Latest Chronic Pain News
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Reviewed By Laura J. Martin, MD
More than half of people who took Xyrem reported at least a 30% improvement in pain, says Kim Dupree Jones, PhD, of Oregon Health & Science University in Portland.
The new study was presented at the annual meeting of the American Pain Society.
Also, small, preliminary studies suggested the drug can reduce pain and fatigue in people with fibromyalgia.
Reducing Pain in Fibromyalgia Patients
The new study included 334 patients with fibromyalgia. Participants took one of two doses of Xyrem or a placebo at bedtime for 14 weeks.
At the start of the study, the average pain score in all three groups was about 72 points on a 100-point scale in which higher scores indicate worse pain.
By 14 weeks later, 54% of people taking the lower dose and 56% on the higher dose of Xyrem reported reductions in pain of 30% or more, compared with 35% of patients taking a placebo.
About 44% of patients in both Xyrem groups reported pain reductions of 50% or more vs. 23% in the placebo group.
"The 30% level represents moderate improvement in pain that is relevant to the patient, and the 50% level represents substantial improvement," Jones says.
People taking either dose of Xyrem reported reductions in pain as early as the first week of the study, she says.
Reducing Fatigue in Fibromyalgia Patients
On a 100-point scale, fatigue scores dropped 28 and 30 points in the low- and high-dose Xyrem groups, respectively, compared with 18 points in the placebo group.
Also, nearly half of people in both Xyrem groups reported they felt "much better" or "very much better" after treatment vs. just over a quarter in the placebo group.
Xyrem is a central nervous system depressant also known as gamma hydroxybutyrate (GHB). GHB, sometimes referred to as the "date-rape drug," has a high potential for abuse.
"The systems in place to prevent [abuse] seem to be working," he says.
3 Drugs Approved for Fibromyalgia
By itself, each drug is effective in about 40% of patients, Clauw tells WebMD.
"So there is clearly room for other drugs with different mechanisms of action. Also, as with any chronic condition, you might get a better response by combining different drugs that work differently," he says. Clauw consults for the makers of all four drugs.
Kristine Thorson, a fibromyalgia patient from Tucson, Ariz., tells WebMD the drug worked when all others failed. "I was able to give up [narcotic painkillers]," she says.
At doses similar to those used in the treatment of narcolepsy, Xyrem can cost $500 a month.
Jazz Pharmaceuticals Inc., which makes the drug and funded the study, has applied for FDA approval for use of Xyrem in treating fibromyalgia.
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Kim Dupree Jones, PhD, Oregon Health & Science University, Portland.
Daniel J. Clauw, MD, professor of medicine, division of rheumatology, University of Michigan, Ann Arbor.
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