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A Trial to Investigate Safety and Efficacy of SPM927 in Painful Diabetic Neuropathy

Primary Purpose

Painful Diabetic Neuropathy

Status
Completed
Phase
Phase 2
Locations
Study Type
Interventional
Intervention
SPM927/Lacosamide
Placebo
Sponsored by
UCB Pharma
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Painful Diabetic Neuropathy focused on measuring Lacosamide, Vimpat®

Eligibility Criteria

18 Years - 65 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Subject has clinically diagnosed pain attributed to diabetic distal sensory motor polyneuropathy for 1-5 years and a diagnosis of diabetes mellitus (Type I or Type II).
  • Subjects must have at least moderate pain (mean pain intensity ≥ 4 out of 10 during the baseline week on Likert scale).
  • subjects must have good or fair diabetic control (Hgb A1c < 10%)

Exclusion Criteria:

  • Subject has other conditions that cause neuropathic pain at least as severe as the diabetic pain i.e. peripheral arterio-vascular disease.
  • Subject receives treatment for seizures.
  • Subject has had any amputations other than diabetically-related toe amputations.
  • Subject has major skin ulcers.
  • Subject has clinically significant ECG abnormalities.
  • Subject is expected to take within 7 days prior to randomization and during the study: TCAs, mexiletine hydrochloride, lidoderm patch, tramadol, AEDs, dextromethorphan, opioids, capsaicin, nonsteroidal anti-inflammatory drugs, acetaminophen / paracetamol, skeletal muscle relaxants, benzodiazepines, alpha-2-agonists (e.g. clonidine), drugs indicated for sleep disturbance (e. g. zolpidem tartrate, zaleplon) and over-the-counter medications with centrally acting properties.
  • Subject has laboratory values which are outside the normal range and judged by the investigator to be clinically significant.
  • At study entry, subject has liver function tests values (AST, ALT,alkaline phosphatase, total bilirubin and GGT) 2 times upper limit of normal.
  • subject has impaired renal function, i.e., creatinine clearance is lower than 60 mL/min.

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm Type

    Experimental

    Placebo Comparator

    Arm Label

    1

    2

    Arm Description

    Outcomes

    Primary Outcome Measures

    The primary objective of this trial is to evaluate the efficacy of SPM 927 in reducing pain in subjects with diabetic distal sensory polyneuropathy

    Secondary Outcome Measures

    Different qualities of neuropathic pain, sleep and activity (daily assessment during entire trial participation)
    Quality of Life and the Profile of Mood States (assessment at site visits during entire trial participation)
    Investigate the tolerability and safety of SPM927 (assessment during entire trial participation)
    Examine the pharmacokinetics of SPM927 (assessment at all site visits during entire trial participation)

    Full Information

    First Posted
    March 12, 2009
    Last Updated
    October 17, 2014
    Sponsor
    UCB Pharma
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    1. Study Identification

    Unique Protocol Identification Number
    NCT00861445
    Brief Title
    A Trial to Investigate Safety and Efficacy of SPM927 in Painful Diabetic Neuropathy
    Official Title
    A Randomized, Double-Blind Placebo Controlled Trial to Investigate Safety and Efficacy of SPM927 in Painful Diabetic Neuropathy
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    July 2010
    Overall Recruitment Status
    Completed
    Study Start Date
    June 2001 (undefined)
    Primary Completion Date
    January 2003 (Actual)
    Study Completion Date
    February 2003 (Actual)

    3. Sponsor/Collaborators

    Name of the Sponsor
    UCB Pharma

    4. Oversight

    Data Monitoring Committee
    Yes

    5. Study Description

    Brief Summary
    The primary purpose is to investigate the safety and efficacy of SPM927 in patients with Painful Diabetic Neuropathy

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Painful Diabetic Neuropathy
    Keywords
    Lacosamide, Vimpat®

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Phase 2
    Interventional Study Model
    Parallel Assignment
    Masking
    ParticipantInvestigatorOutcomes Assessor
    Allocation
    Randomized
    Enrollment
    119 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    1
    Arm Type
    Experimental
    Arm Title
    2
    Arm Type
    Placebo Comparator
    Intervention Type
    Drug
    Intervention Name(s)
    SPM927/Lacosamide
    Intervention Description
    SPM927 (film-coated tablets, 25/50/100mg per tablet), dosage 400mg/day, intake in the morning and in the evening, intake for 10 weeks
    Intervention Type
    Other
    Intervention Name(s)
    Placebo
    Other Intervention Name(s)
    SPM927, Lacosamide, Vimpat®
    Intervention Description
    Placebo tablets two times a day for 10 weeks
    Primary Outcome Measure Information:
    Title
    The primary objective of this trial is to evaluate the efficacy of SPM 927 in reducing pain in subjects with diabetic distal sensory polyneuropathy
    Time Frame
    Assessments throughout the trial, either daily and/or at clinic visits
    Secondary Outcome Measure Information:
    Title
    Different qualities of neuropathic pain, sleep and activity (daily assessment during entire trial participation)
    Time Frame
    Daily assessment during entire trial participation including visits at the site
    Title
    Quality of Life and the Profile of Mood States (assessment at site visits during entire trial participation)
    Time Frame
    Daily assessment during entire trial participation including visits at the site
    Title
    Investigate the tolerability and safety of SPM927 (assessment during entire trial participation)
    Time Frame
    Daily assessment during entire trial participation including visits at the site
    Title
    Examine the pharmacokinetics of SPM927 (assessment at all site visits during entire trial participation)
    Time Frame
    Daily assessment during entire trial participation including visits at the site

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Maximum Age & Unit of Time
    65 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Subject has clinically diagnosed pain attributed to diabetic distal sensory motor polyneuropathy for 1-5 years and a diagnosis of diabetes mellitus (Type I or Type II). Subjects must have at least moderate pain (mean pain intensity ≥ 4 out of 10 during the baseline week on Likert scale). subjects must have good or fair diabetic control (Hgb A1c < 10%) Exclusion Criteria: Subject has other conditions that cause neuropathic pain at least as severe as the diabetic pain i.e. peripheral arterio-vascular disease. Subject receives treatment for seizures. Subject has had any amputations other than diabetically-related toe amputations. Subject has major skin ulcers. Subject has clinically significant ECG abnormalities. Subject is expected to take within 7 days prior to randomization and during the study: TCAs, mexiletine hydrochloride, lidoderm patch, tramadol, AEDs, dextromethorphan, opioids, capsaicin, nonsteroidal anti-inflammatory drugs, acetaminophen / paracetamol, skeletal muscle relaxants, benzodiazepines, alpha-2-agonists (e.g. clonidine), drugs indicated for sleep disturbance (e. g. zolpidem tartrate, zaleplon) and over-the-counter medications with centrally acting properties. Subject has laboratory values which are outside the normal range and judged by the investigator to be clinically significant. At study entry, subject has liver function tests values (AST, ALT,alkaline phosphatase, total bilirubin and GGT) 2 times upper limit of normal. subject has impaired renal function, i.e., creatinine clearance is lower than 60 mL/min.
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    UCB Clinical Trial Call Center
    Organizational Affiliation
    +1 877 822 9493 (UCB)
    Official's Role
    Study Director

    12. IPD Sharing Statement

    Citations:
    PubMed Identifier
    17237664
    Citation
    Rauck RL, Shaibani A, Biton V, Simpson J, Koch B. Lacosamide in painful diabetic peripheral neuropathy: a phase 2 double-blind placebo-controlled study. Clin J Pain. 2007 Feb;23(2):150-8. doi: 10.1097/01.ajp.0000210957.39621.b2.
    Results Reference
    result

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    A Trial to Investigate Safety and Efficacy of SPM927 in Painful Diabetic Neuropathy

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