NCT01237587

Brief Summary

The purpose of this study is to determine whether duloxetine is safe and effective in the treatment of adolescents with Juvenile Primary Fibromyalgia Syndrome (JPFS). This trial consists of two distinct study periods. A blinded treatment period of 13 weeks and an open label extension period of 26 weeks.

Trial Health

90
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
184

participants targeted

Target at P25-P50 for phase_3

Timeline
Completed

Started Mar 2011

Longer than P75 for phase_3

Geographic Reach
4 countries

33 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

November 8, 2010

Completed
1 day until next milestone

First Posted

Study publicly available on registry

November 9, 2010

Completed
4 months until next milestone

Study Start

First participant enrolled

March 1, 2011

Completed
6.3 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

May 31, 2017

Completed
6 months until next milestone

Study Completion

Last participant's last visit for all outcomes

November 28, 2017

Completed
9 months until next milestone

Results Posted

Study results publicly available

August 14, 2018

Completed
Last Updated

September 20, 2019

Status Verified

September 1, 2019

Enrollment Period

6.3 years

First QC Date

November 8, 2010

Results QC Date

May 25, 2018

Last Update Submit

September 5, 2019

Conditions

Keywords

AdolescentsJuvenile Primary Fibromyalgia Syndrome

Outcome Measures

Primary Outcomes (1)

  • Change From Baseline to 13 Week Endpoint in Brief Pain Inventory (BPI) Modified Short Form-adolescent Version 24 Hour Average Pain Severity Item

    Brief Pain Inventory (BPI) modified short form is a self-reported scale that measures the severity of pain and the interference of pain on function, Severity scores range from 0 (no pain) to 10 (pain as bad as you can imagine). Severity of pain is measured based on the average pain experienced over the past 24-hours. Mixed Model Repeated Measure (MMRM) model with terms for treatment, pooled investigator, visit, baseline, treatment by visit, and baseline by visit was used to produce Least Square (LS) means.

    Baseline, 13 weeks

Secondary Outcomes (19)

  • Change From Baseline to 13 Week Endpoint in Brief Pain Inventory (BPI) Modified Short Form-Adolescent Version Severity and Interference Items

    Baseline, 13 weeks

  • Maintenance Effect in Acute Phase Responders on the Brief Pain Inventory (BPI) Modified Short Form-adolescent Version 24 Hour Average Pain Severity Item

    Baseline (Extension Phase), 39 weeks

  • Number of Participants With Greater Than or Equal to 30% Reduction From Baseline in BPI 24 Hour Average Pain Severity Score at 13 Weeks

    13 weeks

  • Number of Participants With Greater Than or Equal to 50% Reduction From Baseline in BPI 24 Hour Average Pain Severity Score at 13 Weeks

    13 weeks

  • Change From Baseline in Pediatric Pain Questionnaire (PPQ) Item Scores

    Baseline, 13 weeks

  • +14 more secondary outcomes

Study Arms (2)

Duloxetine

EXPERIMENTAL

Blinded treatment period: 30mg or 60mg once daily for 13 weeks Open label extension: 30mg or 60mg Duloxetine once daily for 26 weeks Taper period: 30mg Duloxetine or placebo once daily for 1 week.

Drug: Duloxetine

Placebo

PLACEBO COMPARATOR

Blinded treatment period:Placebo once daily for 13 weeks Open label extension: 30mg or 60mg Duloxetine once daily for 26 weeks Taper period: 30mg Duloxetine or placebo once daily for 1 week.

Drug: DuloxetineDrug: Placebo

Interventions

Administered orally

Also known as: LY248686
DuloxetinePlacebo

Administered orally

Placebo

Eligibility Criteria

Age13 Years - 17 Years
Sexall
Healthy VolunteersNo
Age GroupsChild (0-17)

You may qualify if:

  • Meet criteria for primary JPFS
  • Have a score of greater than or equal to 4 on Brief Pain Inventory (BPI) average pain severity (Item 3) during screening
  • Female participants must have a negative serum pregnancy test during screening
  • Participant's parent/legal representative and participant judged to be reliable to keep all appointments for clinical tests and procedures
  • Participant's parent/legal representative and participant must have a degree of understanding such that they can communicate intelligently
  • Participants must be capable of swallowing investigational product whole
  • Participants must have venous access sufficient to allow blood sampling and be compliant with blood draws

You may not qualify if:

  • Currently enrolled in, or discontinued within the last 30 days from, a clinical trial involving an investigational drug or device or off-label use of a drug or device or concurrently enrolled in any other type of medical research
  • Previously completed or withdrawn after randomization from a study investigating duloxetine
  • Known hypersensitivity to duloxetine or any of the inactive ingredients, or have frequent or severe allergic reactions to multiple medications
  • Treated with duloxetine within the last 6 months. Will not likely benefit from duloxetine treatment, in the opinion of the investigator or have had prior nonresponse or inadequate tolerance to duloxetine
  • Pain symptoms related to traumatic injury, past surgery, structural bone or joint disease or regional pain syndrome that will interfere with interpretation of outcome measures
  • Currently have evidence of rheumatologic disorder or have a current diagnosis of rheumatoid arthritis, inflammatory arthritis, or infectious arthritis, or an autoimmune disease (for example, systemic lupus erythematosus)
  • Have a Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV) Axis I condition, currently or within the past year, except major depressive disorder (MDD) and/or generalized anxiety disorder (GAD), adjustment disorder or specific phobias with primary investigator approval
  • Have a current secondary DSM-IV Axis I condition of attention-deficit/hyperactivity disorder that requires pharmacologic treatment
  • Lifetime DSM-IV Axis I diagnosis of psychosis, bipolar disorder, or schizoaffective disorder
  • DSM-IV Axis II disorder which would interfere with protocol compliance
  • History of substance abuse or dependence within the 6 months
  • Positive urine drug screen for any substances of abuse or excluded medication
  • Family history of 1 or more first-degree relatives with diagnosed bipolar I disorder
  • Significant suicide attempt within 1 year of screening or are currently at suicidal risk in the opinion of the investigator
  • Weight less than 20 kilogram (kg) at screening
  • +9 more criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (33)

NoesisPharma

Phoenix, Arizona, 85032, United States

Location

Loma Linda University School of Medicine

Loma Linda, California, 92354, United States

Location

Synergy Clinical Research

National City, California, 91950, United States

Location

Connecticut Clinical Trials LLC

Cromwell, Connecticut, 06416, United States

Location

Associated Neurologists of Southern Connecticut

Fairfield, Connecticut, 06824, United States

Location

Palm Beach Research Center

West Palm Beach, Florida, 33409, United States

Location

Institute for Behavioral Medicine

Smyrna, Georgia, 30080, United States

Location

Riley Hosptial for Children

Indianapolis, Indiana, 46202, United States

Location

Kentucky Medical Research Center

Lexington, Kentucky, 40504, United States

Location

Mercy Health Research

St Louis, Missouri, 63141, United States

Location

Healthy Perspectives Innovative Mental Health Services, PL

Nashua, New Hampshire, 03060, United States

Location

Albuquerque Neurosciences

Albuquerque, New Mexico, 87109, United States

Location

Bioscience Research, LLC

Mount Kisco, New York, 10549, United States

Location

Richmond Behavorial Associates

Staten Island, New York, 10312, United States

Location

Neurobehavioral Clinical Research

Canton, Ohio, 44718, United States

Location

Univ of Cincinnati College of Medicine

Cincinnati, Ohio, 45219, United States

Location

North Star Research

Middleburg Heights, Ohio, 44130, United States

Location

Neuropsychiatric Center

Oklahoma City, Oklahoma, 73109, United States

Location

Altoona Center for Clinical Research

Duncansville, Pennsylvania, 16635, United States

Location

CRI Lifetree

Philadelphia, Pennsylvania, 19139, United States

Location

Holston Medical Group Clinical Research

Kingsport, Tennessee, 37660, United States

Location

Arthritis and Osteoporosis Center of South Texas

San Antonio, Texas, 78232, United States

Location

Bateman Horne Center of Excellence

Salt Lake City, Utah, 84102, United States

Location

NeuroScience, Inc.

Herndon, Virginia, 20170-2613, United States

Location

Advanced Pain Management

Virginia Beach, Virginia, 23505, United States

Location

Northwest Clinical Research Center

Bellevue, Washington, 98007-4209, United States

Location

For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.

San Miguel de Tucumán, T4000AXL, Argentina

Location

For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.

Chennai, 600003, India

Location

For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.

Hyderabad, 500034, India

Location

For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.

Mysore, 570004, India

Location

For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.

Raipur, 492001, India

Location

Centro de Investigaciones Clinicas

San Juan, 00912, Puerto Rico

Location

Centro Pediatrico Paseos

San Juan, 00926, Puerto Rico

Location

Related Publications (1)

  • Upadhyaya HP, Arnold LM, Alaka K, Qiao M, Williams D, Mehta R. Efficacy and safety of duloxetine versus placebo in adolescents with juvenile fibromyalgia: results from a randomized controlled trial. Pediatr Rheumatol Online J. 2019 May 28;17(1):27. doi: 10.1186/s12969-019-0325-6.

Related Links

MeSH Terms

Conditions

Fibromyalgia

Interventions

Duloxetine Hydrochloride

Condition Hierarchy (Ancestors)

Muscular DiseasesMusculoskeletal DiseasesRheumatic DiseasesNeuromuscular DiseasesNervous System Diseases

Intervention Hierarchy (Ancestors)

ThiophenesSulfur CompoundsOrganic ChemicalsHeterocyclic Compounds, 1-RingHeterocyclic Compounds

Results Point of Contact

Title
Chief Medical Officer
Organization
Eli Lilly and Company

Study Officials

  • Call 1-877-CTLILLY (1-877-285-4559) or 1-317-615-4559 : Mon - Fri 9 AM - 5 PM Eastern time (UTC/GMT - 5 hours, EST)

    Eli Lilly and Company

    STUDY DIRECTOR

Publication Agreements

PI is Sponsor Employee
No
Restriction Type
GT60
Restrictive Agreement
Yes

Study Design

Study Type
interventional
Phase
phase 3
Allocation
RANDOMIZED
Masking
QUADRUPLE
Who Masked
PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

November 8, 2010

First Posted

November 9, 2010

Study Start

March 1, 2011

Primary Completion

May 31, 2017

Study Completion

November 28, 2017

Last Updated

September 20, 2019

Results First Posted

August 14, 2018

Record last verified: 2019-09

Data Sharing

IPD Sharing
Will share

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.

Shared Documents
STUDY PROTOCOL, SAP, CSR
Time Frame
Data are available 6 months after the primary publication and approval of the indication studied in the US and EU, whichever is later. Data will be indefinitely available for requesting.
Access Criteria
A research proposal must be approved by an independent review panel and researchers must sign a data sharing agreement.
More information

Locations