Fatigue Syndrome, Chronic Clinical Trial
Official title:
A Randomized, Placebo-Controlled, Double-Blind Trial of Duloxetine in the Treatment of Patients With Chronic Fatigue Syndrome
The purpose of this study is to determine the safety and efficacy of duloxetine compared with placebo for reducing fatigue in patients diagnosed with Chronic Fatigue Syndrome (CFS).
Chronic fatigue syndrome (CFS) is characterized by severe disabling fatigue of at least six
months duration that cannot be fully explained by an identifiable medical condition . Pain
symptoms are also a part of the diagnostic criteria for CFS, and include muscle pain,
multi-joint pain, and headaches. The prevalence of CFS ranges from 0.007 to 2.8 % in the
general adult population and 0.006 to 3.0% in primary care practice (2). Although most who
receive a CFS diagnosis are 30-40 years of age, Caucasian, and female, CFS affects both
women and men, adults and children, and all racial and socioeconomic classes.
Patients with CFS have 2-4 times the rate of depression and anxiety compared with the
general population. CFS is also commonly comorbid with fibromyalgia, a disorder
characterized by chronic widespread pain, tenderness, fatigue, sleep and mood disturbances.
In some samples, 70% of patients with fibromyalgia also meet criteria for CFS. CFS and
fibromyalgia are characterized by greater similarities than differences and may share
pathophysiologic features. Like fibromyalgia, CFS is associated with chronic pain, sleep and
mood disturbances. Because fibromyalgia responds to treatment with antidepressants,
particularly the dual serotonin and norepinephrine reuptake inhibitors, including
duloxetine, antidepressant trials in CFS are clearly needed.
;
Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Investigator, Outcomes Assessor), Primary Purpose: Treatment
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