Central Neuropathic Pain in Multiple Sclerosis
Conditions
Keywords
Dronabinol, (-)trans-delta9-tetrahydrocannabinol, central neuropathic pain, multiple sclerosis, analgesic, Central neuropathic pain related to multiple sclerosis
Brief summary
The purpose of this study is to determine whether Dronabinol is effective and safe in relieving central neuropathic pain in multiple sclerosis patients.
Detailed description
Multiple sclerosis (MS) is in all probability an autoimmune disease causing severe neurological disability due to inflammation and degeneration in the central nervous system (CNS). MS affects over 1 million people worldwide. Central neuropathic pain is associated with approximately 30% of all patients with MS. MS-accompanying pain has a major impact on the patients' quality of life as usual conventional analgesics are little effective. The aim of this clinical study is to determine whether Dronabinol is effective and safe in relieving central neuropathic pain in multiple sclerosis patients.
Interventions
oral solution, daily dose up to 15 mg, treatment up to 2.5 years
oral solution
Sponsors
Study design
Eligibility
Inclusion criteria
* Diagnosis of multiple sclerosis acc. to McDonald diagnostic criteria * EDSS score between 3 and 8 (incl.) * Patients who are in a stable phase of multiple sclerosis * Patients with MS-related central neuropathic pain for at least 3 months
Exclusion criteria
* Severe concomitant diseases * Certain concomitant therapies (in particular: pain influencing concomitant therapies) * Dronabinol intake within the last 12 months prior to study entry or Marihuana use within one month prior to study entry
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Mean change of baseline pain severity score on the 11-point Likert Numerical Rating Scale recorded in patient diary | max. 2.5 years |
Secondary
| Measure | Time frame |
|---|---|
| Likert Numerical Rating Scale pain relief | max. 2.5 years |
| Pain-related sleep interference | max. 2.5 years |
| SF-36 (QoL-questionnaire) | max. 2.5 years |
| Intake of rescue medication | 48 weeks |
Countries
Germany