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Phase 4 N=8 Treatment

Effect of Milnacipran on Pain in Fibromyalgia

Fibromyalgia

Enrolled (actual)
8
Serious AEs
0.0%
Results posted
Sep 2019
Primary outcome: Primary: Concentration of Substance P in Cerebrospinal Fluid in Response to Experiemental Pain Before and After Milnacipran Treatment. — 77.2; 126.7; 81.0 pg/mL — p=< 0.01

Study Design & Population

Study type
Interventional
Phase
Phase 4
Interventions
Milnacipram (Drug)
Age
Adult, Older Adult · 18+ yrs
Sex
Female
Sponsor
University of California, San Diego
Primary completion
Jan 2015

Outcome Measures

OutcomeResultp-value
PRIMARY
Concentration of Substance P in Cerebrospinal Fluid in Response to Experiemental Pain Before and After Milnacipran Treatment.
77.2; 126.7; 81.0 < 0.01 sig
SECONDARY
Measure Sensory Threshold for Temperature Pain
20.6; 8.8 < 0.05 sig
SECONDARY
Measure Sensory Thresholds for Pressure Pain
15.9; 14.1 > 0.05
SECONDARY
Measure Pain Ratings and Fibromyalgia Symptoms
4.5; 3.2 > 0.05
SECONDARY
Measure Concentrations of Serotonin and Norepinephrine Cerebrospinal Fluid and Plasma

Summary

The investigators want to study the effects of milnacipran treatment on neurotransmitter release in fibromyalgia.

Eligibility Criteria

Inclusion Criteria

  • Female age 18 or older
  • Written informed consent and written release of health and research study information
  • Diagnosis of Fibromyalgia
  • Participant has pain greater than 4 on the NRS of 0 to 10 on average over the last week prior to initial evaluation that interferes with function most days per week
  • Pain duration greater than 6 months
  • Negative urine pregnancy test on experimental day 1 and 2 and on first day of treatment prior to administration of study medication and fluoroscopy
  • Ability to speak and understand English, to follow instructions, and fill out study questionnaires
  • Likely to complete all required visits
  • Must be ambulatory and able to lay prone for 30 minutes

Exclusion Criteria

  • Any condition or situation that in the investigator's opinion may put the participant at significant risk, confound the study results, or interfere significantly with the participant's participation in the study
  • Serious, unstable medical illness that could lead to hospitalization over the next three months; and/or a DSM-IV diagnosis(es) with active problems within the last six months, such as: schizophrenia, bipolar disorder, antisocial personality disorder, or substance use disorder
  • Known, uncontrolled, serious systemic disease, including: hypertension and/or tachyarrythmia
  • Females who are pregnant, breast feeding, or who plan to become pregnant, or who may potentially become pregnant
  • Allergy or sensitivity to any component of the study medication or to contrast dye
  • Patients on coumadin, heparin, or any other known increase risk of bleeding
  • Signs of increased intracranial pressure
  • Patients who are unable to continue current pain medication
  • Allergy or contraindication to acetaminophen
  • Use of monoamine oxidase inhibitors
  • Uncontrolled narrow-angle glaucoma
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT01288807). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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