Frequency of Adverse Drug Reactions and Analgesic Effects of Mirogabalin during Treatment of Peripheral Neuropathic Pain: A Retrospective Clinical Investigation

  • Inage Kazuhide
    Department of Orthopaedic Surgery, Graduate School of Medicine, Chiba University
  • Sainoh Takeshi
    Department of Orthopaedic Surgery, Sainou Hospital
  • Fujiyoshi Takayuki
    Department of Orthopaedic Surgery, Kimitsu Chuo Hospital
  • Otagiri Takuma
    Department of Orthopaedic Surgery, Graduate School of Medicine, Chiba University
  • Aoki Yasuchika
    Department of Orthopaedic Surgery, Eastern Chiba Medical Center
  • Inoue Masahiro
    Department of Orthopaedic Surgery, Eastern Chiba Medical Center
  • Eguchi Yawara
    Department of Orthopaedic Surgery, Graduate School of Medicine, Chiba University
  • Orita Sumihisa
    Department of Orthopaedic Surgery, Graduate School of Medicine, Chiba University
  • Shiga Yasuhiro
    Department of Orthopaedic Surgery, Graduate School of Medicine, Chiba University
  • Koda Masao
    Department of Orthopaedic Surgery, Faculty of Medicine, University of Tsukuba
  • Akazawa Tsutomu
    Department of Orthopaedic Surgery, St. Marianna University School of Medicine
  • Furuya Takeo
    Department of Orthopaedic Surgery, Graduate School of Medicine, Chiba University
  • Nakamura Junichi
    Department of Orthopaedic Surgery, Graduate School of Medicine, Chiba University
  • Takahashi Hiroshi
    Department of Orthopaedic Surgery, Faculty of Medicine, University of Tsukuba
  • Suzuki Miyako
    Department of Orthopaedic Surgery, Graduate School of Medicine, Chiba University
  • Maki Satoshi
    Department of Orthopaedic Surgery, Graduate School of Medicine, Chiba University
  • Kinoshita Hideyuki
    Department of Orthopaedic Surgery, Chiba Cancer Center
  • Norimoto Masaki
    Department of Orthopaedic Surgery, Toho University Sakura Medical Center
  • Umimura Tomotaka
    Department of Orthopaedic Surgery, Graduate School of Medicine, Chiba University
  • Sato Takashi
    Department of Orthopaedic Surgery, Graduate School of Medicine, Chiba University
  • Sato Masashi
    Department of Orthopaedic Surgery, Graduate School of Medicine, Chiba University
  • Suzuki Masahiro
    Department of Orthopaedic Surgery, Graduate School of Medicine, Chiba University
  • Enomoto Keigo
    Department of Orthopaedic Surgery, Graduate School of Medicine, Chiba University
  • Takaoka Hiromitsu
    Department of Orthopaedic Surgery, Graduate School of Medicine, Chiba University
  • Mizuki Norichika
    Department of Orthopaedic Surgery, Graduate School of Medicine, Chiba University
  • Hozumi Takashi
    Department of Orthopaedic Surgery, Graduate School of Medicine, Chiba University
  • Tsuchiya Ryuto
    Department of Orthopaedic Surgery, Graduate School of Medicine, Chiba University
  • Kim Geundong
    Department of Orthopaedic Surgery, Graduate School of Medicine, Chiba University
  • Mukaihata Tomohito
    Department of Orthopaedic Surgery, Graduate School of Medicine, Chiba University
  • Hishiya Takahisa
    Department of Orthopaedic Surgery, Graduate School of Medicine, Chiba University
  • Ohtori Seiji
    Department of Orthopaedic Surgery, Graduate School of Medicine, Chiba University

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<p>Introduction: Mirogabalin should be equivalent to pregabalin, but with fewer incidences of adverse drug reactions (ADRs). To verify these benefits in actual clinical trials, our study investigated the frequency of ADRs and mirogabalin's analgesic effects during treatment of peripheral neuropathic pain.</p><p>Methods: This study included 74 patients with lower limb pain. We surveyed patient reports of ADRs during the follow-up period as the primary endpoint and examined the visual analog scale (VAS) reported for lower limb pain as the secondary endpoint (before administration, and two and four weeks after administration).</p><p>Results: The occurrence of ADR was 27.0%, like the frequency of ADRs in the clinical trials for other disorders. However, the discontinuation rate of administration was 10.8%, which was significantly lower than the frequency of ADR occurrences. When the analgesic effect was assessed, a significant decrease in the temporal change of VAS for lower limb pain was observed before administration, and two and four weeks after administration.</p><p>Conclusions: In this study, the occurrence of ADRs reported by the patients was like the frequency of ADRs reported in the clinical trials for other disorders. When assessing the analgesic effect, the temporal change of VAS for lower limb pain was found to decrease significantly before administration, and two and four weeks after administration.</p>

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