Chronic Pain Clinical Trial
Official title:
Milnacipran for the Pain, Sensory Sensitization and Mood Changes in Knee Osteoarthritis
The patients are asked to take part in this study because you have chronic pain as a result of knee osteoarthritis. This study is done to investigate the pain relieving effects of the study drug Savella (milnacipran HCl) for people who experience chronic osteoarthritis pain. The purpose of this research is to look at how the study drug can be used to benefit people who experience osteoarthritis knee pain. This is a phase IV study done to study the safety and effectiveness of the drug. At this point the drug is already approved by the Food and Drug Administration for people with fibromyalgia but it has not yet been approved for people with knee osteoarthritis.
If you are in this study, you will be placed in one of two study groups: one group will
receive the study drug and one will receive a placebo. You will be assigned a study group by
chance using a process similar to the flip of a coin.
At the first visit (week one) we will review and sign the informed consent, obtain your
medical health history, and conduct a brief physical exam. You will also complete several
questionnaires about your pain. You will be assessed for your eligibility to participate in
this study. If you are eligible, we will conduct some physical and sensory tests and collect
a blood sample. The physical tests include a stair climb, 6-minute treadmill test and a
1-minute sit to stand test. The sensory tests allow us to understand your perception of
various stimuli such as vibration, light touch, pinprick, heat, cold, hot pain, and cold
pain. At the end of the first visit you will be given an electronic diary to record your
pain throughout the study. We will also ask you to wear a device in a T-shirt, similar to an
accelerometer, that will be used to record your sleep quality and physical activity for 2
days.
At the second (week two) and third visits (week nine) you will be asked to complete the same
questionnaires, physical and sensory tests as during the first visit. You will also have to
wear the t-shirt with the device for 2 days after each visit.
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Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Investigator), Primary Purpose: Treatment
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