Multiple Sclerosis
Conditions
Keywords
multiple sclerosis, central pain, levetiracetam
Brief summary
Multiple sclerosis is often associated with pain. There is no standard treatment of this type of pain. Levetiracetam is a new anticonvulsant and it is the hypothesis that it could relieve central pain in multiple sclerosis. This is a randomised, double-blind, placebo-controlled, cross-over trial on the effect of levetiracetam 3000 mg daily on pain in multiple sclerosis.
Interventions
Levetiracetam tablets 500 mg, total daily dose 3000 mg
Sponsors
Study design
Eligibility
Inclusion criteria
* ms diagnosis verified * age \> 18 years * central pain symptoms for more than 3 months * central pain diagnosis confirmed by neurological examination * adequate anticonceptive treatment for women with child bearing potential * informed consent * baseline pain of more than 4 on numeric rating scale
Exclusion criteria
* other cause of pain * previous allergic reaction towards levetiracetam * known adverse drug reaction on levetiracetam * pregnancy * severe disease * inability to follow study protocol * treatment with antidepressants, other anticonvulsants or opioids
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Pain relief rated on a 0 to 10 point numeric rating scale (median value for last treatment week of each period) | Weekly |
Secondary
| Measure | Time frame |
|---|---|
| Pain subtypes rated on the same scale. | Daily |
| Brush-evoked pain | Baseline and end of each treatment period |
| Pin-prick-evoked pain | Daily |
| Cold-evoked pain | Daily |
| Pain rated on a 0 to 10 point numeric rating scale | Daily |
| Pain related sleep disturbance | Daily |
| Use of escape medication | Daily |
| Muscle spasms as measured on 2 different scales | Baseline and end of each treatment period |
| Health related quality of life (SF36) | Baseline and end of each treatment period |
Countries
Denmark