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临床试验/NCT04431778
NCT04431778招募中2 期

Evaluation of the Efficacy and Tolerance of Low Doses of Ethosuximide in the Treatment of Peripheral Neuropathic Pain

University Hospital, Clermont-Ferrand11 个研究点 分布在 1 个国家目标入组 64 人开始时间: 2020年11月1日最近更新:
适应症
干预措施
相关药物

试验速览

阶段
2 期
状态
招募中
发起方
入组人数
64
试验地点
11
主要终点
Neuropathic pain intensity

研究概览

简要总结

Evaluation of the efficacy and tolerance of low doses of ethosuximide in the treatment of peripheral neuropathic pain

详细描述

Multicenter, randomized, double-blind, placebo-controlled therapeutic trial evaluating the efficacy and safety of low doses of ethosuximide in neuropathic pain patients.

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Treatment
盲法
Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)

盲法说明

Double-blind Placebo and ethosuximide will be indistinguishable.

入排标准

年龄范围
18 Years 至 —(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Male or female (under effective contraception: pill, implant, IUD, sterilization) aged 18 years or older, suffering from peripheral neuropathic pain (DN4 ≥ 4) for more than 3 months, of intensity ≥ 4 on a numerical scale from 0 to 10, and whose analgesic treatment has been stable for more than a month,
  • Patients affiliated to the French Social Security system,
  • Patients whose free and informed consent has been obtained.

排除标准

  • Pregnancy (βHCG+ blood) or breastfeeding,
  • Neuropathic pain due to spinal cord or brain injury, phantom limb pain or algohallucinosis,
  • Fibromyalgia or algodystrophy,
  • Chronic pain syndrome that the patient cannot distinguish and/or is more intense than peripheral neuropathic pain,
  • Significant abnormalities in liver (transaminases > 3N, cholestasis) and renal (MDRD < 60 mL/min) tests,
  • Ongoing comorbidities: cancer, neurodegenerative pathology
  • Severe depressive disorder in progress (as determined by the clinician), history of suicide attempts or hospitalization for depression,
  • Diabetic patients (contraindicated due to the high sugar concentration of ethosuximide, 3g / 5 ml),
  • Patients who have previously received ethosuximide (epilepsy or clinical trial),
  • Surgery planned throughout the entire trial,
  • Medical and surgical history incompatible with the study,
  • Dependence on alcohol and/or drugs (for compliance purposes),
  • Known allergy to succinimides (ethosuximide, methsuximide, phensuximide),
  • Psychotic disorders,
  • Epileptic patients,
  • Patients benefiting from a legal protection measure (curatorship, guardianship, deprived of liberty or subject to judicial safeguard).

研究组 & 干预措施

Ethosuximide

Experimental

Patients with chronic peripheral neuropathic pain

干预措施: Ethosuximide (Drug)

Placebo

Placebo Comparator

Patients with chronic peripheral neuropathic pain

干预措施: Placebo (Drug)

结局指标

主要结局

Neuropathic pain intensity

时间窗: Day 84

Variation in pain intensity (NRS, Numerical Rating Scale 0-10) averaged over the 7 days prior to the start of treatment (D0) and over the last 7 days of treatment (12 weeks).

次要结局

  • Patient's Global Impression of Change (PGIC scale)(Day 0, Day 28, Day 56, Day 84)
  • Health related quality of life(Day 0, Day 28, Day 56, Day 84)
  • Quantitative sensory testing (QST)(Day 0, Day 28, Day 56, Day 84)
  • adverse event(Throughout the study)

研究者

发起方
University Hospital, Clermont-Ferrand
申办方类型
Other
责任方
Sponsor

研究点 (11)

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