Table 1.
Effects of tapentadol on neuropathic pain
| Author | Condition | Study features | Tapentadol mean daily dose (mg) | Pain | Neuropathic pain | |||||
|---|---|---|---|---|---|---|---|---|---|---|
| Patient number | Duration (months) | Type | Comparator | NRS/VAS decrease |
Responders (%) | DN4/NPSI/PDQ decrease |
Responders (%) | |||
| Musculoskeletal pain conditions | ||||||||||
| Billeci88 | CNP | 44 | 3 | PO | 204.5±102.8 | 5.1 | 68B | DN4, 2.2B | 47dB | |
| Baron85 | LBP | 130 | 3 | RCT | Oxycodone | 378.8±129.6 | 3.7 | PDQ, 10.8 | ||
| Baron83 | LBP | 59 154 159 |
3 | PO DB DB |
Pregabalin | 300 500 300 |
5.2 4. 4.2 |
PDQ, 12.3B PDQ, 10.3B PDQ, 11.0B |
||
| Passavanti84 | LBP | 55 | 6 | R PO |
Tapentadol-PEA | 158.0±8.50 121.7±6.20 |
−1.8A | 68cA | DN4, 1.8A | 28cA |
| Tedeschi61 | PAD | 25 | 3 | PO | 186.4±56.0 | 5.1B | 80a | DN4, 2.8B | 78d | |
| Ueberall86 | LBP | 133 | 3 | R | Oxycodone | 298.5±71.2 | 31.2A −3.8B |
84g −1.7 |
PDQ7, 5 | 42a |
| Cancer pain conditions | ||||||||||
| Sugiyama103 | SC | 30 | 2,1 | R | 100 | 3 | ||||
| Brunetti94 | HC | 36 | 1 | PO | 243.5±105.6 | 7 | DN4, 3.4 | 75d | ||
| Coluzzi93 | MM | 25 | 3 | PO | 213.6±94.1 | 4,7 | DN4, 4.3 | 100d | ||
| Neurological pain conditions | ||||||||||
| Galiè65 | CIPN | 31 | 3 | PO | 200 | 3.4B | 86a | DN4, 2.2B | 78b | |
| Vinik59 | DPN | 318 | 3 | RCT | Placebo | 100–250 | 0.95A | 40Aa | NPSI, 8.84A | |
| Niesters43 | DPN | 25 | 1 | RCT | Placebo | 433±31 | 0.8A | |||
| Schwartz60 | DPN | 196 | 3 | RCT | Placebo | 200–500 | 1.3A | 39a | ||
| Freo102 | PD | 21 | 6 | R | 206.3±102.7 | 2.5B | 48a | PDQ, 6.3B | 100f | |
Notes: Responders: aVAS/NRS ≥50% reduction; bDN4>30% reduction; cVAS and/or DN4 2 point reduction; dDN4<4; ePDQ7 reduction to <18; fPD reduction to ≤18; glow back pain intensity index. Statistics: Aintergroup comparison, significantly different from placebo or oxycodone; Bintragroup comparison, significantly different from baseline.
Abbreviations: CIPN, chemotherapy induced peripheral neuropathy; DN4, douleur neuropathique en 4 questions; DPN, diabetic peripheral neuropathy; HC, hematholocical cancer; LBP, low back pain; multiple myeloma; NPSI, Neuropathic Pain Symptom Inventory; NRS/VAS, 0–10 Numerical Rating Scale/0–10 Visual Analogue Scale; NP, neuropathic pain; PDQ, painDetect questionnaire; PDQ7, seven-item painDetect; PD, Parkinson’ disease; PEA, palmytoilethanoamine; PHN, postherpetic neuralgia; PO, prospective observational; R, retrospective; RCT, randomized-controlled trial; SC: solid cancers.