Title

Study of NMDA Antagonists and Neuropathic Pain
Antagonists NMDA in Relay to Ketamine in Neuropathic Pain
  • Phase

    Phase 2
  • Study Type

    Interventional
  • Status

    Completed No Results Posted
  • Intervention/Treatment

    memantine dextromethorphan ...
  • Study Participants

    7
The aim of this study is to evaluate if memantine or dextromethorphan gave in relay to ketamine maintains or induces a decrease of pain intensity.

In clinical, after ketamine cure, clinicians have often difficulties to treat patients in order to maintain analgesia or suggest another treatment if analgesia induced by ketamine was not effective, which occurs in one quarter of patients. It will be very useful for monitoring of painful patients evaluate if memantine or dextromethorphan could be an effective therapeutic alternative in neuropathic pain treatment.
The aim of this study is to evaluate if memantine or dextromethorphan gave in relay to ketamine maintains or induces a decrease of pain intensity.

In clinical, after ketamine cure, clinicians have often difficulties to treat patients in order to maintain analgesia or suggest another treatment if analgesia induced by ketamine was not effective, which occurs in one quarter of patients. It will be very useful for monitoring of painful patients evaluate if memantine or dextromethorphan could be an effective therapeutic alternative in neuropathic pain treatment.
Study Started
May 31
2012
Primary Completion
Jun 30
2014
Study Completion
Sep 07
2016
Last Update
Oct 11
2017

Drug Dextromethorphan (drug used like antitussive)

The aim of this study is to evaluate if memantine or dextromethorphan gave in relay to ketamine maintains or induces a decrease of pain intensity

Drug Memantine (drug used in Alzheimer's disease)

The aim of this study is to evaluate if memantine or dextromethorphan gave in relay to ketamine maintains or induces a decrease of pain intensity

Drug Placebo (lactose)

The aim of this study is to evaluate if memantine or dextromethorphan gave in relay to ketamine maintains or induces a decrease of pain intensity

memantine Experimental

The aim of this study is to evaluate if memantine or dextromethorphan gave in relay to ketamine maintains or induces a decrease of pain intensity

dextromethorphan Experimental

The aim of this study is to evaluate if memantine or dextromethorphan gave in relay to ketamine maintains or induces a decrease of pain intensity

placebo Placebo Comparator

The aim of this study is to evaluate if memantine or dextromethorphan gave in relay to ketamine maintains or induces a decrease of pain intensity

Criteria

Inclusion Criteria:

> 18 years old
patient suffering chronic neuropathic pain
All chronic pain is retained except central or diabetic pain
Answering patient at ketamine in pain treatment by investigator, and having already received ketamine
Patient who completed before ketamine the following evaluation :

DN4, QCD, QDSA, PGIC questionnaires, HAD scale, Leed's sleep evaluation and SF36.

Patient who completed at the end of treatment the following evaluation : numerical scale and PGIC
Sufficient cooperation and understanding to comply to the requirements of study
Acceptance to give a written concert
Affiliation at system of French social security
Inscription or acceptation of inscription at national register of voluntaries participant at research

Exclusion Criteria:

Against-indication at memantine or dextromethorphan administration : hypersensitivity at active substance or excipients, hypertension, antecedent cerebrovascular accident, severe cardiac insufficiency
Patient with medical or surgical antecedents
Patient with progressive disease at balance of inclusion
Patient treated by an IMAO
Woman in childbearing age not using effective contraceptive method, pregnant or lactating woman
Patient who participated in another clinical trial, located in exclusion period or received benefits > 4500 euros during 12 months before the beginning of trial
Patient with cooperation and understanding insufficiency to comply to the requirements of protocol
Patient with social protection
No affiliation at system of French social security
No Results Posted