Effects of Pregabalin, Duloxetine & Amitriptyline on Pain & Sleep

Last updated: November 16, 2009
Sponsor: University of Surrey
Overall Status: Completed

Phase

2/3

Condition

Diabetes And Hypertension

Diabetes Prevention

Neurologic Disorders

Treatment

N/A

Clinical Study ID

NCT00370656
CRC 235
  • Ages > 18
  • All Genders

Study Summary

The purpose of this study is to assess the effectiveness of pregabalin, duloxetine and amitriptyline compared with placebo in reducing pain in diabetic patients as assessed by Brief Pain Inventory (BPI).

Eligibility Criteria

Inclusion

Inclusion Criteria:

  1. 18 years of age or above

  2. Have a diagnosis of Diabetes mellitus for at least a year

  3. Agree not to smoke whilst resident in the CRC

  4. Able to understand the patient information sheet and provide written informed consent

  5. Score above 12 on the LANSS

  6. Have neuropathic pain of diabetic origin

  7. Score above 25 on MMSE

  8. Willing to withdraw, under the guidance of their diabetologist, from any current painmedication prior to their first visit to the sleep laboratory. Duration of withdrawalwill be at least equivalent to 5 half-lives and will be of a relevant duration giventhe particular medication used.

Exclusion

Exclusion Criteria:

  1. There is evidence of an end stage disease of a major system (hepatic, renal,respiratory, haematologic (PA), immunologic, cardiovascular, inflammatory,rheumatology, active infections, peripheral vascular disease, untreatedendocrine(hypothyroid)

  2. There is evidence of a recent ischaemic event

  3. There is evidence of recurrent and/or severe hypoglycemia requiring assistance in last 3 years

  4. Evidence of sleep pathology that would interfere with the assessment of treatment (assessed on habituation night)

  5. Currently receiving treatment for malignancy

  6. Suffer from seizures including epilepsy

  7. There is evidence of a history of dependence on or abuse of alcohol/recreational drugs

  8. Need to use a wheel chair (incompatible with studies in a sleep laboratory)

  9. Involved in a clinical trial in last 3 months

  10. Pregnant, lactating or inadequate contraception

  11. Vision inadequate for the performance tests (as assessed at screening)

  12. Colour Blind

  13. Will not co-operate with study procedures

  14. Will not give permission to inform GP

Study Design

Total Participants: 90
Study Start date:
February 01, 2007
Estimated Completion Date:
May 31, 2009

Study Description

Little is understood concerning the interaction of pain with sleep. Pain may disrupt sleep leading to daytime sleepiness and poor sleep can increase the perception of pain. There is uncertainty concerning the most effective way in which medication could be used to ease pain and poor sleep in patients such as those with diabetic peripheral neuropathy. Various drugs have been tried or proposed, and these include amitriptyline, pregabalin and duloxetine.

Amitriptyline is believed to relieve pain and improve sleep, though there is little evidence of its beneficial effects on sleep. Furthermore, even at low doses, it affects reaction time, attention, memory, information processing.

In two studies with duloxetine, it has been shown to significantly reduce pain compared with placebo, although little data are available on the usefulness of this compound in the management of pain with poor sleep.

Pregabalin has been shown to be effective in reducing pain, and therefore improving sleep. It has also been demonstrated that it has limited potential to affect daytime cognition. In another study gabapentin (a compound structurally related to pregabalin) demonstrated superior efficacy in the management of pain compared to amitriptyline.

Therefore this study will assess the effectiveness of pregabalin, duloxetine and amitriptyline compared with placebo in reducing pain associated with diabetes and poor sleep.

As the incidence of diabetes is predicted to increase in future years and as a consequence so will the cases of diabetic peripheral neuropathy (DPN), this research will serve to provide essential information on sleep and DPN which will be beneficial now and in the future.

Connect with a study center

  • Royal Bournemouth Hospital

    Bournemouth, Dorset BH7 7DW
    United Kingdom

    Site Not Available

  • Poole General Hospital

    Poole, Dorset BH15 2JB
    United Kingdom

    Site Not Available

  • University of Surrey Clinical Research Centre

    Guildford, Surrey GU2 7XP
    United Kingdom

    Site Not Available

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