Methods | Multicentre, randomised, double-blind, placebo-controlled, parallel-group, not enriched, LOCF Titration to maximum tolerated dose or 3600 mg daily over 4 weeks, then stable dose for 4 weeks (8 weeks in total) |
|
Participants | Painful diabetic neuropathy. N = 165, mean age 53 years, 40% women. Pain duration > 3 months before treatment, PI ≥40/100 at randomisation, initial mean pain score 6.4/10 | |
Interventions | Gabapentin 3600 mg daily (max), n = 84 Placebo, n = 81 Medication for diabetes control remained stable during study. Paracetamol (max 3 g daily) allowed |
|
Outcomes | PGIC much or moderately improved ≥ 50% reduction in pain (CTR) PGIC much improved (CTR) PGIC moderately or much improved (CTR) Adverse events Withdrawals |
|
Notes | Oxford Quality Score: R = 2, DB = 2, W = 1, Total = 5 Parke-Davies/Pfizer sponsored |
|
Risk of bias | ||
Item | Authors’ judgement | Description |
Allocation concealment? | Unclear | Not reported |
Blinding? All outcomes |
Yes | “supplied in identical capsules in blinded fashion”. “All participants were supplied with an equal number of capsules” |
Incomplete outcome data addressed? Efficacy |
Unclear | LOCF |
Size Efficacy |
Unclear | 165 |
Study duration Efficacy |
Yes | 8 weeks |
Outcomes reported | Yes | At least 50% reduction in pain |