Study of NMDA Antagonists and Neuropathic Pain

NCT ID: NCT01602185

Last Updated: 2017-10-11

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

7 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-05-31

Study Completion Date

2016-09-07

Brief Summary

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The aim of this study is to evaluate if memantine or dextromethorphan gave in relay to ketamine maintains or induces a decrease of pain intensity.

In clinical, after ketamine cure, clinicians have often difficulties to treat patients in order to maintain analgesia or suggest another treatment if analgesia induced by ketamine was not effective, which occurs in one quarter of patients. It will be very useful for monitoring of painful patients evaluate if memantine or dextromethorphan could be an effective therapeutic alternative in neuropathic pain treatment.

Detailed Description

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The aim of this study is to evaluate if memantine or dextromethorphan gave in relay to ketamine maintains or induces a decrease of pain intensity.

In clinical, after ketamine cure, clinicians have often difficulties to treat patients in order to maintain analgesia or suggest another treatment if analgesia induced by ketamine was not effective, which occurs in one quarter of patients. It will be very useful for monitoring of painful patients evaluate if memantine or dextromethorphan could be an effective therapeutic alternative in neuropathic pain treatment.

Conditions

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Neuropathic Pain

Keywords

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NMDA (N-Methyl-D-Aspartate) antagonists ketamine memantine dextromethorphan Neuropathic pain

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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memantine

The aim of this study is to evaluate if memantine or dextromethorphan gave in relay to ketamine maintains or induces a decrease of pain intensity

Group Type EXPERIMENTAL

Memantine (drug used in Alzheimer's disease)

Intervention Type DRUG

The aim of this study is to evaluate if memantine or dextromethorphan gave in relay to ketamine maintains or induces a decrease of pain intensity

dextromethorphan

The aim of this study is to evaluate if memantine or dextromethorphan gave in relay to ketamine maintains or induces a decrease of pain intensity

Group Type EXPERIMENTAL

Dextromethorphan (drug used like antitussive)

Intervention Type DRUG

The aim of this study is to evaluate if memantine or dextromethorphan gave in relay to ketamine maintains or induces a decrease of pain intensity

placebo

The aim of this study is to evaluate if memantine or dextromethorphan gave in relay to ketamine maintains or induces a decrease of pain intensity

Group Type PLACEBO_COMPARATOR

Placebo (lactose)

Intervention Type DRUG

The aim of this study is to evaluate if memantine or dextromethorphan gave in relay to ketamine maintains or induces a decrease of pain intensity

Interventions

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Dextromethorphan (drug used like antitussive)

The aim of this study is to evaluate if memantine or dextromethorphan gave in relay to ketamine maintains or induces a decrease of pain intensity

Intervention Type DRUG

Memantine (drug used in Alzheimer's disease)

The aim of this study is to evaluate if memantine or dextromethorphan gave in relay to ketamine maintains or induces a decrease of pain intensity

Intervention Type DRUG

Placebo (lactose)

The aim of this study is to evaluate if memantine or dextromethorphan gave in relay to ketamine maintains or induces a decrease of pain intensity

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* \> 18 years old
* patient suffering chronic neuropathic pain
* All chronic pain is retained except central or diabetic pain
* Answering patient at ketamine in pain treatment by investigator, and having already received ketamine
* Patient who completed before ketamine the following evaluation :

DN4, QCD, QDSA, PGIC questionnaires, HAD scale, Leed's sleep evaluation and SF36.

* Patient who completed at the end of treatment the following evaluation : numerical scale and PGIC
* Sufficient cooperation and understanding to comply to the requirements of study
* Acceptance to give a written concert
* Affiliation at system of French social security
* Inscription or acceptation of inscription at national register of voluntaries participant at research

Exclusion Criteria

* Against-indication at memantine or dextromethorphan administration : hypersensitivity at active substance or excipients, hypertension, antecedent cerebrovascular accident, severe cardiac insufficiency
* Patient with medical or surgical antecedents
* Patient with progressive disease at balance of inclusion
* Patient treated by an IMAO
* Woman in childbearing age not using effective contraceptive method, pregnant or lactating woman
* Patient who participated in another clinical trial, located in exclusion period or received benefits \> 4500 euros during 12 months before the beginning of trial
* Patient with cooperation and understanding insufficiency to comply to the requirements of protocol
* Patient with social protection
* No affiliation at system of French social security
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Dr Malou Navez, Pain Clinic, Saint-Etienne Hopital

UNKNOWN

Sponsor Role collaborator

Dr Marc Sorel, Pain Clinic, Nemours Hospital

UNKNOWN

Sponsor Role collaborator

Dr Anne-Margot Duclot, Pain Clinic, Paris Rotschild Hospital

UNKNOWN

Sponsor Role collaborator

Dr Monique Belon, Pain Clinic, Aurillac Hospital

UNKNOWN

Sponsor Role collaborator

Dr Marie-Christine Crosmary/Dr Renato Colamarino, Pain Clinic, Vichy Hospital

UNKNOWN

Sponsor Role collaborator

Dr Mohamed El Ayadi, Pain Clinic, Issoire Hospital

UNKNOWN

Sponsor Role collaborator

Dr Géraldine Brumauld de Montgazon, Pain Clinic, La Rochelle Hospital

UNKNOWN

Sponsor Role collaborator

University Hospital, Clermont-Ferrand

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Gisèle PICKERING

Role: PRINCIPAL_INVESTIGATOR

University Hospital, Clermont-Ferrand

Locations

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CHU Clermont-Ferrand

Clermont-Ferrand, , France

Site Status

Countries

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France

References

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Pickering G, Pereira B, Morel V, Tiberghien F, Martin E, Marcaillou F, Picard P, Delage N, de Montgazon G, Sorel M, Roux D, Dubray C. Rationale and design of a multicenter randomized clinical trial with memantine and dextromethorphan in ketamine-responder patients. Contemp Clin Trials. 2014 Jul;38(2):314-20. doi: 10.1016/j.cct.2014.06.004. Epub 2014 Jun 16.

Reference Type DERIVED
PMID: 24948402 (View on PubMed)

Other Identifiers

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CHU-0112

Identifier Type: -

Identifier Source: org_study_id