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Clinical Trial Summary

Ziconotide (Prialt®) is a powerful analgesic, approved in Europe since 2005, and reserved for the intrathecal route. Ziconotide is a protein of 2500 Daltons isolated from a cone-snail: Conus Magus, acting by blocking the N-type voltage-sensitive calcium channels. Its efficacy has been proven by 3 randomized clinical trials. It is particularly effective on chronic refractory neuropathic pain, and its main advantages are its power of action, the absence of bone marrow toxicity, and the absence of respiratory depression. In addition, there were no signs of withdrawal when stopping the drug, or of tachyphylaxis. However, during these studies many adverse reactions became evident, especially neuropsychiatric reactions, which limited its use. This toxicity was mainly related to the administration of too high doses, especially at the start of treatment. There is a lack of data on the current use of ziconotide in current practice. The objective of the study will be to describe the practical methods of using intrathecal treatments containing ziconotide in different settings of patients with severe chronic pain requiring intrathecal analgesia.


Clinical Trial Description

n/a


Study Design


Related Conditions & MeSH terms


NCT number NCT04321408
Study type Observational [Patient Registry]
Source Institut Cancerologie de l'Ouest
Contact DENIS DUPOIRON, MD
Phone +33 241352700
Email denis.dupoiron@ico.unicancer.fr
Status Recruiting
Phase
Start date July 10, 2020
Completion date January 2027

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