clonidine has been researched along with Neuralgia in 46 studies
Clonidine: An imidazoline sympatholytic agent that stimulates ALPHA-2 ADRENERGIC RECEPTORS and central IMIDAZOLINE RECEPTORS. It is commonly used in the management of HYPERTENSION.
clonidine (amino form) : A clonidine that is 4,5-dihydro-1H-imidazol-2-amine in which one of the amino hydrogens is replaced by a 2,6-dichlorophenyl group.
Neuralgia: Intense or aching pain that occurs along the course or distribution of a peripheral or cranial nerve.
Excerpt | Relevance | Reference |
---|---|---|
"In a randomized, double-blind crossover study, 40 patients with postherpetic neuralgia were given single oral doses of clonidine, 0." | 9.06 | Association of pain relief with drug side effects in postherpetic neuralgia: a single-dose study of clonidine, codeine, ibuprofen, and placebo. ( Culnane, M; Dubner, R; Gracely, RH; Max, MB; Schafer, SC, 1988) |
"We report a case of effective treatment with clonidine ointment for herpetic neuralgia in a child." | 7.71 | [A case of effective treatment with clonidine ointment for herpetic neuralgia after bone marrow transplantation in a child]. ( Arita, H; Hagihara, R; Hanaoka, K; Meno, A, 2002) |
"Chronic pain is a major health issue and most patients suffer from spontaneous pain." | 5.42 | Huperzine A Alleviates Mechanical Allodynia but Not Spontaneous Pain via Muscarinic Acetylcholine Receptors in Mice. ( Feng, ZH; Li, XY; Liu, L; Mei, SH; Wang, M; Wang, Y; Wang, YJ; Zuo, ZX, 2015) |
"Clonidine is a presynaptic alpha-2-adrenergic receptor agonist that has been used for many years to treat hypertension and other conditions, including chronic pain." | 5.22 | Topical clonidine for neuropathic pain in adults. ( Dobrogowski, J; Garlicki, J; Jakowicka-Wordliczek, J; Serednicki, WT; Wordliczek, J; Woron, J; Wrzosek, A; Zajaczkowska, R, 2022) |
"In a randomized, double-blind crossover study, 40 patients with postherpetic neuralgia were given single oral doses of clonidine, 0." | 5.06 | Association of pain relief with drug side effects in postherpetic neuralgia: a single-dose study of clonidine, codeine, ibuprofen, and placebo. ( Culnane, M; Dubner, R; Gracely, RH; Max, MB; Schafer, SC, 1988) |
"Clonidine is a presynaptic alpha-2-adrenergic receptor agonist used for many years to treat hypertension and other conditions, including chronic pain." | 4.91 | Topical clonidine for neuropathic pain. ( Dobrogowski, J; Jakowicka-Wordliczek, J; Wordliczek, J; Woron, J; Wrzosek, A, 2015) |
"We report a case of effective treatment with clonidine ointment for herpetic neuralgia in a child." | 3.71 | [A case of effective treatment with clonidine ointment for herpetic neuralgia after bone marrow transplantation in a child]. ( Arita, H; Hagihara, R; Hanaoka, K; Meno, A, 2002) |
"Thirty patients with type 2 diabetes with peripheral neuropathy as assessed by a visual analog scale (VAS) and divided into two groups of 15 patients, treated for up to three months." | 3.30 | Effectiveness of oral clonidine and gabapentin on peripheral neuropathy in diabetic patients in southwestern Iran: a randomized clinical trial. ( Ahmadi, SA; Bagheri, S; Dolatkhah, H; Hassanzadeh, S; Majid Ahmadi, S; Moradishibany, I; Reisi, S, 2023) |
"First-line pharmacotherapy for neuropathic pain entails the use of systemic antidepressants and anticonvulsants." | 3.01 | The effect of a topical combination of clonidine and pentoxifylline on post-traumatic neuropathic pain patients: study protocol for a randomized, double-blind placebo-controlled trial. ( Coderre, TJ; Fulas, OA; Laferrière, A; Shir, Y; Ware, DMA, 2021) |
"The frequency of neuropathic pain was assessed using the Douleur Neuropathique 4-question survey (DN4) in the first and second postoperative months." | 2.78 | Effect of the addition of clonidine to locally administered bupivacaine on acute and chronic postmastectomy pain. ( Abdel-Ghaffar, HS; Mohamed, SA, 2013) |
"Eighty-five patients with severe cancer pain despite large doses of opioids or with therapy-limiting side effects from opioids were randomized to receive, in a double-blind manner, 30 micrograms/h epidural clonidine or placebo for 14 days, together with rescue epidural morphine." | 2.68 | Epidural clonidine analgesia for intractable cancer pain. The Epidural Clonidine Study Group. ( Allin, D; Dubois, M; DuPen, S; Eisenach, JC; Miguel, R, 1995) |
"The use of topiceuticals in localized neuropathic pain associated with malignancy remain a valuable option with many advantages over systemic treatments." | 2.55 | The role of topiceuticals in cancer pain. ( Paisley, P; Serpell, M, 2017) |
"Diagnosis of neuropathic pain is often easily made from information gathered on neurologic examination and from patient history." | 2.39 | Neuropathic pain of peripheral origin: advances in pharmacologic treatment. ( Galer, BS, 1995) |
"Tizanidine was more effective in female than male neuropathic rats." | 1.72 | Sex-dependent antiallodynic effect of α ( Caram-Salas, NL; Castelo-Flores, DG; Centurión, D; De la Luz-Cuellar, YE; Granados-Soto, V; Rodríguez-Palma, EJ; Salinas-Abarca, AB, 2022) |
"Occipital neuralgia is the third most common headache syndrome after migraine and tension type headaches." | 1.48 | Transcutaneous Electrical Nerve Stimulation in Treatment of Occipital Neuralgia: A Case Report. ( Candido, KD; Ghaly, RF; Knezevic, NN; Plesca, A, 2018) |
"Our findings reveal that neuropathic pain-related cognitive impairments in male mice are correlated to bilateral morphological changes in PV interneurons and layer 5/6 IL pyramidal neuron AIS." | 1.48 | Neuropathic Pain Creates an Enduring Prefrontal Cortex Dysfunction Corrected by the Type II Diabetic Drug Metformin But Not by Gabapentin. ( Ahmad, A; Kroener, S; Mejia, G; Mwirigi, J; Pradhan, G; Price, T; Shiers, S, 2018) |
"tizanidine is a highly selective α2-AR agonist, but the effect mechanism of tizanidine in neuropathic pain remains largely unknown." | 1.48 | Tizanidine exerts anti-nociceptive effects in spared nerve injury model of neuropathic pain through inhibition of TLR4/NF-κB pathway. ( Li, L; Pei, W; Wang, W; Wei, L; Zhao, Y; Zou, Y, 2018) |
"Clonidine was intrathecally given after intraplantar injection of complete Freund's adjuvant (CFA) in mice." | 1.42 | Noradrenergic α2 receptor attenuated inflammatory pain through STEP61/ERK signalling. ( Hu, XD; Suo, ZW; Wang, XT; Xu, YM; Yang, X; Zhang, ZY, 2015) |
"Resiniferatoxin (RTX) is an ultrapotent synthetic TRPV1 (transient receptor potential vanilloid subtype 1) agonist with significant initial transient hyperalgesia followed by a prolonged analgesic effect in response to thermal stimulus." | 1.42 | The effect of clonidine pretreatment on epidural resiniferatoxin in a neuropathic pain rat model. ( Choi, SS; Choi, YS; Huh, BK; Hur, WS; Kim, HS; Kim, HZ; Lee, DK; Lee, MG; Lee, MK; Lim, BG, 2015) |
"Chronic pain is a major health issue and most patients suffer from spontaneous pain." | 1.42 | Huperzine A Alleviates Mechanical Allodynia but Not Spontaneous Pain via Muscarinic Acetylcholine Receptors in Mice. ( Feng, ZH; Li, XY; Liu, L; Mei, SH; Wang, M; Wang, Y; Wang, YJ; Zuo, ZX, 2015) |
"Neuropathic pain is not accompanied by modifications in tonic LC activity after the onset of pain." | 1.38 | The function of alpha-2-adrenoceptors in the rat locus coeruleus is preserved in the chronic constriction injury model of neuropathic pain. ( Alba-Delgado, C; Berrocoso, E; Borges, G; Horrillo, I; Meana, JJ; Mico, JA; Neto, F; Ortega, JE; Sánchez-Blázquez, P, 2012) |
"Many drugs approved for neuropathic pain engage spinal noradrenergic and cholinergic systems for analgesia." | 1.37 | A tropomyosine receptor kinase inhibitor blocks spinal neuroplasticity essential for the anti-hypersensitivity effects of gabapentin and clonidine in rats with peripheral nerve injury. ( Eisenach, JC; Hayashida, K, 2011) |
"Neuropathic pain is often "spontaneous" or "stimulus-independent." | 1.37 | Lesion of the rostral anterior cingulate cortex eliminates the aversiveness of spontaneous neuropathic pain following partial or complete axotomy. ( Fields, HL; King, T; Lai, J; Okun, A; Porreca, F; Qu, C, 2011) |
"Gabapentin and clonidine were concomitantly administered in a fixed-dose ratio proportional to the predetermined ED(50) of these drugs, thereby obtaining a dose-response curve for the drug combination and its ED(50)." | 1.36 | Intrathecal gabapentin and clonidine synergistically inhibit allodynia in spinal nerve-ligated rats. ( Asada, A; Funao, T; Mori, T; Nishikawa, K; Yamama, Y, 2010) |
"Many treatments for neuropathic pain activate or augment norepinephrine release in the spinal cord, yet these treatments are less effective against acute nociceptive stimuli." | 1.35 | Brain derived nerve growth factor induces spinal noradrenergic fiber sprouting and enhances clonidine analgesia following nerve injury in rats. ( Clayton, BA; Eisenach, JC; Hayashida, KI; Johnson, JE, 2008) |
"Neuropathic pain is associated with several sensory abnormalities, including allodynia as well as spontaneous pain." | 1.34 | Opioid self-administration in the nerve-injured rat: relevance of antiallodynic effects to drug consumption and effects of intrathecal analgesics. ( Buechler, NL; Eisenach, JC; Kim, SA; Martin, TJ; Porreca, F, 2007) |
"morphine and baclofen were superior to clonidine and R-PIA." | 1.31 | Effects of intrathecal morphine, baclofen, clonidine and R-PIA on the acute allodynia-like behaviours after spinal cord ischaemia in rats. ( Hao, JX; Sollevi, A; von Heijne, M; Xu, XJ, 2001) |
"Tizanidine was effective in reducing sensitivity to heat, as measured by paw withdrawal latency, and did not cause sedation at smaller doses." | 1.31 | Systemic tizanidine hydrochloride (Zanaflex) relieves thermal hyperalgesia in rats with an experimental mononeuropathy. ( Azevedo, MI; Chalfoun, AG; Denson, DD; Hord, AH, 2001) |
Timeframe | Studies, this research(%) | All Research% |
---|---|---|
pre-1990 | 2 (4.35) | 18.7374 |
1990's | 6 (13.04) | 18.2507 |
2000's | 14 (30.43) | 29.6817 |
2010's | 18 (39.13) | 24.3611 |
2020's | 6 (13.04) | 2.80 |
Authors | Studies |
---|---|
Rodríguez-Palma, EJ | 1 |
Castelo-Flores, DG | 1 |
Caram-Salas, NL | 1 |
Salinas-Abarca, AB | 1 |
Centurión, D | 1 |
De la Luz-Cuellar, YE | 1 |
Granados-Soto, V | 1 |
Serednicki, WT | 1 |
Wrzosek, A | 2 |
Woron, J | 2 |
Garlicki, J | 1 |
Dobrogowski, J | 2 |
Jakowicka-Wordliczek, J | 2 |
Wordliczek, J | 2 |
Zajaczkowska, R | 1 |
Hassanzadeh, S | 1 |
Bagheri, S | 1 |
Majid Ahmadi, S | 1 |
Ahmadi, SA | 1 |
Moradishibany, I | 1 |
Dolatkhah, H | 1 |
Reisi, S | 1 |
Sanna, MD | 1 |
Borgonetti, V | 1 |
Masini, E | 1 |
Galeotti, N | 1 |
Yoon, SY | 2 |
Roh, DH | 2 |
Yeo, JH | 1 |
Woo, J | 1 |
Han, SH | 1 |
Kim, KS | 1 |
Fulas, OA | 1 |
Laferrière, A | 1 |
Ware, DMA | 1 |
Shir, Y | 1 |
Coderre, TJ | 1 |
Paisley, P | 1 |
Serpell, M | 1 |
Ghaly, RF | 1 |
Plesca, A | 1 |
Candido, KD | 1 |
Knezevic, NN | 1 |
Patel, R | 1 |
Qu, C | 2 |
Xie, JY | 1 |
Porreca, F | 4 |
Dickenson, AH | 1 |
Shiers, S | 1 |
Pradhan, G | 1 |
Mwirigi, J | 1 |
Mejia, G | 1 |
Ahmad, A | 1 |
Kroener, S | 1 |
Price, T | 1 |
Pei, W | 1 |
Zou, Y | 1 |
Wang, W | 1 |
Wei, L | 1 |
Zhao, Y | 1 |
Li, L | 1 |
Suter, MR | 1 |
Sprenger, T | 1 |
Taub, E | 1 |
Besson, M | 1 |
Xu, YM | 1 |
Wang, XT | 1 |
Zhang, ZY | 1 |
Suo, ZW | 1 |
Yang, X | 1 |
Hu, XD | 1 |
Lee, MG | 1 |
Lee, DK | 1 |
Huh, BK | 1 |
Choi, SS | 1 |
Kim, HZ | 1 |
Lim, BG | 1 |
Kim, HS | 1 |
Choi, YS | 1 |
Hur, WS | 1 |
Lee, MK | 1 |
Zuo, ZX | 1 |
Wang, YJ | 1 |
Liu, L | 1 |
Wang, Y | 1 |
Mei, SH | 1 |
Feng, ZH | 1 |
Wang, M | 1 |
Li, XY | 1 |
Zhang, L | 1 |
Wang, G | 1 |
Ma, J | 1 |
Liu, C | 1 |
Liu, X | 1 |
Zhan, Y | 1 |
Zhang, M | 1 |
Taira, T | 1 |
Kim, HW | 1 |
Seo, HS | 1 |
Kwon, YB | 1 |
Han, HJ | 1 |
Beitz, AJ | 1 |
Lee, JH | 1 |
King, T | 2 |
Vera-Portocarrero, L | 1 |
Gutierrez, T | 1 |
Vanderah, TW | 1 |
Dussor, G | 1 |
Lai, J | 2 |
Fields, HL | 2 |
Hayashida, K | 2 |
Eisenach, JC | 5 |
Yamama, Y | 1 |
Nishikawa, K | 1 |
Funao, T | 1 |
Mori, T | 1 |
Asada, A | 1 |
Okun, A | 1 |
Alba-Delgado, C | 1 |
Borges, G | 1 |
Sánchez-Blázquez, P | 1 |
Ortega, JE | 1 |
Horrillo, I | 1 |
Mico, JA | 1 |
Meana, JJ | 1 |
Neto, F | 1 |
Berrocoso, E | 1 |
Xing, YH | 1 |
Leng, YF | 1 |
Wang, SX | 1 |
Gao, XM | 1 |
Wei, H | 1 |
Viisanen, H | 1 |
Amorim, D | 1 |
Koivisto, A | 1 |
Pertovaara, A | 1 |
Mohamed, SA | 1 |
Abdel-Ghaffar, HS | 1 |
Hagihara, R | 1 |
Meno, A | 2 |
Arita, H | 2 |
Hanaoka, K | 2 |
Rodrigues-Filho, R | 1 |
Campos, MM | 1 |
Ferreira, J | 1 |
Santos, AR | 1 |
Bertelli, JA | 1 |
Calixto, JB | 1 |
Naja, MZ | 1 |
Al-Tannir, MA | 1 |
Maaliki, H | 1 |
El-Rajab, M | 1 |
Ziade, MF | 1 |
Zeidan, A | 1 |
Martin, TJ | 2 |
Kim, SA | 2 |
Buechler, NL | 1 |
He, ZH | 1 |
Guo, QL | 1 |
Zou, WY | 1 |
Huang, CS | 1 |
Hayashida, KI | 1 |
Clayton, BA | 1 |
Johnson, JE | 1 |
Obata, H | 1 |
DuPen, S | 1 |
Dubois, M | 1 |
Miguel, R | 1 |
Allin, D | 1 |
Galer, BS | 1 |
Abadir, AR | 1 |
Kraynack, BJ | 1 |
Mayda, J | 1 |
Gintautas, J | 1 |
Jevtovic-Todorovic, V | 1 |
Wozniak, DF | 1 |
Powell, S | 1 |
Nardi, A | 1 |
Olney, JW | 1 |
Bonezzi, C | 1 |
Demartini, L | 1 |
von Heijne, M | 1 |
Hao, JX | 1 |
Sollevi, A | 1 |
Xu, XJ | 1 |
Hord, AH | 1 |
Chalfoun, AG | 1 |
Denson, DD | 1 |
Azevedo, MI | 1 |
Barolin, GS | 1 |
Kirkpatrick, AF | 1 |
Derasari, M | 1 |
Glodek, JA | 1 |
Piazza, PA | 1 |
Max, MB | 1 |
Schafer, SC | 1 |
Culnane, M | 1 |
Dubner, R | 1 |
Gracely, RH | 1 |
Trial | Phase | Enrollment | Study Type | Start Date | Status | ||
---|---|---|---|---|---|---|---|
A Multicenter, Randomized, Double-Blind, Parallel-Group Study Comparing the Efficacy and Safety of Clonidine Topical Gel, 0.1% With Placebo in the Management of Pain Associated With Painful Diabetic Neuropathy[NCT00695565] | Phase 2 | 180 participants (Actual) | Interventional | 2008-05-31 | Completed | ||
A Multicenter Randomized, Double-Blind, Placebo-Controlled, 2-Arm Parallel-Group Study to Determine the Efficacy and Safety of Clonidine Hydrochloride Topical Gel, 0.1% in the Treatment of Pain Associated With Painful Diabetic Neuropathy[NCT02068027] | Phase 2 | 260 participants (Actual) | Interventional | 2014-03-31 | Completed | ||
Diabetic Neuropathic Pain Topical Treatment- Comparative Study[NCT00661063] | Phase 3 | 200 participants (Anticipated) | Interventional | 2008-04-30 | Not yet recruiting | ||
The Effects of Topical Treatment With Clonidine + Pentoxifylline in Patients With Neuropathic Pain[NCT03342950] | Phase 2 | 4 participants (Actual) | Interventional | 2019-02-19 | Terminated (stopped due to Low recruitment due to the COVID-19 pandemic) | ||
Effect of Metformin on Chronic Pain After Thoracic Surgery in Diabetic Patients[NCT04089813] | 200 participants (Anticipated) | Observational | 2019-09-10 | Not yet recruiting | |||
Hemodynamic Effect of Intrathecal Clonidine in Hypertensive Subjects: A Pilot Study to Assess Its Effectiveness in Hypertensive Subjects With Poor Blood Pressure Control (Phase II)[NCT01297335] | Phase 2 | 10 participants (Actual) | Interventional | 2011-02-28 | Completed | ||
Early Detection of Taxane-Induced Neuropathy in Women With Breast Cancer[NCT02549534] | 29 participants (Actual) | Observational | 2015-09-30 | Completed | |||
A Safe Ketamine-Based Therapy for Treatment Resistant Depression[NCT01179009] | 20 participants (Actual) | Interventional | 2012-04-30 | Completed | |||
[information is prepared from clinicaltrials.gov, extracted Sep-2024] |
"The Brief Pain Inventory was completed by the subject at clinic visits. The Severity Scale (of 0 to 40) is a composite score, which is the sum of the individual ratings for worst pain, least pain, average pain, and current pain. Each individual question is rated on a scale of 0 to 10, where 0 indicates No Pain and 10 indicates Pain as bad as you can imagine. The change in pain severity is represented as Week 12 minus Baseline, so greater negative numbers represent greater improvement (pain relief)." (NCT00695565)
Timeframe: Baseline and Week 12
Intervention | units on a scale (Mean) |
---|---|
Placebo Gel | -7.9 |
Clonidine Topical Gel (ARC-4558) | -9.6 |
"The Brief Pain Inventory was completed by the subject at clinic visits. The Functional Interference Scale (of 0 to 70) is a composite score that measures the degree to which pain interferes with mood, walking, work, relationships, sleep, general activity, and enjoyment of life. The composite score is a sum of the seven individual question scores. Each individual question is rated in reference to pain over the past 24 hours on a scale of 0 to 10, where 0 indicates that pain does not interfere and 10 indicates that pain completely interferes with that function, so lower scores represent better outcomes on this scale.~The change in functional interference is represented as Week 12 minus Baseline, so greater negative numbers represent more improvement." (NCT00695565)
Timeframe: Baseline and Week 12
Intervention | units on a scale (Mean) |
---|---|
Placebo Gel | -15.1 |
Clonidine Topical Gel (ARC-4558) | -17.3 |
Subjects rated overall quality of sleep over the past week using a 100 mm Visual Analog Scale (VAS) where 100=Excellent and 0=Very Poor. This scale was completed during clinic visits. Change from Baseline is a positive value where quality of sleep improved. (NCT00695565)
Timeframe: Baseline and Week 12
Intervention | units on a scale (Mean) |
---|---|
Placebo Gel | 17.7 |
Clonidine Topical Gel (ARC-4558) | 19.2 |
The HADS was completed at the Baseline and Week 12 clinic visits. The Anxiety Score component of the HADS includes 7 questions, each with 4 possible answer choices (rated 0 to 3). The composite score is created by adding the scores of the 7 individual questions. A score of 0 to 7 is Normal, 8-10 indicates Mild Anxiety, 11-14 indicates Moderate Anxiety, and 15-21 indicates Severe Anxiety. The change from Baseline is calculated as the Week 12 composite score minus the Baseline composite score. (NCT00695565)
Timeframe: Baseline and Week 12
Intervention | units on a scale (Mean) |
---|---|
Placebo Gel | -0.6 |
Clonidine Topical Gel (ARC-4558) | -1.1 |
The HADS was completed at the Baseline and Week 12 clinic visits. The Depression Score component of the HADS includes 7 questions, each with 4 possible answer choices (rated 0 to 3). The composite score is created by adding the scores of the 7 individual questions. A score of 0 to 7 is Normal, 8-10 indicates Mild Depression, 11-14 indicates Moderate Depression, and 15-21 indicates Severe Depression. The change from Baseline is calculated as the Week 12 composite score minus the Baseline composite score. (NCT00695565)
Timeframe: Baseline and Week 12
Intervention | units on a scale (Mean) |
---|---|
Placebo Gel | -0.4 |
Clonidine Topical Gel (ARC-4558) | -0.9 |
The McGill Pain Questionnaire asks subjects to rate 15 different kinds of pain, each on a scale of 0 to 3 (0=None, 1=Mild, 2=Moderate, 3=Severe). The total score is a sum of the individual ratings and has a range from 0 to 45, where higher numbers indicate more pain. The 15 types of pain assessed are throbbing, shooting, stabbing, sharp, cramping, gnawing, hot-burning, aching, heavy, tender, splitting, tiring-exhausting, sickening, fearful, and punishing-cruel. This scale was completed at the Baseline and Week 12 clinic visits. The change from Baseline is calculated as the Week 12 total score minus the Baseline total score, so greater negative numbers indicate more improvement (pain relief). (NCT00695565)
Timeframe: Baseline and Week 12
Intervention | units on a scale (Mean) |
---|---|
Placebo Gel | -7.3 |
Clonidine Topical Gel (ARC-4558) | -8.7 |
"Pain in the feet was scored daily at bedtime by the subject on a 0-10 numeric pain rating scale. Subjects were asked to record the worst pain in their feet over the past 24 hours. A score of 0 indicated no pain and a score of 10 was worst possible pain. The change in pain is represented as Week 12 minus Baseline, so greater negative numbers represent greater improvement (greater pain relief)." (NCT00695565)
Timeframe: Baseline (average of Days -7 to -1) and Week 12 (average of Days 78 to 84)
Intervention | units on a scale (Mean) |
---|---|
Placebo Gel | -2.1 |
Clonidine Topical Gel (ARC-4558) | -2.5 |
"Pain in the feet was scored daily at bedtime by the subject on a 0-10 numeric pain rating scale (NPRS). Subjects were asked to record average pain in the feet over the past 24 hours. A score of 0 indicated no pain and a score of 10 was worst possible pain." (NCT00695565)
Timeframe: Baseline (average of Days -7 to -1) and Week 12 (average of Days 78 to 84)
Intervention | percentage of subjects (Number) |
---|---|
Placebo Gel | 47 |
Clonidine Topical Gel (ARC-4558) | 52 |
"Pain in the feet was scored daily at bedtime by the subject on a 0-10 numeric pain rating scale (NPRS). Subjects were asked to record average pain in the feet over the past 24 hours. A score of 0 indicated no pain and a score of 10 was worst possible pain." (NCT00695565)
Timeframe: Baseline (average of Days -7 to -1) and Week 12 (average of Days 78 to 84)
Intervention | percentage of subjects (Number) |
---|---|
Placebo Gel | 32 |
Clonidine Topical Gel (ARC-4558) | 37 |
"Pain in the feet was scored daily at bedtime by the subject on a 0-10 numeric pain rating scale (NPRS). Subjects were asked to record average pain in the feet over the past 24 hours. A score of 0 indicated no pain and a score of 10 was worst possible pain. A weekly average was calculated from the daily scores for each week. The change in pain is represented as the average weekly score minus Baseline, so greater negative numbers represent more improvement (more pain relief)." (NCT00695565)
Timeframe: Baseline (average of Days -7 to -1) and Weeks 1 through 12 (weekly averages)
Intervention | units on a scale (Mean) | |||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
Week 1 | Week 2 | Week 3 | Week 4 | Week 5 | Week 6 | Week 7 | Week 8 | Week 9 | Week 10 | Week 11 | Week 12 | |
Clonidine Topical Gel (ARC-4558) | -0.7 | -1.0 | -1.5 | -1.6 | -1.7 | -1.8 | -2.1 | -2.2 | -2.3 | -2.4 | -2.3 | -2.4 |
Placebo Gel | -0.6 | -1.0 | -1.2 | -1.5 | -1.7 | -1.8 | -1.8 | -1.9 | -1.9 | -1.9 | -1.9 | -1.9 |
"Pain in the feet was scored daily at bedtime by the subject on a 0-10 numeric pain rating scale (NPRS) through Day 84. Subjects were asked to record average pain in the feet over the past 24 hours. A score of 0 indicated no pain and a score of 10 was worst possible pain.~The change in pain is represented as Week 12 minus Baseline, so greater negative numbers represent more improvement (more pain relief)." (NCT00695565)
Timeframe: Baseline (average of Days -7 to -1) and Week 12 (Average of Days 78 to 84)
Intervention | units on a scale (Mean) | |
---|---|---|
All subjects | Capsaicin response ≥ 2 | |
Clonidine Topical Gel (ARC-4558) | -2.4 | -2.7 |
Placebo Gel | -1.9 | -1.5 |
Systolic and Diastolic Blood Pressure were measured at clinic visits. This outcome assesses the change in blood pressure from Baseline to Week 12 of treatment. (NCT00695565)
Timeframe: Baseline and Week 12
Intervention | mmHg (Mean) | |
---|---|---|
Change in Systolic BP | Change in Diastolic BP | |
Clonidine Topical Gel (ARC-4558) | 1.0 | 1.0 |
Placebo Gel | -0.4 | -0.2 |
At Week 12, the Investigator was asked to independently rate the subject's total improvement relative to Baseline, whether or not, in their judgement, it was due entirely to study drug treatment or not. Answer choices were: (+3) very much improved, (+2) much improved, (+1) minimally improved, (0) no change, (-1) minimally worse, (-2) much worse, (-3) very much worse. (NCT00695565)
Timeframe: Week 12
Intervention | percentage of subjects (Number) | |||||
---|---|---|---|---|---|---|
Very Much Improved | Much Improved | Minimally Improved | No Change | Minimally Worse | Very Much Worse | |
Clonidine Topical Gel (ARC-4558) | 16.5 | 30.6 | 24.7 | 27.1 | 1.2 | 0 |
Placebo Gel | 5.8 | 38.4 | 27.9 | 25.6 | 2.3 | 0 |
At Week 12 the subject was asked to rate their total improvement relative to Baseline, whether or not, in their judgement, it was due entirely to study drug treatment or not. Answer choices were: (+3) very much improved, (+2) much improved, (+1) minimally improved, (0) no change, (-1) minimally worse, (-2) much worse, (-3) very much worse. (NCT00695565)
Timeframe: Week 12
Intervention | percentage of subjects (Number) | |||||
---|---|---|---|---|---|---|
Very Much Improved | Much Improved | Minimally Improved | No Change | Minimally Worse | Very Much Worse | |
Clonidine Topical Gel (ARC-4558) | 21.2 | 27.1 | 28.2 | 22.4 | 1.2 | 0 |
Placebo Gel | 11.8 | 32.9 | 31.8 | 21.2 | 1.2 | 1.2 |
"The Numeric Pain Rating Scale is a single reading that measures the patients interpretation of their pain on a scale from 0, no pain to 10, worst pain imaginable. The change from baseline can range from -10 to 10. The change from Baseline (averaged over Day -14 to Day -8) to End-of-Treatment (averaged over Days 78 to 84 [±3 days]) in the Numeric Pain Rating Scale score assessing the average pain in the past 24 hours in the painful areas of the feet averaged over Days 78 to 84 compared to the 7 days at the Baseline Phase (Days -14 to -8). For the primary efficacy endpoint, the mean change in pain intensity from Baseline to Week 12 was analyzed using an analysis of covariance (ANCOVA) model with the Baseline pain intensity score serving as a covariate. The statistical model also included treatment, site, site by treatment interaction, and strata. If the site by treatment interaction term was not significant at the 0.1 level, then it was excluded from the model." (NCT02068027)
Timeframe: The change from Baseline (averaged over Day -14 to Day -8) to End-of-Treatment (averaged over Days 78 to 84 [±3 days])
Intervention | units on a scale (Mean) |
---|---|
Clonidine Gel 0.1% | -1.6 |
Placebo | -1.6 |
"The Numeric Pain Rating Scale is a single reading that measures the patients interpretation of their pain on a scale from 0, no pain to 10, worst pain imaginable. The change from baseline can range from -10 to 10. The change from Baseline (worst score from Day -14 to Day -8) to End-of-Treatment (worst score during Days 78 to 84 [±3 days]) in the Numeric Pain Rating Scale score assessing the worst pain in the past 24 hours in the painful areas of the feet from Days 78 to 84 compared to the 7 days at the Baseline Phase (Days -14 to -8). For the endpoint, the change in worst pain intensity from Baseline to Week 12 was analyzed using an analysis of covariance (ANCOVA) model with the Baseline worst pain intensity score serving as a covariate. The statistical model also included treatment, site, site by treatment interaction, and strata. If the site by treatment interaction term was not significant at the 0.1 level, then it was excluded from the model." (NCT02068027)
Timeframe: The change from Baseline (worse over Day -14 to Day -8) to End-of-Treatment (worse over Days 78 to 84 [±3 days])
Intervention | units on a scale (Mean) |
---|---|
Clonidine Gel 0.1% | -1.4 |
Placebo | -1.4 |
"Subjects baseline blood pressure (systolic blood pressure (SBP), and diastolic blood pressure (DBP)), and blood pressures after clonidine injection was compared against baseline to assess efficacy of clonidine in refractory hypertensive subjects. Subject's blood pressure was monitored continuously after intrathecal injection of clonidine until subjects blood pressure nadir and return to pre clonidine injection level. The mean value reported below are the average changes in blood pressure from baseline (pre clonidine injection) in both SBP and DBP during post clonidine injection blood pressure monitoring for 4 hours.~Blood pressure measurements were collected every 10 minutes for first hour after injection, and every 15 minutes after the first hour, up to 4 hours were averaged to report the change from baseline." (NCT01297335)
Timeframe: Baseline, Every 10 Minutes for first hour after clonidine injection, and every 15 minutes after first hour, until 4 hours after clonidine injection
Intervention | mm Hg (Mean) | |
---|---|---|
Change in mean SBP after clonidine injection | Change in DBP after clonidine injection | |
Intrathecal Clonidine | 79 | 37 |
Subjects were asked to rate severity of two of the most common side effects of clonidine, sedation and sensation of dry mouth, at pre and post (1 hour after) intrathecal administration of clonidine. The mean changes between pre and post injection VAS ratings of sedation and sensation of dry mouth are reported below. The VAS scale ranges from 1 to 10 cm, with higher values indicating higher level of sedation and higher level of dry mouth. (NCT01297335)
Timeframe: Before clonidine injection (Baseline), and at 1 hour after clonidine injection.
Intervention | cm (Mean) | |
---|---|---|
Change in level of sedation | Change in sensation of dry mouth | |
Intrathecal Clonidine | 3.36 | 3.47 |
Likert scale is 11 point digital pain rating system that asks subjects to rate their pain from 0 to 10. Rating of 0 means no pain at all, and in increasing order, 10 would mean worst pain imaginable/ unbearable pain. (NCT01297335)
Timeframe: Pre-dose and 1 hour post injection.
Intervention | units on a scale (Mean) | |
---|---|---|
Pre-injection average Likert score | Post-injection average Likert score | |
Intrathecal Clonidine | 6.5 | 3.6 |
The Montgomery-Asberg Depression Rating Scale (MADRS) is a 10-item scale that measures the severity of depression, with a higher score indicating a higher level of depression. The range of scores is 0 to 60. (NCT01179009)
Timeframe: 8 weeks
Intervention | Scores on a scale (Mean) |
---|---|
Ketamine 100-hour Infusion | -9.0 |
Ketamine 40-minute Infusion | -6.4 |
8 reviews available for clonidine and Neuralgia
Article | Year |
---|---|
Topical clonidine for neuropathic pain in adults.
Topics: Adult; Analgesics; Chronic Pain; Clonidine; Diabetic Neuropathies; Humans; Neuralgia; Randomized Con | 2022 |
Topical clonidine for neuropathic pain in adults.
Topics: Adult; Analgesics; Chronic Pain; Clonidine; Diabetic Neuropathies; Humans; Neuralgia; Randomized Con | 2022 |
Topical clonidine for neuropathic pain in adults.
Topics: Adult; Analgesics; Chronic Pain; Clonidine; Diabetic Neuropathies; Humans; Neuralgia; Randomized Con | 2022 |
Topical clonidine for neuropathic pain in adults.
Topics: Adult; Analgesics; Chronic Pain; Clonidine; Diabetic Neuropathies; Humans; Neuralgia; Randomized Con | 2022 |
Topical clonidine for neuropathic pain in adults.
Topics: Adult; Analgesics; Chronic Pain; Clonidine; Diabetic Neuropathies; Humans; Neuralgia; Randomized Con | 2022 |
Topical clonidine for neuropathic pain in adults.
Topics: Adult; Analgesics; Chronic Pain; Clonidine; Diabetic Neuropathies; Humans; Neuralgia; Randomized Con | 2022 |
Topical clonidine for neuropathic pain in adults.
Topics: Adult; Analgesics; Chronic Pain; Clonidine; Diabetic Neuropathies; Humans; Neuralgia; Randomized Con | 2022 |
Topical clonidine for neuropathic pain in adults.
Topics: Adult; Analgesics; Chronic Pain; Clonidine; Diabetic Neuropathies; Humans; Neuralgia; Randomized Con | 2022 |
Topical clonidine for neuropathic pain in adults.
Topics: Adult; Analgesics; Chronic Pain; Clonidine; Diabetic Neuropathies; Humans; Neuralgia; Randomized Con | 2022 |
The role of topiceuticals in cancer pain.
Topics: Administration, Cutaneous; Analgesics, Opioid; Anesthetics, Local; Cancer Pain; Capsaicin; Clinical | 2017 |
[New concepts in the pathophysiology, diagnosis and treatment of neuropathic pain].
Topics: Analgesics; Capsaicin; Clonidine; Diabetic Neuropathies; Headache; Humans; Neuralgia; Pain Measureme | 2013 |
Topical clonidine for neuropathic pain.
Topics: Administration, Topical; Adrenergic alpha-2 Receptor Agonists; Analgesics; Chronic Pain; Clonidine; | 2015 |
[Chronic intrathecal drug administration for the control of intractable pain].
Topics: Amines; Analgesics, Opioid; Anesthetics, Local; Baclofen; Calcium Channel Blockers; Clonidine; Cyclo | 2008 |
[Alpha2-adrenergic receptors in the dorsal horn of the spinal cord--their function and the descending inhibitory systems].
Topics: Acetylcholine; Adrenergic alpha-2 Receptor Agonists; Amines; Analgesics; Animals; Brain-Derived Neur | 2007 |
Neuropathic pain of peripheral origin: advances in pharmacologic treatment.
Topics: Adrenergic alpha-Agonists; Analgesics, Opioid; Anesthetics, Local; Animals; Anti-Arrhythmia Agents; | 1995 |
Treatment options in postherpetic neuralgia.
Topics: Analgesics; Analgesics, Opioid; Anticonvulsants; Antidepressive Agents, Tricyclic; Clinical Trials a | 1999 |
7 trials available for clonidine and Neuralgia
Article | Year |
---|---|
Effectiveness of oral clonidine and gabapentin on peripheral neuropathy in diabetic patients in southwestern Iran: a randomized clinical trial.
Topics: Amines; Analgesics; Clonidine; Cyclohexanecarboxylic Acids; Diabetes Mellitus, Type 2; Diabetic Neur | 2023 |
The effect of a topical combination of clonidine and pentoxifylline on post-traumatic neuropathic pain patients: study protocol for a randomized, double-blind placebo-controlled trial.
Topics: Analgesics; Clonidine; Double-Blind Method; Humans; Neuralgia; Pain Measurement; Pentoxifylline; Ran | 2021 |
Effect of the addition of clonidine to locally administered bupivacaine on acute and chronic postmastectomy pain.
Topics: Acute Pain; Administration, Topical; Adult; Analgesics; Anesthetics, Local; Breast Neoplasms; Bupiva | 2013 |
Epidural clonidine analgesia for intractable cancer pain. The Epidural Clonidine Study Group.
Topics: Adult; Aged; Aged, 80 and over; Analgesia, Epidural; Analgesics, Opioid; Analysis of Variance; Cloni | 1995 |
Postherpetic neuralgia: response to topical clonidine.
Topics: Administration, Cutaneous; Adrenergic alpha-Agonists; Aged; Aged, 80 and over; Clonidine; Female; He | 1996 |
[Preliminary report: the efficacy of clonidine hydrochloride ointment for postherpetic neuralgia].
Topics: Administration, Topical; Aged; Clonidine; Female; Herpes Zoster; Humans; Male; Middle Aged; Neuralgi | 2001 |
Association of pain relief with drug side effects in postherpetic neuralgia: a single-dose study of clonidine, codeine, ibuprofen, and placebo.
Topics: Aged; Aged, 80 and over; Clinical Trials as Topic; Clonidine; Codeine; Double-Blind Method; Female; | 1988 |
31 other studies available for clonidine and Neuralgia
Article | Year |
---|---|
Sex-dependent antiallodynic effect of α
Topics: Adrenergic alpha-2 Receptor Agonists; Animals; Clonidine; Female; Hyperalgesia; Male; Neuralgia; Rat | 2022 |
Histamine H
Topics: Adrenergic alpha-2 Receptor Agonists; Adrenergic Neurons; Animals; Benzimidazoles; Clonidine; Diseas | 2020 |
Analgesic Efficacy of α
Topics: Adrenergic Agonists; Adrenergic alpha-2 Receptor Agonists; Adrenergic alpha-Agonists; Analgesics; An | 2021 |
Transcutaneous Electrical Nerve Stimulation in Treatment of Occipital Neuralgia: A Case Report.
Topics: Adult; Analgesics; Clonidine; Female; Headache Disorders; Humans; Neck Pain; Neuralgia; Occipital Lo | 2018 |
Selective deficiencies in descending inhibitory modulation in neuropathic rats: implications for enhancing noradrenergic tone.
Topics: Action Potentials; Adrenergic alpha-2 Receptor Agonists; Adrenergic alpha-2 Receptor Antagonists; Ad | 2018 |
Neuropathic Pain Creates an Enduring Prefrontal Cortex Dysfunction Corrected by the Type II Diabetic Drug Metformin But Not by Gabapentin.
Topics: Analgesics; Animals; Attention; Axons; Clonidine; Cognition Disorders; Discrimination, Psychological | 2018 |
Tizanidine exerts anti-nociceptive effects in spared nerve injury model of neuropathic pain through inhibition of TLR4/NF-κB pathway.
Topics: Analgesics; Animals; Clonidine; Interleukin-1beta; Interleukin-6; Male; Neuralgia; NF-kappa B; Rats; | 2018 |
Noradrenergic α2 receptor attenuated inflammatory pain through STEP61/ERK signalling.
Topics: Adrenergic alpha-2 Receptor Agonists; Animals; Clonidine; Disease Models, Animal; Male; MAP Kinase S | 2015 |
The effect of clonidine pretreatment on epidural resiniferatoxin in a neuropathic pain rat model.
Topics: Analgesia, Epidural; Analgesics; Animals; Clonidine; Diterpenes; Hyperalgesia; Injections, Epidural; | 2015 |
Huperzine A Alleviates Mechanical Allodynia but Not Spontaneous Pain via Muscarinic Acetylcholine Receptors in Mice.
Topics: Acetylcholinesterase; Alkaloids; Ambenonium Chloride; Analgesics; Animals; Atropine; Behavior, Anima | 2015 |
Brain-derived neurotrophic factor (BDNF) in the rostral anterior cingulate cortex (rACC) contributes to neuropathic spontaneous pain-related aversion via NR2B receptors.
Topics: Analgesics; Animals; Avoidance Learning; Brain-Derived Neurotrophic Factor; Clonidine; Conditioning, | 2016 |
Intrathecal clonidine suppresses phosphorylation of the N-methyl-D-aspartate receptor NR1 subunit in spinal dorsal horn neurons of rats with neuropathic pain.
Topics: Adrenergic alpha-Agonists; Adrenergic alpha-Antagonists; Amines; Analgesics; Animals; Anticonvulsant | 2008 |
Unmasking the tonic-aversive state in neuropathic pain.
Topics: Adenosine; Analgesics; Analysis of Variance; Animals; Calcium Channel Blockers; Clonidine; Condition | 2009 |
A tropomyosine receptor kinase inhibitor blocks spinal neuroplasticity essential for the anti-hypersensitivity effects of gabapentin and clonidine in rats with peripheral nerve injury.
Topics: Acetylcholine; Amines; Analgesics; Animals; Carbazoles; Choline O-Acetyltransferase; Clonidine; Cycl | 2011 |
Intrathecal gabapentin and clonidine synergistically inhibit allodynia in spinal nerve-ligated rats.
Topics: Amines; Animals; Clonidine; Cyclohexanecarboxylic Acids; Disease Models, Animal; Dose-Response Relat | 2010 |
Lesion of the rostral anterior cingulate cortex eliminates the aversiveness of spontaneous neuropathic pain following partial or complete axotomy.
Topics: Analgesics; Animals; Avoidance Learning; Axotomy; Clonidine; Cocaine; Conditioning, Operant; Disease | 2011 |
The function of alpha-2-adrenoceptors in the rat locus coeruleus is preserved in the chronic constriction injury model of neuropathic pain.
Topics: Action Potentials; Adrenergic alpha-2 Receptor Agonists; Adrenergic alpha-Antagonists; Adrenergic Up | 2012 |
[Clonidine and dexmedetomidine's effect on the altered expressions of growth associated protein-43 mRNA in rat dorsal root ganglion during the development of chronic neuropathic pain].
Topics: Adrenergic alpha-2 Receptor Agonists; Animals; Clonidine; Dexmedetomidine; Ganglia, Spinal; GAP-43 P | 2012 |
Dissociated modulation of conditioned place-preference and mechanical hypersensitivity by a TRPA1 channel antagonist in peripheral neuropathy.
Topics: Acetanilides; Adrenergic alpha-2 Receptor Agonists; Animals; Clonidine; Conditioning, Psychological; | 2013 |
[A case of effective treatment with clonidine ointment for herpetic neuralgia after bone marrow transplantation in a child].
Topics: Administration, Topical; Analgesics; Bone Marrow Transplantation; Child; Clonidine; Herpes Zoster; H | 2002 |
Pharmacological characterisation of the rat brachial plexus avulsion model of neuropathic pain.
Topics: Acetates; Amines; Analgesics; Analysis of Variance; Animals; Brachial Plexus; Brachial Plexus Neurop | 2004 |
Nerve-stimulator-guided repeated pudendal nerve block for treatment of pudendal neuralgia.
Topics: Analgesics; Analgesics, Opioid; Anesthetics, Local; Bupivacaine; Clonidine; Electric Stimulation; Ep | 2006 |
Clonidine maintains intrathecal self-administration in rats following spinal nerve ligation.
Topics: Analgesics; Animals; Clonidine; Hyperalgesia; Injections, Spinal; Male; Neuralgia; Pain Measurement; | 2006 |
Opioid self-administration in the nerve-injured rat: relevance of antiallodynic effects to drug consumption and effects of intrathecal analgesics.
Topics: Adenosine; Analgesics, Opioid; Animals; Clonidine; Dose-Response Relationship, Drug; Fentanyl; Heroi | 2007 |
[Intrathecal injection of ketamine and clonidine for chronic neuropathic pain model in rats].
Topics: Analgesics; Animals; Clonidine; Drug Combinations; Injections, Spinal; Ketamine; Male; Neuralgia; Ni | 2007 |
Brain derived nerve growth factor induces spinal noradrenergic fiber sprouting and enhances clonidine analgesia following nerve injury in rats.
Topics: Analgesics; Animals; Brain-Derived Neurotrophic Factor; Clonidine; Drug Combinations; Drug Synergism | 2008 |
Clonidine potentiates the neuropathic pain-relieving action of MK-801 while preventing its neurotoxic and hyperactivity side effects.
Topics: Adrenergic alpha-Agonists; Analysis of Variance; Animals; Clonidine; Dizocilpine Maleate; Dose-Respo | 1998 |
Effects of intrathecal morphine, baclofen, clonidine and R-PIA on the acute allodynia-like behaviours after spinal cord ischaemia in rats.
Topics: Adenosine; Adrenergic alpha-Agonists; Analgesics, Opioid; Animals; Baclofen; Behavior, Animal; Cloni | 2001 |
Systemic tizanidine hydrochloride (Zanaflex) relieves thermal hyperalgesia in rats with an experimental mononeuropathy.
Topics: Adrenergic alpha-Agonists; Animals; Clonidine; Disease Models, Animal; Hot Temperature; Hyperalgesia | 2001 |
[Drug therapy for headache: (author's transl)].
Topics: Analgesics; Anti-Inflammatory Agents; Antidepressive Agents; Clonidine; Dihydroergotamine; Ergotamin | 1977 |
Postherpetic neuralgia: a possible application for topical clonidine.
Topics: Administration, Topical; Aged; Clonidine; Herpesviridae Infections; Humans; Male; Neuralgia | 1992 |