A Study to Compare the Safety and Tolerability of Sativex® in Patients With Neuropathic Pain.
A Multicentre, Open Label, Follow on Study to Assess the Maintenance of Effect, Tolerance and Safety of Sativex® in the Treatment of Subjects With Neuropathic Pain. This Will be Followed by a Randomised-withdrawal Phase (Part B) for a Subset of Patients.
1 other identifier
interventional
380
1 country
1
Brief Summary
The purpose of this study is to assess the safety and tolerability of long term therapy with Sativex® in relieving neuropathic pain.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_3 pain
Started Oct 2005
Typical duration for phase_3 pain
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
October 1, 2005
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 1, 2007
CompletedStudy Completion
Last participant's last visit for all outcomes
June 1, 2007
CompletedFirst Submitted
Initial submission to the registry
July 10, 2008
CompletedFirst Posted
Study publicly available on registry
July 11, 2008
CompletedResults Posted
Study results publicly available
September 14, 2012
CompletedMay 3, 2023
April 1, 2023
1.7 years
July 10, 2008
July 11, 2012
April 7, 2023
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Change From Parent Study Baseline in Mean Pain 0-10 Numerical Rating Scale (NRS) Score During the Last 4 Weeks of Open-label Treatment
The average pain NRS was complete at the same time each day, i.e. bedtime in the evening. The patient was asked "on a scale of '0 to 10', please indicate the number that best describes your pain or average pain in the last 24 hours" where 0 = no pain and 10 = pain as bad as you can imagine. No pain relates to the time prior to the onset of pain. A negative value indicates an improvement in pain score from baseline.
38 weeks
Secondary Outcomes (7)
Change From Parent Study Baseline in Mean Neuropathic Pain Scale (NPS) Score at End of Open-label Treatment (Week 38)
38 weeks
Change From Parent Study Baseline in Mean Sleep Quality 0-10 NRS Score at the End of Open-label Treatment (Week 38)
38 weeks
Subject Global Impression of Change
week 38
Change From Parent Study Baseline in Mean EuroQol-5D Weighted Health State Index Score at the End of Open-label Treatment
38 weeks
Change From Parent Study Baseline in Mean EuroQol-5D Self-rated Health Status Visual Analogue Scale Score at the End of Open-label Treatment
38 weeks
- +2 more secondary outcomes
Study Arms (1)
Sativex
EXPERIMENTALActive treatment
Interventions
containing THC (27 mg/ml):CBD (25 mg/ml), in ethanol:propylene glycol (50:50) excipients, with peppermint oil (0.05%) flavouring. Maximum permitted dose was eight actuations in any three hour period and 24 actuations (THC 65 mg: CBD 60 mg) in 24 hours
Eligibility Criteria
You may qualify if:
- Had participated in a GW clinical study to investigate the effects of Sativex® on peripheral neuropathic pain and had completed the study. This must have been within the last seven days
- Had complied with all of the study requirements in the preceding GW parent RCTs, including the completion of diary cards and study questionnaires
- Had shown tolerability to the study medication in a preceding GW study
- Was expected, in the opinion of the investigator, to gain clinical benefit from receiving Sativex® therapy
- Ability (in the investigators opinion) and willingness to comply with all study requirements, including the completion of diary cards and study questionnaires
- Agreement for the responsible authorities (as applicable in individual countries), their primary care physician, and their consultant, if appropriate, to be notified of their participation in the study.
You may not qualify if:
- History of schizophrenia, other psychotic illness, severe personality disorder or other significant psychiatric disorder other than depression associated with their underlying condition
- Known or suspected history of alcohol or substance abuse
- History of epilepsy or recurrent seizures
- Known or suspected hypersensitivity to cannabinoids or any of the excipients of the study medication Evidence of cardiomyopathy
- Experienced myocardial infarction or clinically relevant cardiac dysfunction within the last 12 months or had a cardiac disorder that, in the opinion of the investigator would put the subject at risk of a clinically relevant arrhythmia or myocardial infarction
- QT interval; of \> 450 ms (males) or \> 470 ms (females) at Visit 1
- Secondary or tertiary AV block or sinus bradycardia (HR \<50bpm unless physiological) or sinus tachycardia (HR\>110bpm) at Visit 1
- Diastolic blood pressure of \<50 mmHg or \>105 mmHg in a sitting position at rest for five minutes prior to measurement at Visit 1
- Impaired renal function i.e., creatinine clearance is lower than 50ml/min at Visit 1 and is indicative of renal impairment
- Significantly impaired hepatic function, at Visit 1, in the Investigator's opinion
- Female subjects of child bearing potential and male subjects whose partner was of child bearing potential, unless they were willing to ensure that they or their partner used effective contraception during the study and for three months thereafter
- If female, were pregnant or lactating, or were planning pregnancy during the course of the study and for three months thereafter
- Received an IMP within the 12 weeks before Visit 1 (except the prerequisite study medication from the GW parent RCTs)
- Any other significant disease or disorder which, in the opinion of the investigator, may either put the subject at risk because of participation in the study, may influence the result of the study or the subject's ability to participate in the study
- Following a physical examination, the subject had any abnormalities that, in the opinion of the investigator, would prevent the subject from safely participating in the study.
- +2 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Pain Management Research, Clinical Trials Unit, Netherwood House, Solihull Hospital
Solihull, West Midlands, B91 2JL,, United Kingdom
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Results Point of Contact
- Title
- Mr Richard Potts, Clinical Operations Director
- Organization
- GW Pharma Ltd.
Study Officials
- PRINCIPAL INVESTIGATOR
Barbara Hoggart, MBBS, FRCA
Pain Management Research, Clinical Trials Unit, Netherwood House, Solihull Hospital
Publication Agreements
- PI is Sponsor Employee
- No
- Restriction Type
- OTHER
- Restrictive Agreement
- Yes
Study Design
- Study Type
- interventional
- Phase
- phase 3
- Allocation
- NA
- Masking
- NONE
- Purpose
- SUPPORTIVE CARE
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
July 10, 2008
First Posted
July 11, 2008
Study Start
October 1, 2005
Primary Completion
June 1, 2007
Study Completion
June 1, 2007
Last Updated
May 3, 2023
Results First Posted
September 14, 2012
Record last verified: 2023-04