Could a seizure drug ease unbearable nerve pain in spinal cord injury?
NCT ID NCT04379011
First seen Jun 26, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This pilot study tested whether brivaracetam, a drug used for seizures, can reduce severe nerve pain in people with chronic spinal cord injury. 24 participants received either brivaracetam or a placebo for 3 months. The study aimed to see if a larger trial is possible and measured pain levels and quality of life.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Brivaracetam (Briviact)
- What this could lead to
- If it works, this could point toward a new treatment option for severe nerve pain after spinal cord injury that hasn't responded to other drugs.
- What could go wrong
- This is a very small pilot study (24 people) focused on feasibility, not proof of effectiveness. The results may not apply to everyone, and side effects or lack of pain relief are possible.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
-
Phase 1/2
Runs two stages together: safety and dose first, then whether the treatment works.
- Participants
-
24 people
The number who actually took part.
- Started
-
Feb 2021
- Finished
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Sep 2024
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
-
18 years and older
- Sex
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Anyone
- Healthy volunteers
-
Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
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Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Spinal cord injury (SCI) * Participants must have completed inpatient rehabilitation and are living in the community * Participant who have severe below-level neuropathic pain (daily average 9/10 or 10/10) * Participants must have tried and failed to achieve adequate pain relief with the use of other drugs (i.e treatment failed to decrease their pain below a level of 9) and can continue to take spasmolytics, pregabalin, gabapentin, and opioids in unchanged dosing throughout the trial Exclusion Criteria: * Pprogressive myelopathy secondary to posttraumatic cord tethering * Syringomyelia * Brain injury limiting the ability to follow directions * Pregnancy or lactation * Epilepsy * Impaired liver or renal function * Contraindications to brivaracetam or pyrrolidine derivatives including allergy, or contraindications to MRI including retained bullet fragments, noncompatible metal implants, and implanted devices such as baclofen pumps
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
-
Swedish Hospital
Englewood, Colorado, 80113, United States
-
University of Minnesota School of Medicine
Minneapolis, Minnesota, 55455, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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- Breathing brief Low-Oxygen bursts may boost sleep apnea treatment
- Pure oxygen tested as a switch for dormant nerves after spinal cord injury
- Spinal stimulation tested to help kids with spinal cord injuries sit taller
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- Can painless spinal zaps teach injured kids to walk again?