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The effects of lacosamide, pregabalin and tapentadol on biomarkers of pain processing

A randomized, double-blind, placebo-controlled, cross-over, multi-center trial in healthy subjects to investigate the effects of lacosamide, pregabalin and tapentadol on biomarkers of pain processing observed by electro-encephalography (EEG) - not available

Status
Active, not recruiting
Phases
Phase 2
Study type
Interventional
Source
EU CTR
Registry ID
EUCTR2019-001204-37-BE
Enrollment
56
Registered
2019-06-25
Start date
2019-09-06
Completion date
Unknown
Last updated
2022-08-08

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Healthy subjects (intended indication: pain) MedDRA version: 20.0 Level: PT Classification code 10033371 Term: Pain System Organ Class: 10018065 - General disorders and administration site conditions

Interventions

Trade Name: Vimpat 100mg film coated tablets Product Name: lacosamide Pharmaceutical Form: Film-coated tablet INN or Proposed INN: LACOSAMIDE CAS Number: 175481-36-4 Other descriptive name: Lacosamide

Sponsors

Institute of Neuroscience (IoNS), Université catholique de Louvain
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: - Provision of signed and dated informed consent form - Stated willingness to comply with all study procedures and regimens and availability for the duration of the study - Caucasian male or female subjects, aged 18 years to 45 years - Subjects must be in good health as determined by the medical history, physical and laboratory examinations and must not show any clinically significant deviations from reference ranges as determined by 12-lead electrocardiogram (ECG), vital signs (blood pressure, pulse rate and respiratory rate) and laboratory parameters (renal and hepatic function). - Body mass index >18 kg/m2 and =65 years) no F.1.3.1 Number of subjects for this age range

Exclusion criteria

Exclusion criteria: - Presence of any medical devices (e.g., cardiac pacemaker), implants or protheses unless it is beyond discussion that these will not put the subject's safety during the study at risk and will not interfere with the results of the study - Known or suspected allergic reactions / hypersensitivity to components of lacosamide/Vimpat®. - Second- or third-degree atrioventricular (AV) block. - Known or suspected allergic reactions / hypersensitivity to components of pregabalin/Lyrica®. - Known or suspected allergic reactions / hypersensitivity to components of tapentadol / Palexia®. - Known contraindication for drugs with µ-opioid agonist activity, i.e., significant respiratory depression, acute or severe bronchial asthma or hypercapnia. - Present or suspected paralytic ileus. - Acute intoxication with alcohol, hypnotics, centrally acting analgesics, or psychotropic drugs. - Not willing or able to abstain from changes in physical exercise activities during the Study. - Any chronic pain condition or recent (i.e. within the preceding 2 years) history thereof. - Migraine (at least 1 attack in the last 24 months). - Recurrent headache or back pain on more than 5 days/month in the last 3 months. - Caffeine consumption of more than 8 servings of coffee, tea, or other caffeinated drinks per day. Each serving is approximately 120mg of caffeine. - Any relevant symptom of neurological dysfunction of the motor and sensory system that may interfere with the conduct of the study. - Clinically-evident psychiatric diseases (e.g. depression, anxiety). - History or symptoms of central nervous system disease or peripheral nerve lesions or dysfunction with sequelae that may impact the study assessments or that may deteriorate by one dose of a drug with anti- epileptic, noradrenergic or opioid activity. - Focused neurological examination showing signs of abnormality. - Active internal disease or sequelae of internal disease (e.g. diabetes mellitus, liver diseases, kidney diseases, cardiovascular diseases, hypo- or hyperthyroidism, hypertension etc.). - Diseases or conditions known to interfere with the distribution, metabolism, or excretion of drugs. - Clinically significant disease (e.g. medical history of infection with human immunodeficiency virus (HIV) Type 1 or Type 2, hepatitis B, or hepatitis C) or condition that may affect efficacy or safety assessments, or any other reasons which, in investigator ´s opinion, may preclude the subject ´s participation in the trial. - Not willing or able to abstain from alcohol from 48 hours prior to any study period and until the end of the study period. - Consumption of cannabis in the last 4 weeks prior to the study. - Evidence or history of alcohol or drug (opioids, amphetamines, benzodiazepines, cannabinoids) abuse (as defined by ICD-10 or DSM IV) including positive or missing drugs of abuse screen (urine drugs of abuse test). Consumption of more than 21 alcohol units per week for male subjects and more than 14 units per week for female subjects (1 alcohol unit = 1 beer [12 oz/355 mL] = 1 wine [5 oz/150 mL] = 1 liquor [1.5 oz/40 mL] = 0.75 oz/20 mL alcohol). - Habitually smoking more than 10 cigarettes, 2 cigars, or 2 pipes of tobacco per day within the last 6 months before enrollment in this trial. - Known or suspected of not being willing or able to comply with the requirements of the trial protocol or the instructions. - Inability to communicate meaningfully with the trial site staff (e.g. insufficient language ski

Design outcomes

Primary

MeasureTime frame
Main Objective: 1. To test if the percentage reduction of LEP amplitude 60 minutes post-drug administration differs in the tapentadol period as compared to the placebo period, at the non-sensitized forearm. 2. To test if the percentage reduction of PEP amplitude 60 minutes post-drug administration differs in the tapentadol period as compared to the placebo period, at the sensitized forearm. ;Secondary Objective: 1. To test if the percentage reduction of LEP amplitude 60 minutes post-drug administration differs in the pregabalin and/or lacosamide periods as compared to the placebo period, at the non-sensitized forearm. 2. To test if the percentage reduction of PEP amplitude 60 minutes post-drug administration differs in the pregabalin and/or lacosamide periods as compared to the placebo period, at the sensitized forearm. 3. To test if the percentage change in magnitude of theta oscillations 60 minutes post-drug administration differs in the tapentadol, pregabalin and/or lacosamide periods as compared to the placebo period.;Primary end point(s): The first primary endpoint is the percentage of change in amplitude of the N2-P2 complex of LEPs at time-point T+60 min post-drug administration vs. the pre-drug time-point, at the non-sensitized arm. The second primary endpoint is the percentage of change in amplitude of the N2-P2 complex of PEPs at time-point T+60 min post-drug administration vs. the pre-drug time-point, at the sensitized arm.;Timepoint(s) of evaluation of this end point: Endpoints are evaluated 60 min before (=pre-drug time point) and 60 min after (T+60) drug administration.

Secondary

MeasureTime frame
Timepoint(s) of evaluation of this end point: Endpoints are evaluated 60 min before (=pre-drug time point) and 60 min after (T+60) drug administration.;Secondary end point(s): 1. The percentage of change in amplitude of ongoing theta-band EEG oscillations at time-point T+60 min post-drug administration vs. the pre-drug time-point. 2. The percentage of change in the intensity of the sensation elicited by laser stimulation of the non-sensitized forearm at time-point T+60 min post-drug administration vs. the pre-drug time-point. 3. - The percentage of change in the intensity of the sensation elicited by mechanical pinprick stimulation of the sensitized forearm at time-point T+60 min post-drug administration vs. the pre-drug time-point.

Countries

Belgium, Germany, Italy, United Kingdom

Contacts

Public ContactClinical Trials Information

Institute of Neuroscience (IoNS), Université catholique de Louvain

andre.mouraux@uclouvain.be0032027645447

Outcome results

None listed

Source: EU CTR (via WHO ICTRP) · Data processed: Feb 4, 2026