Effect of Milnacipran / Gabapentin in Fibromyalgia

NCT ID: NCT05384210

Last Updated: 2022-05-20

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

UNKNOWN

Clinical Phase

NA

Total Enrollment

75 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-06-30

Study Completion Date

2023-11-30

Brief Summary

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Gabapentin and milnacipran (MLN) show strong evidence of reduced pain, increased sleep, and improvement in the quality of life in fibromyalgia (FM) patients.

Most FM trials focus primarily on pain reduction with monotherapy. Polypharmacy is commonly used, but supportive evidence is limited.

The gabapentin-MLN combined therapy may be more effective in female patients with FM than their monotherapy.

Detailed Description

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The aim of the study is to evaluate the analgesic efficacy of gabapentin-MLN as combined or monotherapy on patients with FM.

Conditions

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Fibromyalgia

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

NONE

Study Groups

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Milnacipran

Patients will receive Milnacipran as a mono-therapy will be administered in increment doses for 3 months

Group Type ACTIVE_COMPARATOR

Milnacipran

Intervention Type DRUG

Milnacipran will be administered according to the treatment recommendations for fibromyalgia, starting with 50 mg once daily for 1 week then increasing to reach 100 mg daily (50 mg twice daily) based on efficacy and tolerability for 3 months.

Gabapentin

patients will receive Gabapentin as a mono-therapy will be administered in increment doses for 3 months

Group Type ACTIVE_COMPARATOR

Gabapentin

Intervention Type DRUG

Patients will receive gabapentin (1200 mg twice daily) as a monotherapy. Gabapentin will be administered according to the treatment recommendations for FM patients starting with 400 mg 3 times per day, then increasing the dose to 800 mg 3 times per day with a maximum dose of 2400 mg per day according to efficacy and tolerability for 3 months

Combined gabapentin/milnacipran

Patients will receive combined gabapentin and milnacipran as a combination therapy will be administered in increment doses for 3 months

Group Type ACTIVE_COMPARATOR

Combined gabapentin/milnacipran

Intervention Type DRUG

Patients will receive combined gabapentin as group B and MLN as group A

Interventions

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Milnacipran

Milnacipran will be administered according to the treatment recommendations for fibromyalgia, starting with 50 mg once daily for 1 week then increasing to reach 100 mg daily (50 mg twice daily) based on efficacy and tolerability for 3 months.

Intervention Type DRUG

Gabapentin

Patients will receive gabapentin (1200 mg twice daily) as a monotherapy. Gabapentin will be administered according to the treatment recommendations for FM patients starting with 400 mg 3 times per day, then increasing the dose to 800 mg 3 times per day with a maximum dose of 2400 mg per day according to efficacy and tolerability for 3 months

Intervention Type DRUG

Combined gabapentin/milnacipran

Patients will receive combined gabapentin as group B and MLN as group A

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* There are no other criteria rather than age and sex

Exclusion Criteria

* Patient refusal.
* Pregnancy or breastfeeding.
* Active liver disease
* Renal impairment (creatinine clearance \< 60 mL/min).
* Documented autoimmune disease.
* Severe chronic obstructive pulmonary disease.
* Recent arrhythmia
* Myocardial infarction
* Stroke.
* Uncontrolled hypertension.
* Glaucoma.
Minimum Eligible Age

18 Years

Maximum Eligible Age

70 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Mansoura University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Amr M Yassin, MD

Role: STUDY_CHAIR

Professor of Anesthesia and Surgical Intensive Care

Eiad A Ramzy, md

Role: STUDY_DIRECTOR

Assistant Professor of Anesthesia and Surgical Intensive Care

Locations

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Mansoura University

Al Mansurah, DK, Egypt

Site Status

Countries

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Egypt

Other Identifiers

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MFM-IRB، MD.21.12.577

Identifier Type: -

Identifier Source: org_study_id

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