Fibromyalgia Clinical Trial
Official title:
Supporting Effect of Dronabinol on Behavioral Therapy in Fibromyalgia and Chronic Back Pain
It is known, that a so called "pain memory" usually evolves in chronic pain syndromes which both aggravates the disorder and modifies the patients pain perception. Thus, the principal object of pain therapy is to "delete" this dysfunctional pain memory. The combination of medication, physiotherapy and psychological therapy seems to be the most effective treatment. This study investigates the effect of a concomitant Dronabinol medication (Cannabinoid) on the effectiveness of behavioral therapy. It is hypothesized that the combination of behavioral therapy and Dronabinol will be most effective in deleting the pain memory.
This study investigates the combination of operant behavioral treatment and Cannabinoid
medication in patients with fibromyalgia and patients with back pain. It is well known that
cannabinoids (THC) accelerate learning processes. It is assumed that the combination of both
treatments may exert an synergetic effect. A low dose of THC is used, which ist not expected
to have direct analgetic effects. The study also investigates genetic determinants of both
disorders and the response to treatment, respectively.
The patients will be randomly assigned to one of four groups: Behavioral therapy and
Dronabinol, behavioral therapy and placebo, behavioral therapy only, standard medical
therapy. Patients will attend 12 weekly group-sessions (6-8 patients) of behavioral therapy.
Behavioral therapy sessions will include training in reducing pain behaviour and
establishing active and "healthy" behaviour instead. There will be weekly medical safety
visits, in which the patients receive medication and undergo a physical examination (blood
and urine samples).
Patients will be evaluated before and after behavioral therapy and will be followed for an
additional 6- and 12-months phase. The outcome variables will be recorded by the use of
interviews and questionnaires.
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Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Factorial Assignment, Masking: Double-Blind, Primary Purpose: Treatment
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