Status:

COMPLETED

Research Study to Test Safety and Effectiveness of Investigational Drug in Patients With Trigeminal Neuralgia

Lead Sponsor:

Thomas Jefferson University

Conditions:

Trigeminal Neuralgia

Eligibility:

All Genders

15-75 years

Phase:

NA

Brief Summary

This research study will look at the safety (e.g., the occurrence of side effects) and efficacy (how well the drug works in reducing trigeminal neuralgia attacks) of a drug called lamotrigine in adult...

Detailed Description

A randomized, double-blind, placebo-controlled, add-on study of lamotrigine in trigeminal neuralgia. Thirty-eight eligible patients with trigeminal neuralgia will be enrolled; nineteen will be randomi...

Eligibility Criteria

Inclusion

  • Age 18 - 75 yrs
  • Male; or non-pregnant/non-lactating female
  • Use of adequate birth-control measures as determined by investigator for females of child-bearing potential
  • Diagnosis of trigeminal neuralgia (TN) using IHS (International Headache Society) criteria (see appendix A)
  • Able to cooperate with and understand study instructions
  • Signed informed consent prior to entering study
  • Patients must be on a stable dose of concomitant medications for treatment of trigeminal neuralgia (TN) for at least 4 weeks (see below)
  • If subject is currently receiving a tricyclic antidepressant, anticonvulsant, and/or Class I antiarrhythmic (e.g., amitriptyline, mexiletine, phenytoin, gabapentin or carbamazepine) for treatment of pain or any other condition, subject must be willing and able to maintain stable doses of these agents within 4 weeks prior to randomization and throughout the study (i.e., doses cannot be increased or decreased during this period).
  • Subjects who require "rescue" analgesic medication during the study will be allowed to use increased doses of their current (pre-study) opioid and/or non opioid analgesics as clinically indicated (e.g., non-steroidal anti-inflammatory medications, acetaminophen, COX-2 inhibitors, topical analgesics). Subjects will be allowed to use a new analgesic for a limited time for non-neuropathic pain (e.g., headache, sinusitis, strained muscle, minor ache and pain), but will be prohibited from initiating therapy with a new analgesic agent and use it continuously throughout the remainder of the study.
  • If subject is not currently receiving a tricyclic antidepressant, anticonvulsant, and/or Class I antiarrhythmic (e.g., amitriptyline, mexiletine, phenytoin, gabapentin or carbamazepine) for treatment of pain or any other condition, subject must be willing and able to abstain from initiation of these agents within 4 weeks prior to randomization and throughout the study.
  • Subject must be willing and able to abstain from initiating an alternative therapy (e.g., acupuncture, massage or physical therapy) for pain relief during the study. (NOTE: subjects who are currently using alternative therapy for pain relief can be enrolled if they are willing and able to maintain such therapy stable throughout the study.)

Exclusion

  • Serious hepatic, respiratory, hematologic, cardiovascular or renal condition
  • Neurologic pain other than TN (trigeminal neuralgia), with the exception of occasional migrainous/ tension-type headaches. (\<4 headaches per month)
  • Psychiatric or medical condition that might compromise participation in study, as determined by the investigator
  • Use of opioid analgesic as treatment of neuralgia (\>2 days per week)
  • Administration of any investigational drug within 30 days prior to screening
  • Concurrent use of sodium valproate
  • Current diagnosis of active epilepsy or any active seizure disorder requiring chronic therapy with antiepileptic drug(s)
  • Pregnant or breastfeeding women
  • History of substance abuse/ alcoholism

Key Trial Info

Start Date :

June 1 2003

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

July 1 2006

Estimated Enrollment :

20 Patients enrolled

Trial Details

Trial ID

NCT00203229

Start Date

June 1 2003

End Date

July 1 2006

Last Update

June 3 2014

Active Locations (1)

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Jefferson Headache Center

Philadelphia, Pennsylvania, United States, 19107