Peripheral neuropathic , i.e. painful polyneuropathy, postherpetic neuralgia and pain after nerve injury (traumatic or surgical). MedDRA version: 20.0 Level: LLT Classification code 10077974 Term: Peripheral neuropathic pain System Organ Class: 100000004852
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: - age over 18 years - peripheral neuropathic pain for more than 3 months - pain score at least 4 and not higher than 9 on a numeric rating scale 0-10 points 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 55 F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range 35
Exclusion criteria
Exclusion criteria: - other significant pain that cannot be distinguised from the peripheral neuropathic pain - significantly reduced liver and kidney function - epilepsy or recurrent seizures - known lowered seizure threshold or significant risk factors for seizures - major depressive episode within 6 months or other significant psychiatric diseases including alcohol or drug abuse - Important drug interactions (e.g. treatment with levo-dopa, amantadin, MAO-inhibitors, flecainide, risperidine, thioridazine) - pregnancy or lactation - known allergy to bupropion or exipients - concomittant pain treatment with TCAs, SNRIs, opioids, topical analgesics (lidocaine, capsaicin) and cannabinoids
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: The objective is to determine if bupropion relieves peripheral neuropathic pain;Secondary Objective: To determine if the potential effect of bupropion in peripheral neuropathic pain depends on function of conditioned pain modulation or sensory phenotype.;Primary end point(s): Week average of pain scored daily with numeric rating scale (NRS) 0 (no pain) to 10 (worst imaginable pain) points. ;Timepoint(s) of evaluation of this end point: Week average of NRS pain scores from the baseline periods and treatment periods week 1 to 6 are used in the general linear statistical model. | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): - Patient Global Impression of Change (PGIC, -3 to +3 points) - Rating of pain relief as: complete, good, moderate, mild, none, worse - Neuropathic pain symptom inventory (NPSI) - Patient-Reported Outcome Measurement Information System (PROMIS) - Columbia Suicide Severity Rating Scale (C-SSRS) ;Timepoint(s) of evaluation of this end point: PGIC and pain relief is evaluated at the end of the treatment periods (week 6). NPSI, PROMIS and C-SSRS is evaluated in the baseline periods and at the end of the treatment periods (week 6). | — |
Countries
Denmark
Contacts
Odense University Hospital