Trial Outcomes & Findings for Gabapentin for Headache in Aneurysmal Subarachnoid Hemorrhage (NCT NCT02330094)

NCT ID: NCT02330094

Last Updated: 2019-09-10

Results Overview

Pain was measured on a Visual Analogue Scale (VAS) rated from 0-10, where 0 was no pain and 10 was the worst pain imaginable. The numeric pain score was measured every 4 hours and the total score over 24 hours was averaged as the daily numeric pain score. The daily scores were then averaged over a 7 day period for a single average pain score.

Recruitment status

COMPLETED

Study phase

PHASE4

Target enrollment

16 participants

Primary outcome timeframe

baseline through day 7

Results posted on

2019-09-10

Participant Flow

Participant milestones

Participant milestones
Measure
Gabapentin
Gabapentin capsules 100 mg ter in die (TID), 200 mg TID, 300 mg TID, 400 mg TID, 600 mg TID, 900 mg TID. Gabapentin: Gabapentin capsules will be administered orally and titrated from 100 mg - 900 mg TID based on the patient's numeric pain score and creatinine clearance. Both groups will receive other standard of care pain medications.
Control
Placebo capsules 100 mg ter in die (TID), 200 mg TID, 300 mg TID, 400 mg TID, 600 mg TID, 900 mg TID. Placebo: Placebo capsules will be administered orally and titrated from 100 mg - 900 mg TID based on the patient's numeric pain score and creatinine clearance. Both groups will receive other standard of care pain medications.
Overall Study
STARTED
8
8
Overall Study
COMPLETED
8
8
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Gabapentin for Headache in Aneurysmal Subarachnoid Hemorrhage

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Gabapentin
n=8 Participants
Gabapentin capsules 100 mg TID, 200 mg TID, 300 mg TID, 400 mg TID, 600 mg TID, 900 mg TID. Gabapentin: Gabapentin capsules will be administered orally and titrated from 100 mg - 900 mg TID based on the patient's numeric pain score and creatinine clearance. Both groups will receive other standard of care pain medications.
Control
n=8 Participants
Placebo capsules 100 mg TID, 200 mg TID, 300 mg TID, 400 mg TID, 600 mg TID, 900 mg TID. Placebo: Placebo capsules will be administered orally and titrated from 100 mg - 900 mg TID based on the patient's numeric pain score and creatinine clearance. Both groups will receive other standard of care pain medications.
Total
n=16 Participants
Total of all reporting groups
Age, Continuous
52.7 years
STANDARD_DEVIATION 10.2 • n=5 Participants
49.8 years
STANDARD_DEVIATION 11.6 • n=7 Participants
51.3 years
STANDARD_DEVIATION 10.6 • n=5 Participants
Sex: Female, Male
Female
4 Participants
n=5 Participants
8 Participants
n=7 Participants
12 Participants
n=5 Participants
Sex: Female, Male
Male
4 Participants
n=5 Participants
0 Participants
n=7 Participants
4 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
2 Participants
n=5 Participants
3 Participants
n=7 Participants
5 Participants
n=5 Participants
Race (NIH/OMB)
White
5 Participants
n=5 Participants
5 Participants
n=7 Participants
10 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Region of Enrollment
United States
8 Participants
n=5 Participants
8 Participants
n=7 Participants
16 Participants
n=5 Participants
Chronic Pain
4 Participants
n=5 Participants
5 Participants
n=7 Participants
9 Participants
n=5 Participants

PRIMARY outcome

Timeframe: baseline through day 7

Pain was measured on a Visual Analogue Scale (VAS) rated from 0-10, where 0 was no pain and 10 was the worst pain imaginable. The numeric pain score was measured every 4 hours and the total score over 24 hours was averaged as the daily numeric pain score. The daily scores were then averaged over a 7 day period for a single average pain score.

Outcome measures

Outcome measures
Measure
Gabapentin
n=8 Participants
Gabapentin capsules 100 mg TID, 200 mg TID, 300 mg TID, 400 mg TID, 600 mg TID, 900 mg TID. Gabapentin: Gabapentin capsules will be administered orally and titrated from 100 mg - 900 mg TID based on the patient's numeric pain score and creatinine clearance. Both groups will receive other standard of care pain medications.
Control
n=8 Participants
Placebo capsules 100 mg TID, 200 mg TID, 300 mg TID, 400 mg TID, 600 mg TID, 900 mg TID. Placebo: Placebo capsules will be administered orally and titrated from 100 mg - 900 mg TID based on the patient's numeric pain score and creatinine clearance. Both groups will receive other standard of care pain medications.
Average Numeric Pain Score
5.2 score on a scale
Standard Deviation 1.9
5.8 score on a scale
Standard Deviation 1.5

PRIMARY outcome

Timeframe: baseline through day 7

The amount of narcotics administered, averaged over a 7 day period, calculated in total morphine equivalents (ME).

Outcome measures

Outcome measures
Measure
Gabapentin
n=8 Participants
Gabapentin capsules 100 mg TID, 200 mg TID, 300 mg TID, 400 mg TID, 600 mg TID, 900 mg TID. Gabapentin: Gabapentin capsules will be administered orally and titrated from 100 mg - 900 mg TID based on the patient's numeric pain score and creatinine clearance. Both groups will receive other standard of care pain medications.
Control
n=8 Participants
Placebo capsules 100 mg TID, 200 mg TID, 300 mg TID, 400 mg TID, 600 mg TID, 900 mg TID. Placebo: Placebo capsules will be administered orally and titrated from 100 mg - 900 mg TID based on the patient's numeric pain score and creatinine clearance. Both groups will receive other standard of care pain medications.
Average Narcotic Consumption
19.4 milligrams
Standard Deviation 14.8
20.2 milligrams
Standard Deviation 13.1

SECONDARY outcome

Timeframe: Day 8

The Brigham and Women's Hospital Management of Post-operative Pain Patients discharge questionnaire (BWQ) was used to measure pain control satisfaction. The questionnaire was modified and transformed into a uniform scale so all numbers were on the same direction. Subjects were asked to answer six questions on a score of 0-5, for a total possible range of 0-30. A lower score indicated a better outcome (less pain) and higher pain control satisfaction and a higher score indicated a worse outcome (more pain) and lower pain control satisfaction.

Outcome measures

Outcome measures
Measure
Gabapentin
n=8 Participants
Gabapentin capsules 100 mg TID, 200 mg TID, 300 mg TID, 400 mg TID, 600 mg TID, 900 mg TID. Gabapentin: Gabapentin capsules will be administered orally and titrated from 100 mg - 900 mg TID based on the patient's numeric pain score and creatinine clearance. Both groups will receive other standard of care pain medications.
Control
n=8 Participants
Placebo capsules 100 mg TID, 200 mg TID, 300 mg TID, 400 mg TID, 600 mg TID, 900 mg TID. Placebo: Placebo capsules will be administered orally and titrated from 100 mg - 900 mg TID based on the patient's numeric pain score and creatinine clearance. Both groups will receive other standard of care pain medications.
Pain Control Satisfaction Questionnaire
14 score on a scale
Standard Deviation 4.1
12.6 score on a scale
Standard Deviation 2.9

Adverse Events

Gabapentin

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

Control

Serious events: 0 serious events
Other events: 3 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Gabapentin
n=8 participants at risk
Gabapentin capsules 100 mg TID, 200 mg TID, 300 mg TID, 400 mg TID, 600 mg TID, 900 mg TID. Gabapentin: Gabapentin capsules will be administered orally and titrated from 100 mg - 900 mg TID based on the patient's numeric pain score and creatinine clearance. Both groups will receive other standard of care pain medications.
Control
n=8 participants at risk
Placebo capsules 100 mg TID, 200 mg TID, 300 mg TID, 400 mg TID, 600 mg TID, 900 mg TID. Placebo: Placebo capsules will be administered orally and titrated from 100 mg - 900 mg TID based on the patient's numeric pain score and creatinine clearance. Both groups will receive other standard of care pain medications.
General disorders
Nausea
12.5%
1/8 • Number of events 1 • Adverse event data were collected for the duration of time the subject was in the Neuro Intensive Care Unit, which was an average of 7 to 14 days.
12.5%
1/8 • Number of events 1 • Adverse event data were collected for the duration of time the subject was in the Neuro Intensive Care Unit, which was an average of 7 to 14 days.
General disorders
Agitation
12.5%
1/8 • Number of events 1 • Adverse event data were collected for the duration of time the subject was in the Neuro Intensive Care Unit, which was an average of 7 to 14 days.
12.5%
1/8 • Number of events 1 • Adverse event data were collected for the duration of time the subject was in the Neuro Intensive Care Unit, which was an average of 7 to 14 days.
General disorders
Delirium
0.00%
0/8 • Adverse event data were collected for the duration of time the subject was in the Neuro Intensive Care Unit, which was an average of 7 to 14 days.
12.5%
1/8 • Number of events 1 • Adverse event data were collected for the duration of time the subject was in the Neuro Intensive Care Unit, which was an average of 7 to 14 days.
General disorders
Vomiting
0.00%
0/8 • Adverse event data were collected for the duration of time the subject was in the Neuro Intensive Care Unit, which was an average of 7 to 14 days.
12.5%
1/8 • Number of events 1 • Adverse event data were collected for the duration of time the subject was in the Neuro Intensive Care Unit, which was an average of 7 to 14 days.

Additional Information

Dr. William D. Freeman

Mayo Clinic

Phone: 904-953-7103

Results disclosure agreements

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