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Efficacy, Safety and Tolerability Study of TAK-583 in Subjects With Postherpetic Neuralgia

Primary Purpose

Neuralgia, Postherpetic

Status
Completed
Phase
Phase 2
Locations
International
Study Type
Interventional
Intervention
TAK-583
TAK-583
TAK-583
TAK-583
Placebo
Sponsored by
Takeda
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Neuralgia, Postherpetic focused on measuring Herpes Zoster, Neuralgia, Drug Therapy

Eligibility Criteria

50 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Male and female subjects with postherpetic neuralgia whose pain has been present for >3 months following healing of the herpes zoster rash.
  • Subjects with an mean pain intensity score of 4 or more (determined from at least 4 daily recordings of pain intensity on an 11-point numerical scale over the preceding 7 days) during the baseline phase.
  • Subjects aged 50 years and above.
  • The female subject is not of child-bearing potential (eg, sterilized, postmenopausal).

Exclusion Criteria:

  • Malignancy within the past 2 years with the exception of basal cell carcinoma.
  • Subjects who have undergone neurolytic or neurosurgical therapy for postherpetic neuralgia.
  • Clinically significant, actively treated or unstable hepatic, biliary, respiratory, renal, rheumatologic, or hematologic illnesses, or unstable cardiovascular disease as assessed by the investigator.
  • WBC less than 2500, ANC less than 1500, platelets less than 100,000; ALT, AST or alkaline phosphatase greater than 1.5x ULN; total bilirubin greater than or equal to 1.2 times the upper limit of normal (excluding Gilbert's Disease); predicted GFR using Cockcroft and Gault formula less than or equal to 40 mL/min.
  • Subjects with greater than 5 red blood cells per high-power field on urinalysis.
  • Subjects with an albumin/creatinine ratio in an untimed ("spot") morning urine specimen greater than the upper limit of normal.
  • Subjects who are immunocompromised or have clinically significant haematological abnormalities.
  • Subjects with a history of HIV infection.
  • Subjects with a positive hepatitis panel (including hepatitis B surface antigen, antibody to hepatitis B core antigen, antibody to hepatitis B surface antigen, or antibody to hepatitis C virus), except subjects with positive antibodies to hepatitis B surface antigen who have received hepatitis B vaccination and who have no history of serological evidence of liver disease.
  • Subjects having other severe pain which may impair the self assessment of the pain due to postherpetic neuralgia.
  • Subjects who have participated in a clinical trial for an investigational drug and/or agent within 30 days prior to baseline.
  • Subjects who have received TAK-583 in a previous clinical study.
  • Subjects who have donated more than 400 mL of blood in the 90 days prior to the beginning of the study.
  • Subjects who have a history of alcohol or illicit drug abuse in the past 2 years
  • Clinically significant abnormal 12 lead electrocardiogram, including QT interval corrected for heart rate greater than 450 ms that is confirmed on a repeat electrocardiogram.

Sites / Locations

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm Type

Experimental

Experimental

Experimental

Experimental

Placebo Comparator

Arm Label

TAK-583 5 mg QD

TAK-583 25 mg QD

TAK-583 50 mg QD

TAK-583 100 mg QD

Placebo QD

Arm Description

Outcomes

Primary Outcome Measures

Change from Baseline in average daily pain intensity score for the previous 7 days

Secondary Outcome Measures

Change from baseline to each study visit in average daily pain intensity score for the last 7 days
Change from baseline in pain assessment as assessed by Short form McGill Pain Questionnaire
Change from baseline in weekly mean sleep interference scores (assessed on an 11-point numerical scale in the subject's sleep diary)
Clinician and subject global impression of change using a 7-point scale
Change from baseline in quality of life as assessed by Short Form-36
Change from baseline in Profile of Mood States
Proportions of subjects with at least 30% and 50% reduction from baseline in average daily pain intensity score

Full Information

First Posted
September 14, 2006
Last Updated
January 31, 2012
Sponsor
Takeda
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1. Study Identification

Unique Protocol Identification Number
NCT00377598
Brief Title
Efficacy, Safety and Tolerability Study of TAK-583 in Subjects With Postherpetic Neuralgia
Official Title
A Phase 2, Double Blind, Placebo Controlled, Dose-Ranging Study in Subjects With Postherpetic Neuralgia (PHN) to Evaluate the Efficacy, Safety, Tolerability, and Pharmacokinetics of Four Doses of TAK-583, Compared With Placebo
Study Type
Interventional

2. Study Status

Record Verification Date
January 2012
Overall Recruitment Status
Completed
Study Start Date
October 2006 (undefined)
Primary Completion Date
February 2008 (Actual)
Study Completion Date
February 2008 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Takeda

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The purpose of this study is to evaluate the efficacy of TAK-583, once daily (QD), in relieving pain in subjects with postherpetic neuralgia.
Detailed Description
Postherpetic neuralgia is defined as neuropathic pain still present 3 months following healing of the herpes zoster rash. Symptoms of postherpetic neuralgia may include a complex combination of symptoms, including a deep aching, shooting or burning pain, sensory deficits, hyperalgesia, allodynia, paresthesia, and dysesthesia. Postherpetic neuralgia is more common in the elderly, and it can have a debilitating effect on a patient. The most commonly prescribed treatments are tricyclic antidepressants and anticonvulsants, however these treatments are effective in approximately half of subjects and may also have undesirable side effects (eg, dizziness and somnolence). TAK-583 is a synthetic compound under development by Takeda Global Research & Development Center, Inc. as a treatment for neuropathic pain and for delaying the progression of diabetic neuropathy. Individuals who want to participate in this study will be required to provide written informed consent. Study participation is anticipated to be about 11 Weeks. Multiple procedures will occur at each visit which may include fasting, blood collection, urine collection, vital signs, body height and weight, physical examinations and electrocardiograms.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Neuralgia, Postherpetic
Keywords
Herpes Zoster, Neuralgia, Drug Therapy

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2, Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
399 (Actual)

8. Arms, Groups, and Interventions

Arm Title
TAK-583 5 mg QD
Arm Type
Experimental
Arm Title
TAK-583 25 mg QD
Arm Type
Experimental
Arm Title
TAK-583 50 mg QD
Arm Type
Experimental
Arm Title
TAK-583 100 mg QD
Arm Type
Experimental
Arm Title
Placebo QD
Arm Type
Placebo Comparator
Intervention Type
Drug
Intervention Name(s)
TAK-583
Intervention Description
TAK-583 5 mg, tablets, orally, once daily for up to 8 weeks
Intervention Type
Drug
Intervention Name(s)
TAK-583
Intervention Description
TAK-583 25 mg, tablets, orally, once daily for up to 8 weeks
Intervention Type
Drug
Intervention Name(s)
TAK-583
Intervention Description
TAK-583 50 mg, tablets, orally, once daily for up to 8 weeks
Intervention Type
Drug
Intervention Name(s)
TAK-583
Intervention Description
TAK-583 100 mg, tablets, orally, once daily for up to 8 weeks
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
TAK-583 placebo-matching tablets, orally, once daily for up to 8 weeks
Primary Outcome Measure Information:
Title
Change from Baseline in average daily pain intensity score for the previous 7 days
Time Frame
Week 8 or Final Visit
Secondary Outcome Measure Information:
Title
Change from baseline to each study visit in average daily pain intensity score for the last 7 days
Time Frame
At All Visits
Title
Change from baseline in pain assessment as assessed by Short form McGill Pain Questionnaire
Time Frame
Week 8 or Final Visit
Title
Change from baseline in weekly mean sleep interference scores (assessed on an 11-point numerical scale in the subject's sleep diary)
Time Frame
Week 8 or Final Visit
Title
Clinician and subject global impression of change using a 7-point scale
Time Frame
Week 8 or Final Visit
Title
Change from baseline in quality of life as assessed by Short Form-36
Time Frame
Week 8 or Final Visit
Title
Change from baseline in Profile of Mood States
Time Frame
Week 8 or Final Visit
Title
Proportions of subjects with at least 30% and 50% reduction from baseline in average daily pain intensity score
Time Frame
Week 8 or Final Visit

10. Eligibility

Sex
All
Minimum Age & Unit of Time
50 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Male and female subjects with postherpetic neuralgia whose pain has been present for >3 months following healing of the herpes zoster rash. Subjects with an mean pain intensity score of 4 or more (determined from at least 4 daily recordings of pain intensity on an 11-point numerical scale over the preceding 7 days) during the baseline phase. Subjects aged 50 years and above. The female subject is not of child-bearing potential (eg, sterilized, postmenopausal). Exclusion Criteria: Malignancy within the past 2 years with the exception of basal cell carcinoma. Subjects who have undergone neurolytic or neurosurgical therapy for postherpetic neuralgia. Clinically significant, actively treated or unstable hepatic, biliary, respiratory, renal, rheumatologic, or hematologic illnesses, or unstable cardiovascular disease as assessed by the investigator. WBC less than 2500, ANC less than 1500, platelets less than 100,000; ALT, AST or alkaline phosphatase greater than 1.5x ULN; total bilirubin greater than or equal to 1.2 times the upper limit of normal (excluding Gilbert's Disease); predicted GFR using Cockcroft and Gault formula less than or equal to 40 mL/min. Subjects with greater than 5 red blood cells per high-power field on urinalysis. Subjects with an albumin/creatinine ratio in an untimed ("spot") morning urine specimen greater than the upper limit of normal. Subjects who are immunocompromised or have clinically significant haematological abnormalities. Subjects with a history of HIV infection. Subjects with a positive hepatitis panel (including hepatitis B surface antigen, antibody to hepatitis B core antigen, antibody to hepatitis B surface antigen, or antibody to hepatitis C virus), except subjects with positive antibodies to hepatitis B surface antigen who have received hepatitis B vaccination and who have no history of serological evidence of liver disease. Subjects having other severe pain which may impair the self assessment of the pain due to postherpetic neuralgia. Subjects who have participated in a clinical trial for an investigational drug and/or agent within 30 days prior to baseline. Subjects who have received TAK-583 in a previous clinical study. Subjects who have donated more than 400 mL of blood in the 90 days prior to the beginning of the study. Subjects who have a history of alcohol or illicit drug abuse in the past 2 years Clinically significant abnormal 12 lead electrocardiogram, including QT interval corrected for heart rate greater than 450 ms that is confirmed on a repeat electrocardiogram.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
VP Clinical Science
Organizational Affiliation
Takeda Global Research & Development Center
Official's Role
Study Director
Facility Information:
City
Sydney
State/Province
New South Wales
Country
Australia
City
Kipparing
State/Province
Queensland
Country
Australia
City
Maroochydore
State/Province
Queensland
Country
Australia
City
Box Hill
State/Province
Victoria
Country
Australia
City
Carlton
State/Province
Victoria
Country
Australia
City
Fitzroy
State/Province
Victoria
Country
Australia
City
Perth
State/Province
Western Australia
Country
Australia
City
Sofia
Country
Bulgaria
City
Hradec Kralove
Country
Czech Republic
City
Moravska Ostrava
Country
Czech Republic
City
Olomouc
Country
Czech Republic
City
Ostrava
Country
Czech Republic
City
Plzen
Country
Czech Republic
City
Berlin
Country
Germany
City
Dresden
Country
Germany
City
Frankfurt
Country
Germany
City
Goerlitz
Country
Germany
City
Hamburg
Country
Germany
City
Jena
Country
Germany
City
Leipzig
Country
Germany
City
Magdeburg
Country
Germany
City
Schwerin
Country
Germany
City
Arnhem
Country
Netherlands
City
Breda
Country
Netherlands
City
Roosendaal
Country
Netherlands
City
Rotterdam
Country
Netherlands
City
Stadskanaal
Country
Netherlands
City
Utrecht
Country
Netherlands
City
Gdansk
Country
Poland
City
Lublin
Country
Poland
City
Mosina k/Poznania
Country
Poland
City
Poznan
Country
Poland
City
Kazan
Country
Russian Federation
City
Moscow
Country
Russian Federation
City
St. Petersburg
Country
Russian Federation
City
Bloemfontein
State/Province
Free State
Country
South Africa
City
Pretoria
State/Province
Gauteng
Country
South Africa
City
Amanzimtori
State/Province
Kwa-Zulu Natal
Country
South Africa
City
Durban
State/Province
Kwa-Zulu Natal
Country
South Africa
City
Breyten
State/Province
Mpumalanga
Country
South Africa
City
Nelspruit
State/Province
Mpumalanga
Country
South Africa
City
Polokwane
State/Province
Western Cape
Country
South Africa
City
Worcester
State/Province
Western Cape
Country
South Africa
City
Chichester
Country
United Kingdom
City
Darlington
Country
United Kingdom
City
Glasgow
Country
United Kingdom
City
Plymouth
Country
United Kingdom
City
Solihull
Country
United Kingdom

12. IPD Sharing Statement

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Efficacy, Safety and Tolerability Study of TAK-583 in Subjects With Postherpetic Neuralgia

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