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Phase 2 N=421 Randomized Triple-blind Treatment

A Study In Patients With Neuropathic Pain From Diabetic Peripheral Neuropathy (DPN)

Neuropathy, Diabetic

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

OutcomeResultp-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
View full record on ClinicalTrials.gov →

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.

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