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A Clinical Trial to Study the Effects GRC 17536 in Patients With Painful Diabetic Peripheral Neuropathy (Painful Extremities Due to Peripheral Nerve Damage in Diabetic Patients).

Primary Purpose

Painful Diabetic Peripheral Neuropathy

Status
Completed
Phase
Phase 2
Locations
International
Study Type
Interventional
Intervention
GRC 17356
Matching Placebo
Sponsored by
Glenmark Pharmaceuticals Ltd. India
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Painful Diabetic Peripheral Neuropathy focused on measuring Diabetic neuropathy

Eligibility Criteria

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

Inclusion Criteria:

  1. Patients willing to provide voluntary written informed consent
  2. Male and female patients ≥18 yrs and ≤75 yrs
  3. Patients with diabetes mellitus with painful peripheral neuropathy for at least 6 months
  4. A baseline 24-hour average daily pain intensity score ≥5
  5. Women must be of non child-bearing potential, defined as post menopausal or surgically sterile

Exclusion Criteria:

  1. Other chronic pain conditions not associated with DPN, that may confound the assessment of neuropathic pain
  2. Other causes of neuropathy or lower extremity pain
  3. Complex regional pain syndrome or trigeminal neuralgia
  4. Lower extremity amputations other than toes
  5. Participation in another study with an investigational compound within the previous 90 days prior to study medication administration, or concurrent participation in another clinical study
  6. Major depression.
  7. Presence or history of cancer within the past 5 years with the exception of adequately treated localized basal cell skin cancer or in situ uterine cervical cancer.
  8. Patients with clinically significant or uncontrolled hepatic, gastrointestinal, cardiovascular, respiratory, neurological (other than neuropathy), psychiatric, hematological, renal, or dermatological disease, or any other medical condition that according to Investigator's medical judgment: Could interfere with the accurate assessment of safety or efficacy, or, Could potentially affect a patient's safety or study outcome

Sites / Locations

  • NeuroHelp s.r.o
  • DADO Medical s.r.o
  • DADO Medical s.r.o
  • Institute for Clinical Research and Development( IKFE-CRO GmbH BahnhofstraBe 8A)
  • Bangalore Clinisearch
  • K.L.E.S Dr. Prabhakar Kore Hospital & Medical research Centre
  • Jnana Sanjeevani Medical Centre
  • TOTALL Diabetes Hormone Institute
  • Jehangir Clinical development Centre Pvt Ltd
  • Getwell Hospital and Research Centre
  • MV Hospital for Diabetes (P) Ltd
  • Kovai Diabetes Speciality Centre and Hospital
  • Arthur Asirvathma Hospital
  • Maulana Azad Medical College & Associate Hospitals
  • ICON Manchester CPU

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

Test Arm

Placebo

Arm Description

GRC17356 for daily administration

Matching placebo for daily administration

Outcomes

Primary Outcome Measures

Mean 24-hour average pain intensity (API) score.

Secondary Outcome Measures

Mean night-time API Score
Patient Global Impression of Change
Clinician Global Impression of Change

Full Information

First Posted
November 9, 2012
Last Updated
October 1, 2014
Sponsor
Glenmark Pharmaceuticals Ltd. India
Collaborators
Glenmark Pharmaceuticals S.A.
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1. Study Identification

Unique Protocol Identification Number
NCT01726413
Brief Title
A Clinical Trial to Study the Effects GRC 17536 in Patients With Painful Diabetic Peripheral Neuropathy (Painful Extremities Due to Peripheral Nerve Damage in Diabetic Patients).
Official Title
A Phase II, 4-Week Randomised, Double-Blind, Parallel Group, Placebo Controlled Proof of Concept Study to Evaluate Efficacy, Safety and Tolerability of GRC 17536 in Patients With Painful Diabetic Peripheral Neuropathy.
Study Type
Interventional

2. Study Status

Record Verification Date
October 2014
Overall Recruitment Status
Completed
Study Start Date
November 2012 (undefined)
Primary Completion Date
August 2014 (Actual)
Study Completion Date
September 2014 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Glenmark Pharmaceuticals Ltd. India
Collaborators
Glenmark Pharmaceuticals S.A.

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
Diabetic peripheral neuropathy (DPN) represents a diffuse symmetric and length-dependent injury to peripheral nerves that has major implications on quality of life (QOL), morbidity, and costs from a public health perspective. Painful diabetic neuropathy affects approximately 16% of patients with diabetes. Pharmacological agents used in the management of painful DPN mainly include tricyclic antidepressants, selective serotonin and norepinephrine reuptake inhibitors, opioid, and anti epileptic drugs. The available treatment options do not give total relief, are not effective in all patients, and only about one-third of patients may achieve more than 50% pain relief. Hence newer therapies are required for the treatment of DPN. The primary outcome measures will be the change from baseline to end of treatment in the mean 24-hour average pain intensity.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Painful Diabetic Peripheral Neuropathy
Keywords
Diabetic neuropathy

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
138 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Test Arm
Arm Type
Experimental
Arm Description
GRC17356 for daily administration
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Matching placebo for daily administration
Intervention Type
Drug
Intervention Name(s)
GRC 17356
Intervention Type
Drug
Intervention Name(s)
Matching Placebo
Primary Outcome Measure Information:
Title
Mean 24-hour average pain intensity (API) score.
Time Frame
Week 4
Secondary Outcome Measure Information:
Title
Mean night-time API Score
Time Frame
4 weeks
Title
Patient Global Impression of Change
Time Frame
4 weeks
Title
Clinician Global Impression of Change
Time Frame
4 weeks

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: Patients willing to provide voluntary written informed consent Male and female patients ≥18 yrs and ≤75 yrs Patients with diabetes mellitus with painful peripheral neuropathy for at least 6 months A baseline 24-hour average daily pain intensity score ≥5 Women must be of non child-bearing potential, defined as post menopausal or surgically sterile Exclusion Criteria: Other chronic pain conditions not associated with DPN, that may confound the assessment of neuropathic pain Other causes of neuropathy or lower extremity pain Complex regional pain syndrome or trigeminal neuralgia Lower extremity amputations other than toes Participation in another study with an investigational compound within the previous 90 days prior to study medication administration, or concurrent participation in another clinical study Major depression. Presence or history of cancer within the past 5 years with the exception of adequately treated localized basal cell skin cancer or in situ uterine cervical cancer. Patients with clinically significant or uncontrolled hepatic, gastrointestinal, cardiovascular, respiratory, neurological (other than neuropathy), psychiatric, hematological, renal, or dermatological disease, or any other medical condition that according to Investigator's medical judgment: Could interfere with the accurate assessment of safety or efficacy, or, Could potentially affect a patient's safety or study outcome
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Dr. Balamurugan Ramanathan
Organizational Affiliation
Kovai Diabetes Speciality Centre and Hospital
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Dr. Vijay Viswanathan
Organizational Affiliation
MV Hospital for Diabetes (P) Ltd
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Dr. Mallikarjun V Jali
Organizational Affiliation
K.L.E.S Dr. Prabhakar Kore Hospital & Medical research Centre
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Dr. Sunil M Jain
Organizational Affiliation
TOTALL Diabetes Hormone Institute
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Dr. Dinesh Dhanwal
Organizational Affiliation
Maulana Azad Medical College & Associate Hospitals
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Dr. S Srikanta
Organizational Affiliation
Jnana Sanjeevani Medical Centre
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Dr. Jayashri Shembalkar
Organizational Affiliation
Getwell Hospital and Research Centre
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Dr Peter Dewland
Organizational Affiliation
ICON Manchester CPU
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Dr. Prof Thomas Forst
Organizational Affiliation
Institute for Clinical Research and Development( IKFE-CRO GmbH BahnhofstraBe 8A)
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Dr. Paramesh Shammana
Organizational Affiliation
Bangalore Clinisearch
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Dr. Arthur Asirvatham
Organizational Affiliation
Arthur Asirvathma Hospital
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Dr. Mohan Magdum
Organizational Affiliation
Jehangir Clinical Development Centre Pvt. Ltd.
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Dr. Blanka Lubenova
Organizational Affiliation
NeuroHelp s.r.o
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Dr. David Dolezil
Organizational Affiliation
DADO Medical s.r.o
Official's Role
Principal Investigator
Facility Information:
Facility Name
NeuroHelp s.r.o
City
Olomouc
State/Province
Prague
ZIP/Postal Code
772 00
Country
Czech Republic
Facility Name
DADO Medical s.r.o
City
Prague
ZIP/Postal Code
12000
Country
Czech Republic
Facility Name
DADO Medical s.r.o
City
Ricany
Country
Czech Republic
Facility Name
Institute for Clinical Research and Development( IKFE-CRO GmbH BahnhofstraBe 8A)
City
Mainz
ZIP/Postal Code
55116
Country
Germany
Facility Name
Bangalore Clinisearch
City
Bangalore
State/Province
Karnataka
ZIP/Postal Code
560043
Country
India
Facility Name
K.L.E.S Dr. Prabhakar Kore Hospital & Medical research Centre
City
Belgaum
State/Province
Karnataka
ZIP/Postal Code
590010
Country
India
Facility Name
Jnana Sanjeevani Medical Centre
City
Bangalore
State/Province
Karntaka
ZIP/Postal Code
560078
Country
India
Facility Name
TOTALL Diabetes Hormone Institute
City
Indore
State/Province
Madhya Pradesh
ZIP/Postal Code
452010
Country
India
Facility Name
Jehangir Clinical development Centre Pvt Ltd
City
Pune
State/Province
Maharashtra
ZIP/Postal Code
411001
Country
India
Facility Name
Getwell Hospital and Research Centre
City
Nagpur
State/Province
Maharastra
ZIP/Postal Code
440012
Country
India
Facility Name
MV Hospital for Diabetes (P) Ltd
City
Chennai
State/Province
Tamil Nadu
ZIP/Postal Code
600 013
Country
India
Facility Name
Kovai Diabetes Speciality Centre and Hospital
City
Coimbatore
State/Province
Tamil Nadu
ZIP/Postal Code
641 009
Country
India
Facility Name
Arthur Asirvathma Hospital
City
Madhurai
State/Province
Tamil Nadu
ZIP/Postal Code
625020
Country
India
Facility Name
Maulana Azad Medical College & Associate Hospitals
City
New Delhi
ZIP/Postal Code
110002
Country
India
Facility Name
ICON Manchester CPU
City
Manchester
State/Province
UK
ZIP/Postal Code
M15 6SH
Country
United Kingdom

12. IPD Sharing Statement

Citations:
PubMed Identifier
34490850
Citation
Jain SM, Balamurugan R, Tandon M, Mozaffarian N, Gudi G, Salhi Y, Holland R, Freeman R, Baron R. Randomized, double-blind, placebo-controlled trial of ISC 17536, an oral inhibitor of transient receptor potential ankyrin 1, in patients with painful diabetic peripheral neuropathy: impact of preserved small nerve fiber function. Pain. 2022 Jun 1;163(6):e738-e747. doi: 10.1097/j.pain.0000000000002470. Epub 2021 Sep 2.
Results Reference
derived

Learn more about this trial

A Clinical Trial to Study the Effects GRC 17536 in Patients With Painful Diabetic Peripheral Neuropathy (Painful Extremities Due to Peripheral Nerve Damage in Diabetic Patients).

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