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Antiepileptic
Brivaracetam for Neuralgia Due to Spinal Cord Injury
Phase 1 & 2
Waitlist Available
Led By Scott Falci, MD
Research Sponsored by University of Minnesota
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial Must have
Participants who have severe below-level neuropathic pain (daily average 9/10 or 10/10)
Participants who have completed inpatient rehabilitation and are living in the community
Must not have
Brain injury limiting the ability to follow directions
Syringomyelia
Timeline
Screening 3 weeks
Treatment Varies
Follow Up baseline, 3 months
Summary
This trial will assess the feasibility of a 3-month treatment course with the drug brivarecetum for people with neuropathic pain associated with spinal cord injury.
Who is the study for?
This trial is for adults with chronic spinal cord injury who suffer from severe neuropathic pain that hasn't improved with other drugs. They must have completed inpatient rehab, live in the community, and can keep taking certain medications like spasmolytics during the trial. It's not for those with progressive myelopathy, syringomyelia, brain injuries affecting comprehension, pregnant or breastfeeding individuals, epilepsy patients, or those with liver/renal issues or allergies to brivaracetam.
What is being tested?
The study tests Brivaracetam—a potential new treatment for neuropathic pain in people with spinal cord injury—against a placebo over three months. Participants are randomly assigned to receive either Brivaracetam or a placebo pill without knowing which one they're getting.
What are the potential side effects?
Brivaracetam may cause side effects such as sleepiness, dizziness, fatigue, nausea and vomiting. Since it affects the nervous system directly, some people might also experience mood changes or skin rashes.
Eligibility Criteria
Inclusion Criteria
You may be eligible if you check “Yes” for the criteria belowSelect...
I experience severe, almost constant pain.
Select...
I have finished inpatient rehab and live at home.
Exclusion Criteria
You may be eligible for the trial if you check “No” for criteria below:Select...
I have a brain injury that affects my ability to follow instructions.
Select...
I have been diagnosed with syringomyelia.
Select...
I have epilepsy.
Select...
My liver or kidneys are not working properly.
Select...
My spinal cord injury has worsened due to scarring.
Timeline
Screening ~ 3 weeks3 visits
Treatment ~ Varies
Follow Up ~ baseline, 3 months
Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~baseline, 3 months
Treatment Details
Study Objectives
Study objectives can provide a clearer picture of what you can expect from a treatment.Primary study objectives
Change in Brief Pain Inventory
Change in Satisfaction with Life Scale (SWLS)
Secondary study objectives
Change in Periaqueductal Gray Activity
Other study objectives
miRNA in Treatment Group
Side effects data
From 2022 Phase 3 trial • 449 Patients • NCT0308366519%
Somnolence
14%
Dizziness
7%
Nasopharyngitis
5%
Upper respiratory tract infection
5%
Headache
1%
Miscarriage of partner
1%
Pyrexia
1%
Calculus ureteric
1%
Large intestine polyp
100%
80%
60%
40%
20%
0%
Study treatment Arm
BRV 200 mg/Day
Placebo
BRV 50 mg/Day
Placebo to OLTP BRV
BRV 50 mg/Day to OLTP BRV
BRV 200 mg/Day to OLTP BRV
Trial Design
2Treatment groups
Experimental Treatment
Placebo Group
Group I: Brivaracetam GroupExperimental Treatment1 Intervention
Participants in this arm will receive the investigational drug, Brivaracetam.
Group II: Control GroupPlacebo Group1 Intervention
Participants in this arm will receive a placebo.
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Brivaracetam
2019
Completed Phase 3
~4500
Find a Location
Who is running the clinical trial?
University of MinnesotaLead Sponsor
1,423 Previous Clinical Trials
1,619,761 Total Patients Enrolled
Leslie Morse, DOStudy DirectorUniversity of Minnesota
2 Previous Clinical Trials
146 Total Patients Enrolled
Scott Falci, MDPrincipal InvestigatorSwedish Hospital
Media Library
Eligibility Criteria:
This trial includes the following eligibility criteria:- You cannot participate if you are allergic to brivaracetam or pyrrolidine derivatives, or if you have metal implants, bullet fragments, or certain medical devices that are not compatible with MRI scans.I have a brain injury that affects my ability to follow instructions.I have been diagnosed with syringomyelia.I experience severe, almost constant pain.I have epilepsy.My liver or kidneys are not working properly.You have a spinal cord injury.I have finished inpatient rehab and live at home.My spinal cord injury has worsened due to scarring.I've tried other pain relief methods without success but can continue my current medications like spasmolytics or opioids during the trial.
Research Study Groups:
This trial has the following groups:- Group 1: Brivaracetam Group
- Group 2: Control Group
Awards:
This trial has 0 awards, including:Timeline:
This trial has the following timeline:- Screening: It may take up to 3 Weeks to process to see if you qualify in this trial.
- Treatment: The duration you will receive the treatment varies.
- Follow Ups: You may be asked to continue sharing information regarding the trial for 6 Months after you stop receiving the treatment.
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