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A Multi-site Bridging Study of Nalfurafine Hydrochloride Orally Disintegrating Tablet

Primary Purpose

Uremic Pruritus

Status
Unknown status
Phase
Phase 3
Locations
China
Study Type
Interventional
Intervention
Nalfurafine Hydrochloride
Nalfurafine Hydrochloride+Placebo
Placebo
Sponsored by
Shenyang Sunshine Pharmaceutical Co., LTD.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Uremic Pruritus

Eligibility Criteria

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

Inclusion Criteria:

  1. Chronic renal failure patients who have been on stable dialysis for 3 months or more, receive regular hemodialysis 3 times a week, and expect no significant treatment changes or dramatic changes in their condition during the clinical trial;
  2. In the 1 year prior to signing the informed consent, patients who were treated with the following drugs A and/or B: (A) Systematic treatment (oral, injection, etc.) of "prescribed drugs for pruritus" (including antihistamines or antiallergic drugs) for more than 2 weeks consecutively; (B). Use of " prescribed drugs for pruritus" (ointments, etc.) or topical treatment of moisturizers prescribed by physicians;
  3. Patients who had received treatment in inclusion criteria (2) but did not respond;
  4. When signing the informed consent, the patient is older than 18 years old (including 18 years old), regardless of gender;
  5. During the observation period before administration (D8-14), the number of days for which the VAS values were measured at the time of getting up and going to bed should not be less than 5 days, and the average value of the larger VAS values in the morning and evening measurements should not be less than 50 mm;
  6. During the observation period before administration (D8-14), The number of days in which the larger VAS value measured in the morning and evening measurements (if there was a missing time in getting up or going to bed, the value which has been measured was selected) is not less than 20 mm, was not less than 5 days;
  7. During the observation period before administration (D8-14), the number of days in which the pruritus severity of Hsie-Kawashima's was evaluated at the time of getting up and at the time of going to bed was not less than 5 days, in which the maximum of the pruritus score was not less than 3 (moderate) in the morning and evening measurements was more than half.

Exclusion Criteria:

  1. Malignant tumor patients;
  2. Patients with mental illness or mental retardation who cannot correctly understand the VAS score and describe their feelings;
  3. Patients with alanine aminotransferase (ALT), aspartate aminotransferase (AST) or glutamine transferase (GGT) or total bilirubin higher than twice the upper limit of normal value (ULN) at the screening stage;
  4. Patients currently suffering from atopic dermatitis or chronic urticaria;
  5. Patients allergic to opioids;
  6. Patients with drug or alcohol dependence;
  7. Patients who had received light therapy for pruritus within 1 month prior to signing the informed consent;
  8. Patients who have participated in a previous clinical study of Nalfurafine Hydrochloride and have taken Nalfurafine Hydrochloride, or who have participated in this clinical study and have been officially enrolled;
  9. Participated in other clinical studies (including research drugs and medical devices) within 1 month before signing the informed consent;
  10. Pregnant women, lactating women, women who have a positive pregnancy test or who do not agree to use contraception during the study period;
  11. Patients who, as determined by the investigator, could not have their VAS score recorded by themselves for any reason;
  12. Patients whose comorbidities or previous medical history, as determined by the investigator, would affect the evaluation of this clinical study;
  13. After testing, human immunodeficiency virus antibody positive;
  14. Other patients judged by the investigator to be unsuitable for participation in this clinical study.

Sites / Locations

  • The First Affiliated Hospital of Medical College of Zhejiang UniversityRecruiting

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Experimental

Placebo Comparator

Arm Label

Nalfurafine Hydrochloride 5μg

Nalfurafine Hydrochloride 2.5μg

Placebo

Arm Description

Oral administration after dinner, once daily for 14 consecutive days

Oral administration after dinner, once daily for 14 consecutive days

Oral administration after dinner, once daily for 14 consecutive days

Outcomes

Primary Outcome Measures

Variation in VAS of Nalfurafine Hydrochloride versus Placebo
The Variation = the mean of the daily maximum VAS value during the observation period before administration(D8-14) - the mean of the daily maximum VAS value during the administration period (D25-31). Only the days on which the VAS values were recorded during the day and night were evaluated.

Secondary Outcome Measures

Variation in pruritus scores based on the Hsie-Kawashima pruritus severity assessment method
Pruritus scores were assessed during the observation period before administration(D8-14) and administration period (D25-31), and only the days when pruritus scores were recorded during the day and night were evaluated.
Variation in nocturnal pruritus scores based on the Hsie-Kawashima pruritus severity assessment method (improvement of pruritus-induced sleep disorders).
After calculating the mean values of nocturnal pruritus scores during the observation period before administration(D8-14) and administration period (D25-31), the variation was calculated.
Improvement degree of VAS
The average VAS value of the observation period before administration (D8-14) and the average VAS value of the administration period (D25-31) were calculated, and the improvement degree was determined as very effective, effective and ineffective according to the variation of the average VAS value.

Full Information

First Posted
January 26, 2021
Last Updated
January 26, 2021
Sponsor
Shenyang Sunshine Pharmaceutical Co., LTD.
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1. Study Identification

Unique Protocol Identification Number
NCT04728984
Brief Title
A Multi-site Bridging Study of Nalfurafine Hydrochloride Orally Disintegrating Tablet
Official Title
A Randomized, Double-blind, Placebo-controlled, Multisite Bridging Clinical Study of Nalfurafine Hydrochloride Orally Disintegrating Tablet in the Treatment of Refractory Pruritus in Hemodialysis Patients
Study Type
Interventional

2. Study Status

Record Verification Date
January 2021
Overall Recruitment Status
Unknown status
Study Start Date
September 7, 2020 (Actual)
Primary Completion Date
June 30, 2021 (Anticipated)
Study Completion Date
October 31, 2021 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Shenyang Sunshine Pharmaceutical Co., LTD.

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
This is a multisite study to evaluate the efficacy, safety and plasma concentration of Nalfurafine Hydrochloride orally disintegrating tablet in the treatment of refractory pruritus in maintenance hemodialysis patients, and to bridge the efficacy data from Japan
Detailed Description
This clinical trial is a bridging study. when selecting the subjects, the most appropriate pruritus medication for the subjects was used first.Then, subjects with "existing treatment-resistant" pruritus will continue to receive basic pruritus treatment if the corresponding treatment is not sufficiently effective, and the experimental drug or placebo will be added to this treatment to evaluate the effectiveness.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Uremic Pruritus

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
135 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Nalfurafine Hydrochloride 5μg
Arm Type
Experimental
Arm Description
Oral administration after dinner, once daily for 14 consecutive days
Arm Title
Nalfurafine Hydrochloride 2.5μg
Arm Type
Experimental
Arm Description
Oral administration after dinner, once daily for 14 consecutive days
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Oral administration after dinner, once daily for 14 consecutive days
Intervention Type
Drug
Intervention Name(s)
Nalfurafine Hydrochloride
Intervention Description
Nalfurafine Hydrochloride 2.5μg*2 ; Oral administration after dinner, once daily for 14 consecutive days
Intervention Type
Drug
Intervention Name(s)
Nalfurafine Hydrochloride+Placebo
Intervention Description
Nalfurafine Hydrochloride 2.5μg+ A placebo pill; Oral administration after dinner, once daily for 14 consecutive days
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
two placebo pills; Oral administration after dinner, once daily for 14 consecutive days
Primary Outcome Measure Information:
Title
Variation in VAS of Nalfurafine Hydrochloride versus Placebo
Description
The Variation = the mean of the daily maximum VAS value during the observation period before administration(D8-14) - the mean of the daily maximum VAS value during the administration period (D25-31). Only the days on which the VAS values were recorded during the day and night were evaluated.
Time Frame
up to 38(+1) days
Secondary Outcome Measure Information:
Title
Variation in pruritus scores based on the Hsie-Kawashima pruritus severity assessment method
Description
Pruritus scores were assessed during the observation period before administration(D8-14) and administration period (D25-31), and only the days when pruritus scores were recorded during the day and night were evaluated.
Time Frame
up to 38(+1) days
Title
Variation in nocturnal pruritus scores based on the Hsie-Kawashima pruritus severity assessment method (improvement of pruritus-induced sleep disorders).
Description
After calculating the mean values of nocturnal pruritus scores during the observation period before administration(D8-14) and administration period (D25-31), the variation was calculated.
Time Frame
up to 38(+1) days
Title
Improvement degree of VAS
Description
The average VAS value of the observation period before administration (D8-14) and the average VAS value of the administration period (D25-31) were calculated, and the improvement degree was determined as very effective, effective and ineffective according to the variation of the average VAS value.
Time Frame
up to 38(+1) days

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Chronic renal failure patients who have been on stable dialysis for 3 months or more, receive regular hemodialysis 3 times a week, and expect no significant treatment changes or dramatic changes in their condition during the clinical trial; In the 1 year prior to signing the informed consent, patients who were treated with the following drugs A and/or B: (A) Systematic treatment (oral, injection, etc.) of "prescribed drugs for pruritus" (including antihistamines or antiallergic drugs) for more than 2 weeks consecutively; (B). Use of " prescribed drugs for pruritus" (ointments, etc.) or topical treatment of moisturizers prescribed by physicians; Patients who had received treatment in inclusion criteria (2) but did not respond; When signing the informed consent, the patient is older than 18 years old (including 18 years old), regardless of gender; During the observation period before administration (D8-14), the number of days for which the VAS values were measured at the time of getting up and going to bed should not be less than 5 days, and the average value of the larger VAS values in the morning and evening measurements should not be less than 50 mm; During the observation period before administration (D8-14), The number of days in which the larger VAS value measured in the morning and evening measurements (if there was a missing time in getting up or going to bed, the value which has been measured was selected) is not less than 20 mm, was not less than 5 days; During the observation period before administration (D8-14), the number of days in which the pruritus severity of Hsie-Kawashima's was evaluated at the time of getting up and at the time of going to bed was not less than 5 days, in which the maximum of the pruritus score was not less than 3 (moderate) in the morning and evening measurements was more than half. Exclusion Criteria: Malignant tumor patients; Patients with mental illness or mental retardation who cannot correctly understand the VAS score and describe their feelings; Patients with alanine aminotransferase (ALT), aspartate aminotransferase (AST) or glutamine transferase (GGT) or total bilirubin higher than twice the upper limit of normal value (ULN) at the screening stage; Patients currently suffering from atopic dermatitis or chronic urticaria; Patients allergic to opioids; Patients with drug or alcohol dependence; Patients who had received light therapy for pruritus within 1 month prior to signing the informed consent; Patients who have participated in a previous clinical study of Nalfurafine Hydrochloride and have taken Nalfurafine Hydrochloride, or who have participated in this clinical study and have been officially enrolled; Participated in other clinical studies (including research drugs and medical devices) within 1 month before signing the informed consent; Pregnant women, lactating women, women who have a positive pregnancy test or who do not agree to use contraception during the study period; Patients who, as determined by the investigator, could not have their VAS score recorded by themselves for any reason; Patients whose comorbidities or previous medical history, as determined by the investigator, would affect the evaluation of this clinical study; After testing, human immunodeficiency virus antibody positive; Other patients judged by the investigator to be unsuitable for participation in this clinical study.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Chen Jianghua, Master
Phone
0571-87236992
Email
chenjianghua@zju.edu.cn
Facility Information:
Facility Name
The First Affiliated Hospital of Medical College of Zhejiang University
City
Hangzhou
State/Province
Zhejiang
ZIP/Postal Code
310003
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Chen Jianghua, Master

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

A Multi-site Bridging Study of Nalfurafine Hydrochloride Orally Disintegrating Tablet

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