Pain
Conditions
Keywords
opioids, analgesia, secondary hyperalgesia, quantitative sensory testing, inflammatory injury
Brief summary
Tissue injury is associated with pain from the injured site (primary hyperalgesia) and pain from non-injured tissue in the vicinity of the trauma (secondary hyperalgesia). In the present study we investigate primary and secondary hyperalgesia in healthy volunteers following an experimental first degree burn injury. The objectives are: * to compare analgesic and anti-hyperalgesic effects of two opioids (morphine and buprenorphine). * to investigate if these effects are related to the volunteers individual pain sensitivity
Detailed description
Please refer to: Ravn P, Secher EL, Skram U, Therkildsen T, Christrup LL, Werner MU (2013) Morphine- and buprenorphine-induced analgesia and antihyperalgesia in a human inflammatory pain model: a double-blind, randomized, placebo-controlled, five-arm crossover study. J Pain Res 6: 23-38. 10.2147/JPR.S36827 \[doi\];jpr-6-023 \[pii\].
Interventions
intravenous infusion, 10 mg, once, 4 hours
intravenous infusion, 20 mg, once, 4 hours
intravenous infusion, 0.3 mg, once, 4 hours
intravenous infusion, 0.6 mg, once, 4 hours
intravenous infusion, 0.9% saline, once, 4 hours
Sponsors
Study design
Eligibility
Inclusion criteria
* healthy individuals * adequate psychomotor performance to perform pain tests * pain-sensitive or pain-nonsensitive according to prespecified criteria
Exclusion criteria
* known allergy to morphine or buprenorphine * prior adverse experiences with opioids * history of abuse * females not taking P-pills * skin lesions on the test-sites * suffering from chronic pain * medication with analgesics * BMI \> 28 * smoker
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Analgesic and antihyperalgesic effects | 0 to 180 min after a first degree burn injury | Analgesic effect is assessed by change in primary hyperalgesia (pain rating \[VAS\]) Antihyperalgesic effect is assessed by reduction in area of hyperalgesia (sq. cm) VAS-area under curve is calculated for 0, 60, 120 and 180 min after first degree burn injury |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Difference in analgesic/antihyperalgesic profile between pain-sensitive and pain-non-sensitive individuals | 0-180 min after first degree burn injury | The ratios between areas under curve (0-180 min after first degree burn injury) for analgesic effect assessed by change in primary hyperalgesia (pain rating VAS\])and antihyperalgesic effect assessed by reduction in area of hyperalgesia (sq. cm). |
Countries
Denmark