Patients suffering from chronic pain of neuropathic character after open hernia repair. MedDRA version: 8.1 Level: LLT Classification code 10049475 Term: Chronic pain
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. History of unilateral inguinal herniotomy 2. Establishment of neuropathic character of chronic pain by means the LANSS painscore and DN4 score 3. Abnormal sensitivity (allodynia, dysesthesia, hypoesthesia or dysesthesia) in or around the incisional area 4. Duration pain = 3 months 5. Gender: Male 6. Medial or lateral inguinal hernia 7. Age = 18 years 8. Description III or IV of pain interfering with daily activity 9. VAS score = 40 mm on Vas scale on which they indicate ‘how unpleasant or disturbing the worst pain was that they had today’ 10. Informed consent (addendum V) 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 F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range
Exclusion criteria
Exclusion criteria: 1. Participation in another trial 2. Bilateral hernia 3. Recurrent hernia 4. Age < 18 years 5. Cognitive disfunction 6. Patient is unable to speak Dutch 7. Description I or II of pain interfering with daily activity 8. Patient classified as American Society of Anaesthesiologist Class 4
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Primary end point(s): The primary outcome is the mean 11-point numerical pain rating score in both treatment groups at baseline and follow-up.;Main Objective: The primary objective of this study is to investigate whether pregabalin at a dose of 150-600 mg in two divided doses a day reduces pain in patients with chronic neuropathic pain after herniorraphy. This research question will be answered by testing of the following hypothesis: - Treatment with pregabalin (150-600 mg dose) results in a statistically significant improvement in endpoint mean pain score of = 1,2 during 8 weeks follow-up relatively to treatment with placebo;Secondary Objective: The secondary objective - The difference in quantitative sensory testing (QST) thresholds between the painful inguinal area and the normal contra-lateral side in patients of which the chronic pain is treated by pregabalin is clinical significant greater than the difference found in patients of which the chronic pain is treated by placebo | — |
Countries
Netherlands