Phase 2
N=421
A Study In Patients With Neuropathic Pain From Diabetic Peripheral Neuropathy (DPN)
Neuropathy, Diabetic
Bottom Line
View on ClinicalTrials.gov: NCT00643760 ↗Enrolled (actual)
421
Serious AEs
4.8%
Results posted
May 2011
Primary outcome: Primary: Change From Baseline in the Mean 24-hour Average Pain Intensity (API) Score at End of Maintenance Treatment (EOMT) Using Last Observation Carried Forward (LOCF) Data — -2.08; -2.43; -2.10; -2.63 scores on a scale — p=0.295
Study Design & Population
- Study type
- Interventional
- Phase
- Phase 2
- Interventions
- Placebo (Drug); GEn 1200mg/day (Drug); GEn 2400mg/day (Drug); GEn 3600mg/day (Drug); Pregabalin (Drug)
- Age
- Adult, Older Adult · 18+ yrs
- Sex
- All
- Sponsor
- XenoPort, Inc.
- Primary completion
- Feb 2009
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Change From Baseline in the Mean 24-hour Average Pain Intensity (API) Score at End of Maintenance Treatment (EOMT) Using Last Observation Carried Forward (LOCF) Data |
-2.08; -2.43; -2.10; -2.63; -1.65 | 0.295 |
| SECONDARY Change From Baseline in the Mean Day-time Average Pain Intensity (API) Score at EOMT Using LOCF Data |
-2.07; -2.35; -2.06; -2.54; -1.50 | — |
| SECONDARY Change From Baseline in the Mean Night-time Average Pain Intensity (API) Score at EOMT Using LOCF Data |
-1.99; -2.15; -2.04; -2.71; -1.83 | — |
| SECONDARY Change From Baseline in the Mean Current (Morning) Pain Intensity Score at EOMT Using LOCF Data |
-1.90; -2.08; -1.95; -2.40; -1.50 | — |
| SECONDARY Change From Baseline in the Mean Current (Evening) Pain Intensity Score at EOMT Using LOCF Data |
-2.19; -2.24; -2.10; -2.66; -1.65 | — |
| SECONDARY Change From Baseline in the Mean Day-time Worst Pain Intensity Score at EOMT Using LOCF Data |
-2.33; -2.35; -2.25; -2.88; -1.62 | — |
| SECONDARY Change From Baseline in the Mean Night-time Worst Pain Intensity Score at EOMT Using LOCF Data |
-2.25; -2.24; -2.25; -3.00; -1.86 | — |
| SECONDARY Change From Baseline in the Mean Sleep Interference Score at EOMT Using LOCF Data |
-2.35; -2.54; -2.45; -3.01; -2.24 | — |
| SECONDARY Change From Baseline in the Mean Daily Dose of Rescue Medication at EOMT Using LOCF Data |
-261.99; -171.64; -102.51; -228.54; -246.07 | — |
| SECONDARY Change From Baseline in Pain Quality as Assessed by the Neuropathic Pain Scale (NPS) Summary Scores at EOMT Using LOCF Data |
-18.92; -18.43; -22.24; -25.49; -16.16; -18.73 | — |
| 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 |
-5.85; -6.55; -6.75; -7.56; -4.01; -4.25 | — |
| SECONDARY Change From Baseline in Pain Score After Taking a 50-foot Walk at EOMT |
-2.38; -2.32; -2.36; -2.52; -2.17 | — |
| SECONDARY Number of Participants Who Are Responders on the Patient Global Impression of Change (PGIC) Questionnaire at EOMT Using LOCF Data |
46; 22; 24; 53; 62 | — |
| SECONDARY Number of Participants Who Are Responders on the Clinician Global Impression of Change (CGIC) Questionnaire at EOMT Using LOCF Data |
39; 20; 22; 50; 17 | — |
| 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 |
103; 55; 50; 101; 55; 86 | — |
| SECONDARY Time to Onset of Sustained Improvement in the 24-hour Average Pain Intensity Score |
24; 25; 22; 15; 29 | — |
| 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 |
-2.1; -2.3; -2.4; -2.8; -1.7; -2.0 | — |
| SECONDARY Change From Baseline in Quality of Life as Assessed by the 36-Item Short Form Health Survey (SF-36) at EOMT Using LOCF Data |
3.1; 3.5; 3.7; 4.6; 3.7; 2.5 | — |
| SECONDARY Change From Baseline in Emotional Functioning as Assessed by the Profile of Mood States-Brief Form (POMS-B) at EOMT Using LOCF Data |
-1.0; -0.6; -0.7; -0.9; -0.3; -0.5 | — |
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 diabetic peripheral neuropathy(DPN)
Eligibility Criteria
Inclusion criteria
- 18 years or older
- Female subjects are eligible to enter if of non-childbearing potential or not lactating, has a negative pregnancy test and agrees to use a specified highly effective method for avoiding pregnancy
- Documented medical diagnosis of Type 1 or 2 diabetes including:
- Stable glycemic control for 3 months defined as 4.0 as measured on an 11 point pain intensity numerical rating scale
- Provides written informed consent in accordance with all applicable regulatory requirements
Exclusion criteria
- Other chronic pain conditions not associated with DPN. However, the subject will not be excluded if:
- The pain condition is located at a different region of the body, and
- The pain intensity of this condition is not greater than the pain intensity of the DPN, and
- The subject can assess their DPN independently of other pain condition.
- Other causes of neuropathy or lower extremity 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 either creatinine clearance 450 msec or QTc interval >480 msec for patients with Bundle Branch Block
- Uncontrolled hypertension at screen (sitting systolic >160 mmHg and/or sitting diastolic >90 mmHg
- Current diagnosis of active epilepsy or any active seizure disorder requiring chronic therapy with antiepileptic drug(s)
- Medical condition or disorder that would interfere with the action, absorption, distribution, metabolism, or excretion of GEn or pregabalin, or, in the investigator's judgment:
- Is considered to be clinically significant and could 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 met entry criteria and must be stable for at least 3 months prior to enrollment
- History of clinically significant drug or alcohol abuse (DSM-IV-TR). 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 DPN, or
- Within six months for studies related to DPN
- Treated previously with GEn
- History of allergic or medically significant adverse reaction to investigational products (including gabapentin or pregabalin) or their excipients, acetaminophen or related compounds
Data sourced from ClinicalTrials.gov (NCT00643760). 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.