Chronic Pain Due to Trauma, Spinal Cord Injuries
Conditions
Brief summary
Study of the effect of gabapentin used as a preemptive to the emergence and development chronic neuropathic pain in patients after spinal cord trauma
Interventions
Gabapentin will be given approximately 3 months until no chronic neuropathic pain is present
Standardized treatment
Standardized treatment
Sponsors
Study design
Eligibility
Inclusion criteria
1. Men and women, age 18 - 65 years 2. Signed written informed consent 3. Patients after complete/non-complete spinal lesion, after surgery 4. Patients with spinal cord trauma caused mechanically demanding (due a injury of a bone fragment, a disk, a translation spinal canal) 5. Patient willing and able to comply with the study protocol 6. Male and females with a highly effective method of birth control plus an additional barrier method
Exclusion criteria
1. Patients with spinal cord lesion ischemic etiology 2. Pregnant women, nursing or childbearing age with a positive pregnancy test input 3. Patients unable or unwilling to comply with the study protocol 4. Acute pancreatitis in 1 year from the start of the study 5. Chronic pancreatitis in the case history 6. Active or uncontrolled infectious diseases 7. Hypersensitivity to any component of the investigational product 8. Active autoimmune disease 9. Serious neurological disease with the incidence chronic neuropathic pain
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Assessment the analgesic effect of gabapentin | in 3 months after initiation of the gabapentin treatment | The decrease of the incidence of chronic neuropathic pain in 3 months after initiation of the gabapentin treatment in 3 months after initiation of the gabapentin treatment |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| The decrease of the incidence of chronic neuropathic pain | in 6., 9. and 12. months after initiation of the gabapentin treatment | The decrease of the incidence of chronic neuropathic pain in 6., 9. and 12. months after initiation of the gabapentin treatment |
| The number of painful episodes | in 3., 6., 9. and 12. months after initiation of the gabapentin treatment | The number of painful episodes requiring treatment of rescue medication (in 3., 6., 9. and 12. months after initiation of the gabapentin treatment) |
| The decrease of the consumption of rescue medication | in 3., 6., 9. and 12. months after initiation of the gabapentin treatment | The decrease of the consumption of rescue medication in 3., 6., 9. and 12. months after initiation of the gabapentin treatment |
| Absolute and percentage change in average pain | in 3., 6., 9. and 12. months | Absolute and percentage change in average pain after initiation of therapy with gabapentin (baseline) in 3., 6., 9. and 12. months |
| Quality of life | in week 1, 3., 6., 9. and 12. months after initiation of the gabapentin treatment | Quality of life, assessment of neurological pain and psychological state measured by questionnaires PainDETECT, SQUALA and SCL-R |
Countries
Czechia