This trial is the follow-on trial to a preceeding open-label trial which included patients with chronic refractory neuropathic pain. It is conducted at one site in the United Kingdom and the patient enrollment is completed. The patients had successfully completed the above mentioned trial and, in the investigator's opinion, would benefit from long-term administration of Lacosamide. After a 1-week run-in phase the patients were uptitrated to their optimal dose and then continued into the maintenance phase. Different pain qualities are assessed by a patient's diary.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
7
Dosage: Lacosamide up to 400 mg/day; Dosage form: Film-coated tablets; Dosage Frequency and Duration: Two times per day; 9.5 years
Unnamed facility
Monheim, Germany
Number of Subjects Reporting At Least 1 Treatment-Emergent Adverse Event (TEAE) During The Treatment Period.
Time frame: From Baseline Visit to Final Week of Treatment (approximately 10 years)
Number of Subjects Withdrawing From Study Due To A Treatment-Emergent Adverse Event (TEAE) During The Treatment Period.
Time frame: From Baseline Visit to Final Week of Treatment (approximately 10 years)
Within-Subject Change In Average Daily Pain Score During the Treatment Period.
The Average Daily Pain Score is calculated using an 11-point Likert scale, ranging from 0 (no pain) to 10 (worst pain ever experienced).
Time frame: From Baseline Visit to Final Week of Treatment (approximately 9 years)
Within-Subject Change In The Perception Of Each Of The Individual Cardinal Symptoms of Pain During The Treatment Period - Shooting.
Each individual cardinal symptom of pain is calculated using an 11-point Likert scale, ranging from 0 (no pain) to 10 (worst possible pain).
Time frame: From Baseline Visit to Final Week of Treatment (approximately 9 years)
Within-Subject Change In The Perception Of Each Of The Individual Cardinal Symptoms of Pain During The Treatment Period - Burning.
Each individual cardinal symptom of pain is calculated using an 11-point Likert scale, ranging from 0 (no pain) to 10 (worst possible pain).
Time frame: From Baseline Visit to Final Week of Treatment (approximately 9 years)
Within-Subject Change In The Perception Of Each Of The Individual Cardinal Symptoms of Pain During The Treatment Period - Paraesthesiae.
Each individual cardinal symptom of pain is calculated using an 11-point Likert scale, ranging from 0 (no pain) to 10 (worst possible pain).
Time frame: From Baseline Visit to Final Week of Treatment (approximately 9 years)
Within-Subject Change In The Perception Of Each Of The Individual Cardinal Symptoms of Pain During The Treatment Period - Numbness.
Each individual cardinal symptom of pain is calculated using an 11-point Likert scale, ranging from 0 (no pain) to 10 (worst possible pain).
Time frame: From Baseline Visit to Final Week of Treatment (approximately 9 years)
Within-Subject Change In The Perception Of Each Of The Individual Cardinal Symptoms of Pain During The Treatment Period - Allodynia.
Each individual cardinal symptom of pain is calculated using an 11-point Likert scale, ranging from 0 (no pain) to 10 (worst possible pain). Allodynia is defined as neuropathic pain caused by normally innocuous stimuli becoming painful.
Time frame: From Baseline Visit to Final Week of Treatment (approximately 9 years)
Subject's Global Impression of Change In Pain During The Treatment Period.
The Subject's Global Impression of Change is a self-evaluation by the subject of their overall change in relief of neuropathic pain since the beginning of the study rated on a 7-point scale ranging from: 1. Much better 2. Moderately better 3. Mildly better 4. No change 5. Mildly worse 6. Moderately worse 7. Much worse
Time frame: From Baseline Visit to Final Week of Treatment (approximately 9 years)
Investigator's Global Impression of Change In Pain During The Treatment Period.
The Investigator's Global Impression of Change is a physician's assessment of the patient's overall change in relief of neuropathic pain since the beginning of the study rated on a 7-point scale ranging from: 1. Much better 2. Moderately better 3. Mildly better 4. No change 5. Mildly worse 6. Moderately worse 7. Much worse
Time frame: From Baseline Visit to Final Week of Treatment (approximately 9 years)
Percentage of Days With Concomitant Pain ("Rescue") Medications Taken During Baseline Phase.
The percentage of days where rescue medication was taken is summarized by visit and by Treatment Phase (Baseline, Titration, and Titration + Treatment). The percentage of days of rescue medication use is defined as the number of days observed within the visit/study phase with rescue medication divided by the number of days in the visit/study phase times 100 for subjects who had taken the rescue medication. Summary statistics include mean and standard deviation.
Time frame: Baseline Period (approximately 1 week)
Percentage of Days With Concomitant Pain ("Rescue") Medications Taken During Titration Phase.
The percentage of days where rescue medication was taken is summarized by visit and by Treatment Phase (Baseline, Titration, and Titration + Treatment). The percentage of days of rescue medication use is defined as the number of days observed within the visit/study phase with rescue medication divided by the number of days in the visit/study phase times 100 for subjects who had taken the rescue medication. Summary statistics include mean and standard deviation.
Time frame: Titration Period (approximately 6 weeks)
Percentage of Days With Concomitant Pain ("Rescue") Medications Taken During Titration and Treatment Phases.
The percentage of days where rescue medication was taken is summarized by visit and by Treatment Phase (Baseline, Titration, and Titration + Treatment). The percentage of days of rescue medication use is defined as the number of days observed within the visit/study phase with rescue medication divided by the number of days in the visit/study phase times 100 for subjects who had taken the rescue medication. Summary statistics include mean and standard deviation.
Time frame: From Titration Phase through Treatment Phase (approximately 9 years)
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