The Analgesic Efficacy and Safety of Crisugabalin in Patients With Herpes Zoster
The Analgesic Efficacy and Safety of Oral Medications (Crisugabalin) in Patients With Herpes Zoster
Beijing Tiantan Hospital
750 participants
Dec 15, 2025
INTERVENTIONAL
Conditions
Summary
Herpes zoster (HZ) is characterized by a painful dermatomal rash and significantly affects quality of life, with acute pain increasing the risk of postherpetic neuralgia. Although early antiviral therapy limits viral replication, its analgesic effect is insufficient, and many patients experience inadequate relief despite stepwise use of non-opioids and opioids. Gabapentinoids such as gabapentin and pregabalin are recommended adjuncts, but their efficacy in acute HZ is inconsistent and often accompanied by adverse effects that limit tolerability. Crisugabalin, a newer gabapentinoid approved for peripheral neuropathic pain, has higher affinity and slower dissociation from the α2δ-1 subunit, suggesting stronger analgesia with fewer central side effects. However, its role in managing acute HZ pain remains unknown. We therefore hypothesize that adding crisugabalin to conventional therapy will provide superior pain relief compared with standard treatment alone, and propose a prospective, randomized, controlled, open-label, blinded-endpoint trial to evaluate this.
Eligibility
Inclusion Criteria6
- \. Ages more than 18 years;
- \. Patients with onset of HZ rash less than 90 days;
- \. 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);
- \. 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 Criteria5
- \. History of taking gabapentin or pregabalin;
- \. 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;
- \. History of intolerance or hypersensitivity to any active components or excipient of the crisugabalin;
- \. History of systemic immune diseases, organ transplantation, or cancers;
- \. Pregnancy or breastfeeding.
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Interventions
In the crisugabalin combined conventional therapy group, crisugabalin will be initiated at 20 mg twice daily. In addition, the group will contain conventional treatment for HZ, except crisugabalin, including NSAIDs, opioids, antiviral drugs and so on.
In the conventional therapy group, treatments will include NSAIDs, opioids, antiviral drugs and so on.
Locations(1)
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NCT07307976