Prescription Opioids, Brain Structure, and Cognition in Older Adults With Chronic Pain

ConditionPain, Chronic
Trial statusRecruiting
Trial phasePhase 2
Trial typeInterventional
Biological sexAll
Age65+
SponsorMayo Clinic

About this trial

The purpose of this study is to determine whether exposure to prescription opioids is associated with brain structural changes on magnetic resonance imaging (MRI), with the primary outcome of white matter integrity as measured by fractional anisotropy of the corpus callosum.

Eligibility criteria

Qualifiers

65 years of age or older

Pain for longer than 3 months (chronic)

Moderate to severe pain nearly every day (averaged PEG score >5)

Persistent pain despite use of >1 analgesic (Tylenol, Ibuprofen, lidocaine patch, etc)

Disqualifiers

Untreated severe/uncontrolled Mental health (schizophrenia, bipolar disorder, psychosis, history of suicidality, depression or anxiety, PTSD)

Severe liver (cirrhosis) or kidney disease (ESRD on dialysis or GFR< 30)

Cognitive impairment (Kokmen Short Test of Mental Status score < 29)

Life expectancy < 12 months

Trial design

Treatments tested in this trial

  • Opioid
  • Opioid Placebo

Treatment groups

200 Participants
are divided into 2 treatment groups

Sponsors and collaborators