• Pain Med · Jul 2007

    Randomized Controlled Trial Multicenter Study

    Duloxetine for the management of diabetic peripheral neuropathic pain: evaluation of functional outcomes.

    • David G Armstrong, Amy S Chappell, Trong K Le, Daniel K Kajdasz, Miroslav Backonja, Deborah N D'Souza, and James M Russell.
    • Scholl's Center for Lower Extremity Ambulatory Research (CLEAR) at Rosalind Franklin University of Medicine and Science, North Chicago, Illinois, USA.
    • Pain Med. 2007 Jul 1; 8 (5): 410418410-8.

    ObjectiveTo assess the effectiveness of duloxetine, compared with placebo, on patient-reported health outcomes over a 12-week period, in the management of diabetic peripheral neuropathic pain (DPNP).MethodsThe results were pooled from three 12-week multicenter, double-blind studies. In study 1 (N = 457), patients with DPNP were randomly assigned to treatment with duloxetine 20 mg once daily (QD), 60 mg QD, 60 mg twice daily (BID), or placebo. In studies 2 (N = 334) and 3 (N = 348), patients with DPNP were randomly assigned to treatment with duloxetine 60 mg QD, 60 mg BID, or placebo. Patient-reported functional outcomes were measured by the Short Form 36 (SF-36), the interference portion of the Brief Pain Inventory (BPI), and EuroQol 5D Health Questionnaire (EQ-5D). Results for all functional outcomes from the intent-to-treat and completer populations are discussed.ResultsIn the SF-36 health survey and the BPI interference, duloxetine 60 mg QD and 60 mg BID were significantly superior to placebo in all the domains (P ConclusionsAcute treatment with duloxetine was associated with significant improvement in functional outcomes in persons with DPNP.

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