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To Evaluate the Efficacy and Safety of HSK16149 Capsule in Chinese Patients With Postherpetic Neuralgia

Primary Purpose

Postherpetic Neuralgia

Status
Completed
Phase
Phase 3
Locations
China
Study Type
Interventional
Intervention
HSK16149 20mg BID
HSK16149 40mg BID
Placebo BID
Sponsored by
Haisco Pharmaceutical Group Co., Ltd.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Postherpetic Neuralgia

Eligibility Criteria

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

Inclusion Criteria:

  1. Signed informed consent;
  2. Males or females aged 18-75 years of age inclusive;
  3. Outpatient, Patients can not stay in the hospital overnight;
  4. Patients must have pain present for more than 1 months after the healing of the herpes zoster skin rash;
  5. At Screening, pain scale (VAS) of ≥40 mm;

Exclusion Criteria:

  1. Peripheral neuropathy or pain unrelated to PHN that may confuse the assessment of PHN;
  2. Skin conditions in the area affected by neurupathy that could alter sensation;
  3. Chronic systemic diseases that may affect subjects' participation in the study;
  4. Severe hematologic, hepatic or renal dysfunction, the subject will be excluded if:1)Neutrophils < 1.5 × 109/L, or platelet < 90 × 109/L, or hemoglobin < 100 g/L, or 2)AST/ALT > 2.5 × upper limit of normal (ULN), or TBIL > 1.5 × ULN, or 3)Estimation of glomerular filtration rate (eGFR) < 60 mL/min / 1.73 m2, or 4)Creatine kinase > 2.0 × ULN.
  5. Uncontrolled diabetes(HbA1c≥11.0% at screening) ;
  6. History of substance abuse or alcohol abuse;
  7. Any active infections at screening;
  8. HBsAg or HCV Ab positive, or HIV Ab positive, or serum TP Ab positive;
  9. Inability or unwillingness to discontinue any other prohibited concomitant medications (see Section 6.3);
  10. Patients who have undergone neurolytic or neurosurgical therapy 1 week before screening for postherpetic neuralgia;
  11. Failure to response to previous treatment with pregabalin at doses ≥ 300 mg/d or gabapentin at doses ≥ 1200 mg/d for treatment of PHN;
  12. History of allergic or medically significant adverse reaction to investigational products or their excipients, acetaminophen or related compounds;
  13. History of suicidal behavior or attempted suicide;
  14. Pregnant or preparing for pregnancy or breastfeeding during the study period, or subjects were not willing to use reliable contraceptives methods from the date of ICF signature until 28 days after the last trial drug administration, or planning to use progesterone contraceptives during this period;
  15. Mechanical operators who are engaged in high-altitude operations, motor vehicle driving and other dangerous machinery operators;
  16. Participated in another clinical study within 30 days prior to screening;
  17. Other conditions unlikely to participate in this trial.

Sites / Locations

  • Dermatology Hospital of Chinese Academy of Medical Sciences
  • The First Affiliated Hospital Of Nanchang University

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Experimental

Placebo Comparator

Arm Label

HSK16149 20mg BID

HSK16149 40mg BID

Placebo BID

Arm Description

HSK16149 20mg, orally twice a day for 12 weeks

HSK16149 40mg, orally twice a day for 12 weeks

placebo, orally twice a day for 12 weeks

Outcomes

Primary Outcome Measures

Compare the change from baseline in ADPS between HSK16149 and placebo at week 12
The mean change in average daily pain score (ADPS) was measured using a 11-point numeric rating scale (NRS; 0 [no pain] to 10 [worst possible pain]. The rating averaged over a 7-day period and was based on entries in patients' daily pain diaries

Secondary Outcome Measures

Compare the response rate between HSK16149 and placebo at week 12 (Proportion of subjects whose ADPS decreased by ≥30% and ≥50% from baseline )
Ratio of Participants Responding to Treatment, as Measured by Average Daily Pain Score (ADPS) Reduction from Baseline. The ADPS is used to determine categorical response rates.
Compare the change from baseline in ADPS between HSK16149 and placebo at week 1 to 12
The mean change in average daily pain score (ADPS) was measured using a 11-point numeric rating scale (NRS; 0 [no pain] to 10 [worst possible pain]. The rating averaged over a 7-day period and was based on entries in patients' daily pain diaries
Compare the change from baseline in Visual Analogue Scale(VAS) between HSK16149 and placebo at week 12
VAS, in which the participant rates pain on a 100 mm-long horizontal line, where 0 mm = no pain and 100 mm = worst possible pain
Compare the change from baseline in Short Form McGill Pain Questionnaire (SF-MPQ) between HSK16149 and placebo at week 12
Participants rate their pain in three parts of the questionnaire, which are combined into a single pain intensity score: Part 1 - fifteen descriptors of pain intensity, on a scale of 0 (none) to 3 (severe) Part 2 - a visual analog scale (VAS), in which the participant rates pain on a 100 mm-long horizontal line, where 0 mm = no pain and 100 mm = worst possible pain Part 3 - a Present Pain Intensity index in which the participant rates present pain intensity on a scale of 0 (no pain) to 5 (most intense pain)
Compare the change from baseline in Average Daily Sleep interference score(ADSIS) between HSK16149 and placebo at week 12
he sleep interference scores on a scale of 0-10, where 0 = pain did not interfere with sleep to 10 = pain completely interfered with sleep. The weekly ADSIS is based on participants daily sleep interference scores
Compare the total consumption of Acetaminophen and Paracetamol and Dihydrocodeine Tartrate between HSK16149 and placebo during the trial
Compare the change from baseline in EQ-5D-5L between HSK16149 and placebo at week 12
The change from baseline in total EuroQol-5-Domain-5-Level health questionnaire
AE(adverse event) to evaluate the safety of HSK16149 during the trial
Number and severity of AEs
Peak Plasma Concentration (Cmax) of HSK16149 capsules in Chinese patients with Postherpetic Neuralgia
Area under the plasma concentration versus time curve (AUC) of HSK16149 capsules in Chinese patients with Postherpetic Neuralgia

Full Information

First Posted
October 14, 2021
Last Updated
February 24, 2023
Sponsor
Haisco Pharmaceutical Group Co., Ltd.
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1. Study Identification

Unique Protocol Identification Number
NCT05140863
Brief Title
To Evaluate the Efficacy and Safety of HSK16149 Capsule in Chinese Patients With Postherpetic Neuralgia
Official Title
A Multicenter, Randomized, Double-Blind, Placebo-Controlled, 12-Week, Phase 3 Study to Evaluate the Efficacy and Safety of HSK16149 Capsules in Chinese Patients With Postherpetic Neuralgia
Study Type
Interventional

2. Study Status

Record Verification Date
February 2023
Overall Recruitment Status
Completed
Study Start Date
November 1, 2021 (Actual)
Primary Completion Date
December 22, 2022 (Actual)
Study Completion Date
January 5, 2023 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Haisco Pharmaceutical Group Co., Ltd.

4. Oversight

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

5. Study Description

Brief Summary
Investigate the Efficacy and Safety of HSK16149 capsules in Chinese Postherpetic Neuralgia Following 12 Weeks Treatment in Comparison to Placebo

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Postherpetic Neuralgia

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
372 (Actual)

8. Arms, Groups, and Interventions

Arm Title
HSK16149 20mg BID
Arm Type
Experimental
Arm Description
HSK16149 20mg, orally twice a day for 12 weeks
Arm Title
HSK16149 40mg BID
Arm Type
Experimental
Arm Description
HSK16149 40mg, orally twice a day for 12 weeks
Arm Title
Placebo BID
Arm Type
Placebo Comparator
Arm Description
placebo, orally twice a day for 12 weeks
Intervention Type
Drug
Intervention Name(s)
HSK16149 20mg BID
Intervention Description
HSK16149 20mg, orally twice a day, treatment period; 12-weeks fixed dose
Intervention Type
Drug
Intervention Name(s)
HSK16149 40mg BID
Intervention Description
HSK16149 40mg, orally twice a day, treatment period; 12-weeks fixed dose
Intervention Type
Drug
Intervention Name(s)
Placebo BID
Intervention Description
Placebo, orally twice a day, treatment period; 12-weeks fixed dose
Primary Outcome Measure Information:
Title
Compare the change from baseline in ADPS between HSK16149 and placebo at week 12
Description
The mean change in average daily pain score (ADPS) was measured using a 11-point numeric rating scale (NRS; 0 [no pain] to 10 [worst possible pain]. The rating averaged over a 7-day period and was based on entries in patients' daily pain diaries
Time Frame
Baseline and week 12
Secondary Outcome Measure Information:
Title
Compare the response rate between HSK16149 and placebo at week 12 (Proportion of subjects whose ADPS decreased by ≥30% and ≥50% from baseline )
Description
Ratio of Participants Responding to Treatment, as Measured by Average Daily Pain Score (ADPS) Reduction from Baseline. The ADPS is used to determine categorical response rates.
Time Frame
Baseline and week 12
Title
Compare the change from baseline in ADPS between HSK16149 and placebo at week 1 to 12
Description
The mean change in average daily pain score (ADPS) was measured using a 11-point numeric rating scale (NRS; 0 [no pain] to 10 [worst possible pain]. The rating averaged over a 7-day period and was based on entries in patients' daily pain diaries
Time Frame
From week 1 to week 12
Title
Compare the change from baseline in Visual Analogue Scale(VAS) between HSK16149 and placebo at week 12
Description
VAS, in which the participant rates pain on a 100 mm-long horizontal line, where 0 mm = no pain and 100 mm = worst possible pain
Time Frame
Baseline and week 12
Title
Compare the change from baseline in Short Form McGill Pain Questionnaire (SF-MPQ) between HSK16149 and placebo at week 12
Description
Participants rate their pain in three parts of the questionnaire, which are combined into a single pain intensity score: Part 1 - fifteen descriptors of pain intensity, on a scale of 0 (none) to 3 (severe) Part 2 - a visual analog scale (VAS), in which the participant rates pain on a 100 mm-long horizontal line, where 0 mm = no pain and 100 mm = worst possible pain Part 3 - a Present Pain Intensity index in which the participant rates present pain intensity on a scale of 0 (no pain) to 5 (most intense pain)
Time Frame
Baseline and week 12
Title
Compare the change from baseline in Average Daily Sleep interference score(ADSIS) between HSK16149 and placebo at week 12
Description
he sleep interference scores on a scale of 0-10, where 0 = pain did not interfere with sleep to 10 = pain completely interfered with sleep. The weekly ADSIS is based on participants daily sleep interference scores
Time Frame
Baseline and week 12
Title
Compare the total consumption of Acetaminophen and Paracetamol and Dihydrocodeine Tartrate between HSK16149 and placebo during the trial
Time Frame
From week 1 to week 12
Title
Compare the change from baseline in EQ-5D-5L between HSK16149 and placebo at week 12
Description
The change from baseline in total EuroQol-5-Domain-5-Level health questionnaire
Time Frame
Baseline and week 12
Title
AE(adverse event) to evaluate the safety of HSK16149 during the trial
Description
Number and severity of AEs
Time Frame
From week 1 to week 12
Title
Peak Plasma Concentration (Cmax) of HSK16149 capsules in Chinese patients with Postherpetic Neuralgia
Time Frame
Week 4,week 8,week 10,week 12
Title
Area under the plasma concentration versus time curve (AUC) of HSK16149 capsules in Chinese patients with Postherpetic Neuralgia
Time Frame
Week 4,week 8,week 10,week 12

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: Signed informed consent; Males or females aged 18-75 years of age inclusive; Outpatient, Patients can not stay in the hospital overnight; Patients must have pain present for more than 1 months after the healing of the herpes zoster skin rash; At Screening, pain scale (VAS) of ≥40 mm; Exclusion Criteria: Peripheral neuropathy or pain unrelated to PHN that may confuse the assessment of PHN; Skin conditions in the area affected by neurupathy that could alter sensation; Chronic systemic diseases that may affect subjects' participation in the study; Severe hematologic, hepatic or renal dysfunction, the subject will be excluded if:1)Neutrophils < 1.5 × 109/L, or platelet < 90 × 109/L, or hemoglobin < 100 g/L, or 2)AST/ALT > 2.5 × upper limit of normal (ULN), or TBIL > 1.5 × ULN, or 3)Estimation of glomerular filtration rate (eGFR) < 60 mL/min / 1.73 m2, or 4)Creatine kinase > 2.0 × ULN. Uncontrolled diabetes(HbA1c≥11.0% at screening) ; History of substance abuse or alcohol abuse; Any active infections at screening; HBsAg or HCV Ab positive, or HIV Ab positive, or serum TP Ab positive; Inability or unwillingness to discontinue any other prohibited concomitant medications (see Section 6.3); Patients who have undergone neurolytic or neurosurgical therapy 1 week before screening for postherpetic neuralgia; Failure to response to previous treatment with pregabalin at doses ≥ 300 mg/d or gabapentin at doses ≥ 1200 mg/d for treatment of PHN; History of allergic or medically significant adverse reaction to investigational products or their excipients, acetaminophen or related compounds; History of suicidal behavior or attempted suicide; Pregnant or preparing for pregnancy or breastfeeding during the study period, or subjects were not willing to use reliable contraceptives methods from the date of ICF signature until 28 days after the last trial drug administration, or planning to use progesterone contraceptives during this period; Mechanical operators who are engaged in high-altitude operations, motor vehicle driving and other dangerous machinery operators; Participated in another clinical study within 30 days prior to screening; Other conditions unlikely to participate in this trial.
Facility Information:
Facility Name
Dermatology Hospital of Chinese Academy of Medical Sciences
City
Nanjing
State/Province
Jiangsu
ZIP/Postal Code
210042
Country
China
Facility Name
The First Affiliated Hospital Of Nanchang University
City
Nanchang
State/Province
Jiangxi
ZIP/Postal Code
330006
Country
China

12. IPD Sharing Statement

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To Evaluate the Efficacy and Safety of HSK16149 Capsule in Chinese Patients With Postherpetic Neuralgia

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