Analgesic Drug Combinations in Neuropathic Pain (2004)

ISRCTN ISRCTN73178636
DOI https://doi.org/10.1186/ISRCTN73178636
Secondary identifying numbers MCT-69422
Submission date
31/08/2004
Registration date
31/08/2004
Last edited
16/10/2009
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Nervous System Diseases
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Not provided at time of registration

Contact information

Dr Ian Gilron
Scientific

Queen's University
76 Stuart Street
Victory 2
Kingston, ON
K7L 2V7
Canada

Email gilroni@post.queensu.ca

Study information

Study designRandomised controlled trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Not specified
Study typeTreatment
Scientific title
Study objectivesThe central hypothesis is that a combination of nortriptyline and gabapentin has a superior therapeutic profile than that of either drug alone.
Ethics approval(s)This trial has been review and approved by the Queen's University Research Ethics Board.
Health condition(s) or problem(s) studiedNeuropathic pain
InterventionOral administration of:
1. Gabapentin
2. Nortriptyline
3. A gabapentin-nortriptyline combination

The end date of this trial is still being discussed, the anticipated end date entered above is an arbitrary date entered as one year after the trial started.
Intervention typeDrug
Pharmaceutical study type(s)
PhaseNot Specified
Drug / device / biological / vaccine name(s)Gabapentin, nortriptylin
Primary outcome measureThe primary outcome measure of this study will be the mean daily pain intensity from the last seven days, at maximal tolerated dose, of each treatment period.
Secondary outcome measuresSecondary outcome measures will include frequency and severity of treatment-emergent adverse effects, global pain relief ratings, the short form McGill Pain Questionnaire, a pain interference questionnaire (Brief Pain Inventory), consumption of rescue medication (number of acetaminophen 325 mg tablets), a blinding questionnaire, two mood questionnaires (Beck Depression Inventory and Profile of Mood States) and a quality of life survey (SF-36).
Overall study start date01/11/2004
Completion date01/11/2005

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit18 Years
SexBoth
Target number of participants71
Key inclusion criteria1. Diabetic patients of either sex
2. 18 to 89 years of age
3. Distal, symmetric, sensory polyneuropathy
Key exclusion criteria1. Neuropathy attributable to an etiology other than diabetes (e.g. hypothyroidism, vitamin B12 deficiency, connective tissue disease, amyloidosis and toxic exposure)
2. Presence of a painful condition as severe as, but distinct from, their diabetic neuropathy pain
3. Pregnancy or lactation
4. End-stage kidney or liver disease
5. Moderate to severe heart disease (Myocardial Infarction [MI] within preceding year, unstable angina, cardiac conduction defect or congestive heart failure)
6. Cardiovascular autonomic neuropathy
7. Postural hypotension more than 20 mmHg on initial assessment
8. Baseline mild to severe sedation or ataxia due to required concomitant drugs, or any other cause
9. Males with urinary symptoms attributable to benign prostatic hypertrophy
10. Presence of a seizure disorder
11. Angle-closure glaucoma
12. Ongoing administration of Monoamine Oxidase (MAO) inhibitors and/or a serious psychiatric disorder as diagnosed by a psychiatrist
13. Ongoing administration of anticonvulsants which induce cytochrome P450 enzymes (e.g. carbamazepine, oxcarbazepine)
14. Hypersensitivity to any of the study medications
15. History of significant abuse of illicit drugs, prescription drugs or alcohol
16. Lack of a primary physician
17. Patients who live alone and cannot assure daily contact with a friend, family member or caregiver
Date of first enrolment01/11/2004
Date of final enrolment01/11/2005

Locations

Countries of recruitment

  • Canada

Study participating centre

Queen's University
Kingston, ON
K7L 2V7
Canada

Sponsor information

Canadian Institutes of Health Research (CIHR) (Canada)
Research organisation

Room 97
160 Elgin Street
Address locator: 4809A
Ottawa, Ontario
K1A OW9
Canada

Phone +1 888 603 4178
Email info@cihr-irsc.gc.ca
Website http://www.cihr-irsc.gc.ca
ROR logo "ROR" https://ror.org/01gavpb45

Funders

Funder type

Research organisation

Canadian Institutes of Health Research (CIHR) (Canada) - http://www.cihr-irsc.gc.ca (ref: MCT-69422)

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article results 10/10/2009 Yes No