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Pregabalin and Radicular Pain Study (PARPS) (PARPS)

Primary Purpose

Cervical Spondylosis, Cervical Spondylotic Myelopathy, Cervical Spondylotic Radiculopathy

Status
Completed
Phase
Phase 4
Locations
Singapore
Study Type
Interventional
Intervention
Pregabalin
Sponsored by
Singapore General Hospital
About
Eligibility
Locations
Outcomes
Full info

About this trial

This is an interventional treatment trial for Cervical Spondylosis

Eligibility Criteria

20 Years - 80 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Clinical & MRI, or electrophysiological evidence of pain due to radiculopathy
  • Patients with CS and CSR or CSM with neuropathic pain due to the above in the neck and upper limbs or lower limbs (including dysesthesia, paresthesia, hyperalgesia).

Exclusion Criteria:

  • Diabetic neuropathy or other underlying neuropathic conditions
  • Contraindications and allergy to pregabalin
  • Previously treated with gabapentin in the last 8 weeks
  • Pregnant or breast feeding
  • History of renal impairment
  • History of other causes of neuropathic pain

Sites / Locations

  • Singapore General Hospital

Outcomes

Primary Outcome Measures

Visual Analogue Scale (VAS): Pain ruler done daily

Secondary Outcome Measures

Short-Form McGill Pain Questionnaire (SFMPQ)
Patient and Clinical Global Impression of change

Full Information

First Posted
February 2, 2010
Last Updated
July 4, 2011
Sponsor
Singapore General Hospital
Collaborators
Pfizer
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1. Study Identification

Unique Protocol Identification Number
NCT01061697
Brief Title
Pregabalin and Radicular Pain Study (PARPS)
Acronym
PARPS
Official Title
Open Labelled Study of Pregabalin in the Treatment of Neuropathic Pain in Cervical Myeloradiculopathy (Pregabalin and Radicular Pain Study (PARPS))
Study Type
Interventional

2. Study Status

Record Verification Date
July 2011
Overall Recruitment Status
Completed
Study Start Date
January 2008 (undefined)
Primary Completion Date
March 2010 (Actual)
Study Completion Date
April 2010 (Actual)

3. Sponsor/Collaborators

Name of the Sponsor
Singapore General Hospital
Collaborators
Pfizer

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
This study is designed to investigate the effectiveness of pregabalin (Lyrica) on nerve pain caused by degenerative neck problems. Pregabalin is a new drug registered for use in nerve pain worldwide
Detailed Description
The treatment of neuropathic pain is clinically challenging, and pain from cervical spondylosis (CS) is a common variant. This may result from degenerative spinal canal/cord stenosis (cervical spondylotic myelopathy (CSM)) or lateral recesses compromise, leading to nerve root compression (cervical spondylotic radiculopathy (CSR)). Pregabalin is a newly registered drug for the treatment of neuropathic pain. Its efficacy has been proven in randomised, placebo-controlled trials for post-herpetic neuralgia and diabetic neuropathy. However, its efficacy in CS with underlying CSR or CSM has not been established. Additionally, there are no data to date on its use in Asian patients. In this study, we prospectively evaluate its efficacy for treating neuropathic pain in degenerative CSR/ CSM 60 patients in an open-labelled, add on fashion. Self-evaluation and investigator rated scoring will be implemented. The results will be of value in the non-operative management of CS.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Cervical Spondylosis, Cervical Spondylotic Myelopathy, Cervical Spondylotic Radiculopathy

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 4
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
50 (Actual)

8. Arms, Groups, and Interventions

Intervention Type
Drug
Intervention Name(s)
Pregabalin
Other Intervention Name(s)
Brand name: Lyrica
Intervention Description
At week 0, pregabalin 75mgbd will be given for 1 month. If visual analogue scale is not reduced by 50% after 1 month, pregabalin will be increased to 150mgbd for the second month
Primary Outcome Measure Information:
Title
Visual Analogue Scale (VAS): Pain ruler done daily
Time Frame
2 months
Secondary Outcome Measure Information:
Title
Short-Form McGill Pain Questionnaire (SFMPQ)
Time Frame
0, 1, 2 months
Title
Patient and Clinical Global Impression of change
Time Frame
0, 1, 2 months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
20 Years
Maximum Age & Unit of Time
80 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Clinical & MRI, or electrophysiological evidence of pain due to radiculopathy Patients with CS and CSR or CSM with neuropathic pain due to the above in the neck and upper limbs or lower limbs (including dysesthesia, paresthesia, hyperalgesia). Exclusion Criteria: Diabetic neuropathy or other underlying neuropathic conditions Contraindications and allergy to pregabalin Previously treated with gabapentin in the last 8 weeks Pregnant or breast feeding History of renal impairment History of other causes of neuropathic pain
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Y L Lo, MD
Organizational Affiliation
National Neuroscience Institute, Singapore General Hospital
Official's Role
Principal Investigator
Facility Information:
Facility Name
Singapore General Hospital
City
Singapore
State/Province
Outram Road
ZIP/Postal Code
169608
Country
Singapore

12. IPD Sharing Statement

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Pregabalin and Radicular Pain Study (PARPS)

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