Efficacy and safety of interferon-alpha 1b injection into the intervertebral foramen with ultrasonic guidance in patients with postherpetic neuralgia: study protocol for a randomized, double-blind, placebo-controlled, multicenter clinical trial

PurposePostherpetic neuralgia (PHN) is a type of refractory neuropathic pain that causes significant suffering, disability, economic loss, and medical burden. In this study, we aim to evaluate the efficacy and safety of interferon (IFN)-α1b injection into the intervertebral foramen of patients with...

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Main Authors: Hui-Min Hu, Wen-Hui Liu, Chen Li, Qing Shi, Chun-Hua Liu, An-Xiang Liu, Yi-Fan Li, Yi Zhang, Peng Mao, Bi-Fa Fan
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-01-01
Series:Frontiers in Neurology
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Online Access:https://www.frontiersin.org/articles/10.3389/fneur.2024.1516262/full
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author Hui-Min Hu
Hui-Min Hu
Wen-Hui Liu
Wen-Hui Liu
Chen Li
Chen Li
Qing Shi
Qing Shi
Chun-Hua Liu
Chun-Hua Liu
An-Xiang Liu
An-Xiang Liu
Yi-Fan Li
Yi Zhang
Peng Mao
Bi-Fa Fan
author_facet Hui-Min Hu
Hui-Min Hu
Wen-Hui Liu
Wen-Hui Liu
Chen Li
Chen Li
Qing Shi
Qing Shi
Chun-Hua Liu
Chun-Hua Liu
An-Xiang Liu
An-Xiang Liu
Yi-Fan Li
Yi Zhang
Peng Mao
Bi-Fa Fan
author_sort Hui-Min Hu
collection DOAJ
description PurposePostherpetic neuralgia (PHN) is a type of refractory neuropathic pain that causes significant suffering, disability, economic loss, and medical burden. In this study, we aim to evaluate the efficacy and safety of interferon (IFN)-α1b injection into the intervertebral foramen of patients with PHN.Patients and methodsThis is a study protocol for a randomized, double-blind placebo-controlled multicenter clinical trial. A total of 200 participants with PHN from 11 hospitals will be recruited and randomly assigned to the treatment group administered with IFN-α1b and control group treated with placebo in a 1:1 ratio. Both groups will also receive oral pregabalin 150 mg twice daily and lidocaine injection into the intervertebral foramen as conventional therapy. This trial will involve a screening period, a 2-week intervention, and a 3-month follow-up. The primary outcomes will include the visual analog scale score and duration of pain relief. The secondary outcomes will include the 36-item short-form, dosage and duration of painkillers taken, viral load of varicella-zoster virus DNA, humoral cytokine level, and dosage and frequency of rescue medication. All adverse events and severe adverse events will be assessed during the study.ConclusionThis study is expected to provide evidence for the efficacy and safety of IFN-α1b injection into the intervertebral foramen in patients with PHN.Clinical trial registrationhttps://www.chictr.org.cn/indexEN.html, identifier ChiCTR240008996.
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spelling doaj-art-99c148e68e8147a7ad705a8c4d41e4c22025-08-20T02:54:00ZengFrontiers Media S.A.Frontiers in Neurology1664-22952025-01-011510.3389/fneur.2024.15162621516262Efficacy and safety of interferon-alpha 1b injection into the intervertebral foramen with ultrasonic guidance in patients with postherpetic neuralgia: study protocol for a randomized, double-blind, placebo-controlled, multicenter clinical trialHui-Min Hu0Hui-Min Hu1Wen-Hui Liu2Wen-Hui Liu3Chen Li4Chen Li5Qing Shi6Qing Shi7Chun-Hua Liu8Chun-Hua Liu9An-Xiang Liu10An-Xiang Liu11Yi-Fan Li12Yi Zhang13Peng Mao14Bi-Fa Fan15Graduate School, Beijing University of Chinese Medicine, Beijing, ChinaDepartment of Pain Medicine, China-Japan Friendship Hospital, Beijing, ChinaGraduate School, Beijing University of Chinese Medicine, Beijing, ChinaDepartment of Pain Medicine, China-Japan Friendship Hospital, Beijing, ChinaGraduate School, Beijing University of Chinese Medicine, Beijing, ChinaDepartment of Pain Medicine, China-Japan Friendship Hospital, Beijing, ChinaGraduate School, Beijing University of Chinese Medicine, Beijing, ChinaDepartment of Pain Medicine, China-Japan Friendship Hospital, Beijing, ChinaGraduate School, Beijing University of Chinese Medicine, Beijing, ChinaDepartment of Pain Medicine, China-Japan Friendship Hospital, Beijing, ChinaGraduate School, Beijing University of Chinese Medicine, Beijing, ChinaDepartment of Pain Medicine, China-Japan Friendship Hospital, Beijing, ChinaDepartment of Pain Medicine, China-Japan Friendship Hospital, Beijing, ChinaDepartment of Pain Medicine, China-Japan Friendship Hospital, Beijing, ChinaDepartment of Pain Medicine, China-Japan Friendship Hospital, Beijing, ChinaDepartment of Pain Medicine, China-Japan Friendship Hospital, Beijing, ChinaPurposePostherpetic neuralgia (PHN) is a type of refractory neuropathic pain that causes significant suffering, disability, economic loss, and medical burden. In this study, we aim to evaluate the efficacy and safety of interferon (IFN)-α1b injection into the intervertebral foramen of patients with PHN.Patients and methodsThis is a study protocol for a randomized, double-blind placebo-controlled multicenter clinical trial. A total of 200 participants with PHN from 11 hospitals will be recruited and randomly assigned to the treatment group administered with IFN-α1b and control group treated with placebo in a 1:1 ratio. Both groups will also receive oral pregabalin 150 mg twice daily and lidocaine injection into the intervertebral foramen as conventional therapy. This trial will involve a screening period, a 2-week intervention, and a 3-month follow-up. The primary outcomes will include the visual analog scale score and duration of pain relief. The secondary outcomes will include the 36-item short-form, dosage and duration of painkillers taken, viral load of varicella-zoster virus DNA, humoral cytokine level, and dosage and frequency of rescue medication. All adverse events and severe adverse events will be assessed during the study.ConclusionThis study is expected to provide evidence for the efficacy and safety of IFN-α1b injection into the intervertebral foramen in patients with PHN.Clinical trial registrationhttps://www.chictr.org.cn/indexEN.html, identifier ChiCTR240008996.https://www.frontiersin.org/articles/10.3389/fneur.2024.1516262/fullpostherpetic neuralgiainterferon-alpha 1bforaminal injectionrandomized controlled trailprotocol
spellingShingle Hui-Min Hu
Hui-Min Hu
Wen-Hui Liu
Wen-Hui Liu
Chen Li
Chen Li
Qing Shi
Qing Shi
Chun-Hua Liu
Chun-Hua Liu
An-Xiang Liu
An-Xiang Liu
Yi-Fan Li
Yi Zhang
Peng Mao
Bi-Fa Fan
Efficacy and safety of interferon-alpha 1b injection into the intervertebral foramen with ultrasonic guidance in patients with postherpetic neuralgia: study protocol for a randomized, double-blind, placebo-controlled, multicenter clinical trial
Frontiers in Neurology
postherpetic neuralgia
interferon-alpha 1b
foraminal injection
randomized controlled trail
protocol
title Efficacy and safety of interferon-alpha 1b injection into the intervertebral foramen with ultrasonic guidance in patients with postherpetic neuralgia: study protocol for a randomized, double-blind, placebo-controlled, multicenter clinical trial
title_full Efficacy and safety of interferon-alpha 1b injection into the intervertebral foramen with ultrasonic guidance in patients with postherpetic neuralgia: study protocol for a randomized, double-blind, placebo-controlled, multicenter clinical trial
title_fullStr Efficacy and safety of interferon-alpha 1b injection into the intervertebral foramen with ultrasonic guidance in patients with postherpetic neuralgia: study protocol for a randomized, double-blind, placebo-controlled, multicenter clinical trial
title_full_unstemmed Efficacy and safety of interferon-alpha 1b injection into the intervertebral foramen with ultrasonic guidance in patients with postherpetic neuralgia: study protocol for a randomized, double-blind, placebo-controlled, multicenter clinical trial
title_short Efficacy and safety of interferon-alpha 1b injection into the intervertebral foramen with ultrasonic guidance in patients with postherpetic neuralgia: study protocol for a randomized, double-blind, placebo-controlled, multicenter clinical trial
title_sort efficacy and safety of interferon alpha 1b injection into the intervertebral foramen with ultrasonic guidance in patients with postherpetic neuralgia study protocol for a randomized double blind placebo controlled multicenter clinical trial
topic postherpetic neuralgia
interferon-alpha 1b
foraminal injection
randomized controlled trail
protocol
url https://www.frontiersin.org/articles/10.3389/fneur.2024.1516262/full
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