Page last updated: 2024-10-27

gabapentin and Pain, Intractable

gabapentin has been researched along with Pain, Intractable in 24 studies

Gabapentin: A cyclohexane-gamma-aminobutyric acid derivative that is used for the treatment of PARTIAL SEIZURES; NEURALGIA; and RESTLESS LEGS SYNDROME.
gabapentin : A gamma-amino acid that is cyclohexane substituted at position 1 by aminomethyl and carboxymethyl groups. Used for treatment of neuropathic pain and restless legs syndrome.

Pain, Intractable: Persistent pain that is refractory to some or all forms of treatment.

Research Excerpts

ExcerptRelevanceReference
"Morphine infusion through Intrathecal Drug Delivery System (IDDS) is widely used to relieve refractory cancer pain."8.02Gabapentin enhances the antinociceptive effect of intrathecal morphine in refractory cancer pain patients. ( Dai, J; Lin, S; Shao, H; Teng, L; Zhang, W; Zhao, L; Zou, H, 2021)
"Gabapentin (Neurontin) is a new generation antiepileptic drug which appears to be advantageous in treatment of intractable pain of reflex sympathetic dystrophy."6.68Open label gabapentin treatment for pain in multiple sclerosis. ( Houtchens, MK; Richert, JR; Rose, JW; Sami, A, 1997)
"The authors examined the safety and efficacy of intrathecal gabapentin in a randomized, blinded, placebo-controlled, multicenter trial in a heterogeneous cohort of candidates with chronic pain for intrathecal drug therapy."5.17Intrathecal gabapentin to treat chronic intractable noncancer pain. ( Coffey, RJ; Grigsby, EJ; McCarville, SE; Page, LM; Rauck, R; Schultz, DM; Wallace, MS; Webster, LR, 2013)
"Morphine infusion through Intrathecal Drug Delivery System (IDDS) is widely used to relieve refractory cancer pain."4.02Gabapentin enhances the antinociceptive effect of intrathecal morphine in refractory cancer pain patients. ( Dai, J; Lin, S; Shao, H; Teng, L; Zhang, W; Zhao, L; Zou, H, 2021)
" Based on the need for new approaches in that field the effect of systemic administration of lacosamide (SPM 927, (R)-2-acetamido-N-benzyl-3-methoxypropionamide, previously referred to as harkoseride or ADD 234037), a member of a series of functionalized amino acids that were specifically synthesized as anticonvulsive drug candidates, was examined in rats in a tumor-induced bone cancer pain model and in a chemotherapy-induced neuropathic pain model."3.74Antinociceptive efficacy of lacosamide in rat models for tumor- and chemotherapy-induced cancer pain. ( Bain, SC; Beyreuther, BK; Brot, MD; Callizot, N; Feldman, R; Stöhr, T, 2007)
"Gabapentin was prescribed to 60 consecutive out-patients with refractory pain persisting at four weeks or more after thoracic surgery or trauma."2.72The use of gabapentin for post-operative and post-traumatic pain in thoracic surgery patients. ( Lee, TW; Sihoe, AD; Thung, KH; Wan, IY; Yim, AP, 2006)
"Gabapentin was administered as an "add on" therapy to 22 patients with neuropathic cancer pain only partially responsive to opioid therapy."2.69Gabapentin as an adjuvant to opioid analgesia for neuropathic cancer pain. ( Caraceni, A; De Conno, F; Martini, C; Zecca, E, 1999)
"Gabapentin (Neurontin) is a new generation antiepileptic drug which appears to be advantageous in treatment of intractable pain of reflex sympathetic dystrophy."2.68Open label gabapentin treatment for pain in multiple sclerosis. ( Houtchens, MK; Richert, JR; Rose, JW; Sami, A, 1997)
"Opioid-induced hyperalgesia has recently been described as representing a challenge for physicians in the clinical setting."2.50Managing difficult pain conditions in the cancer patient. ( Mercadante, S, 2014)
" We performed unilateral ventralis caudalis deep brain stimulation combined with stereotactic bilateral cingulotomy to maximize the effects of treatment for 3 patients with intractable post-stroke pain."1.38Impact of ventralis caudalis deep brain stimulation combined with stereotactic bilateral cingulotomy for treatment of post-stroke pain. ( Chang, JW; Chang, WS; Kim, JP; Park, YS, 2012)
"Gabapentin, which has been suggested as an adjuvant analgesic for neuropathic pain introduced orally, rapidly and significantly alleviated his pain and we could subsequently dispense with ketamine and mexiletine."1.34[Gabapentin mitigates neuropathic pain in cancer patients--a case report]. ( Okada, M; Shinjo, T, 2007)
"Four were cancer patients and one suffered from neuropathic pain in the neck (C3)."1.33Experience with gabapentin for neuropathic pain in adolescents: report of five cases. ( Butkovic, D; Mihovilovic-Novak, B; Toljan, S, 2006)
"Gabapentin has been shown to be useful in treatment of different conditions which may be caused by increased neuronal excitability."1.32Treatment of chronic neuropathic pain after traumatic central cervical cord lesion with gabapentin. ( Haller, H; Leblhuber, F; Schmidhammer, R; Trenkler, J, 2003)
"Gabapentin was effective in approximately 50% of pretreated patients with intractable pain."1.31[Gabapentin in the treatment of chronic intractable pain]. ( Gustorff, B; Kress, HG; Nahlik, G; Spacek, A, 2002)

Research

Studies (24)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's3 (12.50)18.2507
2000's14 (58.33)29.6817
2010's6 (25.00)24.3611
2020's1 (4.17)2.80

Authors

AuthorsStudies
Patel, S1
Choi, D1
Ahronowitz, I1
Teng, L1
Dai, J1
Shao, H1
Zhao, L1
Lin, S1
Zhang, W1
Zou, H1
Rauck, R1
Coffey, RJ1
Schultz, DM1
Wallace, MS1
Webster, LR1
McCarville, SE1
Grigsby, EJ1
Page, LM1
Mercadante, S1
Dwyer, JP1
Jayasekera, C1
Nicoll, A1
Güler, S1
Yavuz, S1
Nakuş, E1
Doğru, Y1
Taira, T1
Kim, JP1
Chang, WS1
Park, YS1
Chang, JW1
Eisenberg, E1
Brecker, C1
Carter, AC1
Nicholas, JJ1
Haller, H1
Leblhuber, F1
Trenkler, J1
Schmidhammer, R1
Lalwani, K1
Shoham, A1
Koh, JL1
McGraw, T1
Butkovic, D1
Toljan, S1
Mihovilovic-Novak, B1
Sihoe, AD1
Lee, TW1
Wan, IY1
Thung, KH1
Yim, AP1
Rejas, J1
Ribera, MV1
Ruiz, M1
Masrramón, X1
Pandey, CK1
Patra, P1
Pant, KC1
Singh, PK1
Beyreuther, BK1
Callizot, N1
Brot, MD1
Feldman, R1
Bain, SC1
Stöhr, T1
Okon, T1
Okada, M1
Shinjo, T1
Rosner, H1
Rubin, L1
Kestenbaum, A1
Houtchens, MK1
Richert, JR1
Sami, A1
Rose, JW1
Caraceni, A1
Zecca, E1
Martini, C1
De Conno, F1
Frijns, PD1
Gustorff, B1
Nahlik, G1
Spacek, A1
Kress, HG1

Clinical Trials (4)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
A Randomized Double Blind, Placebo-controlled, Dose Response Study of Intraspinal Gabapentin (MDT2004) in Subjects With Chronic, Intractable Pain.[NCT00414466]Phase 2254 participants (Actual)Interventional2006-12-31Terminated (stopped due to Study closed and subject follow-up completed following analysis of blinded study data.)
Pain Phenotyping of Patients With Bone Cancer Pain[NCT03908853]70 participants (Anticipated)Observational2019-02-05Recruiting
Oral Ketamine for Control of Chronic Pain in Children[NCT01369680]Phase 112 participants (Actual)Interventional2011-05-31Completed
Persistent Postoperative Pain Incidence With Long Term Perioperative Gabapentin Used[NCT02693821]Phase 4122 participants (Actual)Interventional2015-12-31Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Changes in a Pain Rating Scale After 3 Weeks of Blinded Treatment.

Average pain score calculated over last 7 days of baseline minus average pain score calculated over last 7 days of follow-up using the Numeric Pain Rating Scale where 0=no pain, 10=worst possible pain. (NCT00414466)
Timeframe: Baseline and Post-randomization Day 22

InterventionScores on a scale (Mean)
1 Placebo0.48
2 Gabapentin Low0.40
3 Gabapentin Medium0.10
4 Gabapentin High-0.02

Number of Participants With Treatment-emergent Adverse Events

Evaluation of adverse event profiles between placebo and active treatment groups. (NCT00414466)
Timeframe: Randomization to Post-randomization Day 29 (includes dose reduction)

InterventionParticipants (Number)
1 Placebo40
2 Gabapentin Low32
3 Gabapentin Medium37
4 Gabapentin High36

Responder Analysis Between Active Treatment and Placebo Groups.

Responders were subjects that reported at least a 30% decrease in average daily pain scores between baseline and Day 22. (NCT00414466)
Timeframe: Baseline to Post-randomization Day 22

InterventionParticipants (Number)
1 Placebo4
2 Gabapentin Low4
3 Gabapentin Medium1
4 Gabapentin High2

Neurocognitive Effect

"Baseline neurocognitive testing will be done before study drug is given. Subjects will be reassessed for any changes in neurocognitive scores at end of dosing (week 2) and at three weeks off study drug (week 14). Significant changes were measured at week 14 compared to baseline. Week 2 was measured to inform future studies.~The neurocognitive scores are standardized scores with a mean of 100; low scores correlate with low neurocognitive function, while high scores correlate with high function. A significant change is defined as greater than or equal to 10% decrease in scores." (NCT01369680)
Timeframe: At 14 weeks

Interventionparticipants (Number)
Ketamine 0.25 mg/kg/Dose0
Ketamine 0.5 mg/kg/Dose0
Ketamine 1 mg/kg/Dose0
Ketamine 1.5 mg/kg/Dose0

Norketamine Cmax (Measured in ng/mL).

Pharmacokinetic testing will be done during chronic ketamine administration on subjects consenting to additional testing one week into study drug administration. This is to further describe the activity of ketamine in the blood of children when administered chronically and to enable comparison of any clinical effect or toxicity with steady state levels of ketamine in children. (NCT01369680)
Timeframe: At week 1

Interventionng/mL (Mean)
Ketamine 0.25 mg/kg/Dose37.5
Ketamine 0.5 mg/kg/Dose135
Ketamine 1 mg/kg/Dose250

Number of Participants Tolerating Dose

According to CTCae any dose causing grade 2 or worse toxicity will be an untolerated dose. Tolerability is defined as ability to take the medication for 2 weeks without having a grade 2 or worse toxicity. (NCT01369680)
Timeframe: Up to 2 weeks

Interventionparticipants (Number)
Ketamine 0.25 mg/kg/Dose3
Ketamine 0.5 mg/kg/Dose3
Ketamine 1 mg/kg/Dose3
Ketamine 1.5 mg/kg/Dose1

Pain Control

"Subjects will be assessed for clinically significant change in pain scores during and after study drug administration. Significant change in pain scores were determined at week 2, though week 14 scores were collected as well.~Participants with a 2 point (or greater) decrease in pain scores compared to baseline were considered to have responded. The NRS scale was used, the scale ranges from 0-10, with 10 being the most pain." (NCT01369680)
Timeframe: Week 2

Interventionparticipants (Number)
Ketamine 0.25 mg/kg/Dose3
Ketamine 0.5 mg/kg/Dose0
Ketamine 1 mg/kg/Dose2
Ketamine 1.5 mg/kg/Dose0

Reviews

4 reviews available for gabapentin and Pain, Intractable

ArticleYear
Managing difficult pain conditions in the cancer patient.
    Current pain and headache reports, 2014, Volume: 18, Issue:2

    Topics: Amines; Analgesics, Opioid; Anti-Inflammatory Agents, Non-Steroidal; Breakthrough Pain; Cyclohexanec

2014
Analgesia for the cirrhotic patient: a literature review and recommendations.
    Journal of gastroenterology and hepatology, 2014, Volume: 29, Issue:7

    Topics: Acetaminophen; Amines; Analgesics; Analgesics, Opioid; Anti-Inflammatory Agents, Non-Steroidal; Anti

2014
[Chronic intrathecal drug administration for the control of intractable pain].
    Brain and nerve = Shinkei kenkyu no shinpo, 2008, Volume: 60, Issue:5

    Topics: Amines; Analgesics, Opioid; Anesthetics, Local; Baclofen; Calcium Channel Blockers; Clonidine; Cyclo

2008
Ketamine: an introduction for the pain and palliative medicine physician.
    Pain physician, 2007, Volume: 10, Issue:3

    Topics: Adult; Amines; Analgesics; Analgesics, Opioid; Central Nervous System; Cryoglobulinemia; Cyclohexane

2007

Trials

6 trials available for gabapentin and Pain, Intractable

ArticleYear
Intrathecal gabapentin to treat chronic intractable noncancer pain.
    Anesthesiology, 2013, Volume: 119, Issue:3

    Topics: Adult; Aged; Amines; Analgesics; Chronic Pain; Cyclohexanecarboxylic Acids; Female; Gabapentin; gamm

2013
The use of gabapentin for post-operative and post-traumatic pain in thoracic surgery patients.
    European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery, 2006, Volume: 29, Issue:5

    Topics: Adult; Aged; Aged, 80 and over; Amines; Analgesics; Cyclohexanecarboxylic Acids; Female; Gabapentin;

2006
Psychometric properties of the MOS (Medical Outcomes Study) Sleep Scale in patients with neuropathic pain.
    European journal of pain (London, England), 2007, Volume: 11, Issue:3

    Topics: Adult; Aged; Amines; Analgesics; Anxiety; Cyclohexanecarboxylic Acids; Depression; Disability Evalua

2007
Gabapentin adjunctive therapy in neuropathic pain states.
    The Clinical journal of pain, 1996, Volume: 12, Issue:1

    Topics: Acetates; Adult; Aged; Amines; Analgesics; Cyclohexanecarboxylic Acids; Facial Pain; Female; Gabapen

1996
Open label gabapentin treatment for pain in multiple sclerosis.
    Multiple sclerosis (Houndmills, Basingstoke, England), 1997, Volume: 3, Issue:4

    Topics: Acetates; Adult; Aged; Amines; Analgesics; Anticonvulsants; Cyclohexanecarboxylic Acids; Female; Gab

1997
Gabapentin as an adjuvant to opioid analgesia for neuropathic cancer pain.
    Journal of pain and symptom management, 1999, Volume: 17, Issue:6

    Topics: Acetates; Adolescent; Adult; Aged; Amines; Analgesics, Non-Narcotic; Analgesics, Opioid; Cyclohexane

1999

Other Studies

14 other studies available for gabapentin and Pain, Intractable

ArticleYear
Management of refractory pain from hereditary cutaneous leiomyomas with nifedipine and gabapentin.
    Cutis, 2019, Volume: 104, Issue:3

    Topics: Adult; Analgesics; Female; Gabapentin; Humans; Leiomyomatosis; Nifedipine; Pain, Intractable; Skin N

2019
Gabapentin enhances the antinociceptive effect of intrathecal morphine in refractory cancer pain patients.
    Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2021, Volume: 29, Issue:12

    Topics: Analgesics; Analgesics, Opioid; Cancer Pain; Drug Tolerance; Gabapentin; Humans; Morphine; Neoplasms

2021
[A case of painful legs and moving toes syndrome treated with gabapentin].
    Agri : Agri (Algoloji) Dernegi'nin Yayin organidir = The journal of the Turkish Society of Algology, 2016, Volume: 28, Issue:2

    Topics: Administration, Oral; Amines; Analgesics; Cyclohexanecarboxylic Acids; Diagnosis, Differential; Fema

2016
Impact of ventralis caudalis deep brain stimulation combined with stereotactic bilateral cingulotomy for treatment of post-stroke pain.
    Stereotactic and functional neurosurgery, 2012, Volume: 90, Issue:1

    Topics: Amines; Analgesics; Combined Modality Therapy; Cyclohexanecarboxylic Acids; Deep Brain Stimulation;

2012
Lumbar spinal cord stimulation for cervical-originated central pain: a case report.
    Pain, 2002, Volume: 100, Issue:3

    Topics: Acetates; Amines; Antidepressive Agents, Tricyclic; Cervical Vertebrae; Cyclohexanecarboxylic Acids;

2002
The importance of the complete history in the discovery of a potential suicide: a case report.
    Archives of physical medicine and rehabilitation, 2003, Volume: 84, Issue:3

    Topics: Acetates; Amines; Analgesics, Opioid; Anti-Anxiety Agents; Anti-Bacterial Agents; Cyclohexanecarboxy

2003
Treatment of chronic neuropathic pain after traumatic central cervical cord lesion with gabapentin.
    Journal of neural transmission (Vienna, Austria : 1996), 2003, Volume: 110, Issue:9

    Topics: Acetates; Amines; Amitriptyline; Analgesics; Arm; Carbamazepine; Central Cord Syndrome; Cervical Ver

2003
Use of oxcarbazepine to treat a pediatric patient with resistant complex regional pain syndrome.
    The journal of pain, 2005, Volume: 6, Issue:10

    Topics: Amines; Amitriptyline; Analgesics, Opioid; Anti-Inflammatory Agents, Non-Steroidal; Anticonvulsants;

2005
Experience with gabapentin for neuropathic pain in adolescents: report of five cases.
    Paediatric anaesthesia, 2006, Volume: 16, Issue:3

    Topics: Adolescent; Amines; Analgesics; Child; Cyclohexanecarboxylic Acids; Female; Gabapentin; gamma-Aminob

2006
Gabapentin for the treatment of refractory dysesthetic pain after open cholecystectomy.
    Anesthesia and analgesia, 2006, Volume: 103, Issue:1

    Topics: Amines; Analgesics; Cholecystectomy; Cyclohexanecarboxylic Acids; Gabapentin; gamma-Aminobutyric Aci

2006
Antinociceptive efficacy of lacosamide in rat models for tumor- and chemotherapy-induced cancer pain.
    European journal of pharmacology, 2007, Jun-22, Volume: 565, Issue:1-3

    Topics: Acetamides; Amines; Analgesics; Animals; Antineoplastic Agents, Phytogenic; Bone Neoplasms; Cyclohex

2007
[Gabapentin mitigates neuropathic pain in cancer patients--a case report].
    Gan to kagaku ryoho. Cancer & chemotherapy, 2007, Volume: 34, Issue:8

    Topics: Adenocarcinoma; Amines; Analgesics; Bone Neoplasms; Cyclohexanecarboxylic Acids; Gabapentin; gamma-A

2007
[Pharmacotherapy for neuropathic pain caused by injury to the afferent nerve fibers].
    Nederlands tijdschrift voor geneeskunde, 2001, Jul-21, Volume: 145, Issue:29

    Topics: Acetates; Amines; Analgesics, Non-Narcotic; Cyclohexanecarboxylic Acids; Drug Approval; Gabapentin;

2001
[Gabapentin in the treatment of chronic intractable pain].
    Schmerz (Berlin, Germany), 2002, Volume: 16, Issue:1

    Topics: Acetates; Amines; Amitriptyline; Analgesics; Analgesics, Non-Narcotic; Anti-Inflammatory Agents, Non

2002