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Clinical Trials/NCT00291148
NCT00291148CompletedPhase 3

A Comparative Single Center, Randomized Neuropathic Pain Assessment Study Involving Patients With Clinically Definite Multiple Sclerosis (MS) Receiving Treatment With Either Pregabalin or Paroxetine

University of Manitoba1 site in 1 country75 target enrollmentStarted: March 2006Last updated:
Conditions
Interventions
Drugs

Trial Snapshot

Phase
Phase 3
Status
Completed
Enrollment
75
Locations
1
Primary Endpoint
Pain levels (as determined by weekly Visual Analogue Scale for pain)

Study Overview

Brief Summary

This is a comparative drug trial involving patients with clinically definite Multiple Sclerosis and documented neuropathic pain. Patients will be randomized to receive treatment with either paroxetine or pregabalin. After dose titration, participants will complete various pain scale assessments at several points during the study in order to determine the effectiveness of their assigned pain medication.

Detailed Description

General Objective:

To determine the effectiveness of drug treatment in the management of MS-induced neuropathic pain.

Specific Objectives:

  • Comparatively assess the effectiveness and safety profile of pregabalin (Lyrica) and paroxetine (Paxil) in managing MS-induced neuropathic pain.
  • Comparatively assess the effectiveness of pregabalin (Lyrica) and paroxetine (Paxil) in improving the quality-of-life associated with MS-induced neuropathic pain.

Study Design:

Study Design

Study Type
Interventional
Allocation
Randomized
Intervention Model
Parallel
Primary Purpose
Treatment
Masking
None

Eligibility Criteria

Ages
18 Years to 65 Years (Adult, Older Adult)
Sex
All
Accepts Healthy Volunteers
No

Inclusion Criteria

  • • Patients presenting with symptoms of neuropathic pain as determined by clinician, with a minimum VAS pain score of 40mm as determined by a baseline score (0mm = no pain, 100mm = worst pain).
  • Male and female patients between the ages of 18 and 65 years old.
  • Clinically definite multiple sclerosis as defined by clinical history review, neurological examination and positive MRI.
  • EDSS scores of < 6.
  • No known hypersensitivity to the study medications.
  • Negative serum pregnancy test for all female patients of childbearing age; not currently breastfeeding.
  • Not currently treated with pregabalin, gabapentin, paroxetine or another SSRI.
  • No previous treatment failures with pregabalin or paroxetine.
  • Baseline creatinine clearance (Clcr) of > 50mL/min.
  • No significant hepatic insufficiency.
  • If on other pain medications, must be on stable dose for at least 6 months and other medications must not elicit significant drug-drug interactions with study medications.

Exclusion Criteria

  • Not provided

Arms & Interventions

Paroxetine

Active Comparator

Intervention: paroxetine (Drug)

pregabalin

Active Comparator

Intervention: pregabalin (Drug)

Outcomes

Primary Outcomes

Pain levels (as determined by weekly Visual Analogue Scale for pain)

Time Frame: 8 weeks

Secondary Outcomes

  • Short-Form 36 health outcomes survey (SF-36)(8 weeks)
  • Short-form McGill Pain Questionnaire (SF MPQ)(8 weeks)
  • Patient-rated Global Impression of Change (PGIC)(8 weeks)

Investigators

Sponsor Class
Other

Study Sites (1)

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