Paracetamol and Neuropathic Pain

NCT ID: NCT03559985

Last Updated: 2022-10-10

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

TERMINATED

Clinical Phase

PHASE2

Total Enrollment

43 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-08-20

Study Completion Date

2022-08-31

Brief Summary

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The aim of this study is to evaluate the analgesic effect of paracetamol in patients suffering from pain with a peripheral neuropathic component in the presence of their usual treatment.

Detailed Description

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This is an interventional, randomized, placebo-controlled, double-blind, crossover study about the use of paracetamol in therapeutic doses in peripheral neuropathic pain patients. The analgesic effect of paracetamol will be assessed by the painful intensity measured by numerical pain rating scale over one week after taking paracetamol/placebo.

The secondary objectives will be:

* To determine the number of patients in whom paracetamol is effective in reducing pain by at least 30% and 50%,
* To evaluate the effect of paracetamol on pain, on the number and intensity of paroxysms,
* To evaluate paracetamol consumption,
* To evaluate the effect of paracetamol on neuropathic pain patient,
* To evaluate the effect of paracetamol on mechanical allodynia,
* To monitor routine biological parameters (liver function),
* Compare Glutathione (GSH) concentrations before and after taking paracetamol,
* To perform a blood test for paracetamol and its metabolites before and after each study period,
* To perform urine dosage of paracetamol and its metabolites before and after each study period,
* To study pharmacogenetics parameters,
* To evaluate patient feeling and satisfaction after taking paracetamol,
* To evaluate the effect of paracetamol on cognition, anxiety, depression and sleep by different questionnaires,
* To collect adverse events.

Conditions

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Neuropathic Pain

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

After a week of pre-selection (D-6 to D0), each patient will receive successively in random order each of the 2 products (paracetamol and placebo) with one wash-out period of 7 days between each administration.
Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors
Paracetamol 500 mg capsules (Doliprane® 500 mg) will remain packaged in their blister packs of origin. The necessary quantity of capsules will be packaged in a box labelled at the corresponding period (period 1 or 2).

Lactose capsules (placebo) of the same size and colour as the Paracetamol capsules (Doliprane® 500 mg) will be bought by the CHU Pharmacy from Clermont-Ferrand. The capsules will then be blistered; the necessary quantity of capsules placebo will be packaged in the same box used for paracetamol, labelled at the time of the treatment (period 1 or 2).

Study Groups

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Paracetamol and placebo comparator (Group 1)

Neuropathic pain patients taking either paracetamol or placebo according to the randomization plan

Group Type OTHER

paracetamol

Intervention Type DRUG

Period 1 (D1 to D7): 500 mg (paracetamol or placebo) to be repeated if necessary, depending on the intensity of pain, after 4 hours minimum between each treatment intake, with a maximum dose of 3 g/day, corresponding to 6 capsules per day.

Wash-out period (D8 to D14): patients should not take paracetamol during this week.

Period 2 (D15 to D21): 500 mg per dose (paracetamol or placebo) to be repeated if necessary, depending on the intensity of pain, after 4 hours minimum between each treatment intake, with a maximum dose of 3 g/day, corresponding to 6 capsules per day.

Placebo comparator

Intervention Type OTHER

Period 1 (D1 to D7): 500 mg (paracetamol or placebo) to be repeated if necessary, depending on the intensity of pain, after 4 hours minimum between each treatment intake, with a maximum dose of 3 g/day, corresponding to 6 capsules per day.

Wash-out period (D8 to D14): patients should not take paracetamol during this week.

Period 2 (D15 to D21): 500 mg per dose (paracetamol or placebo) to be repeated if necessary, depending on the intensity of pain, after 4 hours minimum between each treatment intake, with a maximum dose of 3 g/day, corresponding to 6 capsules per day.

Paracetamol and placebo comparator (Group 2)

Neuropathic pain patients taking either paracetamol (if during period 1 they received placebo) or placebo (if during period 1 they received paracetamol)

Group Type OTHER

paracetamol

Intervention Type DRUG

Period 1 (D1 to D7): 500 mg (paracetamol or placebo) to be repeated if necessary, depending on the intensity of pain, after 4 hours minimum between each treatment intake, with a maximum dose of 3 g/day, corresponding to 6 capsules per day.

Wash-out period (D8 to D14): patients should not take paracetamol during this week.

Period 2 (D15 to D21): 500 mg per dose (paracetamol or placebo) to be repeated if necessary, depending on the intensity of pain, after 4 hours minimum between each treatment intake, with a maximum dose of 3 g/day, corresponding to 6 capsules per day.

Placebo comparator

Intervention Type OTHER

Period 1 (D1 to D7): 500 mg (paracetamol or placebo) to be repeated if necessary, depending on the intensity of pain, after 4 hours minimum between each treatment intake, with a maximum dose of 3 g/day, corresponding to 6 capsules per day.

Wash-out period (D8 to D14): patients should not take paracetamol during this week.

Period 2 (D15 to D21): 500 mg per dose (paracetamol or placebo) to be repeated if necessary, depending on the intensity of pain, after 4 hours minimum between each treatment intake, with a maximum dose of 3 g/day, corresponding to 6 capsules per day.

Interventions

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paracetamol

Period 1 (D1 to D7): 500 mg (paracetamol or placebo) to be repeated if necessary, depending on the intensity of pain, after 4 hours minimum between each treatment intake, with a maximum dose of 3 g/day, corresponding to 6 capsules per day.

Wash-out period (D8 to D14): patients should not take paracetamol during this week.

Period 2 (D15 to D21): 500 mg per dose (paracetamol or placebo) to be repeated if necessary, depending on the intensity of pain, after 4 hours minimum between each treatment intake, with a maximum dose of 3 g/day, corresponding to 6 capsules per day.

Intervention Type DRUG

Placebo comparator

Period 1 (D1 to D7): 500 mg (paracetamol or placebo) to be repeated if necessary, depending on the intensity of pain, after 4 hours minimum between each treatment intake, with a maximum dose of 3 g/day, corresponding to 6 capsules per day.

Wash-out period (D8 to D14): patients should not take paracetamol during this week.

Period 2 (D15 to D21): 500 mg per dose (paracetamol or placebo) to be repeated if necessary, depending on the intensity of pain, after 4 hours minimum between each treatment intake, with a maximum dose of 3 g/day, corresponding to 6 capsules per day.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Patient aged 18 to 65 years,
* Patient suffering from chronic pain (for more than 3 months) with the characteristics of peripheral neuropathy and having pain assessed by a numerical scale ≥ 3 for one week, with at least 10 assessments completed,
* Patient agrees with not to take paracetamol, other than the treatment provided as part of the protocol, from inclusion to completion of the study,
* Acceptance to give a written consent.

Exclusion Criteria

* Patient taking paracetamol daily,
* Patient with a contraindication to paracetamol administration (liver or renal failure, ...),
* Patient with a biological evaluation evaluated by the investigator as not compatible with the trial,
* Patient with a medical and/or surgical history evaluated by the investigator to be not compatible with the trial,
* Patient with drug treatments evaluated by the investigator to be not compatible with the trial,
* Pregnant or nursing woman,
* Patient with a cooperation and an understanding that does not allow for a strict compliance under the conditions set out in the protocol,
* Patient participating in another clinical trial, or being in an exclusion period, or having received a total amount of compensation exceeding 4500 euros over the 12 months preceding the start of the trial,
* Patient benefiting from a legal protection measure (curatorship, guardianship, protection of justice...),
* Patient not affiliated to the French Social Security system,
* Paracetamol intake during wash-out period.
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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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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Lise LACLAUTRE

Clermont-Ferrand, , France

Site Status

Countries

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France

Other Identifiers

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2017-004505-40

Identifier Type: OTHER

Identifier Source: secondary_id

CHU-389

Identifier Type: -

Identifier Source: org_study_id

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