Pregabalin combined with toludesvenlafaxine for fibromyalgia pain
Official title: Comparing the Efficacy and Safety of Pregabalin Monotherapy With Pregabalin Combined Other Neuromodulatory Drugs (Toludesvenlafaxine) in the Treatment of Fibromyalgia: A Multicenter Clinical Study
Run by Beijing Tiantan Hospital · NCT07208357 · Data updated 2026-11-12
This trial will see if adding toludesvenlafaxine to pregabalin improves pain relief without causing more side effects for adults with moderate to severe fibromyalgia.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 384 (estimated) |
| Sponsor | Beijing Tiantan Hospital Academic / other |
| Locations | 1 site (Beijing) |
| Status | Recruiting |
| Started | October 20, 2025 |
| Main results expected | June 30, 2027 |
| Study ends | August 31, 2027 |
| Registry record updated | November 17, 2025 |
| Trial ID | NCT07208357 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults (≥18) diagnosed with fibromyalgia by the 2016 criteria, with moderate-to-severe symptoms (NRS ≥4), adequate liver and kidney function, not currently receiving recommended FM pharmacotherapy, and able to consent and comply with visits.
✕Probably not a fit
People with a history of epilepsy, active depression requiring antidepressants, pregnancy or breastfeeding, known allergy to pregabalin or toludesvenlafaxine, uncontrolled serious systemic disease, or severe hepatic/renal impairment are unlikely to benefit or are excluded.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
Adults meeting the 2016 fibromyalgia diagnostic criteria and with baseline pain NRS ≥4 will receive either pregabalin alone or pregabalin plus toludesvenlafaxine and be monitored for pain changes and adverse events. Screening includes liver and kidney function checks and excludes people with epilepsy, antidepressant-treated depression, pregnancy, or serious uncontrolled systemic disease. Outcomes will focus on pain intensity reduction and safety/tolerability measures reported during the treatment period. The comparison aims to determine whether the combination provides superior symptom control without a meaningful increase in side effects.
Why it matters
Potential benefit: If successful, the combination could provide greater pain relief for people with fibromyalgia without substantially increasing side effects.
How similar studies have gone: SNRIs like duloxetine have shown benefit in fibromyalgia and early work on toludesvenlafaxine is promising, but combining toludesvenlafaxine with pregabalin is relatively novel and not yet widely tested.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Diagnosed with FM according to the 2016 Revisions to the 2010/2011 FM diagnostic criteria; * Aged 18 years or older; * Experiencing moderate to severe FM that have not been effectively alleviated by non-pharmacological treatments and has not received currently recommended pharmacological treatment for FM; * Numeric rating scale (NRS) score ≥ 4 at baseline; * Aspartate aminotransferase and alanine aminotransferase levels less than twice the upper limit of normal; * Estimated glomerular filtration rate of 30 mL/min per 1.73 m2 or higher; * Willing to sign the informed consent form and possessing sufficient cognitive and language abilities to comply with all the study requirements. Exclusion criteria * History of hypersensitivity to pregabalin, toludesvenlafaxine or any of its excipients; * History of epilepsy, or depression requiring antidepressant medications; * Pregnancy or breastfeeding; * Presence of serious systemic diseases, including uncontrolled hypertension, uncontrolled diabetes, or significant cardiac dysfunction; * With acute or chronic pain conditions other than FM.
Where it's running
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Beijing Tiantan Hospital, Beijing, Beijing 100070
Beijing, China Recruiting
Study contacts
- Study coordinator: Fang Luo
- Email: 13611326978@163.com
- Phone: +8613611326978
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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.