Phase 2
N=376
A Study In Patients With Neuropathic Pain From Post-Herpetic Neuralgia (PHN)
Neuralgia, Postherpetic
Bottom Line
View on ClinicalTrials.gov: NCT00619476 ↗Enrolled (actual)
376
Serious AEs
2.7%
Results posted
May 2011
Primary outcome: Primary: Change From Baseline in the Mean 24-hour Average Pain Intensity (API) Score at the End of Maintenance Treatment (EOMT) Using Last Observation Carried Forward (LOCF) Data — -1.66; -2.47; -2.36; -2.72 points on a scale — p=0.013
Study Design & Population
- Study type
- Interventional
- Phase
- Phase 2
- Interventions
- GEn 1200mg/day (Drug); GEn 2400mg/day (Drug); GEn 3600mg/day (Drug); Placebo (Drug)
- Age
- Adult, Older Adult · 18+ yrs
- Sex
- All
- Sponsor
- XenoPort, Inc.
- Primary completion
- Jul 2009
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Change From Baseline in the Mean 24-hour Average Pain Intensity (API) Score at the End of Maintenance Treatment (EOMT) Using Last Observation Carried Forward (LOCF) Data |
-1.66; -2.47; -2.36; -2.72 | 0.013 sig |
| SECONDARY Change From Baseline in the Mean Night-time Average Pain Intensity (API) Score at EOMT Using LOCF Data |
-1.65; -2.35; -2.44; -2.50 | — |
| SECONDARY Change From Baseline in the Mean Current Morning Pain Intensity Score at EOMT Using LOCF Data |
-1.34; -2.29; -2.13; -2.41 | — |
| SECONDARY Change From Baseline in the Mean Night-time Worst Pain Intensity Score at EOMT Using LOCF Data |
-1.76; -2.49; -2.65; -2.71 | — |
| SECONDARY Change From Baseline in the Mean Sleep Interference Score at EOMT Using LOCF Data |
-2.04; -2.72; -2.58; -2.78 | — |
| SECONDARY Change From Baseline in the Mean Day-time Average Pain Intensity(API) Score at EOMT Using LOCF Data |
-1.59; -2.47; -2.23; -2.67 | — |
| SECONDARY Change From Baseline in the Mean Current Evening Pain Intensity Score at EOMT Using LOCF Data |
-1.45; -2.45; -2.24; -2.69 | — |
| SECONDARY Change From Baseline in the Mean Day-time Worst Pain Intensity Score at EOMT Using LOCF Data |
-1.74; -2.61; -2.41; -2.82 | — |
| SECONDARY Change From Baseline in Pain Quality as Assessed by the Neuropathic Pain Scale (NPS) Summary Scores at EOMT Using LOCF Data |
-17.17; -22.78; -24.02; -25.2; -17.05; -22.23 | — |
| SECONDARY Change From Baseline in Pain Characteristics and Intensity as Assessed by the Short Form-McGill Pain Questionnaire (SF-MPQ) at EOMT Using LOCF Data |
-6.08; -8.35; -7.45; -8.15; -4.51; -6.07 | — |
| SECONDARY Change From Baseline in Dynamic Allodynia at EOMT Using LOCF Data |
-2.29; -1.97; -2.16; -2.25 | — |
| SECONDARY Number of Participants Who Are Responders on the Patient Global Impression of Change (PGIC) Questionnaire at EOMT Using LOCF Data |
24; 45; 35; 39 | — |
| SECONDARY Number of Participants Achieving Various Levels of Percent Reduction From Baseline in the Mean 24-hour Average Pain Intensity Score at EOMT Using LOCF Data |
79; 94; 71; 84; 62; 83 | — |
| SECONDARY Time to Onset of Sustained Improvement in the 24-hour Average Pain Intensity Score |
49; 27; 10; 10 | — |
| SECONDARY Change From Baseline in the Mean Daily Dose in Milligrams of Rescue Medication at EOMT Using LOCF Data |
-41.00; -289.94; -260.03; -266.21 | — |
| SECONDARY Change From Baseline in Severity of Pain and the Impact of Pain as Assessed by the Brief Pain Inventory (BPI) at EOMT Using LOCF Data |
-1.8; -2.4; -2.4; -2.5; -2.0; -2.2 | — |
| SECONDARY Change From Baseline in Quality of Life as Assessed by the SF-36 at EOMT Using LOCF Data |
3.3; 4.3; 4.4; 4.9; 3.2; 5.1 | — |
| SECONDARY Change From Baseline in Emotional Functioning as Assessed by the POMS-B at EOMT Using LOCF Data |
-1.6; -1.8; -2.0; -2.0; -1.4; -1.5 | — |
| SECONDARY Number of Participants Who Are Responders on the Clinician Global Impression of Change (CGIC) Questionnaire at EOMT Using LOCF Data |
21; 38; 34; 33 | — |
Summary
The purpose of this study is to determine whether gabapentin enacarbil (XP13512/GSK1838262), hereafter referred to as GEn is effective in the treatment of neuropathic pain associated with post-herpetic neuralgia (PHN).
Eligibility Criteria
Inclusion Criteria
- 18 years or older
- Female subjects are eligible if of non-childbearing potential or not lactating, has a negative pregnancy, and agrees to use one a specified highly effective method for avoiding pregnancy
- Documented medical diagnosis of PHN of with pain present for at least three months from the healing of a herpes zoster rash
- Baseline 24-hour average pain intensity score ≥ 4.0 based on an 11-point PI-NRS
- Provides written informed consent in accordance with all applicable regulatory requirements
Exclusion Criteria
- Other chronic pain conditions not associated with PHN. However, the subject will not be excluded if:
- The pain is located at a different region of the body; and
- The pain intensity is not greater than the pain intensity of the PHN; and
- The subject can assess PHN pain independently of other pain
- Is unable to discontinue prohibited medications or non-drug therapies or procedures throughout the duration of the study
- Hepatic impairment defined as ALT or AST > 2x upper limit of normal (ULN), or alkaline phosphatase or bilirubin > 1.5x ULN
- Chronic hepatitis B or C
- Impaired renal function defined as creatinine clearance 160 mmHg and/or sitting diastolic >90 mmHg)
- Current diagnosis of active epilepsy or any active seizure disorder requiring chronic therapy with antiepileptic drugs
- Medical condition or disorder that would interfere with the action, absorption, distribution, metabolism, or excretion of GEn, or, in the investigator's judgment
- Is considered to be clinically significant and may pose a safety concern, or,
- Could interfere with the accurate assessment of safety or efficacy, or,
- Could potentially affect a subject's safety or study outcome
- Meets criteria defined by the DSM-IV-TR for a major depressive episode or for active significant psychiatric disorders within last year
- Depression in remission, with or without antidepressant treatment, may participate, unless stable antidepressant regimen is a prohibited medication
- Antidepressant medication may not be changed or discontinued to meet entry criteria and must be stable for at least three months prior to enrollment
- History of clinically significant drug or alcohol abuse (DSM-IV-TR) or is unable to refrain from substance abuse throughout the study. Benzodiazepines or atypical benzodiazepines as hypnotic sleep agents permitted.
- Currently participating in another clinical study in which the subject is, or will be exposed to an investigational or non-investigational drug or device
- Has participated in a clinical study and was exposed to investigational or non-investigational drug or device:
- Within preceding month for studies unrelated to PHN, or
- Within preceding six months for studies related to PHN
- Treated previously with GEn
- History of allergic or medically significant adverse reaction to investigational products (including gabapentin) or their excipients, acetaminophen or related compounds
Data sourced from ClinicalTrials.gov (NCT00619476). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.