Gabapentin for the Treatment of Pruritus Caused by Burn Injuries in Children
|Study Design:||Intervention Model: Single Group Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
|Official Title:||Open Label Pilot Study of Gabapentin for the Treatment of Pruritus Caused by Burn Injuries in Children|
- Pruritus score [ Time Frame: Daily until discharge ]4-point scale validated in children 6 to 18 years of age, with additional descriptors from a similar scale used in adults
- Quality of Life Score [ Time Frame: Daily until discharge ]Measured by the Children's Dermatology Quality Index
- Antihistamine use [ Time Frame: Daily until discharge or cessation of antihistamines ]
- Opioid Consumption [ Time Frame: Daily until discharge or cessation of opioid intake ]
|Study Start Date:||July 2009|
|Estimated Study Completion Date:||July 2011|
|Estimated Primary Completion Date:||July 2011 (Final data collection date for primary outcome measure)|
Day 1 - 5mg/kg/dose per os at bedtime then 5mg/kg/dose PO b.i.d x 1 day (Day 2) then on Day 3, 5mg/kg/dose PO t.i.d . x 19 days; after 7 days, if not at maximal effect may increase over 3 days to 10mg/kg/dose (Day 8: 5 mg/kg/dose q.am and midday, Day 9: 10mg/kg/dose b.i.d. + 5mg/kg/dose midday, Day 10: 10mg/kg/dose t.i.d.) Doses may be reduced if patient experiences intolerable side effects.
Gabapentin has been shown to be effective for the treatment of pruritus in adult patients with brachioradial pruritus, uraemic pruritus and pruritus of unknown origin. Although the specific mechanism is unknown, the end result is the downregulation of excitatory neurotransmitter release and decrease in neuronal hyperexcitability.
The primary objective of this study is evaluating the effectiveness of gabapentin in reducing the severity of pruritus in children with burn injuries.
Please refer to this study by its ClinicalTrials.gov identifier: NCT01092520
|The Hospital for Sick Children|
|Toronto, Ontario, Canada|
|Principal Investigator:||Jason Hayes, MD||The Hospital for Sick Children|