Safety and Tolerability of Lacosamide in Patients With Gain-of-function Nav1.7 Mutations Related Small Fiber Neuropathy
NCT01911975 · Status: COMPLETED · Phase: PHASE3 · Type: INTERVENTIONAL · Enrollment: 25
Last updated 2018-01-10
Summary
Lacosamide is a functionalized amino acid with antinociceptive properties in inflammatory and neuropathic pain, and displays a unique mechanism: it enhances slow inactivation of Nav1.3, Nav1.7, and Nav1.8.
Nav1.7 is expressed predominantly in nociceptive and sympathetic neurons. Gain-of-function mutations have been described in Nav1.7 that result in extreme pain disorders such as SCN9A-associated small fiber neuropathy. In the disease states genetically linked to a gain-of-function of Nav1.7, the sodium channel is mutated to increase the sodium influx resulting in a hyperexcitable sensory neuron, and a resultant sensation of pain.
The objective of the study is to determine the efficacy and safety of lacosamide, a sodium channel blocker, in patients with pain due to SCN9A-associated small fiber neuropathy.
Conditions
- Small Fiber Neuropathy
Interventions
- DRUG
-
Lacosamide
comparison between lacosamide 200mg twice daily and microcrystalline cellulose (placebo) 200mg twice daily.
- DRUG
-
comparison between microcrystalline cellulose (placebo) 200mg twice daily and lacosamide 200mg twice daily.
Sponsors & Collaborators
-
Academisch Ziekenhuis Maastricht
lead OTHER
Principal Investigators
-
Catharina G Faber, MD, PhD · Academisch Ziekenhuis Maastricht
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- QUADRUPLE
- Model
- CROSSOVER
Eligibility
- Min Age
- 18 Years
- Max Age
- 80 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2014-09-30
- Primary Completion
- 2017-05-31
- Completion
- 2017-05-31
Countries
- Netherlands
Study Locations
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