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Efficacy, Tolerability, and Safety of NXN-462 in Patients With Post-Herpetic Neuralgia

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ClinicalTrials.gov Identifier: NCT01748877
Recruitment Status : Completed
First Posted : December 13, 2012
Last Update Posted : June 19, 2014
Sponsor:
Information provided by (Responsible Party):
NeurAxon Inc.

Brief Summary:
The purpose of this study is to investigate whether NXN-462, a selective nNOS inhibitor, is effective in reducing pain levels in patients with post-herpetic neuralgia.

Condition or disease Intervention/treatment Phase
Post Herpetic Neuralgia Drug: NXN-462 Drug: Placebo Phase 2

Detailed Description:
NXN-462 is designed to target the nitric oxide synthase system (NOS), specifically the neuronal NOS (nNOS) isoform. By design, NXN-462 is a potent inhibitor of nNOS with good affinity, and has little or no affinity for a range of G protein-coupled receptors, ion channels, and enzymes. NXN-462 is being developed as an oral therapy for the treatment of neuropathic pain syndromes, including PHN. This drug design strategy provides a new therapeutic paradigm for the treatment of chronic neuropathic pain.

Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 188 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double (Participant, Investigator)
Primary Purpose: Treatment
Official Title: A Double-Blind, Randomized, Placebo-Controlled, Parallel Group Study to Evaluate the Efficacy, Tolerability, and Safety of NXN-462 in Patients With Post-Herpetic Neuralgia (PHN)
Study Start Date : January 2013
Actual Primary Completion Date : June 2014
Actual Study Completion Date : June 2014

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Shingles
U.S. FDA Resources

Arm Intervention/treatment
Experimental: NXN-462
capsule, 200 mg, bi.d. 28-days
Drug: NXN-462
Study drug is to be self-administered twice each day by the patient. Each day the first dose of study drug should be taken preferably one hour prior to, OR one hour after the first meal (breakfast) of the day. The second and final dose each day should be taken with a glass of water at least one hour after the last meal immediately before retiring to sleep.
Other Name: NXN-462 dihydrochloride
Placebo Comparator: Placebo
capsule, b.i.d. 28-days
Drug: Placebo
Study drug is to be self-administered twice each day by the patient. Each day the first dose of study drug should be taken preferably one hour prior to, OR one hour after the first meal (breakfast) of the day. The second and final dose each day should be taken with a glass of water at least one hour after the last meal immediately before retiring to sleep.



Primary Outcome Measures :
  1. Change from baseline to the last week of treatment in daily pain scores [ Time Frame: 4 weeks ]
    Change from baseline to the last week of treatment in daily (24-hour recall) pain scores comparing NXN-462 with placebo


Secondary Outcome Measures :
  1. average weekly change in pain score from baseline to the end of the Treatment Period [ Time Frame: four weeks ]
  2. Analysis of percent change from baseline in daily pain score [ Time Frame: four weeks ]
  3. percentage of responders [ Time Frame: four weeks ]
    subjects with a ≥30% and ≥50% reduction in pain score from baseline to the last week of treatment

  4. Percentage of subjects with moderate or much improvement at the end of the Treatment Period, according to Patient Global Impression of Change [ Time Frame: four weeks ]
  5. Change from baseline to the end of the Treatment Period in Pain Quality Assessment Scale score [ Time Frame: four weeks ]
  6. Rescue medication consumption [ Time Frame: four weeks ]
  7. Adverse events (AEs), vital signs, and clinical laboratory tests [ Time Frame: six weeks ]
  8. Change from baseline to the end of the Treatment Period in Modified Brief Pain Inventory Short Form score, pain interference subscale [ Time Frame: four weeks ]


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Ages Eligible for Study:   18 Years and older   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Male, or a non-pregnant, non-lactating female 18 years or older
  • Have voluntarily provided written informed consent
  • able to speak, read, write, and understand English
  • clinical diagnosis of PHN for a minimum of 6 months
  • pain intensity score of ≥3 on a 0-10 Numerical Rating Scale (NRS) at the Screening Visit
  • generally in good health (other than PHN) at Screening

Exclusion Criteria:

  • Are pregnant and/or lactating
  • Diagnosis of any chronic pain syndrome that would interfere with the assessment of PHN
  • evidence of multiple causes of neuropathic pain,e.g.lumbar radiculopathy in the lumbosacral area
  • Have had neuroablation or neurosurgical intervention for PHN
  • Have been taking opioid analgesics for >5 days/week
  • Have received nerve block or intrathecal analgesia within 6 weeks of the study
  • History of significant gastrointestinal disease, liver disease, renal disease, endocrine disease, or cardiovascular disease
  • clinically significant abnormal clinical laboratory test results or vital signs
  • Are immunocompromised or immunosuppressed for any reason
  • History of alcohol or other substance abuse (not including nicotine or tobacco) within 5 years
  • Significant psychiatric disorder which requires drug treatment (except depression or anxiety treated with Selective Serotonin Re-uptake Inhibitors)
  • Have received an investigational drug or have used an investigational device within 30 days of Screening.
  • Have previously been randomized to this study

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT01748877


  Show 25 Study Locations
Sponsors and Collaborators
NeurAxon Inc.
Investigators
Study Director: Thomas Lategan, D.Phil. NeurAxon Inc.

Responsible Party: NeurAxon Inc.
ClinicalTrials.gov Identifier: NCT01748877     History of Changes
Other Study ID Numbers: NXN-462-201
First Posted: December 13, 2012    Key Record Dates
Last Update Posted: June 19, 2014
Last Verified: June 2014

Keywords provided by NeurAxon Inc.:
shingles,
neuropathic pain
post herpetic neuralgia
sleep

Additional relevant MeSH terms:
Neuralgia
Neuralgia, Postherpetic
Pain
Neurologic Manifestations
Nervous System Diseases
Peripheral Nervous System Diseases
Neuromuscular Diseases
Signs and Symptoms