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Effect of Antidepressants on Back Pain
This study has been completed.
First Received: July 3, 2001   Last Updated: March 27, 2009   History of Changes
Sponsored by: Department of Veterans Affairs
Information provided by: Department of Veterans Affairs
ClinicalTrials.gov Identifier: NCT00018200
  Purpose

The purpose of this study is to determine whether different types of antidepressant medicines relieve back pain that has lasted at least six months on a daily basis. Study participants will be assigned to treatment with either a antidepressant acting on the serotonin system in the brain (fluoxetine), one acting on the noradrenoline system (desipramine, or to a control medication not expected to relieve pain (benztropine). Each participant will be seen at least nine times during their 12 weeks on medication. This is a phase 2/3, outpatient study.


Condition Intervention Phase
Back Pain
Sciatica
Drug: Desipramine
Drug: Fluoxetine
Drug: Benztropine
Phase II

Study Type: Interventional
Study Design: Treatment, Randomized, Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor), Placebo Control, Parallel Assignment, Efficacy Study
Official Title: Efficacy of Antidepressants in Chronic Back Pain

Resource links provided by NLM:


Further study details as provided by Department of Veterans Affairs:

Primary Outcome Measures:
  • Descriptor Differential Scale Pain Intensity [ Time Frame: 12 weeks post baseline ] [ Designated as safety issue: No ]

Enrollment: 130
Study Start Date: April 1999
Study Completion Date: March 2004
Primary Completion Date: December 2003 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
1: Experimental
Desipramine, low, middle or high exposure
Drug: Desipramine
Low exposure (40-70 ng/mL), Middle exposure (70-130 ng/mL), High exposure (130-200 ng/mL)
2: Experimental
Fluoxetine, low, middle, or high exposure
Drug: Fluoxetine
Low exposure (200-399 ng/mL), Middle exposure (400-499 ng/mL), High exposure (500-700ng/mL)
3: Placebo Comparator
Benztropine .125-.5mg daily
Drug: Benztropine
Daily dose 0.125 to 0.5mg

  Eligibility

Ages Eligible for Study:   18 Years to 65 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Chronic back pain (pain on a daily basis for six months or longer)
  • Age 18-65
  • No major medical illness

Exclusion Criteria:

  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00018200

Locations
United States, California
VA San Diego Healthcare System, San Diego
San Diego, California, United States, 92161
Sponsors and Collaborators
Investigators
Principal Investigator: Joseph H. Atkinson, MD VA San Diego Healthcare System, San Diego
  More Information

Publications:
Responsible Party: Department of Veterans Affairs ( Atkinson, Joseph - Principal Investigator )
Study ID Numbers: ADRD-018-98F
Study First Received: July 3, 2001
Last Updated: March 27, 2009
ClinicalTrials.gov Identifier: NCT00018200     History of Changes
Health Authority: United States: Federal Government

Keywords provided by Department of Veterans Affairs:
analgesia
Back pain
sciatica

Study placed in the following topic categories:
Dopamine Uptake Inhibitors
Neurotransmitter Agents
Cholinergic Antagonists
Adrenergic Agents
Psychotropic Drugs
Pain
Desipramine
Cholinergic Agents
Mononeuropathies
Sciatica
Signs and Symptoms
Dopamine
Neuromuscular Diseases
Antidepressive Agents, Second-Generation
Antidepressive Agents
Neuralgia
Clomipramine
Serotonin Uptake Inhibitors
Back Pain
Serotonin
Antidepressive Agents, Tricyclic
Fluoxetine
Muscarinic Antagonists
Peripheral Nervous System Diseases
Neurologic Manifestations
Dopamine Agents
Peripheral Nervous System Agents
Benztropine

Additional relevant MeSH terms:
Dopamine Uptake Inhibitors
Sciatic Neuropathy
Parasympatholytics
Neurotransmitter Uptake Inhibitors
Neurotransmitter Agents
Adrenergic Agents
Molecular Mechanisms of Pharmacological Action
Cholinergic Antagonists
Adrenergic Uptake Inhibitors
Anti-Dyskinesia Agents
Physiological Effects of Drugs
Psychotropic Drugs
Antiparkinson Agents
Pain
Cholinergic Agents
Desipramine
Mononeuropathies
Sciatica
Signs and Symptoms
Neuromuscular Diseases
Therapeutic Uses
Antidepressive Agents, Second-Generation
Antidepressive Agents
Neuralgia
Nervous System Diseases
Enzyme Inhibitors
Serotonin Uptake Inhibitors
Back Pain
Pharmacologic Actions
Antidepressive Agents, Tricyclic

ClinicalTrials.gov processed this record on July 02, 2009