دورية أكاديمية

A Single-Center, Randomized, Double-Blind, Active, and Placebo-Controlled Study of KAI-1678, a Novel PKC-Epsilon Inhibitor, in the Treatment of Acute Postoperative Orthopedic Pain.

التفاصيل البيبلوغرافية
العنوان: A Single-Center, Randomized, Double-Blind, Active, and Placebo-Controlled Study of KAI-1678, a Novel PKC-Epsilon Inhibitor, in the Treatment of Acute Postoperative Orthopedic Pain.
المؤلفون: Moodie, John E., Bisley, Eileen J., Huang, Saling, Pickthorn, Karen, Bell, Gregory
المصدر: Pain Medicine; Jun2013, Vol. 14 Issue 6, p916-924, 9p, 1 Diagram, 4 Charts, 3 Graphs
مصطلحات موضوعية: ANALYSIS of covariance, ORTHOPEDIC surgery, POSTOPERATIVE pain, PROTEIN kinases, RESEARCH funding, RANDOMIZED controlled trials, VISUAL analog scale, BLIND experiment, DESCRIPTIVE statistics, INVESTIGATIONAL drugs
مستخلص: Objective KAI-1678, a novel inhibitor of the interaction of the epsilon isoform of protein kinase C ( εPKC) with its intracellular receptor, has demonstrated activity in countering hyperalgesia in several models of pain. In this controlled randomized trial, KAI-1678 was tested for analgesic activity in an orthopedic acute postoperative pain setting. Design Following hip or knee replacement surgery, subjects were treated with KAI-1678, ketorolac, or saline. Subjects recorded their pain intensity on a visual analog scale and rated their quality of analgesia. The pain intensity differences between baseline and the evaluations were summed over the first 4 hours. Results The analysis revealed that, while ketorolac displayed good analgesic activity, KAI-1678 was not significantly different than placebo. Analgesia quality ratings similarly did not show a difference between KAI-1678 and placebo in this pain model. A small excess of infusion site erythema was seen with KAI-1678, but otherwise the drug was safe and well tolerated. Conclusions We investigated the safety and efficacy of a novel inhibitor of εPKC and provide clinical evidence that inhibition of εPKC with KAI-1678 is not effective in the treatment of acute postoperative orthopedic pain. [ABSTRACT FROM AUTHOR]
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قاعدة البيانات: Complementary Index
الوصف
تدمد:15262375
DOI:10.1111/pme.12088