This is a 2-part, multicenter, randomized, double-blind, placebo-controlled study to evaluate the efficacy and safety of twice-daily (BID) oral difelikefalin for moderate-to-severe pruritus in adult subjects with NP.
Part A of this study will evaluate the benefit-risk of 3 doses of difelikefalin compared to placebo. The dose with the best benefit-risk profile will be further evaluated in Part B. Part A of this study comprises a 28-day Screening Period, a 7-day Run-in Period, an 8-week Double-blind Treatment Period, a 2-week Treatment Discontinuation Period, and a Safety Follow-up Visit (14 days after the last dose of study treatment). Part B of this study will evaluate the efficacy, safety, and tolerability of oral difelikefalin. The dose of oral difelikefalin to be assessed in Part B will depend on the results of Part A. Part B of this study comprises a 28-day Screening Period, a 7-day Run-in Period, an 8-week Double-blind Treatment Period, up to a 52-week OLE Period, and a Safety Follow-up Visit. Subjects who participated in Part A of the study may not participate in Part B. All subjects will sign an informed consent form (ICF) and undergo screening for study eligibility.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
214
Oral difelikefalin 2.0 mg administered twice daily
Oral difelikefalin 1.0 mg administered twice daily
Oral difelikefalin 0.25 mg administered twice daily
Proportion of subjects achieving ≥4-point improvement from baseline in the weekly mean of the daily 24-hour I-NRS score
Time frame: Baseline, Week 8
Proportion of subjects achieving ≥4-point improvement from baseline in the weekly mean of the daily 24-hour I-NRS score at Week 4 in Part B
Time frame: Baseline, Week 4
Proportion of subjects achieving ≥4-point improvement from baseline in the weekly mean of the daily 24-hour I-NRS score at Week 2 in Part B
Time frame: Baseline, Week 2
Proportion of subjects achieving ≥4-point improvement from baseline in the weekly mean of the daily 24-hour I-NRS score at Week 1 in Part B
Time frame: Baseline, Week 1
Change from Baseline in the Numeric Rating Scale of Burning Sensation and Skin Tingling at Week 8 in Part B
Time frame: Baseline, Week 8
Proportion of Subjects with H-IGA of Clear or Almost Clear at Week 8 in Part B
Time frame: Week 8
Proportion of ≥4-point Improvement in Daily I-NRS at Day 2 in Part B
Time frame: Day 2
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Oral Placebo administered twice daily
Cara Therapeutics Study Site
Birmingham, Alabama, United States
Cara Therapeutics Study Site
Phoenix, Arizona, United States
Cara Therapeutics Study Site
Fayetteville, Arkansas, United States
Cara Therapeutics Study Site
Hot Springs, Arkansas, United States
Cara Therapeutics Study Site
Encino, California, United States
Cara Therapeutics Study Site
Fountain Valley, California, United States
Cara Therapeutics Study Site
Los Angeles, California, United States
Cara Therapeutics Study Site
Northridge, California, United States
Cara Therapeutics Study Site
Valencia, California, United States
Cara Therapeutics Study Site
Coral Gables, Florida, United States
...and 48 more locations