Trial Outcomes & Findings for Effect of Guanfacine on Opioid-induced Hyperalgesia (OIH) and Tolerance (NCT NCT01681264)

NCT ID: NCT01681264

Last Updated: 2026-07-31

Results Overview

Change in numeric pain score (from 0-10: 0 being no pain; 10 being worst pain) was used to measure changes in pain.

Recruitment status

TERMINATED

Study phase

PHASE4

Target enrollment

137 participants

Primary outcome timeframe

12 weeks; outcomes were assessed at the baseline and 12 weeks.

Results posted on

2026-07-31

Participant Flow

A total of 538 potential study participants were screened, 137 were enrolled, and 51 completed.

Participant milestones

Participant milestones
Measure
Morphine:Placebo
Morphine Placebo
Morphine:Guanfacine 1mg
Morphine Guanfacine 1mg
Morphine:Guanfacine 2mg
Morphine Guanfacine 2mg
Placebo:Guanfacine 2mg
Guanfacine 2mg Placebo
Placebo:Placebo
Placebo
Overall Study
STARTED
28
29
28
26
26
Overall Study
COMPLETED
10
11
11
10
9
Overall Study
NOT COMPLETED
18
18
17
16
17

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Effect of Guanfacine on Opioid-induced Hyperalgesia (OIH) and Tolerance

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Morphine:Placebo
n=28 Participants
Morphine Placebo
Morphine:Guanfacine 1mg
n=29 Participants
Morphine Guanfacine 1mg
Morphine:Guanfacine 2mg
n=28 Participants
Morphine Guanfacine 2mg
Placebo:Guanfacine 2mg
n=26 Participants
Guanfacine 2mg Placebo
Placebo:Placebo
n=26 Participants
Placebo
Total
n=137 Participants
Total of all reporting groups
Race (NIH/OMB)
Asian
1 Participants
n=9 Participants
2 Participants
n=27 Participants
2 Participants
n=267 Participants
1 Participants
n=265 Participants
2 Participants
n=568 Participants
8 Participants
n=22 Participants
Age, Categorical
<=18 years
0 Participants
n=9 Participants
0 Participants
n=27 Participants
0 Participants
n=267 Participants
0 Participants
n=265 Participants
0 Participants
n=568 Participants
0 Participants
n=22 Participants
Age, Categorical
Between 18 and 65 years
28 Participants
n=9 Participants
29 Participants
n=27 Participants
28 Participants
n=267 Participants
26 Participants
n=265 Participants
26 Participants
n=568 Participants
137 Participants
n=22 Participants
Age, Categorical
>=65 years
0 Participants
n=9 Participants
0 Participants
n=27 Participants
0 Participants
n=267 Participants
0 Participants
n=265 Participants
0 Participants
n=568 Participants
0 Participants
n=22 Participants
Age, Continuous
36 years
n=9 Participants
42 years
n=27 Participants
39 years
n=267 Participants
41 years
n=265 Participants
25 years
n=568 Participants
28 years
n=22 Participants
Sex: Female, Male
Female
13 Participants
n=9 Participants
14 Participants
n=27 Participants
12 Participants
n=267 Participants
10 Participants
n=265 Participants
10 Participants
n=568 Participants
59 Participants
n=22 Participants
Sex: Female, Male
Male
15 Participants
n=9 Participants
15 Participants
n=27 Participants
16 Participants
n=267 Participants
16 Participants
n=265 Participants
16 Participants
n=568 Participants
78 Participants
n=22 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=9 Participants
0 Participants
n=27 Participants
0 Participants
n=267 Participants
0 Participants
n=265 Participants
0 Participants
n=568 Participants
0 Participants
n=22 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=9 Participants
0 Participants
n=27 Participants
0 Participants
n=267 Participants
0 Participants
n=265 Participants
0 Participants
n=568 Participants
0 Participants
n=22 Participants
Race (NIH/OMB)
Black or African American
6 Participants
n=9 Participants
4 Participants
n=27 Participants
3 Participants
n=267 Participants
4 Participants
n=265 Participants
2 Participants
n=568 Participants
19 Participants
n=22 Participants
Race (NIH/OMB)
White
21 Participants
n=9 Participants
23 Participants
n=27 Participants
23 Participants
n=267 Participants
21 Participants
n=265 Participants
22 Participants
n=568 Participants
110 Participants
n=22 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=9 Participants
0 Participants
n=27 Participants
0 Participants
n=267 Participants
0 Participants
n=265 Participants
0 Participants
n=568 Participants
0 Participants
n=22 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=9 Participants
0 Participants
n=27 Participants
0 Participants
n=267 Participants
0 Participants
n=265 Participants
0 Participants
n=568 Participants
0 Participants
n=22 Participants
Region of Enrollment
United States
28 participants
n=9 Participants
29 participants
n=27 Participants
28 participants
n=267 Participants
26 participants
n=265 Participants
26 participants
n=568 Participants
137 participants
n=22 Participants

PRIMARY outcome

Timeframe: 12 weeks; outcomes were assessed at the baseline and 12 weeks.

Population: Study participants enrolled in five study groups

Change in numeric pain score (from 0-10: 0 being no pain; 10 being worst pain) was used to measure changes in pain.

Outcome measures

Outcome measures
Measure
Morphine/Placebo
n=10 Participants
Morphine Plus Placebo combination
Morphine/Guanfacin 1 mg
n=11 Participants
Morphine plus Guanfacin 1 mg combination
Morphine/Guanfacin 2 mg
n=11 Participants
Morphine plus Guanfacin 2 mg combination
Placebo/Guanfacin 2 mg
n=10 Participants
Placebo plus Guanfacin 2 mg combination
Placebo/Placebo
n=9 Participants
Placebo plus placebo combination
Numeric Pain Score
4.1 score on a scale
Standard Deviation 3.7
3.9 score on a scale
Standard Deviation 3.6
3.7 score on a scale
Standard Deviation 3.5
4.3 score on a scale
Standard Deviation 3.8
4.7 score on a scale
Standard Deviation 3.9

Adverse Events

Morphine:Placebo

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Morphine:Guanfacine 1mg

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Morphine:Guanfacine 2mg

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Placebo:Guanfacine 2mg

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Placebo:Placebo

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Dr. Jianren Mao

MassGH

Phone: 6177268810

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place