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A Clinical Trial to Study the Effects of GRC 17536 in Patients With Painful Diabetic Neuropathy (Painful Extremities Due to Peripheral Nerve Damage in Diabetic Patients)

Primary Purpose

Painful Diabetic Neuropathy

Status
Withdrawn
Phase
Phase 2
Locations
International
Study Type
Interventional
Intervention
GRC 17536 (Medium Dose)
GRC 17536 (Low Dose)
Placebo
Sponsored by
Glenmark Pharmaceuticals Ltd. India
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Painful Diabetic Neuropathy

Eligibility Criteria

18 Years - 75 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Patients willing to provide voluntary written informed consent
  2. Male and female (women of non child-bearing potential) patients ≥18 yrs and ≤ 75 yrs
  3. Patients with diabetes mellitus with painful peripheral neuropathy for at least 6 months
  4. A baseline 24-hour average daily pain intensity score ≥5
  5. Women must be of non child-bearing potential, defined as post menopausal or surgically sterile.

Exclusion Criteria:

  1. Other chronic pain conditions not associated with DPN, that may confound the assessment of neuropathic pain
  2. Other causes of neuropathy or lower extremity pain
  3. Complex regional pain syndrome or trigeminal neuralgia
  4. Lower extremity amputations other than toes
  5. Participation in another study with an investigational compound within the previous 90 days prior to study medication administration, or concurrent participation in another clinical study
  6. Major depression.
  7. Presence or history of cancer within the past 5 years with the exception of adequately treated localized basal cell skin cancer or in situ uterine cervical cancer.
  8. Patients with clinically significant or uncontrolled hepatic, gastrointestinal, cardiovascular, respiratory, neurological (other than neuropathy), psychiatric, hematological, renal, or dermatological disease, or any other medical condition that according to Investigator's medical judgment: Could interfere with the accurate assessment of safety or efficacy, or, Could potentially affect a patient's safety or study outcome

Sites / Locations

  • Site 2
  • Site 1

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Active Comparator

Active Comparator

Placebo Comparator

Arm Label

Treatment Arm 1

Traetment Arm 2

Treatment Arm 3

Arm Description

Outcomes

Primary Outcome Measures

Mean 24-hour average pain intensity (API) score

Secondary Outcome Measures

Mean night-time API Score
Patient Global Impression of Change
Clinician Global Impression of Change
Adverse events (AE)
Pharmacokinetics: Cmax, Tmax, AUC 0-tau, AUC0-24

Full Information

First Posted
March 15, 2012
Last Updated
November 9, 2012
Sponsor
Glenmark Pharmaceuticals Ltd. India
Collaborators
Glenmark Pharmaceuticals S.A.
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1. Study Identification

Unique Protocol Identification Number
NCT01556152
Brief Title
A Clinical Trial to Study the Effects of GRC 17536 in Patients With Painful Diabetic Neuropathy (Painful Extremities Due to Peripheral Nerve Damage in Diabetic Patients)
Official Title
A Phase II, 4 Week Randomized, Double-Blind, Parallel Group, Placebo Controlled Proof of Concept Study to Evaluate Efficacy, Safety and Tolerability of GRC 17536 in Patients With Painful Diabetic Neuropathy
Study Type
Interventional

2. Study Status

Record Verification Date
November 2012
Overall Recruitment Status
Withdrawn
Why Stopped
Due to new scientific evidence assessment, the study design was revised before the study started recruitment
Study Start Date
undefined (undefined)
Primary Completion Date
undefined (undefined)
Study Completion Date
undefined (undefined)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Glenmark Pharmaceuticals Ltd. India
Collaborators
Glenmark Pharmaceuticals S.A.

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
Diabetic peripheral neuropathy (DPN) represents a diffuse symmetric and length-dependent injury to peripheral nerves that has major implications on quality of life (QOL), morbidity, and costs from a public health perspective. Painful diabetic neuropathy affects 16% of patients with diabetes. Pharmacological agents used in the management of painful DPN mainly include tricyclic antidepressants, selective serotonin and norepinephrine reuptake inhibitors, opioids, and anti epileptic drugs. However, only two drugs (duloxetine and pregabalin) have been formally approved by the EMEA and the US FDA for the treatment of painful DPN. Generally, the available treatment options do not give total relief, are not effective in all patients, and only about one-third of patients may achieve more than 50% pain relief. Hence newer therapies are required for the treatment of DPN. This is randomized, double-blind, placebo-controlled, parallel group study. The study will include patients with type 1 or type 2 diabetes mellitus with history of pain attributed to DPN for least 6 months and no greater than 5 years. Patients will be recruited after providing written informed consent.

6. Conditions and Keywords

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

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
Treatment Arm 1
Arm Type
Active Comparator
Arm Title
Traetment Arm 2
Arm Type
Active Comparator
Arm Title
Treatment Arm 3
Arm Type
Placebo Comparator
Intervention Type
Drug
Intervention Name(s)
GRC 17536 (Medium Dose)
Intervention Description
1 BD for 28 days
Intervention Type
Drug
Intervention Name(s)
GRC 17536 (Low Dose)
Intervention Description
1 BD for 28 Days
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Matching Placebo for 28 Days
Primary Outcome Measure Information:
Title
Mean 24-hour average pain intensity (API) score
Time Frame
4 weeks
Secondary Outcome Measure Information:
Title
Mean night-time API Score
Time Frame
4 weeks
Title
Patient Global Impression of Change
Time Frame
4 weeks
Title
Clinician Global Impression of Change
Time Frame
4 weeks
Title
Adverse events (AE)
Time Frame
4 weeks
Title
Pharmacokinetics: Cmax, Tmax, AUC 0-tau, AUC0-24
Time Frame
4 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
75 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Patients willing to provide voluntary written informed consent Male and female (women of non child-bearing potential) patients ≥18 yrs and ≤ 75 yrs Patients with diabetes mellitus with painful peripheral neuropathy for at least 6 months A baseline 24-hour average daily pain intensity score ≥5 Women must be of non child-bearing potential, defined as post menopausal or surgically sterile. Exclusion Criteria: Other chronic pain conditions not associated with DPN, that may confound the assessment of neuropathic pain Other causes of neuropathy or lower extremity pain Complex regional pain syndrome or trigeminal neuralgia Lower extremity amputations other than toes Participation in another study with an investigational compound within the previous 90 days prior to study medication administration, or concurrent participation in another clinical study Major depression. Presence or history of cancer within the past 5 years with the exception of adequately treated localized basal cell skin cancer or in situ uterine cervical cancer. Patients with clinically significant or uncontrolled hepatic, gastrointestinal, cardiovascular, respiratory, neurological (other than neuropathy), psychiatric, hematological, renal, or dermatological disease, or any other medical condition that according to Investigator's medical judgment: Could interfere with the accurate assessment of safety or efficacy, or, Could potentially affect a patient's safety or study outcome
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Dr. Kavita Muchandi, MD
Organizational Affiliation
Glenmark Pharmaceuticals Ltd
Official's Role
Study Director
Facility Information:
Facility Name
Site 2
City
Mainz
Country
Germany
Facility Name
Site 1
City
Manchester
Country
United Kingdom

12. IPD Sharing Statement

Learn more about this trial

A Clinical Trial to Study the Effects of GRC 17536 in Patients With Painful Diabetic Neuropathy (Painful Extremities Due to Peripheral Nerve Damage in Diabetic Patients)

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