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. 2019 May 16;12:1537–1551. doi: 10.2147/JPR.S190162

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.