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A Safety and Effectiveness Study of Intraspinal Gabapentin (MDT2004) for the Treatment of Chronic Pain

Phase 2
Terminated
Conditions
Chronic Intractable Pain
Interventions
Registration Number
NCT00414466
Lead Sponsor
MedtronicNeuro
Brief Summary

The purpose of this study is to determine the safety and minimum effective dose of intraspinal gabapentin when delivered through an implanted drug infusion system.

Detailed Description

Not available

Recruitment & Eligibility

Status
TERMINATED
Sex
All
Target Recruitment
254
Inclusion Criteria
  • Chronic pain below the neck present for a minimum of one year.

  • Diagnosis of at least one of the following:

    • back pain with or without leg pain,
    • post-herpetic neuralgia,
    • complex regional pain syndrome (CRPS) 1 or 2,
    • diabetic neuropathy,
    • or a general neuropathic condition; medically stable and able to undergo surgery for implantation of the drug infusion system.
Exclusion Criteria

Not provided

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Placebo (0mg/day)Intraspinal GabapentinIntraspinal Placebo delivered continuously for 29 days via an implantable infusion system
Gabapentin Low (1mg/day)Intraspinal GabapentinIntraspinal Gabapentin Low delivered continuously for 22 days via an implantable infusion system followed by 7 days infusion at half dose
Gabapentin Medium (6mg/day)Intraspinal GabapentinIntraspinal Gabapentin Medium delivered continuously for 22 days via an implantable infusion system followed by 7 days infusion at half dose
Gabapentin High (30mg/day)Intraspinal GabapentinIntraspinal Gabapentin High delivered continuously for 22 days via an implantable infusion system followed by 7 days infusion at half dose
Primary Outcome Measures
NameTimeMethod
Changes in a Pain Rating Scale After 3 Weeks of Blinded Treatment.Baseline and Post-randomization Day 22

Average pain score calculated over last 7 days of baseline minus average pain score calculated over last 7 days of follow-up using the Numeric Pain Rating Scale where 0=no pain, 10=worst possible pain.

Number of Participants With Treatment-emergent Adverse EventsRandomization to Post-randomization Day 29 (includes dose reduction)

Evaluation of adverse event profiles between placebo and active treatment groups.

Secondary Outcome Measures
NameTimeMethod
Responder Analysis Between Active Treatment and Placebo Groups.Baseline to Post-randomization Day 22

Responders were subjects that reported at least a 30% decrease in average daily pain scores between baseline and Day 22.

Trial Locations

Locations (14)

Sarasota Pain Medicine Research

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Sarasota, Florida, United States

Oregon Health & Science University, Neurosurgery Department

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Portland, Oregon, United States

Lifetree Clinical Research

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Salt Lake City, Utah, United States

Pinnacle Pain Medicine

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Dallas, Texas, United States

Pain Research of Oregon, LLC

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Eugene, Oregon, United States

Innovative Spine Care

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Little Rock, Arkansas, United States

WK River Cities Clinical Research Center

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Shreveport, Louisiana, United States

Mayo Clinic

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Rochester, Minnesota, United States

MAPS Applied Research Center

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Edina, Minnesota, United States

U B Neurosurgery, Inc.

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Buffalo, New York, United States

Lehigh Valley Hospital Center for Pain Management

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Allentown, Pennsylvania, United States

Napa Pain Institute

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Napa, California, United States

Axis Spine Care/Texas Spine & Joint

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Tyler, Texas, United States

The Center for Clinical Research

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Winston-Salem, North Carolina, United States

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