80 Participants Needed

Palmitoylethanolamide for Chronic Pain

IA
BM
Overseen ByBrian McLean Pain Physician, MD
Age: Any Age
Sex: Any
Trial Phase: Phase 2
Sponsor: Navy Medical Center San Diego
Prior Safety DataThis treatment has passed at least one previous human trial
Approved in 3 JurisdictionsThis treatment is already approved in other countries

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial explores whether the supplement palmitoylethanolamide (PEA) can reduce pain and improve function in individuals with chronic inflammatory pain. Participants will be divided into two groups: one will take PEA, and the other will take a placebo for 8 weeks. The trial aims to determine if PEA is more effective than a placebo in managing pain. Individuals with chronic pain lasting more than 3 months, unresponsive to treatments like rest or medication, may be suitable for this study. As a Phase 2 trial, the research focuses on assessing the treatment's effectiveness in an initial, smaller group, offering participants a chance to contribute to significant findings.

Do I have to stop taking my current medications for the trial?

The trial information does not specify whether you need to stop taking your current medications. It's best to discuss this with the trial coordinators or your doctor.

Is there any evidence suggesting that palmitoylethanolamide is likely to be safe for humans?

Research has shown that palmitoylethanolamide (PEA) is generally safe for people. PEA, a natural fatty acid in the body, often helps with pain and swelling. Most people taking PEA experience only mild side effects, such as an upset stomach or diarrhea, if any. Serious side effects are rare. The presence of PEA in a mid-stage clinical trial indicates that earlier tests did not find major safety issues. If PEA were unsafe, it would not have reached this stage of testing.12345

Why do researchers think this study treatment might be promising?

Palmitoylethanolamide (PEA) is unique because it's a naturally occurring fatty acid that works by reducing inflammation and modulating the body's pain response. Unlike traditional treatments for chronic pain, such as opioids or NSAIDs, which can have significant side effects or addiction potential, PEA offers a potentially safer alternative. Researchers are excited about PEA because it targets the endocannabinoid system differently, potentially providing effective pain relief with fewer side effects.

What evidence suggests that palmitoylethanolamide might be an effective treatment for chronic pain?

Research shows that palmitoylethanolamide (PEA), which participants in this trial may receive, can help reduce various types of pain. Studies have found that it possesses properties that lower inflammation, benefiting conditions like osteoarthritis and fibromyalgia. PEA is a natural substance in the body that helps manage pain and swelling. Some individuals have reported experiencing less chronic pain after taking PEA supplements. Although more research is needed to confirm its effectiveness, early findings are promising for those seeking alternative pain relief methods.12346

Are You a Good Fit for This Trial?

This trial is for people who have been dealing with chronic inflammatory pain for more than 3 months, which hasn't improved with basic treatments like rest or over-the-counter meds. The pain should be at least a 5 out of 10 in intensity. It's not suitable for those with severe food allergies, including nuts, eggs, or soy.

Inclusion Criteria

I have had chronic pain for over 3 months, with a pain level of at least 5/10, that hasn't improved with basic treatments.

Exclusion Criteria

Severe allergy to any specific food component such as nut, egg or soy.

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants receive either Palmitoylethanolamide (PEA) or a placebo for 8 weeks

8 weeks
4 visits (in-person)

Follow-up

Participants are monitored for safety and effectiveness after treatment

4 weeks

What Are the Treatments Tested in This Trial?

Interventions

  • Palmitoylethanolamide
Trial Overview The study is testing if taking palmitoylethanolamide (PEA), a supplement, can reduce chronic pain better than a sugar pill (placebo). Participants will randomly receive either PEA or placebo and use it twice daily for 8 weeks to compare the effects on their pain and function.
How Is the Trial Designed?
2Treatment groups
Experimental Treatment
Placebo Group
Group I: PalmitoylethanolamideExperimental Treatment1 Intervention
Group II: PlaceboPlacebo Group1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

Navy Medical Center San Diego

Lead Sponsor

Trials
4
Recruited
480+

Published Research Related to This Trial

In a study involving 11 older patients with chronic pain, ultra-micronized palmitoylethanolamide (um-PEA) showed a small but statistically significant effect on pain intensity in two patients, suggesting it may be beneficial for chronic pain management in this population.
The study utilized N-of-1 trials, which allowed for personalized treatment decisions, and resulted in changes to treatment plans for some patients, indicating that um-PEA could be a viable alternative to traditional analgesics for older adults at risk of adverse effects.
N-of-1 Randomized Trials of Ultra-Micronized Palmitoylethanolamide in Older Patients with Chronic Pain.Germini, F., Coerezza, A., Andreinetti, L., et al.[2020]
Palmitoylethanolamide (PEA) has been shown to significantly reduce pain intensity in patients with chronic pain, based on a systematic review and meta-analysis of 11 studies involving 774 patients, with a strong effect size (standard mean difference of 1.68).
PEA is well-tolerated with no major side effects reported, and it may also improve quality of life and functional status, indicating its potential as a safe and effective treatment option for chronic pain.
Palmitoylethanolamide in the Treatment of Chronic Pain: A Systematic Review and Meta-Analysis of Double-Blind Randomized Controlled Trials.Lang-Illievich, K., Klivinyi, C., Lasser, C., et al.[2023]
Palmitoylethanolamide (PEA) appears to have analgesic properties with a low incidence of serious adverse drug reactions (ADRs) reported in clinical trials lasting up to 49 days, suggesting it is a safe option for pain management.
However, the evidence is limited for treatment durations over 60 days, and the quality of existing studies varies, indicating a need for further research, especially comparing different formulations of PEA.
Palmitoylethanolamide for the treatment of pain: pharmacokinetics, safety and efficacy.Gabrielsson, L., Mattsson, S., Fowler, CJ.[2021]

Citations

PalmitoylethanolamidePalmitoylethanolamide (PEA) is an endogenous fatty acid amide, and lipid modulator. ... N-(2-Hydroxyethyl)hexadecanamide. Other names. Hydroxyethylpalmitamide ...
Palmitoylethanolamide (Pea) - Uses, Side Effects, and MorePEA is used for different types of pain, fibromyalgia, osteoarthritis, multiple sclerosis (MS), carpal tunnel syndrome, autism, and many other conditions
Palmitoylethanolamide | C18H37NO2 | CID 4671 - PubChemPalmitoyl ethanolamide is an N-(long-chain-acyl)ethanolamine that is the ethanolamide of palmitic (hexadecanoic) acid. It has a role as an anti-inflammatory ...
A Natural Body-Own Anti-Inflammatory Agent, Effective and ...Palmitoylethanolamide (PEA) is a food component with anti-inflammatory properties, effective and safe against influenza and common cold, and has been studied ...
UNII - 6R8T1UDM3VPALMIDROL ; UNII: 6R8T1UDM3V ; Formula: C18H37NO2 ; Preferred Substance Name: PALMIDROL ; InChIKey: HXYVTAGFYLMHSO-UHFFFAOYSA-N ...
Palmidrol - the NIST WebBookPalmidrol · Formula: C18H37NO · Molecular weight: 299.4919 · IUPAC Standard InChI: InChI=1S/C18H37NO2/c1-2-3-4-5-6-7-8-9-10-11-12-13-14-15-18(21)19-16-17-20/h20H,2 ...
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