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Effect of Milnacipran in Patients With Fibromyalgia

This study is currently recruiting participants.
Verified December 2012 by Beth Israel Medical Center
Sponsor:
Collaborator:
Forest Laboratories
Information provided by (Responsible Party):
Beth Israel Medical Center
ClinicalTrials.gov Identifier:
NCT01108731
First received: March 30, 2010
Last updated: December 5, 2012
Last verified: December 2012
History of Changes
  Purpose

Use of the drug Milnacipran will reduce ventricular lactate levels and processing time for completing complex tasks relative to placebo.


Condition Intervention Phase
Fibromyalgia
 Drug: Minalcipran
Drug: Placebo
 Phase 2

Study Type: Interventional
Study Design: Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Parallel Assignment
Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor)
Primary Purpose: Treatment
Official Title: The Effect of Milnacipran or Placebo on Ventricular Lactate Levels and Fibromyalgia Induced "Brain Fog."

Resource links provided by NLM:

MedlinePlus related topics: Fibromyalgia
U.S. FDA Resources

Further study details as provided by Beth Israel Medical Center:

Primary Outcome Measures:
  • Ventricular lactate levels in the brain will be measured via magnetic resonance spectroscopy(MRS) [ Time Frame: 2 months ] [ Designated as safety issue: No ]
    Study participants will be reimbursed for their time.


Secondary Outcome Measures:
  • Cognitive function of simple motor and complex motor reflexes will be assessed via the Attention Network Test (ANT). [ Time Frame: 2 months ] [ Designated as safety issue: No ]

Estimated Enrollment: 45
Study Start Date: March 2010
Estimated Primary Completion Date: August 2013 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Active Comparator: Patients taking the drug Minalcipran Drug: Minalcipran
Patients will take an increasing number of 12.5mg pills for the first 9 days during the "ramp up" period and then take one 50mg pill in the morning and one 50mg pill in the evening for the remaining 8 weeks of the study.
Placebo Comparator: Patients taking the placebo Drug: Placebo
Patients will take an increasing number of placebo pills for the first 9 days during the "ramp up" period and then take one pill in the morning and one in the evening for the remaining 8 weeks of the study.

Detailed Description:

Fibromyalgia patients will show elevated ventricular lactate levels as measured via magnetic resonance spectroscopy (MRS). Patients treated with Milnacipran will show normalization of ventricular lactate levels compared to those treated with placebo, and will also show normalization of the increased latency to respond to complex reaction time probes compared to those treated with placebo.

  Eligibility

Ages Eligible for Study:   18 Years to 60 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Female or male subjects who fulfill the American College of Rheumatology's case definition for Fibromyalgia.
  • 18 through 60 years of age

Exclusion Criteria:

  • Pregnant or trying to become pregnant
  • Taking any other SNRI or already taking milnacipran
  • Patients who do not indicate their pain levels as less than substantial despite their best care
  • History of any psychotic disorder or history of alcoholism or drug abuse within 10 years of intake as determined by psychiatric diagnostic interview
  • Presence of current depression as determined by psychiatric diagnostic interview
  • Presence of brain lesion on MRI anatomical study
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT01108731

Contacts
Contact: Diana Vu 212-844-6747 dvu@chpnet.org

Locations
United States, New York
Pain and Fatigue Study Center - Beth Israel Medical Center Recruiting
New York, New York, United States, 10003
Sponsors and Collaborators
Beth Israel Medical Center
Forest Laboratories
Investigators
Principal Investigator: Benjamin H Natelson, MD Beth Israel Medical Center
  More Information

Additional Information:
The Pain and Fatigue Study Center  This link exits the ClinicalTrials.gov site

No publications provided

Responsible Party: Beth Israel Medical Center
ClinicalTrials.gov Identifier: NCT01108731     History of Changes
Other Study ID Numbers: BIMC 212-09
Study First Received: March 30, 2010
Last Updated: December 5, 2012
Health Authority: United States: Institutional Review Board

Additional relevant MeSH terms:
Fibromyalgia
Myofascial Pain Syndromes
Muscular Diseases
Musculoskeletal Diseases
Rheumatic Diseases
Neuromuscular Diseases
Nervous System Diseases
Milnacipran
Antidepressive Agents
Psychotropic Drugs
Central Nervous System Agents
 Therapeutic Uses
Pharmacologic Actions
Serotonin Uptake Inhibitors
Neurotransmitter Uptake Inhibitors
Neurotransmitter Agents
Molecular Mechanisms of Pharmacological Action
Serotonin Agents
Physiological Effects of Drugs
Adrenergic Uptake Inhibitors
Adrenergic Agents

ClinicalTrials.gov processed this record on May 22, 2013