Skip to main content
. 2017 Jun 9;2017(6):CD007938. doi: 10.1002/14651858.CD007938.pub4

Backonja 2011.

Methods Randomised, double‐blind, placebo‐controlled, parallel groups, enriched for tolerance (but not response), LOCF
Open‐label titration with gabapentin from 300 mg at night to maximum 600 mg 3 times daily (1800 mg/d) over 4 days, maintained on maximum tolerated dose for 7 days, then randomised to double blind treatment with 600 mg gabapentin encarbil twice daily or placebo for 2 weeks
Participants PHN. Pain > 3 months after healing of skin rash. PI at randomisation ≥ 40/100
N = 102 in double‐blind phase, and 116 in open‐label phase
Mean age 65 years, 51% women
Initial average daily pain score 6.1/10, and 4.5 before randomisation
Interventions Gabapentin encarbil 1200 mg daily, n = 47 (equivalent to 624 mg gabapentin, given as divided dose)
Placebo, n = 54
Antiepileptic medication discontinued ≥ 7 days before open label phase. Antidepressant and narcotic analgesics continued if stable > 1 month
Outcomes ≥ 50% reduction in pain
≥ 30% reduction in pain
PGIC much and very much improved
Withdrawals
Adverse events
Notes Oxford Quality Score: R = 1, DB = 2, W = 1, Total = 4
XenoPort sponsored
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Not described
Allocation concealment (selection bias) Unclear risk Not reported
Blinding (performance bias and detection bias) 
 All outcomes Low risk "matching placebo"
Incomplete outcome data (attrition bias) 
 Efficacy Unclear risk LOCF imputation
Size 
 Efficacy High risk < 50 participants per treatment arm