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Efficacy and Safety of Eslicarbazepine Acetate as Therapy for Patients With Painful Diabetic Neuropathy

Primary Purpose

Painful Diabetic Neuropathy

Status
Completed
Phase
Phase 2
Locations
Study Type
Interventional
Intervention
Eslicarbazepine acetate
Placebo
Sponsored by
Bial - Portela C S.A.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

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

Eligibility Criteria

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

Inclusion Criteria:

  • Written informed consent to participate in the study
  • Men and women aged 18 years or older
  • Diagnosis of diabetes mellitus Type 1 or 2
  • Diagnosis of pain attributed to diabetic neuropathy for more than 1 year prior to enrolment
  • Stable glycemic control: (total glycated haemoglobin [HbA1c] level ≤ 11% at screening)
  • Cooperation and willingness to complete all aspects of the study
  • Completion of at least 4 daily diaries during the week preceding randomisation
  • A minimum average daily pain score of 4 on the Numeric rating pain scale (NRPS) in the last 4 diary entries before randomisation.

Exclusion Criteria:

  • Pain of other origin that might confound the assessment of neuropathic pain of diabetic origin
  • Significant or unstable medical or psychiatric disorders
  • Drug or alcohol abuse in the preceding 2 years
  • Peripheral vascular disease with a history of amputation, except amputation of toes
  • Severe renal function impairment, as shown by calculated creatinine clearance values < 30 mL/min at screening
  • Relevant clinical laboratory abnormalities (e.g., Na+ <130 mmol/L, alanine (ALT) or aspartate (AST) transaminases >2.0 times the upper limit of normal, white blood cell count (WBC) <2,500 cells/mm3)
  • Previous participation in any study with eslicarbazepine acetate
  • Pregnancy or breast feeding
  • History of hypersensitivity to the investigational products or to drugs with a similar chemical structure
  • History of non-compliance
  • Likelihood of requiring treatment during the study period with drugs or other interventions not permitted by the clinical study protocol.
  • Participation in a clinical study within 3 months prior to screening
  • Any clinically significant concomitant condition, which might influence the assessments or conduct of the trial

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm 3

    Arm 4

    Arm 5

    Arm 6

    Arm Type

    Experimental

    Experimental

    Experimental

    Experimental

    Experimental

    Placebo Comparator

    Arm Label

    ESL 400 mg BID

    ESL 800 mg QD

    ESL 600 mg BID

    ESL 1200 mg QD

    ESL 800 mg BID

    Placebo

    Arm Description

    ESL 400 mg twice daily (BID)

    ESL 800 mg once-daily (QD)

    Eslicarbazepine 600 mg twice daily

    Eslicarbazepine acetate 1200 mg once daily

    Eslicarbazepine acetate 800 mg twice daily

    Placebo

    Outcomes

    Primary Outcome Measures

    Change From Baseline to Endpoint in Mean Pain, Scored Daily on a on an 11-point (0-10) Numeric Rating Pain Scale (NRPS), Where 0 = no Pain and 10 = Worst Possible Pain
    Endpoint mean pain was defined as the mean of the last 4 available pain scores in the last 7 days of the treatment period. Likewise, baseline mean pain was defined as the mean of the last 4 available pain scores in the last 7 days of the baseline period.

    Secondary Outcome Measures

    Full Information

    First Posted
    September 18, 2009
    Last Updated
    May 18, 2016
    Sponsor
    Bial - Portela C S.A.
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    1. Study Identification

    Unique Protocol Identification Number
    NCT00980746
    Brief Title
    Efficacy and Safety of Eslicarbazepine Acetate as Therapy for Patients With Painful Diabetic Neuropathy
    Official Title
    Efficacy and Safety of Eslicarbazepine Acetate (BIA 2 093) as Therapy for Patients With Painful Diabetic Neuropathy: a Double-blind, Double-dummy, Randomised, Placebo-controlled, Parallel-group, Multicentre Clinical Trial
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    May 2016
    Overall Recruitment Status
    Completed
    Study Start Date
    November 2007 (undefined)
    Primary Completion Date
    November 2008 (Actual)
    Study Completion Date
    November 2008 (Actual)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Bial - Portela C S.A.

    4. Oversight

    Data Monitoring Committee
    No

    5. Study Description

    Brief Summary
    The primary objective of the study is to assess the efficacy of eslicarbazepine acetate (ESL) as therapy for patients with painful diabetic neuropathy.

    6. Conditions and Keywords

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

    7. Study Design

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

    8. Arms, Groups, and Interventions

    Arm Title
    ESL 400 mg BID
    Arm Type
    Experimental
    Arm Description
    ESL 400 mg twice daily (BID)
    Arm Title
    ESL 800 mg QD
    Arm Type
    Experimental
    Arm Description
    ESL 800 mg once-daily (QD)
    Arm Title
    ESL 600 mg BID
    Arm Type
    Experimental
    Arm Description
    Eslicarbazepine 600 mg twice daily
    Arm Title
    ESL 1200 mg QD
    Arm Type
    Experimental
    Arm Description
    Eslicarbazepine acetate 1200 mg once daily
    Arm Title
    ESL 800 mg BID
    Arm Type
    Experimental
    Arm Description
    Eslicarbazepine acetate 800 mg twice daily
    Arm Title
    Placebo
    Arm Type
    Placebo Comparator
    Arm Description
    Placebo
    Intervention Type
    Drug
    Intervention Name(s)
    Eslicarbazepine acetate
    Other Intervention Name(s)
    Zebinix
    Intervention Description
    Eslicarbazepine acetate tablets, scored to allow dose titration during the titration period.
    Intervention Type
    Drug
    Intervention Name(s)
    Placebo
    Intervention Description
    oral route
    Primary Outcome Measure Information:
    Title
    Change From Baseline to Endpoint in Mean Pain, Scored Daily on a on an 11-point (0-10) Numeric Rating Pain Scale (NRPS), Where 0 = no Pain and 10 = Worst Possible Pain
    Description
    Endpoint mean pain was defined as the mean of the last 4 available pain scores in the last 7 days of the treatment period. Likewise, baseline mean pain was defined as the mean of the last 4 available pain scores in the last 7 days of the baseline period.
    Time Frame
    17 weeks

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Written informed consent to participate in the study Men and women aged 18 years or older Diagnosis of diabetes mellitus Type 1 or 2 Diagnosis of pain attributed to diabetic neuropathy for more than 1 year prior to enrolment Stable glycemic control: (total glycated haemoglobin [HbA1c] level ≤ 11% at screening) Cooperation and willingness to complete all aspects of the study Completion of at least 4 daily diaries during the week preceding randomisation A minimum average daily pain score of 4 on the Numeric rating pain scale (NRPS) in the last 4 diary entries before randomisation. Exclusion Criteria: Pain of other origin that might confound the assessment of neuropathic pain of diabetic origin Significant or unstable medical or psychiatric disorders Drug or alcohol abuse in the preceding 2 years Peripheral vascular disease with a history of amputation, except amputation of toes Severe renal function impairment, as shown by calculated creatinine clearance values < 30 mL/min at screening Relevant clinical laboratory abnormalities (e.g., Na+ <130 mmol/L, alanine (ALT) or aspartate (AST) transaminases >2.0 times the upper limit of normal, white blood cell count (WBC) <2,500 cells/mm3) Previous participation in any study with eslicarbazepine acetate Pregnancy or breast feeding History of hypersensitivity to the investigational products or to drugs with a similar chemical structure History of non-compliance Likelihood of requiring treatment during the study period with drugs or other interventions not permitted by the clinical study protocol. Participation in a clinical study within 3 months prior to screening Any clinically significant concomitant condition, which might influence the assessments or conduct of the trial

    12. IPD Sharing Statement

    Learn more about this trial

    Efficacy and Safety of Eslicarbazepine Acetate as Therapy for Patients With Painful Diabetic Neuropathy

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