Treatment of Neuropathic Pain Associated With Diabetic Peripheral Neuropathy
A Randomized, Double-Blind, Placebo and Active Comparator-Controlled Study of DS-5565 for Treatment of Neuropathic Pain Associated With Diabetic Peripheral Neuropathy
1 other identifier
interventional
452
1 country
78
Brief Summary
The purpose of this study is to evaluate the safety, tolerability and effectiveness of DS-5565 compared to placebo (inactive substance) and pregabalin in diabetic subjects with DPN.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_2
Started Nov 2011
Shorter than P25 for phase_2
78 active sites
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
Study Start
First participant enrolled
November 28, 2011
CompletedFirst Submitted
Initial submission to the registry
December 19, 2011
CompletedFirst Posted
Study publicly available on registry
December 21, 2011
CompletedPrimary Completion
Last participant's last visit for primary outcome
September 7, 2012
CompletedStudy Completion
Last participant's last visit for all outcomes
September 7, 2012
CompletedResults Posted
Study results publicly available
January 5, 2021
CompletedJanuary 5, 2021
December 1, 2020
9 months
December 19, 2011
November 3, 2020
December 8, 2020
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Mean Change From Baseline to Week 5 in Average Daily Pain Score (ADPS) Following Treatment With DS-5565 Compared to Pregabalin and Placebo
Average daily pain score (ADPS) is a participant-reported instrument that measures pain intensity using an 11-point numeric rating scale (NRS) where 0 is defined as no pain and 10 is defined as worst possible pain. Higher scores indicate worse pain intensity level. The change from baseline to Week 5 is reported where a negative value is considered an improvement in pain intensity. A minimally meaningful effect was defined as a decrease of at least 1.0 point \[scale of 0 to 10\] versus placebo).
Baseline up to Week 5 postdose, up to 10 months total follow up
Secondary Outcomes (12)
Least Square Means of Average Daily Pain Score by Week Mixed Effects Model for Repeated Measures (MMRM) Following Treatment With DS-5565 Compared to Pregabalin and Placebo
Baseline up to Week 5 postdose, up to 10 months total follow up
Average Daily Pain Score Responder Rates Based on ≥30% and ≥50% Decrease From Baseline at Endpoint) Following Treatment With DS-5565 or Placebo Compared to Pregabalin
Baseline up to Week 5 postdose, up to 10 months total follow up
Mean Change From Baseline to End-of-Treatment in Average Daily Sleep Interference Score Following Treatment With DS-5565 Compared to Pregabalin and Placebo
Baseline up to Week 5 postdose, up to 10 months total follow up
Short-Form McGill Pain Questionnaire (SF-MPQ) Sensory and Affective Scores Change From Baseline to Endpoint Following Treatment With DS-5565 Compared to Pregabalin and Placebo
Baseline up to Week 5 postdose, up to 10 months total follow up
Short-Form McGill Pain Questionnaire (SF-MPQ) Total Score and Visual Analog Scale Change From Baseline to Endpoint Following Treatment With DS-5565 Compared to Pregabalin and Placebo
Baseline up to Week 5 postdose, up to 10 months total follow up
- +7 more secondary outcomes
Study Arms (6)
DS-5565 5mg nighttime
EXPERIMENTALDS-5565 5 mg/day (one 5 mg tablet at bedtime)
DS-5565 10 mg at bedtime
EXPERIMENTALDS-5565 10 mg/day (one 10 mg tablet at bedtime)
DS-5565 15 mg at bedtime
EXPERIMENTALDS-5565 15 mg/day (one 5 mg tablet plus one 10 mg tablet at bedtime)
DS-5565 20 mg total per day
EXPERIMENTALDS-5565 20 mg/day (one 10 mg tablet in the morning and one 10 mg tablet at bedtime)
DS-5565 30 mg total per day
EXPERIMENTALDS-5565 30 mg/day (one 5 mg tablet plus one 10 mg tablet in the morning and one 5 mg tablet plus one 10 mg tablet at bedtime)
Pregabalin 300 mg total per day
ACTIVE COMPARATORPregabalin 300 mg/day (two 150 mg capsules, in the morning and at bedtime)
Interventions
5mg and 10mg tablets
75mg and 150mg over-encapsulated
Eligibility Criteria
You may qualify if:
- Age \> 18 years of age
- Able to give informed consent and willing to comply with scheduled visits, treatment plan, laboratory tests, and other trial procedures
- Type 1 or type 2 diabetes with a hemoglobin A1c (HbA1c) ≤ 10% at Screening and on a stable antidiabetic medication regimen for at least 30 days prior to Screening (insulin therapy is acceptable)
- Painful distal symmetrical sensorimotor polyneuropathy (as per American Society of Pain Educators guidelines ) diagnosed for at least 6 months, based on neurological history and/or examination; diagnosis includes absent or reduced deep tendon reflexes at both ankles
- At Screening, a pain score of ≥ 40 mm on the SF-MPQ VAS
- At Randomization, a pain score of ≥ 40 mm on the SF-MPQ VAS and an ADPS of ≥ 4 on the 11-point NRS, the latter calculated from a minimum of 4 pain ratings in daily diaries obtained during the 1-week Baseline Period (prior to randomization)
- Creatinine clearance \> 60 mL/min (estimated using the Cockcroft-Gault equation)
- Antidiabetic and other medications anticipated to remain stable and constant during the study period
- Women of child bearing potential (WOCBP) must be using an adequate method of contraception as detailed in the protocol to avoid pregnancy during the study and for 4 weeks after study completion
You may not qualify if:
- Diagnosis of mononeuropathy
- Use of concomitant medications that may confound assessments of efficacy and/or safety (see Section 5.2)
- Major psychiatric disorders
- Have had a malignancy other than basal cell carcinoma within the past 2 years
- At Visit 1, have a white blood cell count \< 2500/mm3, neutrophil count \< 1500/mm3, or platelet count \< 100 x 103/mm3
- Clinically significant unstable diabetes mellitus, unstable hepatic, respiratory, or hematologic illness, unstable cardiovascular disease (including myocardial infarction in the 3 months prior to Visit 1), or symptomatic peripheral vascular disease
- Clinically significant findings on the Screening ECG
- History of pernicious anemia, untreated hypothyroidism, chronic hepatitis B, hepatitis B within the past 3 months, or human immunodeficiency virus infection
- Amputations of body parts other than toes
- Prior therapeutic failure of pregabalin or gabapentin (considered unresponsive or intolerant to treatment); therapeutic failure implies lack of efficacy following full titration to effective doses (eg, 300 mg/day for pregabalin)
- Known hypersensitivity to pregabalin or gabapentin
- Requirement for concomitant anticonvulsant and antidepressant therapy, with the exception of stable doses of SSRIs
- Neurologic disorders unrelated to DPN that may confound the assessment of pain associated with DPN
- Skin conditions that could alter sensation
- Other sources of pain that may confound assessment or self-evaluation of the pain due to DPN
- +4 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Daiichi Sankyolead
Study Sites (78)
Unknown Facility
Birmingham, Alabama, 35242, United States
Unknown Facility
Huntsville, Alabama, 35801, United States
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Mesa, Arizona, 85206, United States
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Phoenix, Arizona, 85023, United States
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Phoenix, Arizona, 85028, United States
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Tucson, Arizona, 85712, United States
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Hot Springs, Arkansas, 71913, United States
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Little Rock, Arkansas, 72205, United States
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Buena Park, California, 90620, United States
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Burbank, California, 91505, United States
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Chino, California, 91710, United States
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Fresno, California, 93726, United States
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Huntington Beach, California, 92648, United States
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Lakewood, California, 90712, United States
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Lomita, California, 90717, United States
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Long Beach, California, 90806, United States
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Santa Monica, California, 90404, United States
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Walnut Creek, California, 94598, United States
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Boulder, Colorado, 80304, United States
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Colorado Springs, Colorado, 80920, United States
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Denver, Colorado, 80209, United States
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Golden, Colorado, 80401, United States
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Cromwell, Connecticut, 06416, United States
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Fairfield, Connecticut, 06824, United States
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Bradenton, Florida, 34208, United States
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Brooksville, Florida, 34601, United States
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Clearwater, Florida, 33756, United States
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Hallandale, Florida, 33009, United States
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Miami, Florida, 33143, United States
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Miami, Florida, 33169, United States
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New Port Richey, Florida, 34217, United States
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New Port Richey, Florida, 34652, United States
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Orlando, Florida, 32806, United States
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Sunrise, Florida, 33351, United States
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Columbus, Georgia, 31909, United States
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Gainesville, Georgia, 30501, United States
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Marietta, Georgia, 30060, United States
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Evansville, Indiana, 44714, United States
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Madisonville, Kentucky, 42431, United States
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Paducah, Kentucky, 42003, United States
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Hyattsville, Maryland, 20782, United States
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Brockton, Massachusetts, 02301, United States
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Farmington Hills, Michigan, 48025, United States
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Olive Branch, Mississippi, 38654, United States
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Florissant, Missouri, 63031, United States
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Kansas City, Missouri, 64114, United States
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St Louis, Missouri, 63141, United States
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Omaha, Nebraska, 68131, United States
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Las Vegas, Nevada, 89106, United States
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Las Vegas, Nevada, 89119, United States
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Las Vegas, Nevada, 89123, United States
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Albany, New York, 12205, United States
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Cincinnati, Ohio, 45245, United States
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Dayton, Ohio, 45439, United States
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Toledo, Ohio, 43623, United States
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Tulsa, Oklahoma, 74104, United States
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Duncansville, Pennsylvania, 16635, United States
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Greensburg, Pennsylvania, 15601, United States
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Warwick, Rhode Island, 02886, United States
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Charleston, South Carolina, 29407, United States
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Greer, South Carolina, 29561, United States
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Greer, South Carolina, 29651, United States
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Mt. Pleasant, South Carolina, 29464, United States
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Chattanooga, Tennessee, 37411, United States
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Austin, Texas, 78731, United States
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Dallas, Texas, 75230, United States
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Dallas, Texas, 75231, United States
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El Paso, Texas, 79925, United States
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Houston, Texas, 77030, United States
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San Antonio, Texas, 78154, United States
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San Antonio, Texas, 78229, United States
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Sugar Land, Texas, 77478, United States
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Norfolk, Virginia, 23507, United States
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Norfolk, Virginia, 23510, United States
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Richmond, Virginia, 23249, United States
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Virginia Beach, Virginia, 23454, United States
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Renton, Washington, 98057, United States
Unknown Facility
Spokane, Washington, 99207, United States
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Results Point of Contact
- Title
- Contact for Clinical Trial Information
- Organization
- Daiichi Sankyo
Study Officials
- STUDY DIRECTOR
Domenico Merante, MD
Daiichi Sankyo
Publication Agreements
- PI is Sponsor Employee
- No
- Restrictive Agreement
- No
Study Design
- Study Type
- interventional
- Phase
- phase 2
- 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
December 19, 2011
First Posted
December 21, 2011
Study Start
November 28, 2011
Primary Completion
September 7, 2012
Study Completion
September 7, 2012
Last Updated
January 5, 2021
Results First Posted
January 5, 2021
Record last verified: 2020-12
Data Sharing
- IPD Sharing
- Will share
- Shared Documents
- STUDY PROTOCOL, SAP, CSR
- Time Frame
- Studies for which the medicine and indication have received European Union (EU) and United States (US), and/or Japan (JP) marketing approval on or after 01 January 2014 or by the US or EU or JP Health Authorities when regulatory submissions in all regions are not planned and after the primary study results have been accepted for publication.
- Access Criteria
- Formal request from qualified scientific and medical researchers on IPD and clinical study documents from clinical trials supporting products submitted and licensed in the United States, the European Union and/or Japan from 01 January 2014 and beyond for the purpose of conducting legitimate research. This must be consistent with the principle of safeguarding study participants' privacy and consistent with provision of informed consent.
De-identified individual participant data (IPD) and applicable supporting clinical trial documents may be available upon request at https://vivli.org/. In cases where clinical trial data and supporting documents are provided pursuant to our company policies and procedures, Daiichi Sankyo will continue to protect the privacy of our clinical trial participants. Details on data sharing criteria and the procedure for requesting access can be found at this web address: https://vivli.org/ourmember/daiichi-sankyo/