A Phase 4 interventional study of Remifentanil and Midazolam in Hyperalgesia, sponsored by Medical University of Vienna. Status unknown at 1 site in Austria. Open to participants aged 19 Years to 40 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2009-11-18.
Sponsored by Medical University of Vienna · Phase 4, Interventional, and Basic science
Treatment of chronic pain is a major clinical challenge since chronic pain is frequent and leads to deterioration of quality of life. An injury or wound can lead to long term changes in the nervous system that make the skin more sensitive at and near the injury; this is termed hyperalgesia and occurs through long term depotentiation (LTP), i.e., a change in the synaptic interaction between neurons.
Opioids are the gold standard for the symptomatic therapy of moderate to severe pain. Now, in animal studies the investigators have discovered previously unrecognized effects of opioids.
UV-B irradaition of the skin of the thigh is an established model of priamary and secondary hyperalgeisa in humans. The investigators want to test the influence of remifentanil, an ultra-short acting opioid, on hyperalgesia observed after UV-B irradiation in human volunteers in a double blind cross-over prospective active placebo controlled clinical trial, at a dose corresponding to 0.7 µg kg-1 min-1.
Exclusion Criteria:
Remifentanil Infusion
Drug: Remifentanil
Active Placebo
Drug: Midazolam
Remifentanil Infusion
Also known as: Ultiva
Midazolam Infusion
Also known as: Dormicum
Measure: Area of pin prick hyperalgesia
Time frame: 0-6h
Stimulus-response (SR) function to a set of modified rigid von Frey filaments (8-512 mN)
Time frame: 0-6h
Heat pain threshold within the area of mechanical hyperalgesia
Time frame: 0-6h
Mechanical pain threshold within the area of pin prick hyperalgesia, area of dynamic allodynia to brush
Time frame: 0-6h
Adverse effects
Time frame: 30 and 59 min after start of treatment
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Medical University of Vienna