Neuralgia, Neuralgia, Postherpetic
Conditions
Brief summary
The purpose of this study is to assess the reproducibility and the effect of gabapentin on quantitative sensory testing assessments in neuropathic pain subjects.
Interventions
Placebo for 2 weeks followed by gabapentin 300 mg oral capsule once daily titrated over 1 week to gabapentin 600 mg three times daily for 1 week
Placebo for 1 week followed by gabapentin 300 mg oral capsule once daily titrated over 1 week to gabapentin 600 mg three times daily for 2 weeks
Sponsors
Study design
Eligibility
Inclusion criteria
* Neuropathic pain of peripheral origin as a consequence of either post-herpetic neuralgia or post-traumatic neuropathic pain * Well-defined skin area of mechanical allodynia to punctate (von Frey filament) stimuli * Pain intensity score of ≥ 4/10 for von Frey filament-evoked allodynia at the skin area
Exclusion criteria
* Patients who have undergone neurolytic or neurosurgical therapy, including skin excisions, for neuropathic pain * Patients who have trigeminal neuralgia, central pain, chronic radiculopathy, or peripheral neuropathy of non-mechanical or unknown origin * Patients with any other co-existing pain which cannot be differentiated from the neuropathic pain of peripheral origin
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Presence/intensity of punctate allodynia (von Frey filament), measured on the pain numeric rating scale (NRS) | Weeks 2 and 4 |
Secondary
| Measure | Time frame |
|---|---|
| Pain NRS score for temporal summation to dynamic brush allodynia (soft and coarse brush) | Weeks 2 and 4 |
| Pressure pain tolerance threshold | Weeks 2 and 4 |
| Pain NRS scores for pressure pain | Weeks 2 and 4 |
| Subject assessed quality of evoked pain for temporal summation to dynamic brush allodynia (soft and coarse brush) | Weeks 2 and 4 |
| Tactile threshold | Week 4 |
| Pressure pain detection threshold | Weeks 2 and 4 |
| Area of punctate and dynamic (soft and coarse brush) allodynia | Weeks 2 and 4 |
| Pain NRS score for punctate allodynia | Weeks 2 and 4 |
| Pain NRS scores for temporal summation to punctate stimuli | Weeks 2 and 4 |
| Subject assessed quality of evoked pain for temporal summation to punctate stimuli | Weeks 2 and 4 |
| Subject assessed quality of evoked pain for punctate allodynia | Weeks 2 and 4 |
| Test-day global pain scale | Week 4 |
| Pain diary card | Week 4 |
| Pain NRS score for dynamic brush allodynia (soft brush) | Weeks 2 and 4 |
| Subject assessed quality of evoked pain for dynamic brush allodynia (soft brush) | Weeks 2 and 4 |
| Presence of metabonomic biomarkers | Weeks 1 and 4 |
| Physical examination | 1 week after 4-week treatment period |
| Adverse events | Throughout study duration |
| Clinical laboratory tests | 1 week after 4-week treatment period |
| Subject assessed quality of pressure pain | Weeks 2 and 4 |
| Neuropathic pain scale | Week 4 |
Countries
United Kingdom