Status:

UNKNOWN

Pregabalin for the Treatment and Prevention of Spinal Cord Injury Neuropathic Pain

Lead Sponsor:

Julian Taylor Green

Conditions:

Neuropathic Pain

Spinal Cord Injuries

Eligibility:

All Genders

18-70 years

Phase:

PHASE4

Brief Summary

This study is a phase IV clinical trial with the objective of evaluating whether pain relief associated with pregabalin for at-level non-evoked and evoked neuropathic pain is more efficient during the...

Eligibility Criteria

Inclusion

  • Comprehension of clinical trial and signed informed consent before initiation.
  • Male or female adults, age 18 to 70.
  • Clinical history of neuropathic pain secondary to SCI
  • Patients with an AIS of A, B, C or D according to the American Spinal Cord Injury Association (ASIA) Impairment Scale.
  • Persistent neuropathic pain from 1 month up to 6 months after spinal cord injury.
  • Non-evoked at-level pain with ≥ 2 intensity measured with the numerical rating scale (0-10).
  • Non-evoked/evoked at-level pain corresponding to the area of sensory alteration, and within the three dermatomes below the neurological level of the spinal cord injury.
  • Formal acceptance of disponibility for all programmed clinical trial visits and other protocol requisites.
  • Females of child bearing age must demonstrate a negative pregnancy test (performed on screening and subsequent follow up visits) and use a reliable birth control method including abstinence of sexual activity throughout the duration of the study and for at last 28 days after termination of the clinical trial.

Exclusion

  • Previous or actual use of gabapentin.
  • Creatinine clearance level \<60 ml/min.
  • Neuropathic pain unrelated to spinal cord injury.
  • Lactose intolerance, Lapp lactase insufficiency or glucose malabsorption
  • Platelet count \< 100x103/µl.
  • White blood cell count \<2.5 x103/µl.
  • Neutrophil count \<1.5 x103/µl.
  • Planned surgery during the clinical trial.
  • Patients with peripheral neuropathic pain.
  • Previous history of malignant melanoma.
  • History of malignant tumors, except for in situ uterine cervix carcinoma, in situ basocellular or spinocellular cutaneous carcinomas, superficial bladder tumors (Ta and Tis) with a complete treatment response up to 10 years. Patients with history of lymphoma or breast cancer will be allowed to participate in the trial if a complete treatment response has been observed up to 20 years.
  • Chronic or active infection requiring a systemic therapy, chronic kidney infections, chronic lung infections with bronchiectasias, Mycobacterium tuberculosis infection, active Hepatitis B or C. Diagnosis of latent TB confection should be performed according to the local guidelines.
  • Severe heart diseases such as unstable angina, cardiopathy during the first 6 months after a myocardial infarction, grade III or IV of the New York Heart Association scale for congestive heart failure.
  • Unknown kidney, liver, gastrointestinal, endocrine, lung, hematological, neurological or psychiatric comorbidities.
  • Subjects administered with an experimental or non-commercial drug during the 4 weeks prior to the trial.
  • Patients participating in other clinical studies.
  • Patients that are not competent for completing required tasks (eg. alcohol or drug related problems or psychiatric disorders).
  • Subjects unable to be examined with radiological MRI exploration due to contraindications.
  • Pregnancy or breastfeeding.
  • Any other patient condition that is deemed unsuitable for subject inclusion in the trial according to the research team.

Key Trial Info

Start Date :

December 1 2011

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

October 1 2014

Estimated Enrollment :

82 Patients enrolled

Trial Details

Trial ID

NCT01479556

Start Date

December 1 2011

End Date

October 1 2014

Last Update

November 24 2011

Active Locations (1)

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1

Hospital Nacional de Parapléjicos de Toledo

Toledo, Toledo, Spain, 45071