Flecainide in Treating Patients With Chronic Neuropathic Pain

NCT ID: NCT00002996

Last Updated: 2023-06-15

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

20 participants

Study Classification

INTERVENTIONAL

Study Start Date

1998-05-04

Brief Summary

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RATIONALE: Flecainide therapy may help patients with neuropathic pain live more comfortably.

PURPOSE: Phase II trial to study the effectiveness of flecainide in treating patients with chronic neuropathic pain from cancer or AIDS.

Detailed Description

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OBJECTIVES:

* Investigate the effectiveness of flecainide in the management of neuropathic pain.

OUTLINE: Patients are given a brief pain inventory (BPI) form to assess their pain upon enrollment in the study. Following a 7 day stabilization period, flecainide is administered. One capsule of flecainide is given twice a day on days 8-10, two capsules are given twice a day on days 11-14 and three capsules are given twice a day on days 15-21. BPI forms are completed on days 8, 15 and 22 to assess neuropathic pain.

PROJECTED ACCRUAL: A total of 7-20 patients will be accrued for this study.

Conditions

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Pain

Study Design

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Primary Study Purpose

SUPPORTIVE_CARE

Interventions

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flecainide acetate

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

DISEASE CHARACTERISTICS:

* Chronic neuropathic pain with diagnosis of cancer or AIDS

PATIENT CHARACTERISTICS:

Age:

* Over 18

Performance status:

* Not specified

Life expectancy:

* Not specified

Hematopoietic:

* Not specified

Hepatic:

* SGOT no greater than 2 times upper limit of normal (ULN)

Renal:

* Creatinine no greater than 2 times ULN

Cardiovascular:

* No clinical history of infarction or angina
* No advanced heart failure
* No sick sinus syndrome, intraventricular conduction disease, second or third degree AV block or arrhythmias requiring treatment (exception may be granted by cardiac consult)
* No focal wall motion abnormalities
* Ejection fraction at least 40%
* Systolic blood pressure at least 90 mm Hg

Other:

* Must be able to take oral medication
* No known allergy or adverse reaction to flecainide, mexilitene or any other type I antiarrhythmic drug
* Not pregnant or nursing
* Fertile patients must use effective contraception

PRIOR CONCURRENT THERAPY:

Biologic therapy:

* Not specified

Chemotherapy:

* At least 2 weeks since prior chemotherapy that may cause neuropathy

Endocrine therapy:

* At least 2 weeks since prior corticosteroids

Radiotherapy:

* Not specified

Surgery:

* Not specified

Other:

* No tricyclic antidepressant treatment within past 2 weeks
* No concurrent use of flecainide, mexiletene or any other type I antiarrhythmic drug
Minimum Eligible Age

19 Years

Maximum Eligible Age

120 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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National Cancer Institute (NCI)

NIH

Sponsor Role collaborator

Eastern Cooperative Oncology Group

NETWORK

Sponsor Role lead

Responsible Party

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Eastern Cooperative Oncology Group

Principal Investigators

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Charles F. Von Gunten, MD, PhD

Role: STUDY_CHAIR

Robert H. Lurie Cancer Center

Locations

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CCOP - Cedar Rapids Oncology Project

Cedar Rapids, Iowa, United States

Site Status

CCOP - Iowa Oncology Research Association

Des Moines, Iowa, United States

Site Status

CCOP - Kalamazoo

Kalamazoo, Michigan, United States

Site Status

Mayo Clinic Cancer Center

Rochester, Minnesota, United States

Site Status

CCOP - Sioux Community Cancer Consortium

Sioux Falls, South Dakota, United States

Site Status

University of Wisconsin Comprehensive Cancer Center

Madison, Wisconsin, United States

Site Status

Countries

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United States

References

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von Gunten CF, Eappen S, Cleary JF, Taylor SG 4th, Moots P, Regevik N, Cleeland C, Cella D. Flecainide for the treatment of chronic neuropathic pain: a Phase II trial. Palliat Med. 2007 Dec;21(8):667-72. doi: 10.1177/0269216307083031.

Reference Type RESULT
PMID: 18073252 (View on PubMed)

Other Identifiers

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E1Z95

Identifier Type: -

Identifier Source: secondary_id

CDR0000065544

Identifier Type: -

Identifier Source: org_study_id

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