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Crossover Study of CNV1014802 in Subjects With Neuropathic Pain From Lumbosacral Radiculopathy

Primary Purpose

Lumbosacral Radiculopathy

Status
Completed
Phase
Phase 2
Locations
International
Study Type
Interventional
Intervention
CNV1014802
Placebo
Sponsored by
Biogen
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Lumbosacral Radiculopathy

Eligibility Criteria

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

Key Inclusion Criteria:

  • Male or female aged between 18 and 65 years, with a diagnosis of neuropathic pain due to lumbosacral radiculopathy (LSR).
  • Female subjects must be of non-child bearing potential or agree to use an approved form of contraception
  • Body weight < 50 kg for men and < 45 kg for women.
  • Capable of giving written informed consent.
  • Approved concomitant medications must have been stable for at least 4 weeks prior to day 1.
  • Average baseline daily pain score for neuropathic pain due to LSR on the 11-point numerical rating scale of 4 or greater.

Key Exclusion Criteria:

  • Subjects who are unable to reliably delineate or assess their own pain by anatomical location/distribution.
  • Subjects with lumbar canal stenosis in which the pain in the lower limbs occur solely on walking and not at rest.
  • Subjects with causes for their neuropathic pain other than LSR.
  • Subjects who have received nerve blocks and/or steroid injections for neuropathic pain within 4 weeks prior to day 1.
  • Subjects who are indicated for surgical treatment of lumbosacral radiculopathy.
  • A positive pre-study drug screen.
  • A positive history of HIV.
  • A positive pre-study Hepatitis B surface antigen or positive Hepatitis C antibody result within 3 months of screening.
  • History of any liver disease within the last 6 months, with the exception of known Gilbert's disease.
  • History of excessive regular alcohol consumption within 6 months of the study.
  • Subjects with a history or risk of seizures or a history of epilepsy, head injury or related neurological disorders
  • Subjects with a history of uncontrolled or poorly controlled hypertension, with systolic BP frequently exceeding 160mmHg and/or diastolic BP frequently exceeding 100mmHg, or subjects who have BP greater than or equal to 160mmHg systolic and/or greater than or equal to 100mmHg diastolic at screening after repeated measurements
  • History or presence of significant cardiovascular, gastro-intestinal, or renal disease or other condition known to interfere with the absorption, distribution, metabolism, or excretion of drugs.
  • Subjects with conditions known to affect cardiac conduction or a personal or familial history of Brugada syndrome
  • Pregnant females or lactating females.
  • History or presence of any clinically significant abnormality in vital signs / ECG / laboratory tests or have any medical or psychiatric condition, which, in the opinion of the Investigator may interfere with the study procedures or compromise subject safety.
  • History of suicidal ideation and/or suicide attempts or clinical evidence of recent major depression.
  • Subjects who are unable to maintain their same medications for the treatment of neuropathic pain at a stable dose during the study.
  • Unable to refrain from excessive use of sedatives.
  • Unable to comply with the prohibited concomitant medication restrictions as detailed in the protocol. This includes but is not limited to sodium channel blockers or drugs that adversely interact with a monoamine oxidase-B inhibitor: MAOI's, antidepressants, opioids and sympathomimetic agents.
  • Unable to stop and remain abstained from non-pharmacological treatments for their neuropathic pain during the study.
  • History of hypersensitivity to CNV1014802.
  • The subject has participated in a clinical trial and has received an investigational product within 5 half-lives or twice the duration of the biological effect of the investigational product (whichever is longer) prior to the start of this study.
  • Exposure to more than four new chemical entities within 12 months prior to the first dosing day.
  • Where participation in the study would result in donation of blood or blood products in excess of 500 mL within a 56 day period.
  • Subject is mentally or legally incapacitated.

NOTE: Other protocol defined Inclusion/ Exclusion criteria may apply

Sites / Locations

  • Research Site
  • Research Site
  • Research Site
  • Research Site
  • Research Site
  • Research Site
  • Research Site
  • Research Site
  • Research Site
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  • Research Site
  • Research Site

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

CNV1014802

Placebo

Arm Description

CNV1014802 350mg on prescription (BID) for 21 days

Placebo 350mg BID for 21 days

Outcomes

Primary Outcome Measures

Change in Average Daily Neuropathic Pain Score from Baseline
Change in average daily neuropathic pain score from baseline (average days 10-14) to week 3 based on the 11 point Pain Intensity Numerical Rating Scale (PI-NRS) (0=no pain, 10=maximum pain imaginable). Subjects should specifically rate the pain intensity for the neuropathic pain associated with lumbosacral radiculopathy and not pain from other concomitant causes

Secondary Outcome Measures

Numerical Pain Rating Scale
Change in average daily pain score from baseline (average days 10-14) to week 1 and week 2 of treatment and 1 week following the end of randomized treatment.
Responder Rate
Proportion of patients who have >= 30% and >=50% reduction in average daily pain score relative to baseline during weeks 1, 2 and 3 of treatment and 1 week following the end of randomized treatment.
Galer Neuropathic Pain Scale
Change in Galer Neuropathic Pain Scale from baseline to week 3 of treatment.
Oswestry Disability Index
Change in average disability score from baseline to week 1, week 2 and week 3 of treatment based on Oswestry Disability Index
PGIC
Proportion of patients who have "improved", "much improved" or "very much improved" relative to baseline on the Patient Global Impression of Change (PGIC) on week 3 of treatment.
CGIC
Proportion of patients who have "improved", "much improved" or "very much improved" relative to baseline on the Clinical Global Impression of Change (CGIC) on week 3 of treatment.

Full Information

First Posted
March 19, 2012
Last Updated
October 12, 2017
Sponsor
Biogen
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1. Study Identification

Unique Protocol Identification Number
NCT01561027
Brief Title
Crossover Study of CNV1014802 in Subjects With Neuropathic Pain From Lumbosacral Radiculopathy
Official Title
A Randomized, Double Blind, Cross-over Study to Evaluate the Safety and Efficacy of CNV1014802 in Subjects With Neuropathic Pain From Lumbosacral Radiculopathy
Study Type
Interventional

2. Study Status

Record Verification Date
October 2017
Overall Recruitment Status
Completed
Study Start Date
April 30, 2011 (Actual)
Primary Completion Date
June 30, 2012 (Actual)
Study Completion Date
August 31, 2012 (Actual)

3. Sponsor/Collaborators

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

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The study is a randomized, double blind, cross-over study to evaluate the safety and efficacy of CNV1014802 in subjects with neuropathic pain from lumbosacral radiculopathy.
Detailed Description
The study consists of two treatment periods of 22 days with randomized CNV1014802 350mg or placebo administered twice daily. In addition, single blind placebo will be administered during a two week run-in, a two week wash-out period between the two treatment periods, and a one week run-out phase. This study was previously posted by Convergence Pharmaceuticals, Ltd., which has been acquired by Biogen.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Lumbosacral Radiculopathy

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
CNV1014802
Arm Type
Experimental
Arm Description
CNV1014802 350mg on prescription (BID) for 21 days
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Placebo 350mg BID for 21 days
Intervention Type
Drug
Intervention Name(s)
CNV1014802
Intervention Description
Administered as specified in treatment arm.
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Administered as specified in treatment arm
Primary Outcome Measure Information:
Title
Change in Average Daily Neuropathic Pain Score from Baseline
Description
Change in average daily neuropathic pain score from baseline (average days 10-14) to week 3 based on the 11 point Pain Intensity Numerical Rating Scale (PI-NRS) (0=no pain, 10=maximum pain imaginable). Subjects should specifically rate the pain intensity for the neuropathic pain associated with lumbosacral radiculopathy and not pain from other concomitant causes
Time Frame
Three weeks
Secondary Outcome Measure Information:
Title
Numerical Pain Rating Scale
Description
Change in average daily pain score from baseline (average days 10-14) to week 1 and week 2 of treatment and 1 week following the end of randomized treatment.
Time Frame
3 weeks
Title
Responder Rate
Description
Proportion of patients who have >= 30% and >=50% reduction in average daily pain score relative to baseline during weeks 1, 2 and 3 of treatment and 1 week following the end of randomized treatment.
Time Frame
3 weeks
Title
Galer Neuropathic Pain Scale
Description
Change in Galer Neuropathic Pain Scale from baseline to week 3 of treatment.
Time Frame
3 weeks
Title
Oswestry Disability Index
Description
Change in average disability score from baseline to week 1, week 2 and week 3 of treatment based on Oswestry Disability Index
Time Frame
3 weeks
Title
PGIC
Description
Proportion of patients who have "improved", "much improved" or "very much improved" relative to baseline on the Patient Global Impression of Change (PGIC) on week 3 of treatment.
Time Frame
3 weeks
Title
CGIC
Description
Proportion of patients who have "improved", "much improved" or "very much improved" relative to baseline on the Clinical Global Impression of Change (CGIC) on week 3 of treatment.
Time Frame
3 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Key Inclusion Criteria: Male or female aged between 18 and 65 years, with a diagnosis of neuropathic pain due to lumbosacral radiculopathy (LSR). Female subjects must be of non-child bearing potential or agree to use an approved form of contraception Body weight < 50 kg for men and < 45 kg for women. Capable of giving written informed consent. Approved concomitant medications must have been stable for at least 4 weeks prior to day 1. Average baseline daily pain score for neuropathic pain due to LSR on the 11-point numerical rating scale of 4 or greater. Key Exclusion Criteria: Subjects who are unable to reliably delineate or assess their own pain by anatomical location/distribution. Subjects with lumbar canal stenosis in which the pain in the lower limbs occur solely on walking and not at rest. Subjects with causes for their neuropathic pain other than LSR. Subjects who have received nerve blocks and/or steroid injections for neuropathic pain within 4 weeks prior to day 1. Subjects who are indicated for surgical treatment of lumbosacral radiculopathy. A positive pre-study drug screen. A positive history of HIV. A positive pre-study Hepatitis B surface antigen or positive Hepatitis C antibody result within 3 months of screening. History of any liver disease within the last 6 months, with the exception of known Gilbert's disease. History of excessive regular alcohol consumption within 6 months of the study. Subjects with a history or risk of seizures or a history of epilepsy, head injury or related neurological disorders Subjects with a history of uncontrolled or poorly controlled hypertension, with systolic BP frequently exceeding 160mmHg and/or diastolic BP frequently exceeding 100mmHg, or subjects who have BP greater than or equal to 160mmHg systolic and/or greater than or equal to 100mmHg diastolic at screening after repeated measurements History or presence of significant cardiovascular, gastro-intestinal, or renal disease or other condition known to interfere with the absorption, distribution, metabolism, or excretion of drugs. Subjects with conditions known to affect cardiac conduction or a personal or familial history of Brugada syndrome Pregnant females or lactating females. History or presence of any clinically significant abnormality in vital signs / ECG / laboratory tests or have any medical or psychiatric condition, which, in the opinion of the Investigator may interfere with the study procedures or compromise subject safety. History of suicidal ideation and/or suicide attempts or clinical evidence of recent major depression. Subjects who are unable to maintain their same medications for the treatment of neuropathic pain at a stable dose during the study. Unable to refrain from excessive use of sedatives. Unable to comply with the prohibited concomitant medication restrictions as detailed in the protocol. This includes but is not limited to sodium channel blockers or drugs that adversely interact with a monoamine oxidase-B inhibitor: MAOI's, antidepressants, opioids and sympathomimetic agents. Unable to stop and remain abstained from non-pharmacological treatments for their neuropathic pain during the study. History of hypersensitivity to CNV1014802. The subject has participated in a clinical trial and has received an investigational product within 5 half-lives or twice the duration of the biological effect of the investigational product (whichever is longer) prior to the start of this study. Exposure to more than four new chemical entities within 12 months prior to the first dosing day. Where participation in the study would result in donation of blood or blood products in excess of 500 mL within a 56 day period. Subject is mentally or legally incapacitated. NOTE: Other protocol defined Inclusion/ Exclusion criteria may apply
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Medical Director
Organizational Affiliation
Biogen
Official's Role
Study Director
Facility Information:
Facility Name
Research Site
City
Brno
Country
Czechia
Facility Name
Research Site
City
Litomerice
Country
Czechia
Facility Name
Research Site
City
Prachatice
Country
Czechia
Facility Name
Research Site
City
Glostrup
Country
Denmark
Facility Name
Research Site
City
Odense
Country
Denmark
Facility Name
Research Site
City
Lille
Country
France
Facility Name
Research Site
City
Nice
Country
France
Facility Name
Research Site
City
Paris
Country
France
Facility Name
Research Site
City
Saint-Etienne
Country
France
Facility Name
Research Site
City
Gothenburg
Country
Sweden
Facility Name
Research Site
City
Malmo
Country
Sweden
Facility Name
Research Site
City
Stockholm
Country
Sweden

12. IPD Sharing Statement

Learn more about this trial

Crossover Study of CNV1014802 in Subjects With Neuropathic Pain From Lumbosacral Radiculopathy

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