Trial Outcomes & Findings for A Trial of Gabapentin in Vulvodynia: Biological Correlates of Response (NCT NCT01301001)

NCT ID: NCT01301001

Last Updated: 2017-11-08

Results Overview

Tampon pain on a 11-point Numeric Rating Scale (0 = no pain at all; 10 = worse pain ever). One tampon was inserted each week. Tampon pain was assessed during last week of maintenance phase (7 days).

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

230 participants

Primary outcome timeframe

Week 6 for each treatment arm

Results posted on

2017-11-08

Participant Flow

Participants were recruited between August 8, 2012 and January 19, 2016 from three academic centers.

230 women were screened, 89 met entry criteria and 66 completed the trial. Of the 141 patients who were excluded prior to randomization, 16 decided not to participate in the trial,101 did not meet inclusion criteria, and 24 did not return for randomization.

Participant milestones

Participant milestones
Measure
Placebo First, Then Gabepentin
Placebo capsule daily in first intervention period and Gabapentin capsule 3000 mg daily in in second intervention (after washout period) Placebo oral capsule: Placebo 2 capsules am and 3 capsules pm Gabapentin: Gabapentin 1200 mg am and 1800 mg pm
Gabapentin First, Then Placebo
Gabapentin capsule 3000 mg daily in first intervention period and Placebo capsule in second intervention (after washout period) Placebo oral capsule: Placebo 2 capsules am and 3 capsules pm Gabapentin: Gabapentin 1200 mg am and 1800 mg pm
First Intervention
STARTED
44
45
First Intervention
COMPLETED
34
36
First Intervention
NOT COMPLETED
10
9
Washout (2 Weeks)
STARTED
34
36
Washout (2 Weeks)
COMPLETED
34
36
Washout (2 Weeks)
NOT COMPLETED
0
0
Second Intervention
STARTED
34
36
Second Intervention
COMPLETED
30
36
Second Intervention
NOT COMPLETED
4
0

Reasons for withdrawal

Reasons for withdrawal
Measure
Placebo First, Then Gabepentin
Placebo capsule daily in first intervention period and Gabapentin capsule 3000 mg daily in in second intervention (after washout period) Placebo oral capsule: Placebo 2 capsules am and 3 capsules pm Gabapentin: Gabapentin 1200 mg am and 1800 mg pm
Gabapentin First, Then Placebo
Gabapentin capsule 3000 mg daily in first intervention period and Placebo capsule in second intervention (after washout period) Placebo oral capsule: Placebo 2 capsules am and 3 capsules pm Gabapentin: Gabapentin 1200 mg am and 1800 mg pm
First Intervention
Lost to Follow-up
4
4
First Intervention
Withdrawal by Subject
1
4
First Intervention
Adverse Event
5
0
First Intervention
Protocol Violation
0
1
Second Intervention
Adverse Event
2
0
Second Intervention
Withdrawal by Subject
2
0

Baseline Characteristics

A Trial of Gabapentin in Vulvodynia: Biological Correlates of Response

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
All Study Participants
n=89 Participants
44 subjects were randomized to Placebo First and 45 subjects were randomized to Gabapentin First
Age, Continuous
36.54 years
STANDARD_DEVIATION 2.30 • n=5 Participants
Sex/Gender, Customized
Female
89 Participants
n=5 Participants
Sex/Gender, Customized
Male
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
58 Participants
n=5 Participants
Race (NIH/OMB)
White
30 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
1 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
Region of Enrollment
United States
89 participants
n=5 Participants

PRIMARY outcome

Timeframe: Week 6 for each treatment arm

Population: Intention to Treat

Tampon pain on a 11-point Numeric Rating Scale (0 = no pain at all; 10 = worse pain ever). One tampon was inserted each week. Tampon pain was assessed during last week of maintenance phase (7 days).

Outcome measures

Outcome measures
Measure
Placebo
n=89 Participants
2 capsules am and 3 capsules pm
Gabapentin
n=89 Participants
2 capsules (1200 mg) am and 3 capsules (1800 mg) pm
Tampon Test Pain Intensity
4.29 units on a scale
Interval 3.37 to 5.22
3.96 units on a scale
Interval 3.03 to 4.89

SECONDARY outcome

Timeframe: Week 6 of each treatment arm

Population: Intent to treat

Coital pain on an 11-point Numeric Rating Scale (0 = no pain at all; 10 = worse pain ever), assessed after each sexual intercourse event. The number of sexual intercourse events was averaged during final week of each treatment arm.

Outcome measures

Outcome measures
Measure
Placebo
n=89 Participants
2 capsules am and 3 capsules pm
Gabapentin
n=89 Participants
2 capsules (1200 mg) am and 3 capsules (1800 mg) pm
Coital Pain
3.97 units on a scale
Interval 2.5 to 5.44
3.85 units on a scale
Interval 2.36 to 5.34

SECONDARY outcome

Timeframe: Week 6 for each treatment arm

Overall vulvodynia pain on an 11-point Numeric Rating Scale (0 = no pain at all; 10 = worse pain ever). Pain was assessed daily during the last week of treatment. Daily scores were averaged.

Outcome measures

Outcome measures
Measure
Placebo
n=89 Participants
2 capsules am and 3 capsules pm
Gabapentin
n=89 Participants
2 capsules (1200 mg) am and 3 capsules (1800 mg) pm
Vulvodynia Pain
2.88 units on a scale
Interval 1.99 to 3.76
2.71 units on a scale
Interval 1.82 to 3.59

Adverse Events

Placebo

Serious events: 1 serious events
Other events: 20 other events
Deaths: 0 deaths

Gabapentin

Serious events: 0 serious events
Other events: 31 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Placebo
n=89 participants at risk
2 capsules am and 3 capsules pm
Gabapentin
n=89 participants at risk
2 capsules (1200 mg) am and 3 capsules (1800) mg pm
Cardiac disorders
unstable angina and malignant hypertension
1.1%
1/89 • Number of events 1 • 16 weeks
Definition of adverse events is the same as clinicaltrials.gov
0.00%
0/89 • 16 weeks
Definition of adverse events is the same as clinicaltrials.gov
Respiratory, thoracic and mediastinal disorders
asthma with acute exacerbation
1.1%
1/89 • Number of events 1 • 16 weeks
Definition of adverse events is the same as clinicaltrials.gov
0.00%
0/89 • 16 weeks
Definition of adverse events is the same as clinicaltrials.gov
Nervous system disorders
cluster headache
1.1%
1/89 • Number of events 1 • 16 weeks
Definition of adverse events is the same as clinicaltrials.gov
0.00%
0/89 • 16 weeks
Definition of adverse events is the same as clinicaltrials.gov

Other adverse events

Other adverse events
Measure
Placebo
n=89 participants at risk
2 capsules am and 3 capsules pm
Gabapentin
n=89 participants at risk
2 capsules (1200 mg) am and 3 capsules (1800) mg pm
Nervous system disorders
Dizziness
3.4%
3/89 • Number of events 3 • 16 weeks
Definition of adverse events is the same as clinicaltrials.gov
10.1%
9/89 • Number of events 17 • 16 weeks
Definition of adverse events is the same as clinicaltrials.gov
Nervous system disorders
Fatigue
1.1%
1/89 • Number of events 1 • 16 weeks
Definition of adverse events is the same as clinicaltrials.gov
5.6%
5/89 • Number of events 7 • 16 weeks
Definition of adverse events is the same as clinicaltrials.gov
Nervous system disorders
Headache
5.6%
5/89 • Number of events 7 • 16 weeks
Definition of adverse events is the same as clinicaltrials.gov
7.9%
7/89 • Number of events 15 • 16 weeks
Definition of adverse events is the same as clinicaltrials.gov
Nervous system disorders
Somnolence
4.5%
4/89 • Number of events 4 • 16 weeks
Definition of adverse events is the same as clinicaltrials.gov
7.9%
7/89 • Number of events 7 • 16 weeks
Definition of adverse events is the same as clinicaltrials.gov
Infections and infestations
Rhinitis
4.5%
4/89 • Number of events 4 • 16 weeks
Definition of adverse events is the same as clinicaltrials.gov
11.2%
10/89 • Number of events 14 • 16 weeks
Definition of adverse events is the same as clinicaltrials.gov
Gastrointestinal disorders
Nausea
3.4%
3/89 • Number of events 4 • 16 weeks
Definition of adverse events is the same as clinicaltrials.gov
9.0%
8/89 • Number of events 13 • 16 weeks
Definition of adverse events is the same as clinicaltrials.gov
Infections and infestations
Bacterial Vaginosis
4.5%
4/89 • Number of events 4 • 16 weeks
Definition of adverse events is the same as clinicaltrials.gov
7.9%
7/89 • Number of events 7 • 16 weeks
Definition of adverse events is the same as clinicaltrials.gov

Additional Information

Dr. Candace Brown

University of Tennessee Health Science Center

Phone: 9014124341

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place