Complex Regional Pain Syndrome Clinical Trial
Official title:
Randomized Controlled Trial of Subanesthetic Intravenous Ketamine Infusion in Conjunction With Continuous Epidural Infusion for Treatment of Refractory Complex Regional Pain Syndrome
Verified date | January 2018 |
Source | Hospital for Special Surgery, New York |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
The purpose of this study is to determine whether epidural and ketamine infusions are effective in the treatment of Complex Regional Pain Syndrome (CRPS).
Status | Terminated |
Enrollment | 3 |
Est. completion date | April 20, 2015 |
Est. primary completion date | April 20, 2015 |
Accepts healthy volunteers | Accepts Healthy Volunteers |
Gender | All |
Age group | 18 Years to 65 Years |
Eligibility |
INCLUSION CRITERIA: - Patients must meet the Budapest CRPS criteria, including two or more symptom categories and three or more sign categories (as previously documented by a pain management physician or neurologist, or as observed on initial neurologic examination by the study investigator) - Patients must have trialed at least three of the following therapies without relief judged adequate by the patient: - Anti-depressants - Anti-seizure medication - Muscle relaxants - Nerve blocks (somatic or sympathetic) - Non-opioid analgesics - Non-steroidal anti-inflammatory drugs - Opioid analgesics - Physical therapy - Spinal cord stimulator trial - Patients of either gender between the ages of 18 and 65 inclusive - Patient report of a NRS pain score of at least 5 in at least two out-patient pain management physician clinic visits EXCLUSION CRITERIA: - Patients younger than 18 or older than 65 - Patients who: - Are pregnant - Are affected with glaucoma - Are affected with thyrotoxicosis - Are lactating - Are on chronic anticoagulation therapy - Have autonomic dysfunction with hemodynamic instability - Have cardiac rhythm disturbance - Have cerebrovascular disease - Have conditions that would preclude central line placement - Have conditions that would preclude epidural catheter placement - Have congestive heart failure - Have coronary artery disease - Have creatinine level above 1.5 - Have electrolyte disturbance - Have had previous reaction to IV contrast dye - Have history of deep vein thrombosis - Have history of systemic administration of ketamine for the treatment of pain - Have liver disease - Have known history of psychosis, significant thought disorder, or untreated (bipolar disorder depression or anxiety disorder ok) - Have uncontrolled hypertension - Any patient who is unable to provide consent due to cognitive difficulties - Non-English speakers, as some of the instruments are only validated in English - Patients with active litigation or workers compensation related to CRPS - Patients with an intolerance or allergy to any medication planned as a component of the study - Patients with known history of illegal drug use or alcohol dependence |
Country | Name | City | State |
---|---|---|---|
United States | Hospital for Special Surgery | New York | New York |
Lead Sponsor | Collaborator |
---|---|
Hospital for Special Surgery, New York |
United States,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Pain Reduction | Evidence of changes in NRS pain scores between baseline and six months post infusion | 6 months post infusion |
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