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Phase 3 Completed N=100 Randomized Quadruple-blind Treatment

Combined Medication for Improved Analgesia in Superficial Pain

Source: ClinicalTrials.gov NCT02194088 ↗
Enrolled (actual)
100
Serious AEs
0.0%
Results posted
May 2017
Primary outcomePrimary: Pain Scores on Standardized Experimental Pain Testing — 59.6; 54.0; 44.1; 45.3 units on a scale
◆ Published Evidence
Established
53citations · ~6 / year
Side effects can enhance treatment response through expectancy effects: an experimental analgesic randomized controlled trial.
Pain · 2017 · High-confidence link

Summary

This research study is being done to assess if a combination of medications can enhance the relief of superficial pain (pain at the surface of the skin, such as sunburn pain). The investigators also want to find out if certain genes may be linked to individual differences in experienced efficacy of pain killers. The combination of medications under investigation is diclofenac and atropine. Diclofenac has been approved by the U.S. Food and Drug Administration (FDA) to treat pain. Atropine has been approved by the FDA to treat certain types of poisoning, heartbeat problems, and other diseases but atropine is not approved to treat pain. However, atropine has been used for many years in different European countries to treat painful conditions such as stomach cramps.This research study will compare diclofenac and atropine to placebo.

Linked Publications (2)

  • Side effects can enhance treatment response through expectancy effects: an experimental analgesic randomized controlled trial.
    Pain · 2017 · 53 citations · High-confidence link
  • Impact of active placebo controls on estimated drug effects in randomised trials: a systematic review of trials with both active placebo and standard placebo.
    The Cochrane database of systematic reviews · 2023 · 13 citations · Open access · Likely link

Outcome Measures

OutcomeResultp-value
PRIMARY
Pain Scores on Standardized Experimental Pain Testing
59.6; 54.0; 44.1; 45.3
SECONDARY
Catechol-O-methyltransferase (COMT) Polymorphism Correlation With Pain Relief
SECONDARY
Side Effects
28; 7; 4; 2; 43; 16

Eligibility Criteria

Inclusion Criteria

  • Male and female healthy volunteers.
  • 18-40 years of age.
  • Ability to read and understand English; English can be a second language provided that the participant feels that he/she understand all the questions used in the assessment measures.

Exclusion Criteria

  • Chronic pain condition or chronic or current treatment with any pain medication.
  • Presence of any illness or medication use that is judged to interfere with the trial. For example: psychiatric disorder, medication that can influence cognition or emotional processing, i.e. sleep medication, antidepressants, anti-convulsants or opioids.
  • Unwillingness to receive brief pain stimulation administered by a heat probe on the hand.
  • Allergy or contra-indication to receiving nonsteroidal anti-inflammatory medication and atropine (Treatment with antidepressants, neuroleptics, antihistaminic, levodopa, anti-acids. Pregnancy, breast-feeding, myasthenia gravis, pyloric stenosis, gastro-esophageal reflux, gastric ulcer, constipation, prostatic enlargement, glaucoma, cardio-pulmonary condition -including tachycardia, arrhythmia, arteriosclerosis-, hyperthyroidism, high blood pressure, genetic disease, kidney failure)
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT02194088) and the linked publication. 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. Informational only — not medical advice.

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