Complex Regional Pain Syndromes, CRPS
Conditions
Keywords
THC, CRPS, Pain, Complex Regional Pain Syndrome, Neuropathic Pain, Chronic, Prevention
Brief summary
The purpose of this study is to determine whether application of low dose Delta9-Tetrahydrocannabinol can prevent the development of chronic pain in patients with acute CRPS.
Detailed description
Recent animal data suggest that the endocannabinoid system is a promising target in the prevention of chronic pain. It has been shown that the endocannabinoid system modifies excitatory and inhibitory currents in structures involved in the development of chronic pain such as the amygdala. CRPS is a neuropathic pain condition, which is known to become chronic in a significant percentage. The study compares the effect of low dose Delta9-Tetrahydrocannabinol (90 days) and placebo in acute CRPS. All patients will receive a standard treatment consisting of drug therapy and physiotherapy.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients with clinical diagnosis of acute CRPS (time from inciting event less than 16 weeks) of the upper extremity * No risk of dependency in a psychological assessment
Exclusion criteria
* History of alcohol or drug abuse * Cardiac arrhythmias * Acute or chronic renal failure * ASA physical status classification III or higher * Psychiatric disorders * Pregnancy and breast feeding
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Incidence of chronic pain at one year assessed with Visual Analogue Scale (VAS) | — |
Secondary
| Measure | Time frame |
|---|---|
| Changes in somatosensory phenotype at one year assessed with Quantitative Sensory Testing (QST) | — |
| Motor function of the affected extremity at one year assessed with a biometric evaluation | — |
| Changes in Health Related Quality of Life at one year assessed with SF-36 | — |
| Changes in plasma endocannabinoid levels at 30, 60, 90 days and at one year | — |
Countries
Germany