Ketamine and Neuropathic Pain
试验速览
- 阶段
- 2 期
- 发起方
- 入组人数
- 22
- 试验地点
- 1
- 主要终点
- Numerical rating scale (NRS)
研究概览
简要总结
The primary outcome is to compare the analgesic efficacy of intravenous ketamine treatment to that of a placebo in patients with refractory neuropathic pain.
The secondary outcomes are:
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- To compare the additive analgesic efficacy of prior administration of magnesium sulfate to that of placebo and ketamine only, on the effectiveness of intravenous ketamine treatment,
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- To study the evolution time of pain and analgesia after the intravenous administration of ketamine and placebo,
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- To study the correlation of the analgesic response to administered products respectively ketamine, ketamine and magnesium sulfate, placebo.
详细描述
Description of the study:
Single-center clinical trial, controlled, randomized, double-blind, crossover design, against inactive placebo.
Each patient will receive successively the 3 products (ketamine / placebo, ketamine / magnesium sulfate, placebo / placebo) follows a predeter randomization list, with a wash-out period between each administration.
Visit 1
-Inclusion visit, signature of informed consent form, clinical examination and fill questionnaires.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Crossover
- 主要目的
- Treatment
- 盲法
- Double (Participant, Investigator)
入排标准
- 年龄范围
- 18 Years 至 —(Adult, Older Adult)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patient (s) are at least18 years old, with chronic pain (for more than 3 months), having the characteristics of a peripheral or central neuropathy, follow (s) at the Pain Clinic CHU Clermont-Ferrand and justifying the establishment of a therapeutic program including intravenous infusion of ketamine (as therapeutic test);
- •Patient (s) who had never received ketamine infusion under the care of their neuropathic pain;
- •History of illness compatible with an injury or disease of the somatosensory system;
- •Localized pain in an anatomical neuro territory;
- •Neurological examination shows sensory abnormalities,
- •The patients of childbearing potential must use effective contraception throughout the study;
- •For womens of childbearing age, they will be enrolled in the study after a negative urine pregnancy test; in case of suspicion of pregnancy, a blood pregnancy test should be performed;
- •Cooperation and willing to follow the study;
- •Acceptance to give written consent;
- •Affiliated to the French social security;
- •Inscription or acceptation of inscription in the national register of volunteers involved in trials.
排除标准
- •Patient (s) who have received intravenous ketamine infusion;
- •Patients with one or many contraindication to ketamine administration: known hypersensitivity to ketamine in which one of the constituents of the product, uncontrolled high blood pressure, severe cardiac insufficiency;
- •Patients with one or many contraindication of magnesium sulfate administration: Patients with severe renal impairment;
- •Patients with one or many contraindication to administration of sodium chloride: water inflation, fluid retention;
- •Patients with a medical history and / or surgical judged by the investigator to be not consistent with the clinical trial;
- •Patients with drug treatments judged by the investigator to be not consistent with the clinical trial;
- •Pregnancy or lactation women;
- •Patient who participated in another clinical trial, located in exclusion period or received benefits > 4500 euros during 12 months before the beginning of trial;
- •Patients with cooperation and understanding not to adhere strictly to the conditions provided in the clinical trial;
- •Patients receiving a measure of legal protection (guardianship...);
- •Patients are not affiliated to the System of the French Social Security
研究组 & 干预措施
INTRAVENOUS KETAMINE
干预措施: Ketamine (Drug)
INTRAVENOUS KETAMINE
干预措施: Magnesium Sulfate (Drug)
结局指标
主要结局
Numerical rating scale (NRS)
时间窗: at day 1 and for a period of 5 weeks (35 days).
次要结局
- Impact on quality of life(at day 1)
- Impact on mood(at day 1)
- Impact on sleep(at day 1)
- Intensity of the average(at day 1)
- Intensity of maximum daily pain(at day 1)
