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Is gabapentin more effective in the treatment of chronic pelvic pain in women than a dummy (placebo) drug?

Phase 1
Conditions
Chronic pelvic pain of unknown cause
MedDRA version: 17.1Level: LLTClassification code 10048581Term: Pelvic pain femaleSystem Organ Class: 100000004872
Therapeutic area: Body processes [G] - Reproductive physiologi cal processes [G08]
Registration Number
EUCTR2014-005035-13-GB
Lead Sponsor
niversity of Edinburgh
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
ot Recruiting
Sex
Female
Target Recruitment
300
Inclusion Criteria

1. Women aged between 18-50 years
2. Chronic pelvic pain (non-cyclical with or without dysmenorrhoea or dyspareunia) of >3 months duration
3. Pain located within the true pelvis or between and below anterior iliac crests
4. Associated functional disability
5. No obvious pelvic pathology at laparoscopy (<36 months and >2 weeks ago
6. Using or willing to use effective contraception if necessary to avoid pregnancy
7. Able to give written informed consent.

Are the trial subjects under 18? no
Number of subjects for this age range: 0
F.1.2 Adults (18-64 years) yes
F.1.2.1 Number of subjects for this age range 300
F.1.3 Elderly (>=65 years) no
F.1.3.1 Number of subjects for this age range 0

Exclusion Criteria

1. Known pelvic pathology
-Endometriosis (macrospcopic lesions)
-complex or >5cm ovarian cyst
-fibroid >3cm
-dense adhesions
2. Worst pain score <4 out of 10 on Numerical Rating Scale (NRS) at baseline (of the four measurements taken)
3. Current malignancy undergoing treatment
4. Past history of gabapentin/pregabalin use for CPP
5. Taking morphine and unable/unwilling to stop
6. Taking GnRH agonists and unable/unwilling to stop
7. Surgery of planned in next 6 months
8. History of significant renal impairment
9. Previous reaction to gabapentin
10. Breast feeding
11. Pregnant
12. Planned pregnancy in next 6 months
13. Pain suspected to be of gastrointestinal origin (positive Rome III Diagnostic Criteria)
14. Taking prohibited medications
15. Metal implant/pacemaker/claustrophobia (fMRI subgroup).
16. Co-enrolment in a CTIMP

Study & Design

Study Type
Interventional clinical trial of medicinal product
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Main Objective: To test if women with chronic pelvic pain (where no cause for their pain has been found) can be safely treated with gabapentin to gain good pain relief.;Secondary Objective: To test if these women have a better quality of life when treated with gabapentin. Sub-study - Using functional MRI (fMRI) of the brain to see what effect the drug has on the brain.;Primary end point(s): Dual measures of worst and average pelvic pain scores assessed by a numerical rating scale (NRS) during the final 4 weeks of treatment (weeks 13-16 post-randomisation).;Timepoint(s) of evaluation of this end point: Baseline and 13-16 weeks post randomisation
Secondary Outcome Measures
NameTimeMethod
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