Status:

NOT_YET_RECRUITING

OER Glibenclamide for Neuropathic Pain in Multiple Sclerosis

Lead Sponsor:

University of Maryland, Baltimore

Conditions:

Multiple Sclerosis

Neuropathic Pain

Eligibility:

All Genders

18-65 years

Phase:

PHASE1

Brief Summary

This is an early phase safety evaluation of the use of oral extended release (OER) glibenclamide, which is otherwise known as glyburide, for use as a treatment for neurologic pain in people with multi...

Detailed Description

This is a 2-stage pilot study of the pharmacodynamics and clinical effects of OER glibenclamide in MS patients with neuropathic pain. This pilot study will include 10 subjects. In Stage 1 of the study...

Eligibility Criteria

Inclusion

  • Age 18-65
  • Diagnosis of multiple sclerosis per the 2017 Revised McDonald Criteria
  • Score of ≥ 19 on the painDETECT questionnaire

Exclusion

  • Severe renal disorder from the patient's history (e.g., dialysis) or eGFR of \< 30 ml/min.1.73m2
  • Severe liver disease, or ALT \> 3 times upper limit of normal or bilirubin \>2 times normal
  • Acute ST elevation myocardial infarction, and/or acute decompensated heart failure, and/or QTc \> 520 ms, and/or known history of cardiac arrest (PEA, VT, VF, asystole), and/or admission for an acute coronary syndrome, myocardial infarction, or coronary intervention within the past 3 months
  • T2DM treated with insulin or oral medication
  • Blood glucose \< 55 mg/dL at enrollment or immediately prior to administration of study drug or a clinically significant history of hypoglycemia.
  • Known sulfonylurea treatment within 7 days. Sulfonylureas include glyburide/glibenclamide (Diabeta, Glynase); glyburide plus metformin (Glucovance); glimepiride (Amaryl); repaglinide (Prandin); nateglinide (Starlix); glipizide (Glucotrol, GlibeneseR, MinodiabR); gliclazide (DiamicronR); tolbutamide (Orinase, Tolinase); glibornuride (Glutril)
  • Known allergy to sulfa or specific allergy to sulfonylurea drugs
  • Known G6PD enzyme deficiency
  • Pregnancy. Women must be either postmenopausal, permanently sterilized or, if ≤50 years old must have a negative test for pregnancy obtained before enrollment
  • Breast-feeding women who do not agree to stop breastfeeding during Study Drug infusion and for 7 days following the end of Study Drug infusion

Key Trial Info

Start Date :

September 1 2026

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

September 1 2029

Estimated Enrollment :

10 Patients enrolled

Trial Details

Trial ID

NCT07221799

Start Date

September 1 2026

End Date

September 1 2029

Last Update

October 28 2025

Active Locations (1)

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Page 1 of 1 (1 locations)

1

University of Maryland School of Medicine

Baltimore, Maryland, United States, 21201