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Chronic Pain Master Protocol (CPMP): A Study of LY3556050 in Participants With Chronic Low Back Pain

Primary Purpose

Chronic Low-back Pain

Status
Completed
Phase
Phase 2
Locations
International
Study Type
Interventional
Intervention
LY3556050
Placebo
Sponsored by
Eli Lilly and Company
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Chronic Low-back Pain

Eligibility Criteria

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

Inclusion Criteria:

  • Have a visual analog scale (VAS) pain value ≥40 and <95 during screening.
  • Have a history of daily pain for at least 12 weeks based on participant report or medical history.
  • Have a value of ≤30 on the pain catastrophizing scale.
  • Have a body mass index <40 kilograms per meter squared (kg/m²) (inclusive).
  • Are willing to maintain a consistent regimen of any ongoing nonpharmacologic pain-relieving therapies (for example, physical therapy) and will not start any new nonpharmacologic pain-relieving therapies during study participation.
  • Are willing to discontinue all medications taken for chronic pain conditions for the duration of the study.
  • Have a history of low back pain for at least 3 months located between the 12th thoracic vertebra and the lower gluteal folds, with or without radiation.
  • Have a history of low back pain as classified by the Quebec Task Force Category 1 through 3.
  • Have stable glycemic control as indicated by a glycated hemoglobin (HbA1c) less than or equal to 10 at time of screening.
  • Are men, or women able to abide by reproductive and contraceptive requirements.

Exclusion Criteria:

  • Have second or third-degree atrioventricular (AV) heart block or AV dissociation or history of ventricular tachycardia.
  • Have had a procedure within the past 6 months intended to produce permanent sensory loss in the target area of interest (for example, ablation techniques).
  • Have surgery planned during the study for any reason, related or not to the disease state under evaluation.
  • Have, in the judgment of the investigator, an acute, serious, or unstable medical condition or a history or presence of any other medical illness that would preclude study participation.
  • There is an inability to rule out other causative or confounding sources of pain in the primary condition under study.
  • Have had cancer within 2 years of baseline, except for cutaneous basal cell or squamous cell carcinoma resolved by excision.
  • Have a substance use disorder as defined by the Diagnostic and Statistical Manual of Mental Disorders (5th edition; DSM-5; American Psychiatric Association).
  • Have congenital QT prolongation or QT interval corrected for heart rate using Fridericia's formula (QTcF) interval measurement >450 milliseconds (msec) for male participants, >470 msec for female participants, or >480 msec for participants with bundle branch block.
  • Have any clinically important abnormality at screening, as determined by investigator, in physical or neurological examination, vital signs, electrocardiogram (ECG), or clinical laboratory test results that could be detrimental to the participant or could compromise the study.
  • Have a positive human immunodeficiency virus (HIV) test result at screening.
  • Are, in the judgment of the investigator, actively suicidal and therefore deemed to be at significant risk for suicide.
  • Have an intolerance to acetaminophen or paracetamol or any of its excipients.
  • Have a history of alcohol, illicit drug, analgesic or narcotic use disorder within 2 years prior to screening.
  • Have used a therapeutic injection (botulinum toxin or corticosteroids) in the 3 months prior to starting the washout period.
  • Have history of or current osteoporotic compression fracture.
  • Have had a recent major trauma (within 6 months of baseline).
  • Have had surgical intervention for the treatment of low back pain in the past 6 months.
  • Have a history within 2 years prior to screening or current evidence of syncope, presyncope, uncontrolled vertigo, or postural dizziness, judged to be clinically significant by the investigator.
  • Have clinically significant active thyroid disease, including Hashimoto's thyroiditis.
  • Are taking metformin therapy.
  • Are pregnant or breastfeeding.

Sites / Locations

  • Simon Williamson Clinic
  • Synexus- Chandler
  • Synexus Clinical Research - Glendale
  • Alliance for Multispecialty Research - Clinical Research Consortium
  • Irvine Clinical Research Center
  • Artemis Institute for Clinical Research
  • Artemis Institute for Clinical Research
  • CMR of Greater New Haven
  • VIN-Julie Schwartzbard
  • Clinical Research of South Florida
  • Suncoast Research Group
  • University of Miami Don Suffer Clinical Research Building
  • New Horizon Research Center
  • Renstar Medical Research
  • Synexus Clinical Research US, Inc - Orlando
  • Synexus Clinical Research - St. Petersburg
  • Martin E. Hale M.D., P.A.
  • Synexus Clinical Research US, Inc - Orlando
  • Synexus Clinical Research
  • Northwestern University
  • Boston Clinical Trials
  • ActivMed Practices and Research
  • MedVadis Research Corporation
  • Great Lakes Research Group, Inc.
  • StudyMetrix Research
  • Synexus - Cincinnati
  • META Medical Research Institute
  • Altoona Center For Clinical Research
  • Clinical Research Center of Reading,LLC
  • Cedar Health Research
  • Synexus - US
  • Northwest Clinical Research Center
  • Rainier Clinical Research Center
  • Ponce Medical School Foundation Inc.
  • Latin Clinical Trial Center

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

LY3556050

Placebo

Arm Description

LY3556050 administered orally

Placebo administered orally

Outcomes

Primary Outcome Measures

Change from Baseline for Average Pain Intensity as Measured by the Numeric Rating Scale (NRS)
Change from Baseline for Average Pain Intensity as Measured by the NRS

Secondary Outcome Measures

Change from Baseline on the Roland Morris Disability Questionnaire (RMDQ)
Change from Baseline on the RMDQ
Change from Baseline for Overall Improvement as Measured by Patient's Global Impression of Change
Change from Baseline for Overall Improvement as Measured by Patient's Global Impression of Change
Change from Baseline for Worst Pain Intensity as Measured by NRS
Change from Baseline for Worst Pain Intensity as Measured by NRS
Change from Baseline on the Visual Analog Scale (VAS) for Pain
Change from Baseline on the VAS for Pain
Change from Baseline on the Sleep Scale from the Medical Outcomes Study (MOS Sleep Scale)
Change from Baseline on the Sleep Scale from the MOS Sleep Scale
Total Amount of Rescue Medication
Total Amount of Rescue Medication
Change from Baseline on the EuroQol-5D 5 Level Questionnaire (EQ-5D-5L)
Change from Baseline on the EQ-5D-5L

Full Information

First Posted
May 4, 2021
Last Updated
February 7, 2023
Sponsor
Eli Lilly and Company
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1. Study Identification

Unique Protocol Identification Number
NCT04874636
Brief Title
Chronic Pain Master Protocol (CPMP): A Study of LY3556050 in Participants With Chronic Low Back Pain
Official Title
A Master Protocol for Randomized, Placebo-Controlled, Phase 2 Clinical Trials of Multiple Interventions for the Treatment of Chronic Pain
Study Type
Interventional

2. Study Status

Record Verification Date
February 2023
Overall Recruitment Status
Completed
Study Start Date
May 20, 2021 (Actual)
Primary Completion Date
February 9, 2022 (Actual)
Study Completion Date
February 9, 2022 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Eli Lilly and Company

4. Oversight

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

5. Study Description

Brief Summary
This study is being done to test the safety and efficacy of the study drug LY3556050 for the treatment of chronic low back pain. This trial is part of the chronic pain master protocol (H0P-MC-CPMP) which is a protocol to accelerate the development of new treatments for chronic pain.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Chronic Low-back Pain

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
LY3556050
Arm Type
Experimental
Arm Description
LY3556050 administered orally
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Placebo administered orally
Intervention Type
Drug
Intervention Name(s)
LY3556050
Intervention Description
Administered orally
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Administered orally
Primary Outcome Measure Information:
Title
Change from Baseline for Average Pain Intensity as Measured by the Numeric Rating Scale (NRS)
Description
Change from Baseline for Average Pain Intensity as Measured by the NRS
Time Frame
Baseline, up to Week 8
Secondary Outcome Measure Information:
Title
Change from Baseline on the Roland Morris Disability Questionnaire (RMDQ)
Description
Change from Baseline on the RMDQ
Time Frame
Baseline, up to Week 8
Title
Change from Baseline for Overall Improvement as Measured by Patient's Global Impression of Change
Description
Change from Baseline for Overall Improvement as Measured by Patient's Global Impression of Change
Time Frame
Baseline, up to Week 8
Title
Change from Baseline for Worst Pain Intensity as Measured by NRS
Description
Change from Baseline for Worst Pain Intensity as Measured by NRS
Time Frame
Baseline, up to Week 8
Title
Change from Baseline on the Visual Analog Scale (VAS) for Pain
Description
Change from Baseline on the VAS for Pain
Time Frame
Baseline, up to Week 8
Title
Change from Baseline on the Sleep Scale from the Medical Outcomes Study (MOS Sleep Scale)
Description
Change from Baseline on the Sleep Scale from the MOS Sleep Scale
Time Frame
Baseline, up to Week 8
Title
Total Amount of Rescue Medication
Description
Total Amount of Rescue Medication
Time Frame
Baseline, up to Week 8
Title
Change from Baseline on the EuroQol-5D 5 Level Questionnaire (EQ-5D-5L)
Description
Change from Baseline on the EQ-5D-5L
Time Frame
Baseline, up to Week 8

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Have a visual analog scale (VAS) pain value ≥40 and <95 during screening. Have a history of daily pain for at least 12 weeks based on participant report or medical history. Have a value of ≤30 on the pain catastrophizing scale. Have a body mass index <40 kilograms per meter squared (kg/m²) (inclusive). Are willing to maintain a consistent regimen of any ongoing nonpharmacologic pain-relieving therapies (for example, physical therapy) and will not start any new nonpharmacologic pain-relieving therapies during study participation. Are willing to discontinue all medications taken for chronic pain conditions for the duration of the study. Have a history of low back pain for at least 3 months located between the 12th thoracic vertebra and the lower gluteal folds, with or without radiation. Have a history of low back pain as classified by the Quebec Task Force Category 1 through 3. Have stable glycemic control as indicated by a glycated hemoglobin (HbA1c) less than or equal to 10 at time of screening. Are men, or women able to abide by reproductive and contraceptive requirements. Exclusion Criteria: Have second or third-degree atrioventricular (AV) heart block or AV dissociation or history of ventricular tachycardia. Have had a procedure within the past 6 months intended to produce permanent sensory loss in the target area of interest (for example, ablation techniques). Have surgery planned during the study for any reason, related or not to the disease state under evaluation. Have, in the judgment of the investigator, an acute, serious, or unstable medical condition or a history or presence of any other medical illness that would preclude study participation. There is an inability to rule out other causative or confounding sources of pain in the primary condition under study. Have had cancer within 2 years of baseline, except for cutaneous basal cell or squamous cell carcinoma resolved by excision. Have a substance use disorder as defined by the Diagnostic and Statistical Manual of Mental Disorders (5th edition; DSM-5; American Psychiatric Association). Have congenital QT prolongation or QT interval corrected for heart rate using Fridericia's formula (QTcF) interval measurement >450 milliseconds (msec) for male participants, >470 msec for female participants, or >480 msec for participants with bundle branch block. Have any clinically important abnormality at screening, as determined by investigator, in physical or neurological examination, vital signs, electrocardiogram (ECG), or clinical laboratory test results that could be detrimental to the participant or could compromise the study. Have a positive human immunodeficiency virus (HIV) test result at screening. Are, in the judgment of the investigator, actively suicidal and therefore deemed to be at significant risk for suicide. Have an intolerance to acetaminophen or paracetamol or any of its excipients. Have a history of alcohol, illicit drug, analgesic or narcotic use disorder within 2 years prior to screening. Have used a therapeutic injection (botulinum toxin or corticosteroids) in the 3 months prior to starting the washout period. Have history of or current osteoporotic compression fracture. Have had a recent major trauma (within 6 months of baseline). Have had surgical intervention for the treatment of low back pain in the past 6 months. Have a history within 2 years prior to screening or current evidence of syncope, presyncope, uncontrolled vertigo, or postural dizziness, judged to be clinically significant by the investigator. Have clinically significant active thyroid disease, including Hashimoto's thyroiditis. Are taking metformin therapy. Are pregnant or breastfeeding.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Call 1-877-CTLILLY (1-877-285-4559) or 1-317-615-4559 Mon - Fri 9 AM - 5PM Eastern time (UTC/GMT) - 5 hours, EST)
Organizational Affiliation
Eli Lilly and Company
Official's Role
Study Director
Facility Information:
Facility Name
Simon Williamson Clinic
City
Birmingham
State/Province
Alabama
ZIP/Postal Code
35211
Country
United States
Facility Name
Synexus- Chandler
City
Chandler
State/Province
Arizona
ZIP/Postal Code
85224
Country
United States
Facility Name
Synexus Clinical Research - Glendale
City
Glendale
State/Province
Arizona
ZIP/Postal Code
85306
Country
United States
Facility Name
Alliance for Multispecialty Research - Clinical Research Consortium
City
Tempe
State/Province
Arizona
ZIP/Postal Code
85281
Country
United States
Facility Name
Irvine Clinical Research Center
City
Irvine
State/Province
California
ZIP/Postal Code
92614
Country
United States
Facility Name
Artemis Institute for Clinical Research
City
Riverside
State/Province
California
ZIP/Postal Code
92503
Country
United States
Facility Name
Artemis Institute for Clinical Research
City
San Diego
State/Province
California
ZIP/Postal Code
92103
Country
United States
Facility Name
CMR of Greater New Haven
City
Hamden
State/Province
Connecticut
ZIP/Postal Code
06517
Country
United States
Facility Name
VIN-Julie Schwartzbard
City
Aventura
State/Province
Florida
ZIP/Postal Code
33180
Country
United States
Facility Name
Clinical Research of South Florida
City
Coral Gables
State/Province
Florida
ZIP/Postal Code
33134
Country
United States
Facility Name
Suncoast Research Group
City
Miami
State/Province
Florida
ZIP/Postal Code
33135
Country
United States
Facility Name
University of Miami Don Suffer Clinical Research Building
City
Miami
State/Province
Florida
ZIP/Postal Code
33136
Country
United States
Facility Name
New Horizon Research Center
City
Miami
State/Province
Florida
ZIP/Postal Code
33165
Country
United States
Facility Name
Renstar Medical Research
City
Ocala
State/Province
Florida
ZIP/Postal Code
34470
Country
United States
Facility Name
Synexus Clinical Research US, Inc - Orlando
City
Orlando
State/Province
Florida
ZIP/Postal Code
32806
Country
United States
Facility Name
Synexus Clinical Research - St. Petersburg
City
Pinellas Park
State/Province
Florida
ZIP/Postal Code
33781
Country
United States
Facility Name
Martin E. Hale M.D., P.A.
City
Plantation
State/Province
Florida
ZIP/Postal Code
33317
Country
United States
Facility Name
Synexus Clinical Research US, Inc - Orlando
City
The Villages
State/Province
Florida
ZIP/Postal Code
32162
Country
United States
Facility Name
Synexus Clinical Research
City
Chicago
State/Province
Illinois
ZIP/Postal Code
60602
Country
United States
Facility Name
Northwestern University
City
Chicago
State/Province
Illinois
ZIP/Postal Code
60611
Country
United States
Facility Name
Boston Clinical Trials
City
Boston
State/Province
Massachusetts
ZIP/Postal Code
02131
Country
United States
Facility Name
ActivMed Practices and Research
City
Methuen
State/Province
Massachusetts
ZIP/Postal Code
01844
Country
United States
Facility Name
MedVadis Research Corporation
City
Waltham
State/Province
Massachusetts
ZIP/Postal Code
02451
Country
United States
Facility Name
Great Lakes Research Group, Inc.
City
Bay City
State/Province
Michigan
ZIP/Postal Code
48706
Country
United States
Facility Name
StudyMetrix Research
City
Saint Peters
State/Province
Missouri
ZIP/Postal Code
63303
Country
United States
Facility Name
Synexus - Cincinnati
City
Cincinnati
State/Province
Ohio
ZIP/Postal Code
45236
Country
United States
Facility Name
META Medical Research Institute
City
Dayton
State/Province
Ohio
ZIP/Postal Code
45432
Country
United States
Facility Name
Altoona Center For Clinical Research
City
Duncansville
State/Province
Pennsylvania
ZIP/Postal Code
16635
Country
United States
Facility Name
Clinical Research Center of Reading,LLC
City
Wyomissing
State/Province
Pennsylvania
ZIP/Postal Code
19610
Country
United States
Facility Name
Cedar Health Research
City
Dallas
State/Province
Texas
ZIP/Postal Code
75251
Country
United States
Facility Name
Synexus - US
City
San Antonio
State/Province
Texas
ZIP/Postal Code
78229
Country
United States
Facility Name
Northwest Clinical Research Center
City
Bellevue
State/Province
Washington
ZIP/Postal Code
98007
Country
United States
Facility Name
Rainier Clinical Research Center
City
Renton
State/Province
Washington
ZIP/Postal Code
98057
Country
United States
Facility Name
Ponce Medical School Foundation Inc.
City
Ponce
ZIP/Postal Code
00716
Country
Puerto Rico
Facility Name
Latin Clinical Trial Center
City
San Juan
ZIP/Postal Code
00909
Country
Puerto Rico

12. IPD Sharing Statement

Plan to Share IPD
Yes
IPD Sharing Plan Description
Anonymized individual patient level data will be provided in a secure access environment upon approval of a research proposal and a signed data sharing agreement.
IPD Sharing Time Frame
Data are available 6 months after the primary publication and approval of the indication studied in the US and European Union (EU), whichever is later. Data will be indefinitely available for requesting.
IPD Sharing Access Criteria
A research proposal must be approved by an independent review panel and researchers must sign a data sharing agreement.
IPD Sharing URL
https://vivli.org/
Links:
URL
https://trials.lillytrialguide.com/en-US/trial/6tl8N4iD73WMWqHflgnbEU
Description
Chronic Pain Master Protocol (CPMP): A Study of LY3556050 in Participants With Chronic Low Back Pain

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Chronic Pain Master Protocol (CPMP): A Study of LY3556050 in Participants With Chronic Low Back Pain

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