A 6-Month Extension Study of VMDN-003-2 to Assess Engensis in Participants With Painful Diabetic Peripheral Neuropathy
REGAiN-1B
A 6-Month Extension Study Following Protocol VMDN-003-2 - An Adaptive, Phase 3, Double-Blind, Randomized, Placebo-Controlled, Multicenter Study to Assess Engensis in Participants With Painful Diabetic Peripheral Neuropathy
1 other identifier
interventional
106
1 country
16
Brief Summary
To evaluate the durability of efficacy and long-term safety of intramuscular administration of Engensis or Placebo that was administered in the double-blind, randomized, VMDN-003-2 Placebo-controlled Phase 3 Study.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for phase_3
Started May 2021
Typical duration for phase_3
16 active sites
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
First Submitted
Initial submission to the registry
February 18, 2021
CompletedFirst Posted
Study publicly available on registry
May 5, 2021
CompletedStudy Start
First participant enrolled
May 17, 2021
CompletedPrimary Completion
Last participant's last visit for primary outcome
September 14, 2023
CompletedStudy Completion
Last participant's last visit for all outcomes
July 23, 2024
CompletedResults Posted
Study results publicly available
January 16, 2025
CompletedOctober 9, 2025
August 1, 2025
2.3 years
February 18, 2021
October 31, 2024
September 23, 2025
Conditions
Outcome Measures
Primary Outcomes (1)
To Evaluate the Efficacy of Intramuscular Administration of Engensis on Reducing Pain in Participants With Painful Diabetic Peripheral Neuropathy in the Feet and Lower Legs as Compared to Placebo
Change in the means of the Average Daily Pain Scores from the full Brief Pain Inventory for Diabetic Peripheral Neuropathy from the 7 days prior to the Day 0 Visit (Study VMDN-003-2) to the 7 days prior to the Day 365 Visit in the intent-to-treat population. The mean of the Average Daily Pain Scores are used for the primary endpoint recorded in the 7 days prior to the Days 270 and 365/ET Visits. The Brief Pain Inventory for Diabetic Peripheral Neuropathy scale is a 0 to 10 point scale with 10 being Pain as bad as you can imagine. The mean of at least 5 daily pain scores recorded for Question 5 of the Brief Pain Inventory for Diabetic Peripheral Neuropathy scale in electronic diary during the 7 days prior to the visits on Days 270 and 365/Early termination. The greater the negative difference between the followup visit and the Day 0 Baseline for each group for the average daily pain score in participants, would indicate that the average daily pain is declining.
From the 7 days prior to the Day 0 Visit (Study VMDN-003-2, NCT04469270), Day 270, to the 7 days prior to the Day 365 Visit in the intent-to-treat population
Secondary Outcomes (3)
To Evaluate the Efficacy of IM Administration of Engensis on the Worst Pain in Participants With Painful Diabetic Peripheral Neuropathy in the Feet and Lower Legs as Compared to Placebo
From the 7 days prior to the Day 0 Visit (Study VMDN-003-2) to the 7 days prior to the Day 365 Visit for Engensis compared to Placebo
To Evaluate the Safety of IM Administration of Engensis in the Number of Participants With Painful DPN in the Feet and Lower Legs as Compared to Placebo
From Day 0 Visit (Study VMDN-003-2) to the Day 365 Visit
To Evaluate the Efficacy of Administration of Engensis on Reducing Pain in Participants With Painful Diabetic Peripheral Neuropathy in the Feet and Lower Legs
From the 7 days prior to the Day 0 Visit (Study VMDN-003-2), to the 7 days prior to the Day 270 Visit, and 7 days prior to the Day 365 Visit
Study Arms (2)
Engensis
EXPERIMENTALPatients who have received Engensis in protocol VMDN-003-2
Placebo
PLACEBO COMPARATORPatients who have received Placebo in protocol VMDN-003-2
Interventions
Eligibility Criteria
You may qualify if:
- Completed study VMDN-003-2 and consent to enroll in study VMDN-003-2b
You may not qualify if:
- None
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (16)
Arizona Research Center
Phoenix, Arizona, 85053, United States
Clinical Trials - Little Rock
Little Rock, Arkansas, 72205, United States
California Medical Clinic for Headache
Los Angeles, California, 90048, United States
Clinical Trials Research - Sacramento
Sacramento, California, 95821, United States
Innovative Research of West Florida, Inc.
Clearwater, Florida, 33756, United States
Gateway Clinical Trials, LLC
O'Fallon, Illinois, 62269, United States
Foot & Ankle Center of Illinois
Springfield, Illinois, 62704, United States
Clinical Research Professionals
Chesterfield, Missouri, 63005, United States
Richmond Behavioral Associates
Staten Island, New York, 10314, United States
Health Concepts
Rapid City, South Dakota, 57702, United States
Nerve and Muscle Center of Texas
Houston, Texas, 77030, United States
Futuro Clinical Trials
McAllen, Texas, 78501, United States
ClinPoint Trials LLC
Waxahachie, Texas, 75165, United States
Manassas Clinical Research Center
Manassas, Virginia, 20110, United States
Eastern Virginia Medical School
Norfolk, Virginia, 23510, United States
Dominion Medical Associates
Richmond, Virginia, 23219, United States
Results Point of Contact
- Title
- Jinsub Lee, PhD
- Organization
- Helixmith, Co., LTD
Publication Agreements
- PI is Sponsor Employee
- No
- Restriction Type
- OTHER
- Restrictive Agreement
- Yes
Study Design
- Study Type
- interventional
- Phase
- phase 3
- Allocation
- NON 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
February 18, 2021
First Posted
May 5, 2021
Study Start
May 17, 2021
Primary Completion
September 14, 2023
Study Completion
July 23, 2024
Last Updated
October 9, 2025
Results First Posted
January 16, 2025
Record last verified: 2025-08