Trial Outcomes & Findings for Effect of Guanfacine on the Reversal of Opioid-induced Hyperalgesia (OIH) (NCT NCT02192398)

NCT ID: NCT02192398

Last Updated: 2026-07-06

Results Overview

Changes in numeric pain score (as indicated in Outcome Measure Title) will be used to compare the 3 treatment groups.

Recruitment status

TERMINATED

Study phase

NA

Target enrollment

8 participants

Primary outcome timeframe

baseline and 4 weeks

Results posted on

2026-07-06

Participant Flow

Participant milestones

Participant milestones
Measure
Guanfacine (2mg)
Subjects will be randomized into 1 of the following 3 treatment groups: 1. guanfacine (2mg) 2. guanfacine (1mg) 3. placebo Subjects will be instructed to take one capsule in the evening for 4 weeks. Guanfacine: Subjects will be randomized into 1 of the following 3 treatment groups: 1. guanfacine (2mg) 2. guanfacine (1mg) 3. placebo To compare pain threshold, pain tolerance, and wind up, as measured by QST, throughout 4 weeks of drug treatment (guanfacine or placebo).
Guanfacine (1mg)
Subjects will be randomized into 1 of the following 3 treatment groups: 1. guanfacine (2mg) 2. guanfacine (1mg) 3. placebo Subjects will be instructed to take one capsule in the evening for 4 weeks. Guanfacine: Subjects will be randomized into 1 of the following 3 treatment groups: 1. guanfacine (2mg) 2. guanfacine (1mg) 3. placebo To compare pain threshold, pain tolerance, and wind up, as measured by QST, throughout 4 weeks of drug treatment (guanfacine or placebo).
Placebo
Subjects will be randomized into 1 of the following 3 treatment groups: 1. guanfacine (2mg) 2. guanfacine (1mg) 3. placebo Subjects will be instructed to take one capsule in the evening for 4 weeks. Placebo: Subjects will be randomized into 1 of the following 3 treatment groups: 1. guanfacine (2mg) 2. guanfacine (1mg) 3. placebo To compare pain threshold, pain tolerance, and wind up, as measured by QST, throughout 4 weeks of drug treatment (guanfacine or placebo).
Overall Study
STARTED
4
3
1
Overall Study
COMPLETED
3
2
1
Overall Study
NOT COMPLETED
1
1
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Effect of Guanfacine on the Reversal of Opioid-induced Hyperalgesia (OIH)

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Guanfacine (2mg)
n=4 Participants
Subjects will be randomized into 1 of the following 3 treatment groups: 1. guanfacine (2mg) 2. guanfacine (1mg) 3. placebo Subjects will be instructed to take one capsule in the evening for 4 weeks. Guanfacine: Subjects will be randomized into 1 of the following 3 treatment groups: 1. guanfacine (2mg) 2. guanfacine (1mg) 3. placebo To compare pain threshold, pain tolerance, and wind up, as measured by QST, throughout 4 weeks of drug treatment (guanfacine or placebo).
Guanfacine (1mg)
n=3 Participants
Subjects will be randomized into 1 of the following 3 treatment groups: 1. guanfacine (2mg) 2. guanfacine (1mg) 3. placebo Subjects will be instructed to take one capsule in the evening for 4 weeks. Guanfacine: Subjects will be randomized into 1 of the following 3 treatment groups: 1. guanfacine (2mg) 2. guanfacine (1mg) 3. placebo To compare pain threshold, pain tolerance, and wind up, as measured by QST, throughout 4 weeks of drug treatment (guanfacine or placebo).
Placebo
n=1 Participants
Subjects will be randomized into 1 of the following 3 treatment groups: 1. guanfacine (2mg) 2. guanfacine (1mg) 3. placebo Subjects will be instructed to take one capsule in the evening for 4 weeks. Placebo: Subjects will be randomized into 1 of the following 3 treatment groups: 1. guanfacine (2mg) 2. guanfacine (1mg) 3. placebo To compare pain threshold, pain tolerance, and wind up, as measured by QST, throughout 4 weeks of drug treatment (guanfacine or placebo).
Total
n=8 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=9 Participants
0 Participants
n=27 Participants
0 Participants
n=267 Participants
0 Participants
n=265 Participants
Age, Categorical
Between 18 and 65 years
4 Participants
n=9 Participants
3 Participants
n=27 Participants
1 Participants
n=267 Participants
8 Participants
n=265 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
Age, Continuous
41 years
n=9 Participants
38 years
n=27 Participants
22 years
n=267 Participants
34 years
n=265 Participants
Sex: Female, Male
Female
1 Participants
n=9 Participants
1 Participants
n=27 Participants
0 Participants
n=267 Participants
2 Participants
n=265 Participants
Sex: Female, Male
Male
3 Participants
n=9 Participants
2 Participants
n=27 Participants
1 Participants
n=267 Participants
6 Participants
n=265 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
Race (NIH/OMB)
Asian
0 Participants
n=9 Participants
0 Participants
n=27 Participants
0 Participants
n=267 Participants
0 Participants
n=265 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
Race (NIH/OMB)
Black or African American
1 Participants
n=9 Participants
1 Participants
n=27 Participants
0 Participants
n=267 Participants
2 Participants
n=265 Participants
Race (NIH/OMB)
White
3 Participants
n=9 Participants
2 Participants
n=27 Participants
1 Participants
n=267 Participants
6 Participants
n=265 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
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
Region of Enrollment
United States
4 Participants
n=9 Participants
3 Participants
n=27 Participants
1 Participants
n=267 Participants
8 Participants
n=265 Participants

PRIMARY outcome

Timeframe: baseline and 4 weeks

Changes in numeric pain score (as indicated in Outcome Measure Title) will be used to compare the 3 treatment groups.

Outcome measures

Outcome measures
Measure
Guanfacine (2mg)
n=3 Participants
Subjects will be randomized into 1 of the following 3 treatment groups: 1. guanfacine (2mg) 2. guanfacine (1mg) 3. placebo Subjects will be instructed to take one capsule in the evening for 4 weeks. Guanfacine: Subjects will be randomized into 1 of the following 3 treatment groups: 1. guanfacine (2mg) 2. guanfacine (1mg) 3. placebo To compare pain threshold, pain tolerance, and wind up, as measured by QST, throughout 4 weeks of drug treatment (guanfacine or placebo).
Guanfacine (1mg)
n=2 Participants
Subjects will be randomized into 1 of the following 3 treatment groups: 1. guanfacine (2mg) 2. guanfacine (1mg) 3. placebo Subjects will be instructed to take one capsule in the evening for 4 weeks. Guanfacine: Subjects will be randomized into 1 of the following 3 treatment groups: 1. guanfacine (2mg) 2. guanfacine (1mg) 3. placebo To compare pain threshold, pain tolerance, and wind up, as measured by QST, throughout 4 weeks of drug treatment (guanfacine or placebo).
Placebo
n=1 Participants
Subjects will be randomized into 1 of the following 3 treatment groups: 1. guanfacine (2mg) 2. guanfacine (1mg) 3. placebo Subjects will be instructed to take one capsule in the evening for 4 weeks. Placebo: Subjects will be randomized into 1 of the following 3 treatment groups: 1. guanfacine (2mg) 2. guanfacine (1mg) 3. placebo To compare pain threshold, pain tolerance, and wind up, as measured by QST, throughout 4 weeks of drug treatment (guanfacine or placebo).
Numeric Pain Score (0-10: 0 Being no Pain; 10 Being the Worst Pain)
4.5 score on a scale
Standard Deviation 2.3
4.3 score on a scale
Standard Deviation 2.5
5 score on a scale

Adverse Events

Placebo

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

Guanfacine (2mg)

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

Guanfacine (1mg)

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