Asian Spine J.  2021 Jun;15(3):349-356. 10.31616/asj.2020.0136.

Therapeutic Effect of Mirogabalin on Peripheral Neuropathic Pain due to Lumbar Spine Disease

Affiliations
  • 1Department of Neurological Surgery, Chiba Hokuso Hospital, Nippon Medical School, Inzai,
  • 2Department of Neurosurgery, Chiba Shintoshi Rurban Clinic, Inzai,
  • 3Department of Neurosurgery, Kushiro Rosai Hospital, Kushiro,
  • 4Department of Neurosurgery, Katsutadai Hospital, Yachiyo,
  • 5Department of Neurological Surgery, Nippon Medical School, Bunkyo,
  • 6Department of Neurosurgery, Tokyo-Hikifune Hospital, Sumida,

Abstract

Study Design

Retrospective study.

Purpose

This study aims to evaluate the effectiveness of mirogabalin in treatment of peripheral neuropathic pain due to lumbar spine disease.

Overview of Literature

Mirogabalin is a novel selective ligand for the α2δ subunit of voltage-gated Ca channels.

Methods

Between April and December 2019, we used mirogabalin to treat 60 consecutive patients (mean age, 67.6 years) with leg symptoms due to lumbar disease. The treatment outcome after 8 weeks of mirogabalin therapy was evaluated by comparing the preand post-administration Numerical Rating Scale (NRS) for leg symptoms and sleep disturbance, the NRS and Roland–Morris Disability Questionnaire for low back pain (LBP), and the quality of life (QOL) score (based on EuroQol five-dimension five-level scale).

Results

Mirogabalin treatment was stopped at less than eight weeks in eight patients. The remaining 52 patients for evaluation were divided as group 1 (17 patients who presented with leg symptoms that lasted for less than 3 months) and group 2 (35 patients with leg symptoms that lasted longer than 3 months). The leg symptoms and LBP in both groups significantly improved at 4 and 8 weeks of treatment, and sleep disturbance and QOL were improved at 8 weeks as well. Compared to group 2, the pretreatment leg symptoms and QOL were significantly worse in group 1, and their improvement after 8 weeks of mirogabalin treatment was significantly better (p<0.05). Of the 60 original patients, 17 suffered adverse effects, which were mild in 16 patients and required treatment cessation due to excessive weight gain in one patient.

Conclusions

We have validated the effect of mirogabalin on neuropathic pain due to lumbar spine disease, which has effectively addressed the associated leg symptoms, LBP, and sleep disturbance.


Keyword

Mirogabalin; Leg symptom; Low back pain; Lumbar spine disease; Neuralgia
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