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Clinical Trial to Evaluate Safety, Tolerability and Efficacy of NFX88 in SCI

Primary Purpose

Neuropathic Pain, Spinal Cord Injuries

Status
Completed
Phase
Phase 2
Locations
Spain
Study Type
Interventional
Intervention
NFX88 - 1
NFX88 - 2
NFX88 - 3
PLACEBO - 4
Sponsored by
Neurofix S.L.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Neuropathic Pain

Eligibility Criteria

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

Inclusion Criteria:

  1. Able and willing to provide written informed consent.
  2. Male or Female 18 to 65 years of age.
  3. Traumatic complete or incomplete spinal cord injury with C4-T12 level and more than three months since injury. 4. Diagnosed of neuropathic pain with an average pain score ≥

4 measured using the VAS scale during the last week.

5. Stable treatment, for at least 1 month, with pregabalin 150-300 mg/day, that should be maintained at the same dose for 90 days until the end of the study treatment.

6. Normotensive patients defined as patients with blood pressure values between 90-160 for systolic pressure and 50-100 for diastolic pressure.

7. Patients who have been treated with stable doses of neuroactive drugs (antidepressants, anticonvulsants, antispastic and similar medicines) at least during the last month, can also be recruited.

8. Availability for the entire study period, absence of intellectual problems likely to limit the validity of consent to participate in the study or the compliance with protocol requirements; willingness to adhere to the protocol requirements, ability to cooperate adequately, to understand and follow the instructions of the physician or designee.

9. Women who are not postmenopausal (at least 12 months) or surgically sterile must have a negative pregnancy test at screening and at the end of study and either abstain from sexual intercourse or use a highly effective method of birth control for the duration of the study and after 12 weeks after the last dose of study drug.

10. For men: agreement to remain abstinent or use contraceptive measures and agreement to refrain from donating sperm for the duration of the study and after 12 weeks from the last dose of study drug.

Exclusion Criteria:

  1. Patients treated with opiates (major and minor) and cannabinoids (synthetic, natural or analogous).
  2. Patients with blood pressure higher than those accepted in the inclusion criteria.
  3. History of alcohol, drug abuse within 6 months prior to screening.
  4. Psychiatric patients or those with moderate or severe cognitive impairment.
  5. Patient who is pregnant or lactating.
  6. Patient who shows evidence of significant liver or kidney disease, or any other conditions known to interfere with the absorption, distribution, metabolism or excretion of drugs or known to potentiate or predispose to undesired effects.
  7. Patient who has clinically significant diseases and/or infections captured in the medical history or evidence of clinically significant findings on physical examination and/or clinically significant ordinary laboratory evaluations (haematology, biochemistry, and urinalysis) or ECG.
  8. Patient who is currently participating in another clinical trial of an investigational drug or medical device within 90 days prior to screening.
  9. Inability to comply with study protocol.
  10. Patient unable to swallow 12 1-gram tablets.
  11. History of cancer except local basal or squamous cell carcinoma of the skin that has been excised.

Sites / Locations

  • Hospital Vall de Hebron
  • Instituto Guttmann
  • Complejo Hospitalario Universitario A Coruña
  • Hospital Virgen de las Nieves
  • Hospital los Madroños
  • Hospital Virgen del Rocio
  • Hospital de paraplegicos de Toledo

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Active Comparator

Active Comparator

Active Comparator

Placebo Comparator

Arm Label

Arm NFX88 - 1

Arm NFX88 - 2

Arm NFX88 - 3

Arm PLACEBO - 4

Arm Description

1.05 g/day NFX88

2.10 g/day NFX88

4.20 g/day NFX88

Placebo

Outcomes

Primary Outcome Measures

Incidence of serious adverse events
Safety and tolerability of NFX88 administered for 90 days will be evaluated by assessing the number of AE
Incidence of severity adverse events
Safety and tolerability of NFX88 administered for 90 days will be evaluated by assessing the severity and type of AE
Incidence of specific laboratory abnormalities
Safety and tolerability of NFX88 administered for 90 days will be evaluated by assessing specific abnormalities of laboratory values
Incidence of relevant changes in vital signs
Safety and tolerability of NFX88 administered for 90 days will be evaluated by assessing that there are not relevant changes in vital signs that may affect the safety of the patient
Incidence of relevant changes in 12-lead ECGs
Safety and tolerability of NFX88 administered for 90 days will be evaluated by assessing the ECGs to prove that there are not relevant changes in this test through the trial
No changes in MAS and AIS scales.
Safety and tolerability of NFX88 administered for 90 days will be evaluated by assessing that there are not relevant changes in the MAS (e.g. to monitor spasticity worsening) and ASIA (e.g. to monitor neurological worsening) scores.

Secondary Outcome Measures

Improvement in neuropathic pain scales VAS, PD-Q, and PGIC
Reduction from V1 to EoT in pain intensity in the VAS scale, reduction from SV to EoT in the likelihood of neuropathic pain in PD-Q scale and global improvement at EoT in patient's condition according to the PGIC scale.

Full Information

First Posted
June 4, 2019
Last Updated
December 1, 2022
Sponsor
Neurofix S.L.
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1. Study Identification

Unique Protocol Identification Number
NCT04148573
Brief Title
Clinical Trial to Evaluate Safety, Tolerability and Efficacy of NFX88 in SCI
Official Title
Randomized, Double-blind, Placebo Controlled, Parallel, Multicentric, Phase IIa Clinical Trial to Evaluate Safety, Tolerability, Therapeutic Efficacy of Daily Oral Treatment NFX88 on Neuropathic Pain in Patients With Spinal Cord Injury
Study Type
Interventional

2. Study Status

Record Verification Date
December 2022
Overall Recruitment Status
Completed
Study Start Date
October 1, 2019 (Actual)
Primary Completion Date
May 20, 2022 (Actual)
Study Completion Date
July 20, 2022 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Neurofix S.L.

4. Oversight

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

5. Study Description

Brief Summary
In summary, this small-scale study is designed to demonstrate that the NFX88 is safe and well tolerated, as well as preliminary evidence of improvement in the score of VAS, PD-Q, and PGIC scales.
Detailed Description
This is a Phase IIa (proof of concept), randomized, double-blind, placebo controlled, parallel group, multicentric, clinical trial to evaluate the safety, tolerability and efficacy of daily oral treatment with NFX88 in SCI patients who are not receiving opiates or cannabinoids and present neuropathic pain with an average pain score ≥ 4 measured with a VAS scale during the last week at screening

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Neuropathic Pain, Spinal Cord Injuries

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
44 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Arm NFX88 - 1
Arm Type
Active Comparator
Arm Description
1.05 g/day NFX88
Arm Title
Arm NFX88 - 2
Arm Type
Active Comparator
Arm Description
2.10 g/day NFX88
Arm Title
Arm NFX88 - 3
Arm Type
Active Comparator
Arm Description
4.20 g/day NFX88
Arm Title
Arm PLACEBO - 4
Arm Type
Placebo Comparator
Arm Description
Placebo
Intervention Type
Drug
Intervention Name(s)
NFX88 - 1
Other Intervention Name(s)
2OHOA
Intervention Description
3 times a day
Intervention Type
Drug
Intervention Name(s)
NFX88 - 2
Other Intervention Name(s)
2OHOA
Intervention Description
3 times a day
Intervention Type
Drug
Intervention Name(s)
NFX88 - 3
Other Intervention Name(s)
2OHOA
Intervention Description
3 times a day
Intervention Type
Drug
Intervention Name(s)
PLACEBO - 4
Intervention Description
3 times a day
Primary Outcome Measure Information:
Title
Incidence of serious adverse events
Description
Safety and tolerability of NFX88 administered for 90 days will be evaluated by assessing the number of AE
Time Frame
90 days
Title
Incidence of severity adverse events
Description
Safety and tolerability of NFX88 administered for 90 days will be evaluated by assessing the severity and type of AE
Time Frame
90 days
Title
Incidence of specific laboratory abnormalities
Description
Safety and tolerability of NFX88 administered for 90 days will be evaluated by assessing specific abnormalities of laboratory values
Time Frame
90 days
Title
Incidence of relevant changes in vital signs
Description
Safety and tolerability of NFX88 administered for 90 days will be evaluated by assessing that there are not relevant changes in vital signs that may affect the safety of the patient
Time Frame
90 days
Title
Incidence of relevant changes in 12-lead ECGs
Description
Safety and tolerability of NFX88 administered for 90 days will be evaluated by assessing the ECGs to prove that there are not relevant changes in this test through the trial
Time Frame
90 days
Title
No changes in MAS and AIS scales.
Description
Safety and tolerability of NFX88 administered for 90 days will be evaluated by assessing that there are not relevant changes in the MAS (e.g. to monitor spasticity worsening) and ASIA (e.g. to monitor neurological worsening) scores.
Time Frame
90 days
Secondary Outcome Measure Information:
Title
Improvement in neuropathic pain scales VAS, PD-Q, and PGIC
Description
Reduction from V1 to EoT in pain intensity in the VAS scale, reduction from SV to EoT in the likelihood of neuropathic pain in PD-Q scale and global improvement at EoT in patient's condition according to the PGIC scale.
Time Frame
90 days

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
80 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Able and willing to provide written informed consent. Male or Female 18 to 65 years of age. Traumatic complete or incomplete spinal cord injury with C4-T12 level and more than three months since injury. 4. Diagnosed of neuropathic pain with an average pain score ≥ 4 measured using the VAS scale during the last week. 5. Stable treatment, for at least 1 month, with pregabalin 150-300 mg/day, that should be maintained at the same dose for 90 days until the end of the study treatment. 6. Normotensive patients defined as patients with blood pressure values between 90-160 for systolic pressure and 50-100 for diastolic pressure. 7. Patients who have been treated with stable doses of neuroactive drugs (antidepressants, anticonvulsants, antispastic and similar medicines) at least during the last month, can also be recruited. 8. Availability for the entire study period, absence of intellectual problems likely to limit the validity of consent to participate in the study or the compliance with protocol requirements; willingness to adhere to the protocol requirements, ability to cooperate adequately, to understand and follow the instructions of the physician or designee. 9. Women who are not postmenopausal (at least 12 months) or surgically sterile must have a negative pregnancy test at screening and at the end of study and either abstain from sexual intercourse or use a highly effective method of birth control for the duration of the study and after 12 weeks after the last dose of study drug. 10. For men: agreement to remain abstinent or use contraceptive measures and agreement to refrain from donating sperm for the duration of the study and after 12 weeks from the last dose of study drug. Exclusion Criteria: Patients treated with opiates (major and minor) and cannabinoids (synthetic, natural or analogous). Patients with blood pressure higher than those accepted in the inclusion criteria. History of alcohol, drug abuse within 6 months prior to screening. Psychiatric patients or those with moderate or severe cognitive impairment. Patient who is pregnant or lactating. Patient who shows evidence of significant liver or kidney disease, or any other conditions known to interfere with the absorption, distribution, metabolism or excretion of drugs or known to potentiate or predispose to undesired effects. Patient who has clinically significant diseases and/or infections captured in the medical history or evidence of clinically significant findings on physical examination and/or clinically significant ordinary laboratory evaluations (haematology, biochemistry, and urinalysis) or ECG. Patient who is currently participating in another clinical trial of an investigational drug or medical device within 90 days prior to screening. Inability to comply with study protocol. Patient unable to swallow 12 1-gram tablets. History of cancer except local basal or squamous cell carcinoma of the skin that has been excised.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
ANTONIO OLIVIERO, MD
Organizational Affiliation
HOSPITAL DE PARAPLEGICOS DE TOLEDO
Official's Role
Principal Investigator
Facility Information:
Facility Name
Hospital Vall de Hebron
City
Barcelona
Country
Spain
Facility Name
Instituto Guttmann
City
Barcelona
Country
Spain
Facility Name
Complejo Hospitalario Universitario A Coruña
City
Coruña
Country
Spain
Facility Name
Hospital Virgen de las Nieves
City
Granada
Country
Spain
Facility Name
Hospital los Madroños
City
Madrid
Country
Spain
Facility Name
Hospital Virgen del Rocio
City
Sevilla
Country
Spain
Facility Name
Hospital de paraplegicos de Toledo
City
Toledo
ZIP/Postal Code
45071
Country
Spain

12. IPD Sharing Statement

Plan to Share IPD
No
Citations:
PubMed Identifier
24824524
Citation
Avila-Martin G, Galan-Arriero I, Ferrer-Donato A, Busquets X, Gomez-Soriano J, Escriba PV, Taylor J. Oral 2-hydroxyoleic acid inhibits reflex hypersensitivity and open-field-induced anxiety after spared nerve injury. Eur J Pain. 2015 Jan;19(1):111-22. doi: 10.1002/ejp.528. Epub 2014 May 13.
Results Reference
result
PubMed Identifier
29244816
Citation
Avila-Martin G, Mata-Roig M, Galan-Arriero I, Taylor JS, Busquets X, Escriba PV. Treatment with albumin-hydroxyoleic acid complex restores sensorimotor function in rats with spinal cord injury: Efficacy and gene expression regulation. PLoS One. 2017 Dec 15;12(12):e0189151. doi: 10.1371/journal.pone.0189151. eCollection 2017.
Results Reference
result

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Clinical Trial to Evaluate Safety, Tolerability and Efficacy of NFX88 in SCI

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