Neuropathic Pain in Patients With Cancer

NCT ID: NCT00474916

Last Updated: 2010-08-16

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

19 participants

Study Classification

INTERVENTIONAL

Study Start Date

2006-06-30

Study Completion Date

2009-04-30

Brief Summary

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The purpose of this study is to collect beginning information on whether intravenous (IV) administration of KRN5500 is safe and effective for treatment of neuropathic pain in patients with cancer.

Detailed Description

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Neuropathic pain is a type of pain that results from nerve damage and is characterized by an abnormal hypersensitivity to harmless as well as harmful stimuli. This type of pain is extremely difficult to manage, fails to respond to standard analgesic medications or interventions, and often gets worse instead of better over time. Current approved therapeutic agents often have intolerable side effects and limited efficacy. Thus, there is an urgent need to develop safe and effective drugs to treat neuropathic pain.

Study DTCL100 will be conducted at multiple centers and will enroll patients that have advanced cancer AND neuropathic pain that has not responded well to previous treatment. Eighteen patients will be randomly assigned to receive up to 8 doses of active drug (KRN5500) or placebo. A maximum of 8 doses will be administered weekly over a 10 week period. Patients are encouraged to complete at least 4 treatment visits before a decision is made to complete the full 10 weeks of treatment and the 1 month followup period.

Conditions

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Neuropathic Pain

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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KRN5500

KRN5500 escalating dose of .6, 1.2, 1.8, or 2.2 mg/m2 in IV infusion of normal saline

Group Type EXPERIMENTAL

KRN5500

Intervention Type DRUG

Patients are seen weekly and dosed for pain with IV medication of active drug/KRN5500 or placebo . The dose can be escalated, from .6 mg/m2, to 1.2, 1.8, and 2.2 mg/m2.

Normal Saline

Placebo consists of IV infusion of normal saline

Group Type PLACEBO_COMPARATOR

KRN5500

Intervention Type DRUG

Patients are seen weekly and dosed for pain with IV medication of active drug/KRN5500 or placebo . The dose can be escalated, from .6 mg/m2, to 1.2, 1.8, and 2.2 mg/m2.

Placebo

Intervention Type DRUG

Normal Saline given as dose escalation for placebo

Interventions

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KRN5500

Patients are seen weekly and dosed for pain with IV medication of active drug/KRN5500 or placebo . The dose can be escalated, from .6 mg/m2, to 1.2, 1.8, and 2.2 mg/m2.

Intervention Type DRUG

Placebo

Normal Saline given as dose escalation for placebo

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* 18 years or older
* Diagnosis of advanced or recurrent cancer
* No options for curative chemotherapy, but palliative chemotherapy allowed under certain conditions
* Refractory neuropathic pain rated 4 or greater on 0-10 scale and failure to respond to 2 commonly used treatments
* If taking opioids for pain, stable regimen over past week before enrolling
* Karnofsky performance status of 40 or more
* Females must be sterile or post-menopausal

Exclusion Criteria

* Radiation to site of neuropathic pain for past 4 weeks
* Major surgery within past 2 weeks
* Liver function and other key labs outside normal parameters
* ECG showing significant abnormality
* Myocardial Infarction (heart attack) within past 6 months
* History of interstitial lung disease
* History of severe allergic reaction to drugs containing polysorbate 80
* Other investigational drug within 2 weeks or 5 half-lives (whichever is longer
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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DARA Therapeutics

INDUSTRY

Sponsor Role lead

Responsible Party

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DARA BioSciences and DARA Therapeutics

Principal Investigators

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Richard Penson, MD, MRCP

Role: PRINCIPAL_INVESTIGATOR

Massachusetts General Hospital

Locations

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Cancer Institute Medical Group

Los Angeles, California, United States

Site Status

Ghassan Al-Jazayrly, M.D., Inc.

Los Angeles, California, United States

Site Status

University of California / Irvine Chao Family Comprehensive Cancer Center

Orange, California, United States

Site Status

Keog Pharma, Inc.

Jupiter, Florida, United States

Site Status

Hematology and Oncology Specialists, LLC

Covington, Louisiana, United States

Site Status

St. Agnes Healthcare, Inc

Baltimore, Maryland, United States

Site Status

Massachusetts General Hospital

Boston, Massachusetts, United States

Site Status

East Orange VA Medical Center

East Orange, New Jersey, United States

Site Status

Duke University Medical Center

Durham, North Carolina, United States

Site Status

Carolina Pain Institute, PA

Winston-Salem, North Carolina, United States

Site Status

Huntsman Cancer Institute

Salt Lake City, Utah, United States

Site Status

Dr. Rivera-Colon

Rio Piedras, , Puerto Rico

Site Status

Countries

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United States Puerto Rico

Other Identifiers

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DTCL100

Identifier Type: -

Identifier Source: org_study_id

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