About this trial
The objective of the proposed study is to conduct the first ever prospective, dose-exploration trial to test the feasibility of early administration of gabapentin as an intervention for neurorecovery. This research project falls under the Intervention Development stage of research as the primary goal is to assess the feasibility of conducting a well-designed intervention efficacy study in the future.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Traumatic SCI;
All levels of SCI;
All severities of SCI, AIS A-D;
Age 18 years and older.
Disqualifiers
Presence of moderate/severe traumatic brain injury (TBI) as defined by Glasgow Coma Score (GCS) < 13 at 120 hours' post-injury.
Documented use of gabapentinoids at the time of injury.
Trial design
Parallel
Treatments tested in this trial
Gabapentin
DrugGeneric gabapentin
Placebo
DrugInert cellulose
Treatment groups
Trial outcomes
Primary outcomes
Number of participants recruited
Feasibility question - Can the target population be recruited? Feasibility measure - Number screened/month; number enrolled/month; reasons for not enrolling Quantitative benchmark of success - Screen an average of 4/month; Enroll an average of 1/month
Adherence rate to drug treatment protocol
Feasibility question - Can the drug treatment protocol be delivered? Feasibility measure - Proportion of enrolled who receive the full drug treatment protocol (placebo arm; two gabapentin dose arms); number of dosing deviations/arm; reasons for dosing deviations Quantitative benchmark of success - 70% enrolled in placebo arm receive full dosing protocol; 70% enrolled in each gabapentin arm receive full dosing protocol
Number of occurrences of unblinding
Feasibility question - Can the assessors remain blinded? Feasibility measure - Number of occurrences of unblinding; reasons for unblinding Quantitative benchmark of success - 5% or fewer occurrences of unblinding
Retention rate
Feasibility question - Will participants complete the study? Feasibility measure - Retention rate; reasons for dropout; proportion of planned assessments completed Quantitative benchmark of success - 70% of participants stay enrolled until the end of the study and complete 3 of the 4 assessment visits
Sponsors and contacts
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MetroHealth Medical Center
Lead sponsor
National Institute on Disability, Independent Living, and Rehabilitation Research
Collaborator