Gabapentin for the Treatment of Hot Flashes in Menopausal Women
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Purpose
The purpose of this study is to evaluate the effectiveness and safety of gabapentin compared to placebo in the treatment of hot flashes in postmenopausal women using a phase III randomized controlled trial.
| Condition | Intervention | Phase |
|---|---|---|
|
Hot Flashes Menopause |
Drug: gabapentin |
Phase 3 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Single Group Assignment Masking: Double-Blind Primary Purpose: Treatment |
| Official Title: | Effectiveness and Safety of Gabapentin for the Treatment of Hot Flashes in Menopausal Women: A Randomized Controlled Trial |
- Compared to placebo, gabapentin effectiveness in reducing hot flash scores in postmenopausal women
- The toxicity profile of gabapentin in this population compared with placebo
- The impact of gabapentin on quality of life in this population compared with placebo
- Correlation of the Menopause-specific Quality of Life (MENQOL) results with the change in hot flash scores
| Estimated Enrollment: | 200 |
| Study Start Date: | March 2004 |
| Estimated Study Completion Date: | February 2006 |
For women who fear developing breast cancer, those who have contraindications to hormone replacement therapy and those who prefer an alternative treatment, there is presently no standard treatment for hot flashes. Women and health care providers have few options other than hormone replacement therapy as evidenced-based trials of alternatives have not shown many effective options. Many non-hormonal agents have been studied including antidepressants, antihypertensives, vitamin E, soy products, black cohosh, acupuncture, and belladonna and ergotamine combinations. Preliminary studies using the antiseizure medication, gabapentin (Neurontin), has demonstrated a substantial reduction in hot flashes. This agent may provide an effective treatment for hot flashes in postmenopausal women.
Eligibility| Ages Eligible for Study: | 45 Years to 65 Years |
| Genders Eligible for Study: | Female |
| Accepts Healthy Volunteers: | Yes |
Inclusion Criteria:
- Women with substantial hot flashes defined as reporting at least 14 hot flashes per week.
- Postmenopausal women as defined by the natural cessation of menses for 1 year.
- Aged 45 - 65 years.
Exclusion Criteria:
- Women on hormone replacement therapy.
- Women with a surgically induced menopause (oophorectomy).
- Women on tamoxifen or receiving chemotherapy/radiation therapy or planned antineoplastic chemotherapy/radiation therapy.
- Renal function impairment (serum creatinine greater than the laboratory normal range; or creatinine clearance <30ml/min).
- Use of antidepressants with serotonin reuptake mechanisms and antiseizure medications within the past month.
- Neurologic conditions: seizures, vertigo, and syncope.
- Known hypersensitivity to gabapentin and its components.
- Inability to complete questionnaires for any reason including psychiatric disorders.
- History of a hypothalamic dysfunction.
- Life expectancy less than 6 months.
Contacts and Locations| Canada, Ontario | |
| The Scarborough Hospital | |
| Scarborough, Ontario, Canada, M1P 2V5 | |
| Principal Investigator: | Debra Butt, MSc MD CCFP | North Toronto Primary Care Research Network |
More Information
Publications:
| ClinicalTrials.gov Identifier: | NCT00112138 History of Changes |
| Other Study ID Numbers: | 03-19, Health Canada: CN 082818 |
| Study First Received: | May 27, 2005 |
| Last Updated: | May 20, 2011 |
| Health Authority: | Canada: Health Canada |
Keywords provided by North Toronto Primary Care Research Network:
|
gabapentin hot flashes or flushes menopause |
Additional relevant MeSH terms:
|
Hot Flashes Signs and Symptoms Gabapentin Analgesics Sensory System Agents Peripheral Nervous System Agents Physiological Effects of Drugs Pharmacologic Actions Central Nervous System Agents Therapeutic Uses Anticonvulsants Antiparkinson Agents Anti-Dyskinesia Agents |
Calcium Channel Blockers Membrane Transport Modulators Molecular Mechanisms of Pharmacological Action Cardiovascular Agents Anti-Anxiety Agents Tranquilizing Agents Central Nervous System Depressants Psychotropic Drugs Excitatory Amino Acid Antagonists Excitatory Amino Acid Agents Neurotransmitter Agents Antimanic Agents |
ClinicalTrials.gov processed this record on June 18, 2013