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临床试验/EUCTR2022-000245-33-PL
EUCTR2022-000245-33-PL进行中(未招募)1 期

To evaluate the effect of low-dose naltrexone (LDN) on pain perception and quality of life in women - To evaluate the effect of low-dose naltrexone (LDN) on pain perception and quality of life in women

Medical University of Lublin0 个研究点目标入组 300 人开始时间: 2022年5月11日最近更新:

试验速览

阶段
1 期
状态
进行中(未招募)
入组人数
300

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional

入排标准

性别
Female

入选标准

  • 1. Women from the age of 18 to the menopause or to the age of 50 (on the day of inclusion
  • for testing).
  • 2. Patients who are not pregnant and do not plan to become pregnant in the next 9 months from the inclusion in the study
  • 3. Signing the patient's informed and voluntary consent to participate in the study.
  • 4. General health of the patient (WHO = 0-2).
  • 5. Diagnosis of vulvodynia.
  • 6. Negative drug test found at the visit randomization.
  • 7. Documented correct cytology result from 3 years ago (before the visit screening).
  • 8. Stable dose of drugs acting on the central nervous system used min. 1 month before the screening visit and during the entire patient's participation in the study.
  • 9. Acceptance or readiness to use a highly effective method of contraception from the screening visit throughout the study. Sexual abstinence is not accepted.
  • 10. The ability to understand the principles of testing and operating electronic devices.
  • DETAILED CRITERIA (ASSIGNMENT TO A SUB-GROUP):
  • 1. Fulfillment of one of the following criteria characteristic for individual groups:
  • i. Provoked vulvodynia: complaints only due to penetration. On the Marinoff scale = 1 point, on the scale (0-3) mostly penetration or no intercourse due to pain.
  • ii. Mixed vulvodynia: complaints that occur spontaneously and during penetration
  • iii. Spontaneous vulvodynia: complaints not related to an external factor (it can be cyclical, e.g. related to the menstrual cycle). Monthly pain intensity with daily follow-up NRS = 3, at least 10 days / 28 days.
  • Are the trial subjects under 18? no
  • Number of subjects for this age range:
  • 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

排除标准

  • MAIN EXCLUSION CRITERIA
  • 1. Severe, hepatic and renal dysfunction defined as:
  • i. An ASPT or ALT result 5 times the upper limit;
  • ii. The level of bilirubin 3 times above the upper limit of normal - excluding patients with Gilbert's syndrome;
  • iii. EGFR result below 30 ml / min / m2,
  • on the basis of historical studies not older than 3 years before the screening visit or from the tests performed during the screening visit according with point 12 of the Protocol, version 1.0 of March 28, 2022.
  • 2. Abuse of alcohol (more than 14 units per week) and other stimulants.
  • 3. Taking psychoactive substances, including drugs, except for SSRI, SNRI, SARI (Trazodone), and anticonvulsants (Gabapentin, Pregabalin, Lamotrigine) in fixed doses from the screening visit.
  • 4. Taking opioid drugs in the last 2 months before the screening visit (also in OTC preparations, eg Loperamide).
  • 5. Taking naltrexone hydrochloride and Mysimba for weight loss at any time in your life.
  • 6. BTA injection in the vulva in the last 4 months before the screening visit.
  • 7. Endovascular procedures in the area of ??the small pelvis in the last 6 months before the screening visit.
  • 8. Previous surgical procedures requiring general anesthesia (with general anesthesia) in the last 2 months before the screening visit.
  • 9. Completed multidisciplinary therapeutic program in the treatment of vulvodynia in the last 4 months before the screening visit.
  • 10. Diseases of the vulva: lichen, current contact vulvovaginitis, bacterial and / or yeast infections, other dermatological diseases, recurrent genital herpes (HSV; min 4 times / year).
  • 11. Diagnosis of current or past serious mental disorders according to the criteria of ICD-10 and DSM-5, including psychotic and organic disorders (except depression and anxiety disorders).
  • 12. Gynecological abnormalities requiring medical treatment: current HSIL, CIN II / III, pelvic inflammation, mixed or solid ovarian tumors, simple ovarian cysts greater than 5 cm, abnormal vaginal inter-cycle bleeding.
  • 13. Pelvic venous diseases (PeVD), 4 criteria met on USG.
  • 14. Pregnancy and lactation.
  • 15. Spastic diseases: multiple sclerosis (MS), connective tissue diseases (Marfan syndrome and marfan-like syndromes), reactive arthritis (RA).
  • 16. Vaginismus, Lamont scale 3-5 (gynecological examination impossible due to anxiety).
  • 17. Significant and / or uncorrected disability in the field of sight or hearing, making it difficult to perform psychological tests.

研究者

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