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Cannabis-opioid interaction in the treatment of fibromyalgia pain - an open label proof of concept study with randomization between treatment groups: cannabis, oxycodone or cannabis/oxycodon combination.;substudy: follow-up vragenlijst

Completed
Conditions
pain
10034606
Registration Number
NL-OMON52397
Lead Sponsor
eids Universitair Medisch Centrum
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
Not specified
Target Recruitment
60
Inclusion Criteria

Fibromyalgia patients with a pain score >= 5 (on a scale from 0 = no pain to 10
= most pain imaginable) for most of the day and meet the 2010 American College
of Rheumatology diagnostic criteria (Wolfe F, Clauw DJ, Fitzcharles MA, et al.
The American College of Rheumatology preliminary diagnostic criteria for
fibromyalgia and measurement of symptom severity. Arthritis Care Res 2010; 62:
600-10). These criteria include (i) a widespread pain index (WPI) >= 7 (on a
scale from 0 to 19); (ii) and a symptom severity (SyS) score >= 5 (on a scale
from 0 to 12) or a WPI of 3-6 and a SyS score >= 9.

Exclusion Criteria

(i) Unable to give written informed consent; (ii) presence of medical disease
that may alter the pharmacokinetics of inhaled cannabinoids or oral oxycodone
such as pulmonary or liver disease; (iii) allergy to study medication; (iv)
prolonged use of strong opioids (> 3 months); (v) history of illicit drug
abuse or alcohol abuse; (vi) (family) history of psychosis; (vii) pregnancy
and/or lactation; (vii) the presence of pain syndromes other than fibromyalgia;
(viii) age < 18 years.

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
<p>The main study outcome is the number of side effects observed during the course<br /><br>of treatment. To that end we will construct a composite side effects score. The<br /><br>score includes the following 10 symptoms dizziness (when getting up),<br /><br>sleepiness, insomnia, headache, nausea, vomiting, constipation, drug high,<br /><br>hallucinations, paranoia. The subjects will score all of these symptoms at the<br /><br>end of each day of treatment on paper. Each positive symptom will result in 1<br /><br>point (max. score per day = 10) for the 42 days of treatment (= max. total<br /><br>score = 420).</p><br>
Secondary Outcome Measures
NameTimeMethod
<p>The secondary outcome is pain relief. Each day the patient will give an<br /><br>indication of the efficacy of pain treatment. </p><br>
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