search
Back to results

Efficacy and Safety of MEDI7352 in Subjects With Painful Diabetic Neuropathy

Primary Purpose

Painful Diabetic Neuropathy

Status
Completed
Phase
Phase 2
Locations
International
Study Type
Interventional
Intervention
MEDI7352
Placebo
Sponsored by
AstraZeneca
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Painful Diabetic Neuropathy

Eligibility Criteria

18 Years - 80 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Key Inclusion criteria:

  • Male, or postmenopausal or surgically sterile female, 18 to 80 years of age
  • Body mass index of ≤42 kg/m2.
  • Chronic PDN persistent for 6 months or longer, not adequately controlled by standard of care treatments.
  • mean pain intensity score of ≥4, as measured on an 11-point (0-10) NRS
  • willing and able to discontinue all NSAID or COX-2 analgesic therapy
  • currently be taking medication for the treatment of PDN. Subjects should be taking at least one of the first-line medications (consistent with regional or local standard of care guidelines for PDN)

Key Exclusion criteria:

  • Presence of other clinically significant neuropathy (eg, hereditary neuropathy, inflammatory neuropathy) or other clinically significant disorder (eg, nerve compression injury) involving abnormal peripheral sensation, with an aetiology that is considered to be distinct from that of PDN, and that is likely to interfere with assessment of peripheral nerve function, as judged by the investigator.
  • History of osteonecrosis, rapidly progressing OA, subchondral insufficiency fractures, neurogenic arthropathy, or analgesia-induced arthropathy.
  • Diagnosis of clinically significant OA currently affecting a major joint in the upper extremity (shoulder, elbow, or wrist) or lower extremity (hip, knee, or ankle) or axial spine; or other degenerative disease affecting any joint in subjects for whom, in the opinion of the investigator, there is an identified risk of osteonecrosis, rapidly progressing OA, subchondral insufficiency fractures, neurogenic arthropathy, or analgesia-induced arthropathy.
  • Chronic pain condition, other than PDN, that is likely to interfere with the evaluation of the subject's PDN pain, as judged by the investigator
  • Haemoglobin A1C greater than 8.5% (>8.5%).

Sites / Locations

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

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm Type

Experimental

Experimental

Experimental

Placebo Comparator

Experimental

Arm Label

Dose Level 1

Dose Level 2

Dose Level 3

Placebo

Dose Level 4

Arm Description

MEDI7352

MEDI7352

MEDI7352

Placebo

MEDI7352

Outcomes

Primary Outcome Measures

Change in the weekly average of the average daily pain scores
Change in the weekly average of the average daily pain scores from the baseline week to Week 12 of MEDI7352 compared to placebo, as measured on an 11-point (0-10) NRS.

Secondary Outcome Measures

Change in the weekly average of the average daily pain scores
Change in the weekly average of the average daily pain score, as measured on an 11-point (0-10) NRS, from baseline to Weeks 2, 4, 6, 8, and 10 of treatment and the week before the follow-up visit (week 17).
Change in the weekly average of the average daily pain scores
Percentage of subjects who have achieved ≥30% and ≥50% reductions in the weekly average of the average daily pain score from baseline during Weeks 4, 8, and 12 of treatment and the week before follow-up (week 17).
Change in Galer Neuropathic Pain Scale (NPS)
Change in Galer Neuropathic Pain Scale (NPS) from baseline to Days 28, 56, and 84 of treatment and the follow-up visit (week 18).
Change in Daily Sleep Interference Scale (DSIS)
Change in Daily Sleep Interference Scale (DSIS) from baseline to Days 28, 56, and 84 of treatment and the follow-up visit (week 18).
Proportion of subjects who have 'improved', 'much improved,' or 'very much improved' relative to baseline on the Patient Global Impression of Change (PGIC)
Proportion of subjects who have 'improved', 'much improved,' or 'very much improved' relative to baseline on the Patient Global Impression of Change (PGIC) on Days 28, 56, and 84 of treatment and the follow-up visit (week 18).
Change in the 36-item Short-Form Health Survey (SF-36)
Change in the 36-item Short-Form Health Survey (SF-36) from baseline to Day 84 of treatment.
Change in the amount of rescue medication used (in terms of dosage/day)
Change in the amount of rescue medication used (in terms of dosage/day) from baseline to Week 12 of treatment.
incidence of AEs and SAEs
Area under the plasma concentration versus time curve of MEDI7352
Peak Plasma Concentration (Cmax) of MEDI7352
Summary of positive ADA against MEDI7352
To characterise the dose-response relationship of MEDI7352 on chronic pain in subjects with PDN
Change in the weekly average of the average daily pain scores from the baseline week to Week 12, as measured on an 11-point (0-10) NRS, versus dose.

Full Information

First Posted
October 31, 2018
Last Updated
September 6, 2023
Sponsor
AstraZeneca
search

1. Study Identification

Unique Protocol Identification Number
NCT03755934
Brief Title
Efficacy and Safety of MEDI7352 in Subjects With Painful Diabetic Neuropathy
Official Title
A Randomised, Double-Blind, Placebo-Controlled, Dose-Response Study of the Efficacy and Safety of MEDI7352 in Subjects With Painful Diabetic Neuropathy
Study Type
Interventional

2. Study Status

Record Verification Date
September 2023
Overall Recruitment Status
Completed
Study Start Date
November 19, 2018 (Actual)
Primary Completion Date
June 29, 2023 (Actual)
Study Completion Date
June 29, 2023 (Actual)

3. Sponsor/Collaborators

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

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Product Manufactured in and Exported from the U.S.
Yes

5. Study Description

Brief Summary
This is a study investigating the effect of MEDI7352 on chronic pain in patients with painful diabetic neuropathy. The study incudes a screening period of up to 45 days and a 12-week treatment period during which MEDI7352 or placebo will be administered intravenously (IV) on 6 occasions, with each dose separated by 14 days. There will be a 6-week follow-up period. Subjects will randomly be assigned to double-blind treatment with one of 4 dose levels of MEDI7352 or placebo

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
ParticipantInvestigatorOutcomes Assessor
Masking Description
Double blind
Allocation
Randomized
Enrollment
112 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Dose Level 1
Arm Type
Experimental
Arm Description
MEDI7352
Arm Title
Dose Level 2
Arm Type
Experimental
Arm Description
MEDI7352
Arm Title
Dose Level 3
Arm Type
Experimental
Arm Description
MEDI7352
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Placebo
Arm Title
Dose Level 4
Arm Type
Experimental
Arm Description
MEDI7352
Intervention Type
Biological
Intervention Name(s)
MEDI7352
Intervention Description
MEDI7352
Intervention Type
Other
Intervention Name(s)
Placebo
Intervention Description
Placebo
Primary Outcome Measure Information:
Title
Change in the weekly average of the average daily pain scores
Description
Change in the weekly average of the average daily pain scores from the baseline week to Week 12 of MEDI7352 compared to placebo, as measured on an 11-point (0-10) NRS.
Time Frame
from the baseline week to Week 12
Secondary Outcome Measure Information:
Title
Change in the weekly average of the average daily pain scores
Description
Change in the weekly average of the average daily pain score, as measured on an 11-point (0-10) NRS, from baseline to Weeks 2, 4, 6, 8, and 10 of treatment and the week before the follow-up visit (week 17).
Time Frame
Weeks 2, 4, 6, 8, and 10 of treatment and the week before the follow-up visit (week 17).
Title
Change in the weekly average of the average daily pain scores
Description
Percentage of subjects who have achieved ≥30% and ≥50% reductions in the weekly average of the average daily pain score from baseline during Weeks 4, 8, and 12 of treatment and the week before follow-up (week 17).
Time Frame
from baseline during Weeks 4, 8, and 12 of treatment and the week before follow-up (week 17).
Title
Change in Galer Neuropathic Pain Scale (NPS)
Description
Change in Galer Neuropathic Pain Scale (NPS) from baseline to Days 28, 56, and 84 of treatment and the follow-up visit (week 18).
Time Frame
from baseline to Days 28, 56, and 84 of treatment and the follow-up visit (week 18)
Title
Change in Daily Sleep Interference Scale (DSIS)
Description
Change in Daily Sleep Interference Scale (DSIS) from baseline to Days 28, 56, and 84 of treatment and the follow-up visit (week 18).
Time Frame
from baseline to Days 28, 56, and 84 of treatment and the follow-up visit (week 18)
Title
Proportion of subjects who have 'improved', 'much improved,' or 'very much improved' relative to baseline on the Patient Global Impression of Change (PGIC)
Description
Proportion of subjects who have 'improved', 'much improved,' or 'very much improved' relative to baseline on the Patient Global Impression of Change (PGIC) on Days 28, 56, and 84 of treatment and the follow-up visit (week 18).
Time Frame
on Days 28, 56, and 84 of treatment and the follow-up visit (week 18).
Title
Change in the 36-item Short-Form Health Survey (SF-36)
Description
Change in the 36-item Short-Form Health Survey (SF-36) from baseline to Day 84 of treatment.
Time Frame
from baseline to Day 84 of treatment
Title
Change in the amount of rescue medication used (in terms of dosage/day)
Description
Change in the amount of rescue medication used (in terms of dosage/day) from baseline to Week 12 of treatment.
Time Frame
from baseline to Week 12 of treatment
Title
incidence of AEs and SAEs
Time Frame
from baseline up to 18 weeks
Title
Area under the plasma concentration versus time curve of MEDI7352
Time Frame
from baseline up to 18 weeks
Title
Peak Plasma Concentration (Cmax) of MEDI7352
Time Frame
from baseline up to 18 weeks
Title
Summary of positive ADA against MEDI7352
Time Frame
from baseline up to 18 weeks
Title
To characterise the dose-response relationship of MEDI7352 on chronic pain in subjects with PDN
Description
Change in the weekly average of the average daily pain scores from the baseline week to Week 12, as measured on an 11-point (0-10) NRS, versus dose.
Time Frame
from baseline up to 12 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
80 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Key Inclusion criteria: Male, or postmenopausal or surgically sterile female, 18 to 80 years of age Body mass index of ≤42 kg/m2. Chronic PDN persistent for 6 months or longer, not adequately controlled by standard of care treatments. mean pain intensity score of ≥4, as measured on an 11-point (0-10) NRS willing and able to discontinue all NSAID or COX-2 analgesic therapy currently be taking medication for the treatment of PDN. Subjects should be taking at least one of the first-line medications (consistent with regional or local standard of care guidelines for PDN) Key Exclusion criteria: Presence of other clinically significant neuropathy (eg, hereditary neuropathy, inflammatory neuropathy) or other clinically significant disorder (eg, nerve compression injury) involving abnormal peripheral sensation, with an aetiology that is considered to be distinct from that of PDN, and that is likely to interfere with assessment of peripheral nerve function, as judged by the investigator. History of osteonecrosis, rapidly progressing OA, subchondral insufficiency fractures, neurogenic arthropathy, or analgesia-induced arthropathy. Diagnosis of clinically significant OA currently affecting a major joint in the upper extremity (shoulder, elbow, or wrist) or lower extremity (hip, knee, or ankle) or axial spine; or other degenerative disease affecting any joint in subjects for whom, in the opinion of the investigator, there is an identified risk of osteonecrosis, rapidly progressing OA, subchondral insufficiency fractures, neurogenic arthropathy, or analgesia-induced arthropathy. Chronic pain condition, other than PDN, that is likely to interfere with the evaluation of the subject's PDN pain, as judged by the investigator Haemoglobin A1C greater than 8.5% (>8.5%).
Facility Information:
Facility Name
Research Site
City
Gentofte
ZIP/Postal Code
2820
Country
Denmark
Facility Name
Research Site
City
Balatonfüred
ZIP/Postal Code
8230
Country
Hungary
Facility Name
Research Site
City
Budapest
ZIP/Postal Code
1036
Country
Hungary
Facility Name
Research Site
City
Bydgoszcz
ZIP/Postal Code
85-065
Country
Poland
Facility Name
Research Site
City
Gdańsk
ZIP/Postal Code
80-382
Country
Poland
Facility Name
Research Site
City
Katowice
ZIP/Postal Code
40-040
Country
Poland
Facility Name
Research Site
City
Katowice
ZIP/Postal Code
40-282
Country
Poland
Facility Name
Research Site
City
Kraków
ZIP/Postal Code
30-534
Country
Poland
Facility Name
Research Site
City
Lublin
ZIP/Postal Code
20-093
Country
Poland
Facility Name
Research Site
City
Lublin
ZIP/Postal Code
20064
Country
Poland
Facility Name
Research Site
City
Olsztyn
ZIP/Postal Code
10117
Country
Poland
Facility Name
Research Site
City
Poznań
ZIP/Postal Code
60-702
Country
Poland
Facility Name
Research Site
City
Sochaczew
ZIP/Postal Code
96-500
Country
Poland
Facility Name
Research Site
City
Toruń
ZIP/Postal Code
87100
Country
Poland
Facility Name
Research Site
City
Warszawa
ZIP/Postal Code
01-192
Country
Poland
Facility Name
Research Site
City
Warszawa
ZIP/Postal Code
01144
Country
Poland
Facility Name
Research Site
City
Wrocław
ZIP/Postal Code
53-413
Country
Poland
Facility Name
Research Site
City
Bucuresti
ZIP/Postal Code
011025
Country
Romania
Facility Name
Research Site
City
Calarasi
ZIP/Postal Code
917080
Country
Romania
Facility Name
Research Site
City
Craiova
ZIP/Postal Code
200505
Country
Romania
Facility Name
Research Site
City
Galati
ZIP/Postal Code
800291
Country
Romania
Facility Name
Research Site
City
Targu-Mures
ZIP/Postal Code
540142
Country
Romania
Facility Name
Research Site
City
Barnsley
ZIP/Postal Code
S75 3DL
Country
United Kingdom
Facility Name
Research Site
City
Blackpool
ZIP/Postal Code
FY2 0JH
Country
United Kingdom
Facility Name
Research Site
City
Cannock
ZIP/Postal Code
WS11 0BN
Country
United Kingdom
Facility Name
Research Site
City
Cardiff
ZIP/Postal Code
CF14 4XW
Country
United Kingdom
Facility Name
Research Site
City
Leeds
ZIP/Postal Code
LS10 1DU
Country
United Kingdom
Facility Name
Research Site
City
London
ZIP/Postal Code
NW10 7EW
Country
United Kingdom
Facility Name
Research Site
City
Manchester
ZIP/Postal Code
M13 9NQ
Country
United Kingdom
Facility Name
Research Site
City
Prescot
ZIP/Postal Code
L34 1BH
Country
United Kingdom
Facility Name
Research Site
City
Stockton-on-Tees
ZIP/Postal Code
TS17 6EW
Country
United Kingdom

12. IPD Sharing Statement

Learn more about this trial

Efficacy and Safety of MEDI7352 in Subjects With Painful Diabetic Neuropathy

We'll reach out to this number within 24 hrs