Fibromyalgia & musculoskeletal pain

Ramosetron as an add-on therapy for refractory fibromyalgia: a randomized, double-blind, placebo-controlled trial

Rheumatology (Oxford)Published Randomised controlled trial

Authors' conclusion

Intravenous administration of ramosetron provided safe and effective short-term relief of pain intensity in FM patients with inadequate response to standard treatments.

Study context

Population
Fibromyalgia (FM) patients unresponsive to conventional treatments
Participants
80 participants
Comparison
IV ramosetron 0.3 mg/day for 5 consecutive days vs placebo, as add-on in refractory FM
  • Ramosetronn = 40
  • Placebon = 40reference
Primary endpoint
Reduction in pain intensity (VAS)
Follow-up
End of treatment period
Methodological detailsprospective, double-blind, placebo-controlled
  • Prospective
  • Double-blind
  • Placebo-controlled

Primary result

As reported in the abstract

Reduction in VAS pain score · End of treatment phase

Ramosetron

1.18

± 1.60

Placebo

0.54

± 1.59

P < 0.05

Secondary outcomes

OutcomeRamosetronPlaceboP value
BDI improvement · End of treatment phase4.42 ± 5.181.33 ± 4.87P < 0.05
MDHAQ pain scale improvement · End of treatment phase0.37 ± 0.740.04 ± 0.52P < 0.05

Pain visual analogue scale (VAS) and Beck Depression Inventory (BDI) improvements · day 28

Improvements not sustained through day 28

Original publication

Ramosetron as an add-on therapy for refractory fibromyalgia: a randomized, double-blind, placebo-controlled trial. Rheumatology (Oxford). Published 25 May 2024. doi:10.1093/rheumatology/keae310

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