Mirogabalin for pain relief in people with herpes zoster
Official title: The Analgesic Efficacy and Safety of Oral Medications (Mirogabalin) in Patients With Herpes Zoster
Run by Beijing Tiantan Hospital · NCT07307170 · Data updated 2026-11-12
This will test whether adding mirogabalin to usual care helps adults with recent shingles get better relief from moderate-to-severe pain.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 750 (estimated) |
| Sponsor | Beijing Tiantan Hospital Academic / other |
| Locations | 1 site (Beijing) |
| Status | Recruiting |
| Started | December 15, 2025 |
| Main results expected | October 31, 2027 |
| Study ends | December 31, 2027 |
| Registry record updated | March 19, 2026 |
| Trial ID | NCT07307170 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults (age >18) with onset of shingles rash within 30 days who have moderate-to-severe pain (NRS ≥4) and acceptable liver (AST/ALT <2× ULN) and renal (eGFR ≥30 mL/min/1.73 m2) function.
✕Probably not a fit
Patients with prior gabapentin or pregabalin use, disseminated or ocular herpes zoster, significant renal impairment (eGFR <30), or marked liver enzyme elevations are excluded and may not benefit from this protocol.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This randomized, controlled comparison adds mirogabalin to conventional antiviral and analgesic therapy versus conventional therapy alone for adults with acute herpes zoster pain. Eligible participants are adults within 30 days of rash onset who report moderate-to-severe pain (NRS ≥4) and have adequate liver and kidney function; those with prior gabapentin/pregabalin use or disseminated/ocular HZ are excluded. Pain intensity and safety outcomes will be tracked during the treatment period to see if mirogabalin provides stronger analgesia with acceptable tolerability. The trial is led by Beijing Tiantan Hospital with collaboration from regional university hospitals and requires site visits in Beijing.
Why it matters
Potential benefit: If successful, adding mirogabalin could give patients stronger pain relief with fewer central side effects, possibly reducing acute suffering and the risk of postherpetic neuralgia.
How similar studies have gone: Gabapentinoids have shown mixed results for acute shingles pain, and while mirogabalin is effective for other neuropathic pain, its use in acute herpes zoster is novel and unproven.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * 1\. Ages more than 18 years; * 2\. Patients with onset of HZ rash less than 30 days; * 3\. Experiencing moderate to severe HZ pain with an average pain score of at least 4 on a Numeric Rating Scale (NRS, 0 = no pain, 10 = worst possible pain); * 4\. Aspartate aminotransferase and alanine aminotransferase levels less than twice the upper limit of normal; * 5\. Estimated glomerular filtration rate of 30 mL/min per 1.73 m2 or higher; * 6\. Willing to sign the informed consent form and possessing sufficient cognitive and language abilities to comply with all the study requirements. Exclusion Criteria: * 1\. History of taking gabapentin or pregabalin; * 2\. Patients with evidence of cutaneous or visceral dissemination of HZ infection (cutaneous dissemination is defined as more than 20 discrete lesions outside adjacent dermatomes) or ocular involvement of HZ; * 3\. History of intolerance or hypersensitivity to any active components or excipient of the mirogabalin; * 4\. History of systemic immune diseases, organ transplantation, or cancers; * 5\. Pregnancy or breastfeeding; * 6\. Suffering from acute or chronic pain disorders other than HZ; * 7\. Patients with severe psychiatric disorders, or cognitive impairment.
Where it's running
-
Beijing Tiantan Hospital, Beijing, Beijing 100070
Beijing, China Recruiting
Study contacts
- Study coordinator: Fang Luo
- Email: 13611326978@163.com
- Phone: 13611326978
Similar studies
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This will see if the live attenuated shingles vaccine keeps adults from the original Phase III trial protected against herpes zoster for up to six years after vaccination.
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Erector spinae plane block versus transcutaneous radiofrequency for postherpetic neuralgia
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.