Fibromyalgia & musculoskeletal pain

Naltrexone 6 mg once daily versus placebo in women with fibromyalgia: a randomised, double-blind, placebo-controlled trial

Lancet RheumatolPublished Randomised controlled trial

Primary result · Mean change in pain intensity (11-point NRS)Result — go to the resultBetween-group difference −0.34 95% CI −0.95 to 0.27

Authors' conclusion

This study did not show that treatment with low-dose naltrexone was superior to placebo in relieving pain.

Study context

Population
Women aged 18–64 years diagnosed with FM, Denmarkno participants lost to follow-up
Participants
99 women
Comparison
Low-dose naltrexone 6 mg once daily for 12 weeks vs placebo
  • Low-dose naltrexonen = 49
  • Placebon = 50reference
Primary endpoint
Change in pain intensity on an 11-point NRS from baseline to week 12, ITT population
Follow-up
Week 12
Methodological detailssingle-centre, double-blind, placebo-controlled
  • Single-centre
  • Double-blind
  • Placebo-controlled

Primary result

Mean change in pain intensity (11-point NRS)

Between-group difference

−0.34

95% CI −0.95 to 0.27

P = 0.27

Change by group

Low-dose naltrexone

−1.3

mean · 95% CI −1.7–-0.8 · points

Placebo

−0.9

mean · 95% CI −1.4–-0.5

Low-dose naltrexonevs Placebo
between-group difference −0.34 (95% CI −0.95 to 0.27); P = 0.27

As reported in the abstract

Safety

Discontinuations due to adverse events

Any adverse event

Events

OutcomeLow-dose naltrexonePlacebo
Serious adverse events and deaths01

Serious adverse events and deaths

No deaths occurred

Original publication

Naltrexone 6 mg once daily versus placebo in women with fibromyalgia: a randomised, double-blind, placebo-controlled trial. Lancet Rheumatol. Published 5 December 2023. doi:10.1016/s2665-9913(23)00278-3

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