Investigation of Treating Chronic Fatigue Syndrome After COVID With Pharmacotherapy (Pregabalin) or Complex Rehabilitation (POSTCOVID)

National Institute of Geriatrics, Rheumatology and Rehabilitation, Poland

Status and phase: Enrolling; Phase 2

Conditions: Chronic Fatigue Syndrome; COVID-19, Long Haul

Treatments: Drug: Pregabalin; Behavioral: Psychotherapy; Behavioral: Independent walking training; Behavioral: Telerehabilitation; Behavioral: Gradual movement therapy in the ward; Drug: Placebo

Study type: Interventional

Funder types: Other; NETWORK

Identifiers

NCT05967052

NIGRIR_001POSTCOVID

Details and patient eligibility

About

This is a single-center, prospective, randomized, double-blind (pharmacotherapy), placebo-controlled, and comprehensive rehabilitation phase II clinical trial to determine the usefulness of pregabalin in a new indication (post-COVID chronic fatigue syndrome).

Patients will be randomized in a 1:1:1:1 ratio to pregabalin (75-300 mg daily in two divided doses), comprehensive rehabilitation with a placebo drug, comprehensive rehabilitation with pregabalin (75-300 mg in two divided doses), or placebo (two divided doses) for 6 months (177-187 days).

There will be 4 outpatient visits to the research center and 12 telephone consultations.

The procedures and assessments performed as part of the study are listed in the study schedule.

It is planned to include 132 patients in the study, which, assuming a 10% level of non-completion of the program, will result in the examination of 120 patients (30 in each arm).

Patients will be recruited during an outpatient medical consultation with a general practitioner or neurologist, psychiatrist, psychologist or other specialists, as well as with the use of information materials in the form of leaflets and advertisements on the Internet.

Enrollment: 132 estimated patients

Sex: All

Ages: 18 to 65 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

1. The patient correctly gave written informed consent to participate in the study;

2. Men or women between the ages of 18 and 65 inclusive at the time of signing the informed consent;

3. Patient after a minimum of 6 months from the documented detection of SARS-CoV-2 infection (document confirming the history of the disease, including a positive result of the PCR or antigen test, certificate of convalescence; medical documentation confirming the infection; the condition is also considered fulfilled in the case of documented infection asymptomatic);

4. During the screening, the patient meets the criteria for the diagnosis of chronic fatigue syndrome (CFS) according to the National Academy of Medicine (2015);

5. Women:

   a) incapable of having children (post-menopausal or child-bearing, subjected to permanent sterilization); (b) of childbearing potential with a negative pregnancy test result at screening and using a highly effective method of contraception throughout the IMP use and for 7 days after the last IMP use.

6. The patient agrees to participate in all activities provided for in the study.

7. The patient is able to understand the information presented and give informed consent to participate in the study prior to screening.

Exclusion criteria

1. Vital functions disorders;
2. Documented hypersensitivity to pregabalin or any of the excipients of the formulation (i.e., lactose);
3. Moderate or severe depression during treatment or present during psychiatric evaluation at baseline;
4. Concurrent treatment with opioids or other antiepileptic drugs (including tramadol, buprenorphine, morphine, oxycodone, gabapentin, duloxetine);
5. Pregnant or breastfeeding women.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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132 participants in 4 patient groups, including a placebo group

Pregabalin

Experimental group

Treatment:

Behavioral: Independent walking training

Drug: Pregabalin

Pregabalin + Rehabilitation

Experimental group

Treatment:

Behavioral: Psychotherapy

Behavioral: Gradual movement therapy in the ward

Behavioral: Independent walking training

Drug: Pregabalin

Behavioral: Telerehabilitation

Rehabilitation + Placebo

Experimental group

Treatment:

Behavioral: Psychotherapy

Behavioral: Gradual movement therapy in the ward

Behavioral: Independent walking training

Behavioral: Telerehabilitation

Drug: Placebo

Placebo

Placebo Comparator group

Treatment:

Behavioral: Independent walking training

Drug: Placebo