Evidence map›Paper›PMID 23816491›Full record

Trial reportContemporary clinical trials2013

Rationale and design of a multicenter randomized clinical trial of extended release gabapentin in provoked vestibulodynia and biological correlates of response.

Candace S Brown, David C Foster, Jim Y Wan, Leslie A Rawlinson, Gloria A Bachmann, Gabapentin (GABA) Study Group

Abstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Contemporary clinical trials, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.7field-weighted citation impact, top 17% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 14 citations in OpenAlex.

  1. Review
  2. Review
  3. Etiology, diagnosis, and clinical management of vulvodynia.International journal of women's health · 2014
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

Candace S BrownDepartment of Clinical Pharmacy, University of Tennessee Health Science Center, Memphis, TN 38163, USA. csbrown@uthsc.edu
David C Foster
Jim Y Wan
Leslie A Rawlinson
Gloria A Bachmann
Gabapentin (GABA) Study Group
University of Tennessee Health Science Center · USJohnson University · USUniversity of Rochester · US

Funding

A Controlled Trial of Gabapentin in Vulvodynia: Biological Correlates of ResponseR01HD065740 · NICHD · UNIVERSITY OF TENNESSEE HEALTH SCI CTR · PI BACHMANN, GLORIA A, BROWN, CANDACE S · 2011 to 2014
$2.5M
NICHD NIH HHS 1R01HD065740-01A1NICHD NIH HHS R01 HD065740
6 · The paper itself

Abstract

introductionFew randomized controlled trials (RCTs) have been conducted to establish evidence-based management protocols for provoked vestibulodynia (PVD), a chronic vulvar pain condition affecting approximately 14 million women in the U.S. We describe the rationale and design of an NIH funded multicenter clinical trial utilizing an extended release formulation of gabapentin (G-ER), an intervention that preliminary data suggest may be efficacious for this condition.

objectives1) to determine if pain from tampon insertion (primary outcome measure) is lower in PVD patients when treated with G-ER compared to when treated with placebo and 2) to determine if G-ER reduces vulvar mechanical hyperalgesia, vaginal muscle pain to palpation, the number and intensity of somatic tenderpoints, spontaneous and provoked pain to intradermal capsaicin with an accompanying increase in cardiac beat-to-beat variability and to identify mechanistically-based PVD subtypes. Additional outcomes include subject reported intercourse pain and summative 24-hour pain.

methodsThis 16-week, randomized, double-blind, placebo-controlled, crossover study will enroll 120 women 18 years and older who report tenderness localized to the vulvar vestibule, pain with tampon insertion, and, when sexually active, insertional dyspareunia. Electronically entered daily diaries will be used to determine if pain is lower in PVD subjects when treated with G-ER (up to 3000 mg/d) compared to when treated with placebo. Psychophysiological measures will be obtained at baseline and after 2 weeks at the maximum tolerated dose.

conclusionWe will conduct the first multicenter RCT to confirm efficacy of an agent that is currently used in clinical practice for treating PVD.

Indexed as

Research DesignAminesAnalgesicsCross-Over StudiesCyclohexanecarboxylic AcidsDelayed-Action PreparationsDose-Response Relationship, DrugDouble-Blind MethodDyspareuniaFemaleGabapentingamma-Aminobutyric AcidHumansPain MeasurementVulvodyniaAminesAnalgesicsCyclohexanecarboxylic AcidsDelayed-Action PreparationsGabapentingamma-Aminobutyric AcidBiological correlatesGabapentinMulticenter clinical trialProvoked vestibulodyniaVulvodynia

Identifiers

PMID23816491
PMCPMC3779071
OpenAlexW1982107449

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.