Crossover Study of CNV1014802 in Subjects With Neuropathic Pain From Lumbosacral Radiculopathy
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Purpose
The study is a randomized, double blind, cross-over study to evaluate the safety and efficacy of CNV1014802 in subjects with neuropathic pain from lumbosacral radiculopathy.
| Condition | Intervention | Phase |
|---|---|---|
|
Lumbosacral Radiculopathy |
Drug: CNV1014802 |
Phase 2 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Crossover Assignment Masking: Double Blind (Subject, Investigator, Outcomes Assessor) Primary Purpose: Treatment |
| Official Title: | A Randomized, Double Blind, Cross-over Study to Evaluate the Safety and Efficacy of CNV1014802 in Subjects With Neuropathic Pain From Lumbosacral Radiculopathy |
- Change in average daily neuropathic pain score from baseline [ Time Frame: Three weeks ] [ Designated as safety issue: No ]
Change in average daily neuropathic pain score from baseline (average days 10-14) to week 3 based on the 11 point Pain Intensity Numerical Rating Scale (PI-NRS) (0=no pain, 10=maximum pain imaginable).
Subjects should specifically rate the pain intensity for the neuropathic pain associated with lumbosacral radiculopathy and not pain from other concomitant causes
- Numerical pain rating scale [ Time Frame: 3 weeks ] [ Designated as safety issue: No ]Change in average daily pain score from baseline (average days 10-14) to week 1 and week 2 of treatment and 1 week following the end of randomized treatment.
- Responder rate [ Time Frame: 3 weeks ] [ Designated as safety issue: No ]Proportion of patients who have >= 30% and >=50% reduction in average daily pain score relative to baseline during weeks 1, 2 and 3 of treatment and 1 week following the end of randomized treatment.
- Galer neuropathic pain scale [ Time Frame: 3 weeks ] [ Designated as safety issue: No ]Change in Galer Neuropathic Pain Scale from baseline to week 3 of treatment.
- Oswestry Disability Index [ Time Frame: 3 weeks ] [ Designated as safety issue: No ]Change in average disability score from baseline to week 1, week 2 and week 3 of treatment based on Oswestry Disability Index
- PGIC [ Time Frame: 3 weeks ] [ Designated as safety issue: No ]Proportion of patients who have "improved", "much improved" or "very much improved" relative to baseline on the Patient Global Impression of Change (PGIC) on week 3 of treatment.
- CGIC [ Time Frame: 3 weeks ] [ Designated as safety issue: No ]Proportion of patients who have "improved", "much improved" or "very much improved" relative to baseline on the Clinical Global Impression of Change (CGIC) on week 3 of treatment.
| Enrollment: | 82 |
| Study Start Date: | April 2011 |
| Study Completion Date: | August 2012 |
| Primary Completion Date: | June 2012 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
| Experimental: CNV1014802 |
Drug: CNV1014802
CNV1014802 350mg bid for 21 days Matching placebo
|
| Placebo Comparator: Placebo |
Drug: CNV1014802
CNV1014802 350mg bid for 21 days Matching placebo
|
Detailed Description:
The study consists of two treatment periods of 22 days with randomized CNV1014802 350mg or placebo administered twice daily. In addition, single blind placebo will be administered during a two week run-in, a two week wash-out period between the two treatment periods, and a one week run-out phase.
Eligibility| Ages Eligible for Study: | 18 Years to 65 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Male or female aged between 18 and 65 years, with a diagnosis of neuropathic pain due to lumbosacral radiculopathy (LSR).
- Female subjects must be of non-child bearing potential or agree to use an approved form of contraception
- Body weight < 50 kg for men and < 45 kg for women.
- Capable of giving written informed consent.
- Approved concomitant medications must have been stable for at least 4 weeks prior to day 1.
- Average baseline daily pain score for neuropathic pain due to LSR on the 11-point numerical rating scale of 4 or greater.
Exclusion Criteria:
- Subjects who are unable to reliably delineate or assess their own pain by anatomical location/distribution.
- Subjects with lumbar canal stenosis in which the pain in the lower limbs occur solely on walking and not at rest.
- Subjects with causes for their neuropathic pain other than LSR.
- Subjects who have received nerve blocks and/or steroid injections for neuropathic pain within 4 weeks prior to day 1.
- Subjects who are indicated for surgical treatment of lumbosacral radiculopathy.
- A positive pre-study drug screen.
- A positive history of HIV.
- A positive pre-study Hepatitis B surface antigen or positive Hepatitis C antibody result within 3 months of screening.
- History of any liver disease within the last 6 months, with the exception of known Gilbert's disease.
- History of excessive regular alcohol consumption within 6 months of the study.
- Subjects with a history or risk of seizures or a history of epilepsy, head injury or related neurological disorders
- Subjects with a history of uncontrolled or poorly controlled hypertension, with systolic BP frequently exceeding 160mmHg and/or diastolic BP frequently exceeding 100mmHg, or subjects who have BP greater than or equal to 160mmHg systolic and/or greater than or equal to 100mmHg diastolic at screening after repeated measurements
- History or presence of significant cardiovascular, gastro-intestinal, or renal disease or other condition known to interfere with the absorption, distribution, metabolism, or excretion of drugs.
- Subjects with conditions known to affect cardiac conduction or a personal or familial history of Brugada syndrome
- Pregnant females or lactating females.
- History or presence of any clinically significant abnormality in vital signs / ECG / laboratory tests or have any medical or psychiatric condition, which, in the opinion of the Investigator may interfere with the study procedures or compromise subject safety.
- History of suicidal ideation and/or suicide attempts or clinical evidence of recent major depression.
- Subjects who are unable to maintain their same medications for the treatment of neuropathic pain at a stable dose during the study.
- Unable to refrain from excessive use of sedatives.
- Unable to comply with the prohibited concomitant medication restrictions as detailed in the protocol. This includes but is not limited to sodium channel blockers or drugs that adversely interact with a monoamine oxidase-B inhibitor: MAOI's, antidepressants, opioids and sympathomimetic agents.
- Unable to stop and remain abstained from non-pharmacological treatments for their neuropathic pain during the study.
- History of hypersensitivity to CNV1014802.
- The subject has participated in a clinical trial and has received an investigational product within 5 half-lives or twice the duration of the biological effect of the investigational product (whichever is longer) prior to the start of this study.
- Exposure to more than four new chemical entities within 12 months prior to the first dosing day.
- Where participation in the study would result in donation of blood or blood products in excess of 500 mL within a 56 day period.
- Subject is mentally or legally incapacitated.
Contacts and Locations
More Information
No publications provided
| Responsible Party: | Convergence Pharmaceuticals |
| ClinicalTrials.gov Identifier: | NCT01561027 History of Changes |
| Other Study ID Numbers: | CNV1014802/201 |
| Study First Received: | March 19, 2012 |
| Last Updated: | August 2, 2012 |
| Health Authority: | Sweden: Medical Products Agency Denmark: Danish Medicines Agency Czech Republic: State Institute for Drug Control France: Afssaps - Agence française de sécurité sanitaire des produits de santé (Saint-Denis) |
Additional relevant MeSH terms:
|
Neuralgia Radiculopathy Pain Neurologic Manifestations |
Nervous System Diseases Peripheral Nervous System Diseases Neuromuscular Diseases Signs and Symptoms |
ClinicalTrials.gov processed this record on May 16, 2013