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Anti-convulsants

Anti-depressants vs Anti-convulsants for Chronic Pain (SPEC-AA Trial)

Phase 4
Recruiting
Research Sponsored by Stanford University
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
Persistent pain for more than 3 months
Age of 18 years old or above
Timeline
Screening 3 weeks
Treatment Varies
Follow Up 6 months
Awards & highlights

SPEC-AA Trial Summary

This trial aims to study whether or not anti-convulsants or anti-depressants are more effective for treating chronic pain, as well as to build a model to help predict which medication may work better for individual patients based on clinical characteristics.

Who is the study for?
This trial is for adults over 18 with chronic pain lasting more than 3 months, who could be treated with anti-convulsants or anti-depressants. Patients must have a balanced chance of benefiting from either medication as judged by their doctor. Those with conditions that prevent the use of these drugs or who refuse to participate are excluded.Check my eligibility
What is being tested?
The study compares the effectiveness of two common chronic pain treatments: anti-convulsant and anti-depressant medications. It involves randomly assigning patients to one treatment group during clinic visits using an open-source system called CHOIR, which tracks patient outcomes.See study design
What are the potential side effects?
Potential side effects from the medications may include dizziness, drowsiness, nausea, weight changes, mood swings, and possible drug interactions. The specific side effects can vary based on individual health conditions and the type of medication prescribed.

SPEC-AA Trial Eligibility Criteria

Inclusion Criteria

You may be eligible if you check “Yes” for the criteria below
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I have been experiencing pain for over 3 months.
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I am 18 years old or older.

SPEC-AA Trial Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~6 months
This trial's timeline: 3 weeks for screening, Varies for treatment, and 6 months for reporting.

Treatment Details

Study Objectives

Outcome measures can provide a clearer picture of what you can expect from a treatment.
Primary outcome measures
Change in Pain Intensity
Secondary outcome measures
Change in Anxiety
Change in Depression
Change in Pain Catastrophizing
+3 more

SPEC-AA Trial Design

2Treatment groups
Experimental Treatment
Group I: Anti-depressant medicationExperimental Treatment1 Intervention
The participants will be randomized to receiving an anti-depressant medication. Then using a patient centered approach, the participant and their treating pain provider will choose one medication within the class. Participants will continue the medications for at least 6 months provided that they can tolerate the side effects, consider the treatment effective, and are willing to continue the treatment. We are studying two classes of medications and specific names of medications do not apply.
Group II: Anti-convulsant medicationExperimental Treatment1 Intervention
The participants will be randomized to receiving an anti-convulsant medication. Then using a patient centered approach, the participant and their treating pain provider will choose one medication within the class. Participants will continue the medications for at least 6 months provided that they can tolerate the side effects, consider the treatment effective, and are willing to continue the treatment. We are studying two classes of medications and specific names of medications do not apply.

Find a Location

Who is running the clinical trial?

Stanford UniversityLead Sponsor
2,395 Previous Clinical Trials
17,341,170 Total Patients Enrolled
36 Trials studying Chronic Pain
8,783 Patients Enrolled for Chronic Pain

Media Library

Anti-convulsant medications (Anti-convulsants) Clinical Trial Eligibility Overview. Trial Name: NCT04441034 — Phase 4
Chronic Pain Research Study Groups: Anti-convulsant medication, Anti-depressant medication
Chronic Pain Clinical Trial 2023: Anti-convulsant medications Highlights & Side Effects. Trial Name: NCT04441034 — Phase 4
Anti-convulsant medications (Anti-convulsants) 2023 Treatment Timeline for Medical Study. Trial Name: NCT04441034 — Phase 4

Frequently Asked Questions

These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

How many individuals have been enrolled in this trial thus far?

"Affirmative, according to data hosted on clinicaltrials.gov this trial is actively searching for participants. This investigation was initially posted on March 15th 2022 and updated most recently on October 25th of the same year. Currently 450 individuals are needed from a single site."

Answered by AI

Is recruitment for this experimental program still open?

"The research indicated on clinicaltrials.gov certifies that this medical trial is actively recruiting potential participants. It was first posted in mid-March of 2022, with the most recent update being recorded in late October of the same year."

Answered by AI

What can be said about the security of anti-depressants for human consumption?

"There is a high degree of confidence in the safety profile of anti-depressant medications, securing them an assessment score of 3. This supports that this treatment has been approved for clinical use after going through numerous rounds of testing."

Answered by AI
~187 spots leftby Sep 2025