 weeks” is 24 weeks, a single visit is within a day, and one that names no duration, such as “end of treatment”, is left out of the timings.
A third read on 10 November 2026 added the papers the registry links to each study: those its sponsor lists as reporting results, and those PubMed links to it through the study's NCT number. A study has a results paper when one of them came out in or after the month of its primary completion and PubMed does not class it as a protocol, review or comment. A paper that never gives the NCT number is not linked, so some studies counted as reporting neither did publish.
Source: ClinicalTrials.gov, a database of the U.S. National Library of Medicine, which does not endorse these pages. Every study line is in the data release 2.1.0, and the explorer's own file is clinical-trials-studies.json.
Plan the cognitive outcomes of a pain and fatigue trial
Choose tests with a record in registered trials, and run them in a browser at every site, on the same version each visit.