Safety and Efficacy of Milnacipran in Pediatric Patients With Primary Fibromyalgia

NCT ID: NCT01328002

Last Updated: 2019-05-14

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

PHASE2

Total Enrollment

116 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-04-30

Study Completion Date

2012-08-31

Brief Summary

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The purpose of this study is to evaluate the safety, tolerability, efficacy, and pharmacokinetics of milnacipran in pediatric patients aged 13 to 17 years with primary fibromyalgia.

Detailed Description

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* 8 weeks open-label treatment period with milnacipran.
* Followed by randomization to 8-weeks double blind treatment period for eligible patients

Conditions

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Primary Fibromyalgia

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Milnacipran

oral administration, twice daily dosing

Group Type EXPERIMENTAL

Milnacipran

Intervention Type DRUG

Maximum tolerated dose (50, 75, or 100 mg/day tablets) was determined during the open label phase of the study.

Oral administration, twice daily dosing

Placebo

oral administration, twice daily dosing

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

matching placebo tablets daily

Interventions

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Milnacipran

Maximum tolerated dose (50, 75, or 100 mg/day tablets) was determined during the open label phase of the study.

Oral administration, twice daily dosing

Intervention Type DRUG

Placebo

matching placebo tablets daily

Intervention Type DRUG

Other Intervention Names

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Savella

Eligibility Criteria

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Inclusion Criteria

* Diagnosis of primary fibromyalgia
* 13-17 years of age
* To be eligible for screening, have average pain rating in the previous week of at least 3 but no more than 9 on an 11-point numeric rating scale
* To be eligible to enter into the open-label treatment period, have a 1-week mean of daily pain ratings of at least 3 but no more than 9 (11-point numeric rating scale) in the week before Baseline (Visit 2)
* To be eligible for randomization and entry into the double-blind treatment period, have a decrease of at least 50% in 1-week mean of daily pain ratings (11-point numeric rating scale) before Randomization (Visit 7) compared with the 1-week mean of daily pain ratings, in the week before Baseline (Visit 2)
* Unsatisfactory response to nonpharmacologic fibromyalgia treatment.

Exclusion Criteria

* Severe psychiatric illness
* Severe renal impairment
* Evidence of active liver disease
* Pregnant or breastfeeding
* Significant risk of suicidality
* Unable, unwilling or inadvisable to discontinue prohibited medications
* History of alcohol abuse or drug abuse or dependence, within previous year
* Current systemic infection
* Autoimmune disease
* History of seizure disorder (other than febrile seizures)
Minimum Eligible Age

13 Years

Maximum Eligible Age

17 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Cypress Bioscience, Inc.

INDUSTRY

Sponsor Role collaborator

Forest Laboratories

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Patricia M D'Astoli, LPN

Role: STUDY_DIRECTOR

Forest Laboratories

Locations

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Forest Investigative Site 040

Birmingham, Alabama, United States

Site Status

Forest Investigative Site 068

Birmingham, Alabama, United States

Site Status

Forest Investigative Site 033

Bullhead City, Arizona, United States

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Forest Investigative Site 012

Fresno, California, United States

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Forest Investigative Site 045

Fresno, California, United States

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Forest Investigative Site 051

Fresno, California, United States

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Forest Investigative Site 035

Orange, California, United States

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Forest Investigative Site 053

Orange, California, United States

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Forest Investigative Site 050

Sacramento, California, United States

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Forest Investigative Site 034

Colorado Springs, Colorado, United States

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Forest Investigative Site 047

Cromwell, Connecticut, United States

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Forest Investigative Site 061

Gainesville, Florida, United States

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Forest Investigative Site 041

Orange City, Florida, United States

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Forest Investigative Site 059

Orlando, Florida, United States

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Forest Investigative Site 014

Spring Hill, Florida, United States

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Forest Investigative Site 055

West Palm Beach, Florida, United States

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Forest Investigative Site 058

Blue Ridge, Georgia, United States

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Forest Investigative Site 031

Savannah, Georgia, United States

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Forest Investigative Site 022

Chicago, Illinois, United States

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Forest Investigative Site 010

Peoria, Illinois, United States

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Forest Investigative Site 005

Indianapolis, Indiana, United States

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Forest Investigative Site 017

Louisville, Kentucky, United States

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Forest Investigative Site 009

Ann Arbor, Michigan, United States

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Forest Investigative Site 024

Rochester Hills, Michigan, United States

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Forest Investigative Site 036

Stevensville, Michigan, United States

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Forest Investigative Site 049

Whitehouse Station, New Jersey, United States

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Forest Investigative Site 018

Albuquerque, New Mexico, United States

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Forest Investigative Site 062

Raleigh, North Carolina, United States

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Forest Investigative Site 052

Winston-Salem, North Carolina, United States

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Forest Investigative Site 038

Akron, Ohio, United States

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Forest Investigative Site 016

Cincinnati, Ohio, United States

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Forest Investigative Site 015

Dayton, Ohio, United States

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Forest Investigative Site 019

Middleburg Heights, Ohio, United States

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Forest Investigative Site 001

Oklahoma City, Oklahoma, United States

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Forest Investigative Site 027

Oklahoma City, Oklahoma, United States

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Forest Investigative Site 066

Mechanicsburg, Pennsylvania, United States

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Forest Investigative Site 054

Philadelphia, Pennsylvania, United States

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Forest Investigative Site 046

Greer, South Carolina, United States

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Forest Investigative Site 023

Austin, Texas, United States

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Forest Investigative Site 003

San Antonio, Texas, United States

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Forest Investigative Site 042

San Antonio, Texas, United States

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Forest Investigative Site 025

Clinton, Utah, United States

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Forest Investigative Site 013

Salt Lake City, Utah, United States

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Forest Investigative Site 021

Lynchburg, Virginia, United States

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Forest Investigative Site 006

Bellevue, Washington, United States

Site Status

Forest Investigative Site 063

Seattle, Washington, United States

Site Status

Forest Investigative Site 004

Racine, Wisconsin, United States

Site Status

Countries

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United States

References

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Arnold LM, Bateman L, Palmer RH, Lin Y. Preliminary experience using milnacipran in patients with juvenile fibromyalgia: lessons from a clinical trial program. Pediatr Rheumatol Online J. 2015 Jun 26;13:27. doi: 10.1186/s12969-015-0025-9.

Reference Type DERIVED
PMID: 26112278 (View on PubMed)

Other Identifiers

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MLN-MD-14

Identifier Type: -

Identifier Source: org_study_id

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