Phase 2
Completed N=183
A Study to Assess the Analgesic Efficacy and Safety of ASP8062 in Subjects With Fibromyalgia
Source: ClinicalTrials.gov NCT03092726 ↗Enrolled (actual)
183
Serious AEs
0.0%
Results posted
Mar 2019
Primary outcomePrimary: Change From Baseline to Week 8 in Mean Daily Average Pain Score as Assessed by Numerical Rating Scale (NRS) — -1.42; -1.36 Units on a scale — p=0.590
Summary
The purpose of this study was to assess analgesic efficacy of ASP8062 relative to placebo as well as the safety and tolerability. This study also assessed the treatment differences in physical function as well the improvements in overall subject status (e.g., fibromyalgia symptoms, global functioning) of ASP8062 relative to placebo.
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Change From Baseline to Week 8 in Mean Daily Average Pain Score as Assessed by Numerical Rating Scale (NRS) |
-1.42; -1.36 | 0.590 |
| PRIMARY Number of Participants With Treatment-Emergent Adverse Events (TEAEs) |
43; 67; 19; 45; 0; 0 | — |
| PRIMARY Number of Participants With an Affirmative Response to Columbia Suicide Severity Rating Scale (C-SSRS): Suicidal Ideation |
1; 1; 0; 0; 0; 0 | — |
| PRIMARY Number of Participants With an Affirmative Response to C-SSRS: Suicidal Behavior |
0; 0; 0; 0; 0; 0 | — |
| SECONDARY Percentage of Participants With ≥ 30% Reduction From Baseline to Week 8 and End of Treatment (EOT) in Mean Daily Average Pain Score as Assessed by NRS |
31.8; 25.3; 33.0; 27.4 | 0.874 |
| SECONDARY Percentage of Participants With ≥ 50% Reduction From Baseline to Week 8 and EOT in Mean Daily Average Pain Score as Assessed by NRS |
12.5; 14.7; 12.5; 16.8 | 0.412 |
| SECONDARY Change From Baseline to Weeks 2, 4, 8 and EOT in the Fibromyalgia Impact Questionnaire Revised (FIQR) Function Subscale Score |
-8.21; -8.89; -10.25; -10.89; -12.88; -12.02 | 0.369 |
| SECONDARY Change From Baseline to Weeks 2, 4, 8, and EOT in the FIQR Symptoms Subscale Score |
-9.05; -8.89; -10.91; -9.45; -12.40; -10.70 | 0.534 |
| SECONDARY Change From Baseline to Weeks 2, 4, 8, and EOT in the FIQR Overall Impact Subscale Score |
-2.79; -2.60; -3.04; -3.20; -3.50; -3.44 | 0.629 |
| SECONDARY Overall Participant Improvement as Assessed by Patient Global Impression of Change (PGIC) |
0; 4; 7; 9; 34; 28 | 0.811 |
Eligibility Criteria
Inclusion Criteria
- Subject has a body mass index (BMI) ≤ 45 kg/m^2.
- Female subject must either:
- Be of nonchildbearing potential:
- Postmenopausal (defined as at least 1 year without any menses) prior to Screening, or,
- Documented surgically sterile (e.g., hysterectomy, bilateral salpingectomy, bilateral oophorectomy).
- Or, if of childbearing potential, agree not to try to become pregnant during the study and for 28 days after the final study drug administration, have a negative blood pregnancy test at Screening and negative urine test on Day 1, and if heterosexually active, agree to consistently use 1 form of highly effective birth control starting at Screening and throughout the study period and for 28 days after the final study drug administration.
- Female subject must agree not to breastfeed at Screening and throughout the study period, and for 28 days after the final study drug administration.
- Female subject must not donate ova starting at Screening, throughout the study period, and for 28 days after the final study drug administration.
- Male subject must not donate sperm starting at Screening and throughout the study period, and for 90 days after the final study drug administration.
- A sexually active male subject with female partner(s) who are of childbearing potential is eligible if:
- Agree to use a male condom starting at screening and continue throughout study treatment and for 90 days after the final study drug administration. If the male subject has not had a vasectomy or is not sterile the male subjects female partner(s) is utilizing 1 form of highly effective birth control starting at screening and continue throughout study treatment, and for 90 days after the male subject receives final study drug administration.
- Male subject with a partner of child-bearing potential, or a pregnant or breastfeeding partner(s) must agree to remain abstinent or use a condom throughout the study period and for 90 days after the final study drug administration.
- Subject meets the American College of Rheumatology (ACR) 1990 fibromyalgia diagnostic criteria at Screening:
- Widespread pain for at least 3 months, defined as the presence of all of the following: Pain above and below the waist and pain in the axial skeleton (cervical spine or anterior chest or thoracic spine or low back) must be present.
- Pain in at least 11 of 18 tender point sites on digital palpation. Digital palpation should be performed with an approximate force of 4 kg.
- Subject meets the ACR 2010 fibromyalgia diagnostic criteria at Screening:
- Widespread pain index (WPI) ≥ 7 and symptom severity (SS) scale score ≥ 5 or WPI 3-6 and SS scale score ≥ 9.
- Symptoms have been present at a similar level for at least 3 months.
- The subject does not have a disorder that would otherwise explain the pain.
- Subject has a pain score ≥ 4 on the revised fibromyalgia impact questionnaire (FIQR) pain item at Screening.
- Subject is compliant with daily pain recordings during the Baseline Diary Run-In period, as defined by the completion of a minimum of 5 of 7 daily average pain ratings and agrees to complete daily diaries throughout the duration of the study.
- Subject has a mean daily average pain score ≥ 4 and ≤ 9 on an 11-point 0 to 10 NRS as recorded in the subject e-diary during the Baseline Diary Run-In period, and meeting pre-specified criteria for daily average pain scores.
- Subject agrees to use only acetaminophen as rescue medication for fibromyalgia pain throughout the course of the trial (up to 1000 mg per dose and not to exceed 3000 mg/day).
- Subject agrees not to initiate or change any non-pharmacologic interventions (including normal daily exercise routines, chiropractic care, physical therapy, psychotherapy, and massage therapy) during the course of the study. Non-pharmacologic interventions must be stable for a minimum of 30 days prior to Screening. And subject agrees to maintain usual level of activity for the duration of the study.
*
Data sourced from ClinicalTrials.gov (NCT03092726). 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. Informational only — not medical advice.