ClinicalTrials.gg
CompletedNCT02596360HydexUpdated Aug 6, 2026

Dextromethorphan Effect on Central Sensitization to Pain in Healthy Volunteers

A Phase 1 interventional study of Pulmodexane® 30mg and lactose in Experimental Pain and Hyperalgesia, sponsored by University Hospital, Clermont-Ferrand. Completed at 1 site in France. Open to male participants aged 18 Years to 45 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-08-06.

Sponsored by University Hospital, Clermont-Ferrand · Phase 1, Interventional, and Treatment

Phase
Phase 1
Study type
Interventional
Enrollment
20
Allocation
Randomized
Ages
18 Years to 45 Years
Sex
Male
01

Study summary

The aim of this study is to assess the anti-hyperalgesic effect of dextromethorphan in healthy volunteers compared to placebo.

Read the detailed description

This is a cross-over group, double-blind, randomized clinical trial in healthy volunteers comparing dextromethorphan and inactive control on freeze-induced hyperalgesia, experimental pain, diffuse noxious inhibitory control (DNIC), pupillary reaction and reaction time.

The influence of CYP3A4 and MDR1 polymorphism on the dextromethorphan analgesic efficacy will be measured.

The study design is divided in two study sequences and each subject participates in the two study sequences and receive the two treatments (dextromethorphan and placebo).

Each study sequence consists of 3 assessment days (Day -1, Day 0 = first treatment administration and Day 1).

02

Conditions studied

  • Experimental Pain
  • Hyperalgesia

Browse trials for

Keywords

  • Antinociception
  • Freeze-induced hyperalgesia model
  • Dextromethorphan
  • NMDA-receptors
  • Pharmacogenetic
  • CYP3A4 gene
  • MDR1 gene
03

In context

Hyperalgesia

166 studies on the registry are indexed under Hyperalgesia; 14 are open to participants now.

This study's enrollment of 20 is below the median of 50 across 142 interventional studies indexed under Hyperalgesia.

Browse Hyperalgesia studies →

Lead sponsor

University Hospital, Clermont-Ferrand is the lead sponsor of 859 studies on the registry; 179 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 45 Years
Sexes eligible
Male
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Healthy male volunteers
  • Aged between 18 and 45 years
  • CYP2D6 Extensive and Intermediate metabolizers
  • (BMI) between 19 and 30 kg/m2
  • Systolic blood pressure between 100 and 150 mmHg, diastolic blood pressure between 50 and 90 mmHg, heart rate between 45 and 90 beats per minute
  • Without treatment during the 7 days before inclusion specially no use of analgesic and anti-inflammatory drugs
  • Cooperation and understanding enough to conform to the study obligations
  • Having given free informed written consent
  • Affiliated to the French Social Security
  • Inscription or acceptation of inscription in the national register of volunteers involved in trials.

Exclusion criteria

Exclusion Criteria:

  • to the active substance or to any of the
  • Lactose intolerance
  • Hypertension
  • History of stroke
  • Severe heart failure
  • Severe hepatic impairment
  • Shortness of breath
  • Congenital galactosemia, glucose-galactose malabsorption, lactase deficiency
  • Association with linezolid
  • Pre-existence or history of peripheral neuropathy due to a cause different from neurotoxic chemotherapy
  • Diabetes (type I and II)
  • CYP2D6 Poor and Ultra-rapid metabolizers
  • , ALT, total twice the average
  • Dextromethorphan intake during the 7 days before inclusion
  • Medical and surgical history incompatible with the study
  • Disease progression during inclusion
  • Excessive consumption of alcohol (> 50g/day), tobacco (≥ 10 cigarettes/day), coffee, tea or drinks with caffeine (equivalent to more than 4 cups a day) or any addiction to drugs
  • Subject lacking concentration during tests training and low test results reproducibility
  • Subject does not meet the selection criteria for its ability to discriminate sensations to noxious stimuli during psychometric tests
  • Subject exclusion period, or the total allowable compensation exceeded
  • Subject undergoing a measure of legal protection (guardianship, supervision
Terms in these criteria, in plain language(5)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Excipients

The other ingredients in a medicine besides the active drug, such as fillers, colours or preservatives.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Crossover assignment
Masking
Double (Participant, Investigator)
Enrollment
20 participants (actual)

Study arms

  • Experimental
    Dextromethorphan

    The study design is divided in two study sequences and each subject participates in the two study sequences and receive the two treatments (dextromethorphan and placebo).

    Drug: Pulmodexane® 30mg

  • Placebo comparator
    Placebo

    The study design is divided in two study sequences and each subject participates in the two study sequences and receive the two treatments (dextromethorphan and placebo).

    Drug: lactose

Interventions

  • DrugPulmodexane® 30mg

    The study design is divided in two study sequences and each subject participates in the two study sequences and receive the two treatments (dextromethorphan and placebo).

  • Druglactose

    The study design is divided in two study sequences and each subject participates in the two study sequences and receive the two treatments (dextromethorphan and placebo).

06

What researchers measure

Primary outcomes

  1. Area under the curve (AUC) of percentage changes in mechanical pain thresholds (MPT) using electronic von frey in secondary hyperalgesic zone (Z2)

    Time frame: at Day 0 after treatment administration: 1 hour post-dose (T0+1h), 2 hours post-dose (T0+2h) and 3 hours post-dose (T0+3h).

Secondary outcomes

  1. Area under the curve (AUC) of percentage changes in mechanical pain thresholds (MPT) using electronic von frey in control skin zone (Z0) and primary hyperalgesic zone (Z1)

    Time frame: at D0 T0+1h, T0+2h and T0+3h after treatment administration

  2. Percentage changes in mechanical pain thresholds (MPT) using electronic von frey in control skin zone (Z0)

    Time frame: at Day 0 after treatment administration: 1 hour post-dose (T0+1h), 2 hours post-dose (T0+2h) and 3 hours post-dose (T0+3h).

  3. Percentage changes in mechanical pain thresholds (MPT) using electronic von frey in primary hyperalgesic zone (Z1)

    Time frame: at Day 0 30 min before treatment (T0-30min ) and at Day 0 after treatment administration: 1 hour post-dose (T0+1h), 2 hours post-dose (T0+2h) and 3 hours post-dose (T0+3h) and at Day 1 after treatment administration: 24,5 hours post-dose (T0+24h30).

  4. Conditioned Pain Modulation (CPM) assessment

    Time frame: at Day -1 before treatment and Day 0 30 min before treatment (T0-30min)

  5. Reaction time assessment using RTI CANTAB® test

    Time frame: at Day -1 before treatment and Day 0 30 min before treatment (T0-30min), after treatment administration: 1 hour post-dose (T0+1h) and 3 hours post-dose (T0+3h) and at Day 1 after treatment administration: 24,5 hours post-dose (T0+24h30).

  6. Determination of potential central effects of dextromethorphan measuring pupillary reaction

    Determination of potential central effects of dextromethorphan measuring pupillary reaction assessing the diameter of the pupil in real time in scotopic conditions (e.g. size variation \[mm\]; contraction speed \[mm.s-1\]; contraction latency \[ms\]) at Day 0 30 min before treatment (T0-30min ) and at Day 0 after treatment administration: 1 hour post-dose (T0+1h), 2 hours post-dose (T0+2h) and 3 hours post-dose (T0+3h) and at Day 1 after treatment administration: 24,5 hours post-dose (T0+24h30). \- Study of genetic polymorphism of cytochrome P450 3A4 and MDR1 gene through study completion, up to 6 months.

    Time frame: at Day 0 30 min before treatment (T0-30min ) and at Day 0 after treatment administration: 1 hour post-dose (T0+1h), 2 hours post-dose (T0+2h) and 3 hours post-dose (T0+3h) and at Day 1 after treatment administration: 24,5 hours post-dose (T0+24h30).

  7. Study of genetic polymorphism of cytochrome P450 3A4 and genetic polymorphism of MDR1 gene

    Time frame: up to 6 months.

  8. Dosage of plasma concentration of dextromethorphan and dextromethorphan's metabolites from blood collections

    Time frame: at Day 0 30 min before treatment (T0-30min ) and at Day 0 after treatment administration: 2 hours post-dose (T0+2h) and at Day 1 after treatment administration: 24,5 hours post-dose (T0+24h30).

07

Study locations

1 site
  • CHU Clermont-Ferrand
    Clermont-Ferrand, 63003, France
08

References and documents

Publications

  • Martin E, Narjoz C, Decleves X, Labat L, Lambert C, Loriot MA, Ducheix G, Duale C, Pereira B, Pickering G. Dextromethorphan Analgesia in a Human Experimental Model of Hyperalgesia. Anesthesiology. 2019 Aug;131(2):356-368. doi: 10.1097/ALN.0000000000002736. PubMed 31094746 ↗
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 6, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT02596360
Responsible party
Sponsor
First posted
Nov 4, 2015
Start date
Nov 2015
Primary completion
Mar 2016
Completion
Mar 2016
Last update
Aug 6, 2026

Study contacts

Gisèle PICKERING
principal investigator · University Hospital, Clermont-Ferrand
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Aug 2026. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion