Trial record 1 of 1 for:
NCT01939366
Cebranopadol Efficacy and Safety in Diabetic Patients Suffering From Chronic Pain Caused by Damage to the Nerves
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| ClinicalTrials.gov Identifier: NCT01939366 |
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Recruitment Status :
Completed
First Posted : September 11, 2013
Results First Posted : December 26, 2019
Last Update Posted : July 15, 2021
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Sponsor:
Tris Pharma, Inc.
Information provided by (Responsible Party):
Tris Pharma, Inc.
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Brief Summary:
The purpose of this trial is to evaluate if cebranopadol is safe and can decrease pain in patients when compared to placebo (a tablet that does not contain active product) and when compared to a marketed product containing pregabalin (Lyrica®). Furthermore, this trial will be undertaken to find out if the patient's general health and well-being improves under trial treatment.
The concentrations of cebranopadol in the blood will be investigated to get a better understanding of how it is absorbed from the gut, distributed and broken down in the body, and eliminated from the body.
| Condition or disease | Intervention/treatment | Phase |
|---|---|---|
| Chronic Pain Diabetic Neuropathies Diabetes Mellitus | Drug: Cebranopadol 100 µg Drug: Cebranopadol 300 µg Drug: Cebranopadol 600 µg Drug: Pregabalin Drug: Matching Placebo | Phase 2 |
| Study Type : | Interventional (Clinical Trial) |
| Actual Enrollment : | 699 participants |
| Allocation: | Randomized |
| Intervention Model: | Parallel Assignment |
| Masking: | Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor) |
| Primary Purpose: | Treatment |
| Official Title: | Efficacy, Safety and Tolerability of Multiple Doses of Oral Cebranopadol in Subjects With Moderate to Severe Chronic Pain Due to Diabetic Peripheral Neuropathy. |
| Actual Study Start Date : | September 27, 2013 |
| Actual Primary Completion Date : | January 2015 |
| Actual Study Completion Date : | January 28, 2015 |
Resource links provided by the National Library of Medicine
MedlinePlus related topics:
Chronic Pain
Drug Information available for:
Pregabalin
| Arm | Intervention/treatment |
|---|---|
| Experimental: Cebranopadol 300 µg |
Drug: Cebranopadol 300 µg
Participants randomized to 300 μg cebranopadol will start with 100 μg per day and increase to 300 µg per day on day 4 and will remain on 300 µg per day. |
| Experimental: Cebranopadol 600 µg |
Drug: Cebranopadol 600 µg
Participants randomized to 600 μg cebranopadol will start with 200 μg per day and increase to 400 µg per day on day 4 and to 600 µg on day 7, thereafter they will remain on 600 µg per day. |
| Active Comparator: Pregabalin |
Drug: Pregabalin
Stepwise titration from 75 mg twice a day to 300 mg twice a day over 2 weeks.
Other Name: Lyrica® |
| Placebo Comparator: Matching Placebo |
Drug: Matching Placebo
Placebo will be matched to pregabalin and cebranopadol. |
| Experimental: Cebranopadol 100 µg |
Drug: Cebranopadol 100 µg
Participants randomized to 100 μg cebranopadol will start with 100 μg per day and will remain on 100 µg per day. |
Primary Outcome Measures :
- Change in Average Pain Intensity. [ Time Frame: Baseline; to End of Week 6 of the Maintenance Phase ]Participants will be asked to record their pain intensity in the evening. Participants are asked to rate how much pain they had on average in the past 24 hours. The participant scores their pain intensity on an 11-point Numerical Rating Scale (NRS) where a score of 0 indicated "no pain" and a score of 10 indicated "pain as bad as you can imagine". Baseline average pain scores are calculated from the averages of all scores recorded during the 3 days prior to randomization. The average pain at week 6 will be the average pain scores calculated from all pain scores measured during week 6.
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| Ages Eligible for Study: | 18 Years to 80 Years (Adult, Older Adult) |
| Sexes Eligible for Study: | All |
| Accepts Healthy Volunteers: | No |
Criteria
Inclusion Criteria:
- written signed informed consent
- type 1 or type 2 diabetes mellitus
- clinical diagnosis of painful Diabetic Polyneuropathic Neuropathy (DPN) with symptoms and signs for at least 3 months
- must require medication (e.g., non-opioids or opioids up to an equivalent dose of 160 mg oral morphine/day) for the treatment of pain due to DPN for at least 1 month prior to Visit 1 and must be dissatisfied with the current treatment (in terms of efficacy and/or tolerability). Medication for the treatment of pain due to DPN should be required on at least 4 of 7 consecutive days.
- blood glucose to be controlled by a diet, oral anti-hyperglycemic medication, and/or insulin for at least 3 months prior. Glycosylated hemoglobin (HbA1C) should not be greater than 11%
- baseline pain intensity score greater or equal to 5 on the 11-point Numerical Rating Scale (NRS) without intake of any analgesic at allocation. For each of the last 3 days prior to allocation of treatment, a 24 hour NRS score greater or equal to 4 is required
- women of childbearing potential must have a negative urine pregnancy test at enrollment
- using medically acceptable and highly effective methods of birth control (and willing to use them during the trial).
Exclusion Criteria:
- presence of other pain that could confound the painful Diabetic Polyneuropathy (DPN) assessments, e.g. pain due to nerve entrapment (tarsal tunnel syndrome, osteoarthritis of the knee etc), peripheral vascular disease, radiculopathy, plantar fasciitis, tendonitis, mononeuritis multiplex, postherpetic neuralgia, complex regional pain syndrome, or fibromyalgia.
- neuropathy due to etiologies other than diabetes, e.g. autoimmune disorders, inflammatory neuropathies (e.g. chronic inflammatory demyelinating polyneuropathy), thyroid disease or endocrine disorders (other than diabetes), heavy metal or toxic neuropathy, nutritional deficiency, metabolic disorders, vasculitis, infections, injury, or paraneoplastic syndromes.
- severe or extensive diabetic ulcers or amputations due to diabetes
- Charcot's joints due to diabetes.
- any clinically significant disease or laboratory findings, e.g., significant unstable cardiac, vascular, pulmonary, gastrointestinal, endocrine, metabolic, neurological, or psychiatric disorders.
- inability to comply with the protocol and with the intake of trial medication that, in the investigator's opinion, might indicate that the participant is unsuitable for the trial.
- conditions that require treatment with medication that is not allowed to be taken during the trial
- previous or current alcohol or drug abuse or opioid dependency.
- severe functional hepatic impairment corresponding to Child-Pugh classification C.
- history of acute hepatitis
- impaired renal function, a creatinine clearance less than 60 mL/min at the enrollment (Cockcroft-Gault calculated).
- history of any major gastrointestinal procedures (e.g., gastric bypass) or gastrointestinal conditions (e.g. acute diarrhea, blind loop syndrome, gastric dumping syndrome, Whipple's disease) that might affect the absorption or metabolism of cebranopadol or pregabalin.
- risk factors for or history of torsade de pointes and/or marked prolongation of the QT interval (e.g. heart failure, hypokalemia, or bradycardia).
- history of seizure disorder and/or epilepsy or any condition associated with a significant risk for seizure disorder or epilepsy at the discretion of the investigator.
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): NCT01939366
Locations
Show 82 study locations
Sponsors and Collaborators
Tris Pharma, Inc.
Investigators
| Study Director: | Director Clinical Trials | Grünenthal GmbH |
| Responsible Party: | Tris Pharma, Inc. |
| ClinicalTrials.gov Identifier: | NCT01939366 |
| Other Study ID Numbers: |
KF6005/08 2013-000473-68 ( EudraCT Number ) U1111-1151-4331 ( Other Identifier: WHO UTN ) |
| First Posted: | September 11, 2013 Key Record Dates |
| Results First Posted: | December 26, 2019 |
| Last Update Posted: | July 15, 2021 |
| Last Verified: | July 2021 |
| Individual Participant Data (IPD) Sharing Statement: | |
| Plan to Share IPD: | No |
| Studies a U.S. FDA-regulated Drug Product: | Yes |
| Studies a U.S. FDA-regulated Device Product: | No |
Keywords provided by Tris Pharma, Inc.:
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Painful Diabetic Peripheral Neuropathy |
Additional relevant MeSH terms:
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Diabetic Neuropathies Chronic Pain Pain Neurologic Manifestations Peripheral Nervous System Diseases Neuromuscular Diseases Nervous System Diseases Diabetes Complications Diabetes Mellitus Endocrine System Diseases Pregabalin Analgesics |
Sensory System Agents Peripheral Nervous System Agents Physiological Effects of Drugs Anticonvulsants Calcium Channel Blockers Membrane Transport Modulators Molecular Mechanisms of Pharmacological Action Calcium-Regulating Hormones and Agents Anti-Anxiety Agents Tranquilizing Agents Central Nervous System Depressants Psychotropic Drugs |