A multicenter, Phase 2a, randomized, double-blind, placebo (vehicle)-controlled, parallel-group, dose-finding study designed to evaluate the efficacy, safety and tolerability of NRD135S.E1 in adult patients with diabetes mellitus type 1 or 2 with neuropathic pain. Potential study patients will sign informed consent prior to undergoing any study-related procedure.
Following screening, eligible patients will be enrolled and go through a week of washout of analgesic treatment. Patients who are still eligible following the washout will be randomized to one of four treatment groups: NRD135S.E1 at 10, 40, or 150 mg per day or placebo (vehicle). All four treatment groups will start study treatment with 1 week of single blind placebo (baseline week) followed by 3 weeks of the allocated double blind treatment (Weeks 1, 2, and 3). All patients will be followed for 30 days after the last study drug administration. The total study duration per patient is 9 to10 weeks. Visit schedule: Screening (Days minus 14 to minus 8, Visit 1). Washout visit (Day minus 7, Visit 2). Randomization and start of placebo treatment (Day 1, Visit 3). Double blind treatment visits on Days 8 (Visit 4), 15 (Visit 5) and 29 (Visit 6). Follow up visit by telephone (Day 59, Visit 7).
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
TRIPLE
Enrollment
88
A small chemical entity for treatment of neuropathic pain NRD135S.E1
Placebo capsule to match NRD135S.E1 capsules
Diabetes and Endocrinology clinic, Bat-Yamon Medical center, Clalit health services
Bat Yam, Israel
Diabetes clinic, Lin Medical Center
Haifa, Israel
Rambam Medical Center, Diabetic Endocrine unit
Haifa, Israel
• Change from the baseline week to Week 3 in the weekly average daily pain intensity as measured on an 11-point numerical pain scale (NPS)
Time frame: three weeks
Change from the baseline week to Week 3 in the weekly maximum daily pain intensity as measured on the NPS
Time frame: three weeks
Change from the baseline week to Week 3 in the weekly consumption of rescue analgesic (i.e., number of paracetamol 500 mg tablets taken per week)
Time frame: three weeks
• Change from Day 8 (end of baseline week) to Day 29 (24 h after last study drug administration) in Short-Form McGill Pain Questionnaire (SF-MPQ) score
Time frame: three
Clinician's Global Impression of Change from the baseline week at Day 29 (24 h after last study drug administration)
Time frame: three weeks
Patient's Global Impression of Change from the baseline week at Day 29 (24 h after last study drug administration)
Time frame: three weeks
Change from the baseline week to Week 3 in the weekly Daily Sleep Interference Score
Time frame: three weeks
Incidence of treatment-emergent AEs (TEAEs)
Time frame: three weeks
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