Title
Micronized and Ultramicronized Palmitoylethanolamide in Fibromyalgia Patients
Efficacy and Tolerability of Micronized and Ultramicronized Palmitoylethanolamide in Fibromyalgia Patients: A Double-blind, Randomized, Placebo-controlled Clinical Trial
Phase
Phase 4Lead Sponsor
Epitech Group SpAStudy Type
InterventionalStatus
Completed No Results PostedIndication/Condition
FibromyalgiaIntervention/Treatment
micronized and ultra-micronized Palmitoylethanolamide (mPEA and umPEA, 300mg + 600mg) microgranules ...Study Participants
21The onset of chronic Fibromyalgia symptomatology is due to central alterations, together with peripheral neuroimmune modifications. Using positron emission tomography (PET), it has been observed for the first time that fibromyalgia patients have a high activation of microglial cells compared to normal subjects. Experimental evidence in neuroinflammation models in vitro and in vivo have demonstrated the anti-inflammatory and neuroprotective effect of Palmitoylethanolamide (PEA), effects confirmed by observational clinical investigations conducted in patients with fibromyalgia in which micronized and ultra-micronized Palmitoylethanolamide (mPEA and umPEA) reduced the intensity of pain improving the quality of life. The aim of this study is to investigate the efficacy and tolerability of PEA-m + PEA-um administered as an add-on therapy with a double-blind, randomized, placebo-controlled clinical investigation.
Micronized and ultra-micronized Palmitoylethanolamide is on the market in Italy as a Food for Special Medical Purposes
Placebo was prepared to be indistinguishable from color and flavor from the Product
(antidepressants, anticonvulsants, muscle relaxants, weak opiates, etc..) consolidated for at least 3 months
Use as needed allowed
Normast® MPS (mPEA and umPEA 300mg + 600mg) microgranules for sublingual use, 1800mg/die in 2 doses (morning and evening) for 90 days
Placebo microgranules for sublingual use, 1800mg/die in 2 doses (morning and evening) for 90 days
Inclusion Criteria: Diagnosis of Fibromyalgia according to the criteria of the American College of Rheumatology 2016 (symptoms for at least 3 months, Widespread Pain Index (WPI) ≥ 7 and Symptom Severity (SS) ≥ 5 or WPI 4-6 and SS ≥ 9) Pain intensity assessed on the Visual Analogue Scale (VAS) ≥ 40 PEA-naive patients Patients who agree to sign informed consent Exclusion Criteria: Values of WPI <7 and SS <5 Pain intensity assessed on the Visual Analogue Scale (VAS) <40 Patients who have already taken PEA in the past Allergic or hypersensitive subjects to the product and / or one or more of its excipients Patients who refuse to sign informed consent