NCT01496365

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

87
On Track

Trial Health Score

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

Enrollment
452

participants targeted

Target at P75+ for phase_2

Timeline
Completed

Started Nov 2011

Shorter than P25 for phase_2

Geographic Reach
1 country

78 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

Study Start

First participant enrolled

November 28, 2011

Completed
21 days until next milestone

First Submitted

Initial submission to the registry

December 19, 2011

Completed
2 days until next milestone

First Posted

Study publicly available on registry

December 21, 2011

Completed
9 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

September 7, 2012

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

September 7, 2012

Completed
8.3 years until next milestone

Results Posted

Study results publicly available

January 5, 2021

Completed
Last Updated

January 5, 2021

Status Verified

December 1, 2020

Enrollment Period

9 months

First QC Date

December 19, 2011

Results QC Date

November 3, 2020

Last Update Submit

December 8, 2020

Conditions

Keywords

Keywords: pain, diabetes, neuropathy

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

EXPERIMENTAL

DS-5565 5 mg/day (one 5 mg tablet at bedtime)

Drug: DS-5565 tabletDrug: placebo capsule

DS-5565 10 mg at bedtime

EXPERIMENTAL

DS-5565 10 mg/day (one 10 mg tablet at bedtime)

Drug: DS-5565 tabletDrug: placebo capsule

DS-5565 15 mg at bedtime

EXPERIMENTAL

DS-5565 15 mg/day (one 5 mg tablet plus one 10 mg tablet at bedtime)

Drug: DS-5565 tabletDrug: placebo capsule

DS-5565 20 mg total per day

EXPERIMENTAL

DS-5565 20 mg/day (one 10 mg tablet in the morning and one 10 mg tablet at bedtime)

Drug: DS-5565 tabletDrug: placebo capsule

DS-5565 30 mg total per day

EXPERIMENTAL

DS-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)

Drug: DS-5565 tabletDrug: placebo capsule

Pregabalin 300 mg total per day

ACTIVE COMPARATOR

Pregabalin 300 mg/day (two 150 mg capsules, in the morning and at bedtime)

Drug: pregabalin capsuleDrug: Placebo tablet

Interventions

5mg and 10mg tablets

DS-5565 10 mg at bedtimeDS-5565 15 mg at bedtimeDS-5565 20 mg total per dayDS-5565 30 mg total per dayDS-5565 5mg nighttime

75mg and 150mg over-encapsulated

Also known as: Lyrica
Pregabalin 300 mg total per day
Also known as: placebo tablet matching DS-5565 tablet
Pregabalin 300 mg total per day
Also known as: placebo capsule matching over-encapsulated pregabalin
DS-5565 10 mg at bedtimeDS-5565 15 mg at bedtimeDS-5565 20 mg total per dayDS-5565 30 mg total per dayDS-5565 5mg nighttime

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

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

Study Sites (78)

Unknown Facility

Birmingham, Alabama, 35242, United States

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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

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Spokane, Washington, 99207, United States

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MeSH Terms

Conditions

Diabetes Mellitus

Interventions

mirogabalinPregabalin

Condition Hierarchy (Ancestors)

Glucose Metabolism DisordersMetabolic DiseasesNutritional and Metabolic DiseasesEndocrine System Diseases

Intervention Hierarchy (Ancestors)

gamma-Aminobutyric AcidAminobutyratesButyratesAcids, AcyclicCarboxylic AcidsOrganic ChemicalsAmino AcidsAmino Acids, Peptides, and Proteins

Results Point of Contact

Title
Contact for Clinical Trial Information
Organization
Daiichi Sankyo

Study Officials

  • Domenico Merante, MD

    Daiichi Sankyo

    STUDY DIRECTOR

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

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/

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.
More information

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