Trial Outcomes & Findings for A Study of the Efficacy and Safety of Amitriptyline/Ketamine Topical Cream in Patients With Diabetic Peripheral Neuropathy (NCT NCT00476151)

NCT ID: NCT00476151

Last Updated: 2011-05-17

Results Overview

diabetic peripheral neuropathy (DPN) pain is recorded on a numerical rating scale of 0 (no pain) to 10 (worst possible pain) at baseline and the endpoint of 4 weeks.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

226 participants

Primary outcome timeframe

baseline and 4 weeks treatment

Results posted on

2011-05-17

Participant Flow

Participant milestones

Participant milestones
Measure
Placebo Cream
vehicle cream applied twice daily for 4 weeks
Amitriptyline 4% Ketamine 2% Cream
active topical cream applied twice daily for 4 weeks
Overall Study
STARTED
112
114
Overall Study
COMPLETED
109
107
Overall Study
NOT COMPLETED
3
7

Reasons for withdrawal

Reasons for withdrawal
Measure
Placebo Cream
vehicle cream applied twice daily for 4 weeks
Amitriptyline 4% Ketamine 2% Cream
active topical cream applied twice daily for 4 weeks
Overall Study
Adverse Event
0
2
Overall Study
Protocol Violation
1
3
Overall Study
Withdrawal by Subject
2
0
Overall Study
Physician Decision
0
2

Baseline Characteristics

A Study of the Efficacy and Safety of Amitriptyline/Ketamine Topical Cream in Patients With Diabetic Peripheral Neuropathy

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Placebo Cream
n=112 Participants
vehicle cream applied twice daily for 4 weeks
Amitriptyline 4% Ketamine 2% Cream
n=114 Participants
active topical cream applied twice daily for 4 weeks
Total
n=226 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
86 Participants
n=5 Participants
94 Participants
n=7 Participants
180 Participants
n=5 Participants
Age, Categorical
>=65 years
26 Participants
n=5 Participants
20 Participants
n=7 Participants
46 Participants
n=5 Participants
Age Continuous
55.05 years
STANDARD_DEVIATION 11.044 • n=5 Participants
56.06 years
STANDARD_DEVIATION 9.350 • n=7 Participants
55.56 years
STANDARD_DEVIATION 10.214 • n=5 Participants
Sex: Female, Male
Female
55 Participants
n=5 Participants
49 Participants
n=7 Participants
104 Participants
n=5 Participants
Sex: Female, Male
Male
57 Participants
n=5 Participants
65 Participants
n=7 Participants
122 Participants
n=5 Participants
Region of Enrollment
India
112 participants
n=5 Participants
114 participants
n=7 Participants
226 participants
n=5 Participants

PRIMARY outcome

Timeframe: baseline and 4 weeks treatment

Population: ITT (Intention To Treat) completer population, LOCF (Last Observation Carried Forward) imputation

diabetic peripheral neuropathy (DPN) pain is recorded on a numerical rating scale of 0 (no pain) to 10 (worst possible pain) at baseline and the endpoint of 4 weeks.

Outcome measures

Outcome measures
Measure
Placebo Cream
n=108 Participants
vehicle cream applied twice daily for 4 weeks
Amitriptyline 4% Ketamine 2% Cream
n=106 Participants
active topical cream applied twice daily for 4 weeks
Placebo vs. Active Comparison of the Change From Average Pain at Baseline to Average Pain at 4 Weeks.
1.64 units on a scale
Interval 1.21 to 2.06
2.12 units on a scale
Interval 1.72 to 2.53

Adverse Events

Placebo Cream

Serious events: 0 serious events
Other events: 16 other events
Deaths: 0 deaths

Amitriptyline 4% Ketamine 2% Cream

Serious events: 0 serious events
Other events: 17 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Placebo Cream
n=112 participants at risk
vehicle cream applied twice daily for 4 weeks
Amitriptyline 4% Ketamine 2% Cream
n=114 participants at risk
active topical cream applied twice daily for 4 weeks
Blood and lymphatic system disorders
Eosiniphilia
1.8%
2/112 • Number of events 2
0.00%
0/114
Blood and lymphatic system disorders
Anemia
0.89%
1/112 • Number of events 1
0.00%
0/114
Eye disorders
Conjunctivitis
0.89%
1/112 • Number of events 1
0.00%
0/114
General disorders
Pain
0.89%
1/112 • Number of events 1
0.88%
1/114 • Number of events 1
General disorders
Pyrexia
0.89%
1/112 • Number of events 1
0.88%
1/114 • Number of events 1
General disorders
Edema
0.89%
1/112 • Number of events 1
0.00%
0/114
Infections and infestations
Rhinitis
0.00%
0/112
0.88%
1/114 • Number of events 1
Infections and infestations
Upper Respiratory Infection
0.00%
0/112
0.88%
1/114 • Number of events 1
Investigations
Aspartate aminotransferase increased
0.00%
0/112
3.5%
4/114 • Number of events 4
Investigations
Blood lactate dehydrogenase increased
0.89%
1/112 • Number of events 1
2.6%
3/114 • Number of events 3
Investigations
Blood urea increased
2.7%
3/112 • Number of events 3
0.88%
1/114 • Number of events 1
Investigations
Alanine aminotransferase increased
0.89%
1/112 • Number of events 1
1.8%
2/114 • Number of events 2
Investigations
Body temperature fluctuation
0.89%
1/112 • Number of events 1
0.00%
0/114
Investigations
Electrocardiogram QT prolonged
0.89%
1/112 • Number of events 1
0.00%
0/114
Investigations
Urine analysis abnormal
0.89%
1/112 • Number of events 1
0.00%
0/114
Metabolism and nutrition disorders
Hyperkalemia
0.89%
1/112 • Number of events 1
0.88%
1/114 • Number of events 1
Metabolism and nutrition disorders
Hypocalcemia
0.89%
1/112 • Number of events 1
0.00%
0/114
Metabolism and nutrition disorders
Hyponatremia
0.89%
1/112 • Number of events 1
0.00%
0/114
Nervous system disorders
Headache
0.00%
0/112
0.88%
1/114 • Number of events 1
Nervous system disorders
Paresthesia
0.00%
0/112
0.88%
1/114 • Number of events 1
Nervous system disorders
Somnolence
0.00%
0/112
0.88%
1/114 • Number of events 1
Nervous system disorders
Dysesthesia
2.7%
3/112 • Number of events 3
7.0%
8/114 • Number of events 8
Renal and urinary disorders
Pyuria
1.8%
2/112 • Number of events 2
0.00%
0/114
Skin and subcutaneous tissue disorders
Pruritus
1.8%
2/112 • Number of events 2
0.00%
0/114
Skin and subcutaneous tissue disorders
Rash
1.8%
2/112 • Number of events 2
0.00%
0/114
Skin and subcutaneous tissue disorders
Dry skin
0.00%
0/112
0.88%
1/114 • Number of events 1
Skin and subcutaneous tissue disorders
Skin exfoliation
0.00%
0/112
0.88%
1/114 • Number of events 1
Vascular disorders
Flushing
1.8%
2/112 • Number of events 2
0.88%
1/114 • Number of events 1

Additional Information

Chief Medical Officer

EpiCept Corporation

Phone: 914-606-3500

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place