Venlafaxine to prevent postherpetic neuralgia after shingles
Official title: The Analgesic Efficacy and Safety of Oral Medications (Venlafaxine) for Prevention of Postherpetic Neuralgia in Acute Herpes Zoster
Run by Beijing Tiantan Hospital · NCT07361796 · Data updated 2026-11-12
This study will test whether giving venlafaxine to adults with recent shingles reduces the chance of developing postherpetic neuralgia.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 832 (estimated) |
| Sponsor | Beijing Tiantan Hospital Academic / other |
| Locations | 1 site (Beijing) |
| Status | Recruiting |
| Started | December 15, 2025 |
| Main results expected | September 30, 2027 |
| Study ends | December 31, 2027 |
| Registry record updated | September 2, 2026 |
| Trial ID | NCT07361796 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults over 18 with shingles rash onset within 30 days, average pain of at least 4/10 on the NRS, and acceptable liver and kidney function who can give informed consent and attend study visits.
✕Probably not a fit
People with head/neck/ocular or generalized shingles, pregnancy or lactation, known venlafaxine allergy, a history of major depressive disorder requiring antidepressants, significant immunosuppression or organ transplantation, or inadequate organ function are excluded or unlikely to benefit.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This interventional trial will compare venlafaxine plus conventional therapy versus conventional therapy alone in adults with recent-onset shingles and moderate to severe pain (NRS ≥4). Eligible participants must have rash onset within 30 days and adequate liver and kidney function, while patients with head/neck/ocular involvement, major depressive disorder requiring antidepressants, known venlafaxine hypersensitivity, or certain immune or cancer conditions are excluded. Participants will receive assigned treatment and be followed for pain outcomes and safety measures to determine whether venlafaxine prevents the transition to chronic postherpetic neuralgia. The study is conducted at Beijing Tiantan Hospital with collaborating centers listed by the sponsor.
Why it matters
Potential benefit: If successful, venlafaxine could lower the risk of developing long-lasting postherpetic neuralgia and shorten the duration or severity of acute shingles pain.
How similar studies have gone: SNRIs like venlafaxine have shown benefit for established neuropathic pain, but using venlafaxine specifically to prevent postherpetic neuralgia is relatively novel and not well established.
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\. HZ with head, neck, ocular, mucous membrane, cranial nerve, or central nervous system involvement or generalized HZ; * 2.Known hypersensitivity to venlafaxine; * 3\. Previous antiviral treatment that did not comply with guideline recommendations; * 4\. History of herpes zoster vaccination before enrollment; * 5.History of major depressive disorder requiring antidepressant therapy; * 6.History of systemic immune diseases, organ transplantation, or cancers; * 7.Pregnancy or lactation; * 8.Presence of acute or chronic pain disorders other than HZ.
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: 13611326978
Similar studies
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Erector spinae plane block versus transcutaneous radiofrequency for postherpetic neuralgia
This project will see if erector spinae plane block or transcutaneous radiofrequency works better to reduce pain in adults with postherpetic neuralgia.
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This trial will test whether the Shingrix shingles vaccine lowers the chance of a new dementia diagnosis in people aged 76 or older who live in Finland.
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Transcutaneous pulsed radiofrequency for postherpetic neuralgia pain
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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.