Trial Outcomes & Findings for A Study in Participants With Diabetic Peripheral Neuropathic Pain in China (NCT NCT01179672)

NCT ID: NCT01179672

Last Updated: 2014-10-13

Results Overview

24-hour average pain severity scores were recorded daily by the participant on an 11-point Likert scale, an ordinal scale, with scores ranging from 0 (no pain) to 10 (worst possible pain). The weekly mean was calculated. A negative change indicated an improvement in participant's condition. Least squares (LS) mean was calculated using mixed model repeating measures (MMRM) and adjusted for treatment, pooled investigator, visit, and treatment-by-visit interaction, as well as baseline score and baseline score-by-visit interaction.

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

405 participants

Primary outcome timeframe

Baseline, 12 weeks

Results posted on

2014-10-13

Participant Flow

Participants tapered off study drug after either completing the 12 weeks of treatment or discontinued treatment early.

Participant milestones

Participant milestones
Measure
Duloxetine
30 milligrams (mg) duloxetine capsule administered orally, once daily (QD) during Week 1 then 60 mg duloxetine capsule orally, QD for the remaining 11 weeks of treatment. After a total 12 weeks of treatment or early discontinuation participants tapered off study drug (30 mg duloxetine capsule QD) for 1 week during taper.
Placebo
Placebo administered orally, QD for 12 weeks of the treatment and orally, QD for 1 week during taper.
Overall Study
STARTED
203
202
Overall Study
Received at Least 1 Dose of Study Drug
202
202
Overall Study
Entered Taper
181
177
Overall Study
COMPLETED
173
176
Overall Study
NOT COMPLETED
30
26

Reasons for withdrawal

Reasons for withdrawal
Measure
Duloxetine
30 milligrams (mg) duloxetine capsule administered orally, once daily (QD) during Week 1 then 60 mg duloxetine capsule orally, QD for the remaining 11 weeks of treatment. After a total 12 weeks of treatment or early discontinuation participants tapered off study drug (30 mg duloxetine capsule QD) for 1 week during taper.
Placebo
Placebo administered orally, QD for 12 weeks of the treatment and orally, QD for 1 week during taper.
Overall Study
Adverse Event
17
8
Overall Study
Withdrawal by Subject
10
12
Overall Study
Entry Criteria Not Met
0
2
Overall Study
Lost to Follow-up
0
1
Overall Study
Protocol Violation
2
2
Overall Study
Physician Decision
1
1

Baseline Characteristics

A Study in Participants With Diabetic Peripheral Neuropathic Pain in China

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Duloxetine
n=203 Participants
30 mg duloxetine capsule administered orally, QD during Week 1 then 60 mg duloxetine capsule orally, QD for remaining 11 weeks of the treatment. After a total 12 weeks of treatment or early discontinuation, participants tapered off study drug (30 mg duloxetine capsule orally, QD) for 1 week during taper.
Placebo
n=202 Participants
Placebo administered orally, QD for 12 weeks of the treatment and orally, QD for 1 week during taper.
Total
n=405 Participants
Total of all reporting groups
Age, Continuous
61.56 years
STANDARD_DEVIATION 9.65 • n=93 Participants
61.17 years
STANDARD_DEVIATION 9.42 • n=4 Participants
61.37 years
STANDARD_DEVIATION 9.52 • n=27 Participants
Sex: Female, Male
Female
112 Participants
n=93 Participants
111 Participants
n=4 Participants
223 Participants
n=27 Participants
Sex: Female, Male
Male
91 Participants
n=93 Participants
91 Participants
n=4 Participants
182 Participants
n=27 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
203 Participants
n=93 Participants
202 Participants
n=4 Participants
405 Participants
n=27 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Race (NIH/OMB)
Asian
203 Participants
n=93 Participants
202 Participants
n=4 Participants
405 Participants
n=27 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Race (NIH/OMB)
White
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Region of Enrollment
China
203 participants
n=93 Participants
202 participants
n=4 Participants
405 participants
n=27 Participants
Diabetes Disease Characteristics-Types of Diabetes
Type I Diabetes
3 participants
n=93 Participants
3 participants
n=4 Participants
6 participants
n=27 Participants
Diabetes Disease Characteristics-Types of Diabetes
Type II Diabetes
200 participants
n=93 Participants
199 participants
n=4 Participants
399 participants
n=27 Participants
Diabetes Disease Characteristics
Duration of Diabetes
11.53 years
STANDARD_DEVIATION 6.81 • n=93 Participants
11.38 years
STANDARD_DEVIATION 7.47 • n=4 Participants
11.45 years
STANDARD_DEVIATION 7.14 • n=27 Participants
Diabetes Disease Characteristics
Duration of Diabetic Neuropathy
3.47 years
STANDARD_DEVIATION 3.91 • n=93 Participants
3.07 years
STANDARD_DEVIATION 3.13 • n=4 Participants
3.27 years
STANDARD_DEVIATION 3.55 • n=27 Participants
Diabetes Disease Characteristics
Duration of Diabetic Neuropathy Pain
3.06 years
STANDARD_DEVIATION 3.70 • n=93 Participants
2.59 years
STANDARD_DEVIATION 2.69 • n=4 Participants
2.83 years
STANDARD_DEVIATION 3.24 • n=27 Participants
Weekly Mean of 24-Hour Average Pain
5.72 units on a scale
STANDARD_DEVIATION 1.72 • n=93 Participants
5.62 units on a scale
STANDARD_DEVIATION 1.66 • n=4 Participants
5.67 units on a scale
STANDARD_DEVIATION 1.69 • n=27 Participants
Brief Pain Inventory (BPI)-Severity Average Pain in the Last Week
5.97 units on a scale
STANDARD_DEVIATION 1.70 • n=93 Participants
5.86 units on a scale
STANDARD_DEVIATION 1.64 • n=4 Participants
5.91 units on a scale
STANDARD_DEVIATION 1.67 • n=27 Participants
Clinical Global Impression of Severity (CGI-S)
4.76 units on a scale
STANDARD_DEVIATION 1.22 • n=93 Participants
4.66 units on a scale
STANDARD_DEVIATION 1.07 • n=4 Participants
4.71 units on a scale
STANDARD_DEVIATION 1.14 • n=27 Participants
Short Form-McGill Pain Questionnaire (SF-MPQ), Sensory Portion Total Score
12.24 units on a scale
STANDARD_DEVIATION 6.39 • n=93 Participants
11.81 units on a scale
STANDARD_DEVIATION 5.52 • n=4 Participants
12.02 units on a scale
STANDARD_DEVIATION 5.97 • n=27 Participants
BPI-Interference Average Score
4.38 units on a scale
STANDARD_DEVIATION 2.29 • n=93 Participants
4.08 units on a scale
STANDARD_DEVIATION 2.30 • n=4 Participants
4.23 units on a scale
STANDARD_DEVIATION 2.30 • n=27 Participants
Sheehan Disability Scale (SDS) Total Score
11.16 units on a scale
STANDARD_DEVIATION 7.59 • n=93 Participants
10.54 units on a scale
STANDARD_DEVIATION 7.31 • n=4 Participants
10.85 units on a scale
STANDARD_DEVIATION 7.45 • n=27 Participants

PRIMARY outcome

Timeframe: Baseline, 12 weeks

Population: Intent-to-treat (ITT) principle was applied: All participants with a baseline and 12-week 24-hour average pain score based on the randomized group were analyzed.

24-hour average pain severity scores were recorded daily by the participant on an 11-point Likert scale, an ordinal scale, with scores ranging from 0 (no pain) to 10 (worst possible pain). The weekly mean was calculated. A negative change indicated an improvement in participant's condition. Least squares (LS) mean was calculated using mixed model repeating measures (MMRM) and adjusted for treatment, pooled investigator, visit, and treatment-by-visit interaction, as well as baseline score and baseline score-by-visit interaction.

Outcome measures

Outcome measures
Measure
Duloxetine
n=172 Participants
30 mg duloxetine capsule administered orally, QD during Week 1, then 60 mg duloxetine capsule orally QD for remaining 11 weeks of the treatment. After a total 12 weeks of treatment or early discontinuation, participants tapered off study drug (30 mg duloxetine capsule orally, QD) for 1 week during taper.
Placebo
n=173 Participants
Placebo administered orally, QD for 12 weeks of the treatment and orally, QD for 1 week during taper.
Mean Change From Baseline at 12-Week Endpoint in the Weekly Mean of Pain Severity Score
-2.40 units on a scale
Standard Error 0.14
-1.97 units on a scale
Standard Error 0.14

SECONDARY outcome

Timeframe: Baseline, 12 weeks

Population: ITT principle was applied: All participants with a baseline and 12-week 24-hour night pain score and worst pain score based on the randomized group were analyzed.

24-hour average night pain and worst pain severity scores were recorded daily on an 11-point Likert scale, an ordinal scale, with scores ranging from 0 (no pain) to 10 (worst possible pain). A negative change indicated an improvement in the participant's condition. LS mean was calculated using MMRM and adjusted for treatment, pooled investigator, visit, and treatment-by-visit interaction, as well as the baseline score and baseline score-by-visit interaction.

Outcome measures

Outcome measures
Measure
Duloxetine
n=172 Participants
30 mg duloxetine capsule administered orally, QD during Week 1, then 60 mg duloxetine capsule orally QD for remaining 11 weeks of the treatment. After a total 12 weeks of treatment or early discontinuation, participants tapered off study drug (30 mg duloxetine capsule orally, QD) for 1 week during taper.
Placebo
n=173 Participants
Placebo administered orally, QD for 12 weeks of the treatment and orally, QD for 1 week during taper.
Mean Change From Baseline at 12-Week Endpoint in Weekly Mean of Night Pain and Worst Pain
Night Pain
-2.65 units on a scale
Standard Error 0.15
-2.11 units on a scale
Standard Error 0.15
Mean Change From Baseline at 12-Week Endpoint in Weekly Mean of Night Pain and Worst Pain
Worst Pain
-2.80 units on a scale
Standard Error 0.16
-2.25 units on a scale
Standard Error 0.17

SECONDARY outcome

Timeframe: Baseline, 12 weeks

Population: ITT principle was applied: All participants with a baseline and 12-week, 24-hour BPI-Severity score based on the randomized group were analyzed.

BPI-Severity Scale was a self-reported scale that measured the severity of pain based on the average pain over the past 24-hours. The severity scores range from 0 (no pain) to 10 (pain as severe as you can imagine). A negative change indicated an improvement in the participant's condition. LS mean was calculated using MMRM and adjusted for treatment, pooled investigator, visit, and treatment-by-visit interaction, as well as baseline score and baseline score-by-visit interaction.

Outcome measures

Outcome measures
Measure
Duloxetine
n=175 Participants
30 mg duloxetine capsule administered orally, QD during Week 1, then 60 mg duloxetine capsule orally QD for remaining 11 weeks of the treatment. After a total 12 weeks of treatment or early discontinuation, participants tapered off study drug (30 mg duloxetine capsule orally, QD) for 1 week during taper.
Placebo
n=173 Participants
Placebo administered orally, QD for 12 weeks of the treatment and orally, QD for 1 week during taper.
Mean Change From Baseline at 12-Week Endpoint in the BPI-Severity Scale
-2.50 units on a scale
Standard Error 0.15
-2.00 units on a scale
Standard Error 0.15

SECONDARY outcome

Timeframe: Baseline, 12 weeks

Population: ITT principle was applied: All participants with a baseline and 12-week CGI-S score based on the randomized group were analyzed. Data from 9 sites was not included in analysis due to wrong questionnaire used.

CGI-S was administered by the investigator in the presence of the participant and measured the severity of illness at the time of assessment compared with start of treatment; CGI-S scores ranged from 1 (normal, not at all ill) to 7 (among the most extremely ill participants). A negative change indicated an improvement in the participant's condition. LS mean was calculated using MMRM and adjusted for treatment, pooled investigator, visit, and treatment-by-visit interaction, as well as baseline score and baseline score-by-visit interaction.

Outcome measures

Outcome measures
Measure
Duloxetine
n=108 Participants
30 mg duloxetine capsule administered orally, QD during Week 1, then 60 mg duloxetine capsule orally QD for remaining 11 weeks of the treatment. After a total 12 weeks of treatment or early discontinuation, participants tapered off study drug (30 mg duloxetine capsule orally, QD) for 1 week during taper.
Placebo
n=118 Participants
Placebo administered orally, QD for 12 weeks of the treatment and orally, QD for 1 week during taper.
Mean Change From Baseline at 12-Week Endpoint in the CGI-S Scale
-1.40 units on a scale
Standard Error 0.10
-1.17 units on a scale
Standard Error 0.10

SECONDARY outcome

Timeframe: 12 weeks

Population: All participants with a baseline and 12-week PGI-I score.

PGI-I was self-reported and measured a participant's perception of improvement at the time of assessment compared with the start of treatment. Scores ranged from 1 (very much better) to 7 (very much worse). LS mean was calculated using MMRM and adjusted for treatment, pooled investigator, visit, and treatment-by-visit interaction, as well as baseline score and baseline score-by-visit interaction.

Outcome measures

Outcome measures
Measure
Duloxetine
n=173 Participants
30 mg duloxetine capsule administered orally, QD during Week 1, then 60 mg duloxetine capsule orally QD for remaining 11 weeks of the treatment. After a total 12 weeks of treatment or early discontinuation, participants tapered off study drug (30 mg duloxetine capsule orally, QD) for 1 week during taper.
Placebo
n=176 Participants
Placebo administered orally, QD for 12 weeks of the treatment and orally, QD for 1 week during taper.
Patient Global Impression of Improvement (PGI-I) Scale at 12-Week Endpoint
2.44 units on a scale
Standard Error 0.07
2.65 units on a scale
Standard Error 0.07

SECONDARY outcome

Timeframe: Baseline, 12 weeks

Population: ITT principle was applied: All participants with a baseline and 12 weeks SF-MPQ score based on the randomized group were analyzed; last observation carried forward (LOCF).

SF-MPQ was a self-reported instrument that consisted of 11 sensory descriptors describing pain. The descriptors were rated on an intensity scale from 0 (none), 1 (mild), 2 (moderate) or 3 (severe). Three (3) pain scores were derived from the sum of the intensity rank values of the words chosen for sensory descriptors. The SF-MPQ sensory subscale was the sum of the 11 scores (ranged from 0 to 33, with 33 being the worst pain). A negative change indicates an improvement. LS mean was calculated using analysis of covariance (ANCOVA) adjusted for treatment, pooled investigator and baseline.

Outcome measures

Outcome measures
Measure
Duloxetine
n=188 Participants
30 mg duloxetine capsule administered orally, QD during Week 1, then 60 mg duloxetine capsule orally QD for remaining 11 weeks of the treatment. After a total 12 weeks of treatment or early discontinuation, participants tapered off study drug (30 mg duloxetine capsule orally, QD) for 1 week during taper.
Placebo
n=180 Participants
Placebo administered orally, QD for 12 weeks of the treatment and orally, QD for 1 week during taper.
Mean Change From Baseline at 12-Week Endpoint in the Sensory Subscale of the SF-MPQ
-6.45 units on a scale
Standard Error 0.36
-5.33 units on a scale
Standard Error 0.39

SECONDARY outcome

Timeframe: Baseline, 12 weeks

Population: All participants with a baseline and postbaseline 24-hour average pain score.

24-hour self-assessment of average daily pain was recorded in the participants diary based on an 11 point Likert scale with scores ranging from 0 (no pain) to 10 (worst possible pain). Percentage of participants was calculated as: (number of participants with 30% \[or 50% or 75%\] reduction in average daily pain) divided by (number of participants) multiplied by 100.

Outcome measures

Outcome measures
Measure
Duloxetine
n=200 Participants
30 mg duloxetine capsule administered orally, QD during Week 1, then 60 mg duloxetine capsule orally QD for remaining 11 weeks of the treatment. After a total 12 weeks of treatment or early discontinuation, participants tapered off study drug (30 mg duloxetine capsule orally, QD) for 1 week during taper.
Placebo
n=198 Participants
Placebo administered orally, QD for 12 weeks of the treatment and orally, QD for 1 week during taper.
Percentage of Participants Who Experience Equal to or Greater Than 30%, 50% or 75% Reduction From Baseline at 12-Week Endpoint in Weekly Mean of Average Daily Pain
≥30% Reduction
61.5 percentage of participants
49.0 percentage of participants
Percentage of Participants Who Experience Equal to or Greater Than 30%, 50% or 75% Reduction From Baseline at 12-Week Endpoint in Weekly Mean of Average Daily Pain
≥50% Reduction
42.0 percentage of participants
28.8 percentage of participants
Percentage of Participants Who Experience Equal to or Greater Than 30%, 50% or 75% Reduction From Baseline at 12-Week Endpoint in Weekly Mean of Average Daily Pain
≥75% Reduction
14.5 percentage of participants
9.6 percentage of participants

SECONDARY outcome

Timeframe: Baseline, 12 weeks

Population: All participants with a baseline and postbaseline BPI-Severity average pain scores.

BPI-Severity scale was a self-reported scale that measured the severity of pain based on the average pain experienced over the past 24 hours. The severity scores range from 0 (no pain) to 10 (pain as severe as you can imagine). A negative change indicated an improvement in the participant's condition. Percentage of participants was calculated as: (number of participants with 30% \[or 50% or 75%\] reduction in BPI-Severity average pain) divided by (number of participants) multiplied by 100.

Outcome measures

Outcome measures
Measure
Duloxetine
n=200 Participants
30 mg duloxetine capsule administered orally, QD during Week 1, then 60 mg duloxetine capsule orally QD for remaining 11 weeks of the treatment. After a total 12 weeks of treatment or early discontinuation, participants tapered off study drug (30 mg duloxetine capsule orally, QD) for 1 week during taper.
Placebo
n=197 Participants
Placebo administered orally, QD for 12 weeks of the treatment and orally, QD for 1 week during taper.
Percentage of Participants Who Experienced Equal to or Greater Than 30%, 50% or 75% Reduction From Baseline at 12-week Endpoint in BPI-Severity Average Pain Score
≥30% Reduction
63.0 percentage of participants
46.7 percentage of participants
Percentage of Participants Who Experienced Equal to or Greater Than 30%, 50% or 75% Reduction From Baseline at 12-week Endpoint in BPI-Severity Average Pain Score
≥50% Reduction
46.0 percentage of participants
29.4 percentage of participants
Percentage of Participants Who Experienced Equal to or Greater Than 30%, 50% or 75% Reduction From Baseline at 12-week Endpoint in BPI-Severity Average Pain Score
≥75% Reduction
15.0 percentage of participants
9.6 percentage of participants

SECONDARY outcome

Timeframe: Baseline, 12 weeks

Population: All participants with non-missing BPI-Interference score at baseline and 12 weeks.

BPI-Interference Score was a self-reported scale that measured the interference of pain based on the average of the 7 questions assessing the interference of pain for general activity, mood, walking ability, normal work, relations with other people, sleep, and enjoyment of life. The average interference scores ranged from 0 (does not interfere) to 10 (completely interferes). A negative change indicates an improvement in the participant's condition. LS means was calculated using MMRM and adjusted treatment, pooled investigator, visit, and treatment-by-visit interaction, baseline score and baseline score-by-visit interaction.

Outcome measures

Outcome measures
Measure
Duloxetine
n=173 Participants
30 mg duloxetine capsule administered orally, QD during Week 1, then 60 mg duloxetine capsule orally QD for remaining 11 weeks of the treatment. After a total 12 weeks of treatment or early discontinuation, participants tapered off study drug (30 mg duloxetine capsule orally, QD) for 1 week during taper.
Placebo
n=176 Participants
Placebo administered orally, QD for 12 weeks of the treatment and orally, QD for 1 week during taper.
Mean Change From Baseline at 12-week Endpoint in the BPI Interference Score
-2.42 units on a scale
Standard Error 0.13
-1.82 units on a scale
Standard Error 0.14

SECONDARY outcome

Timeframe: Baseline, 12 weeks

Population: All participants with non-missing SDS Total Score at baseline and 12 weeks.

SDS was self-reported and used to assess the effect of the participant's symptoms on their work (Item 1), social life (Item 2), and family life (Item 3). Each item was measured on a 0 (not at all) to 10 (extremely) point scale with higher values indicating greater disruption. SDS total score was the sum of the 3 items and ranged from 0 to 30, with higher values indicating greater disruption in the participant's work/social/family life. Scores ≥5 were associated with significant functional impairment. A negative change indicated an improvement in the participant's condition. LS mean was adjusted using MMRM and adjusted for treatment, pooled investigator, visit, and treatment-by-visit interaction, baseline score and baseline score-by-visit interaction.

Outcome measures

Outcome measures
Measure
Duloxetine
n=172 Participants
30 mg duloxetine capsule administered orally, QD during Week 1, then 60 mg duloxetine capsule orally QD for remaining 11 weeks of the treatment. After a total 12 weeks of treatment or early discontinuation, participants tapered off study drug (30 mg duloxetine capsule orally, QD) for 1 week during taper.
Placebo
n=175 Participants
Placebo administered orally, QD for 12 weeks of the treatment and orally, QD for 1 week during taper.
Mean Change From Baseline at 12 Week Endpoint in the SDS Total Score
-6.36 units on a scale
Standard Error 0.40
-5.09 units on a scale
Standard Error 0.42

Adverse Events

Duloxetine Treatment

Serious events: 4 serious events
Other events: 93 other events
Deaths: 0 deaths

Placebo Treatment

Serious events: 3 serious events
Other events: 71 other events
Deaths: 0 deaths

Duloxetine Taper

Serious events: 3 serious events
Other events: 8 other events
Deaths: 0 deaths

Placebo Taper

Serious events: 1 serious events
Other events: 5 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Duloxetine Treatment
n=202 participants at risk
30 mg duloxetine capsule administered orally, QD during Week 1 of the treatment; 60 mg capsule administered orally, QD for remaining 11 weeks of the treatment;
Placebo Treatment
n=202 participants at risk
Placebo administered orally, QD for 12 weeks of the treatment.
Duloxetine Taper
n=181 participants at risk
After 12 weeks of treatment or early discontinuation, 30 mg duloxetine capsule administered orally, QD for 1 week during taper.
Placebo Taper
n=177 participants at risk
After 12 weeks of treatment or early discontinuation, placebo administered orally, QD for 1 week during taper.
Cardiac disorders
Coronary artery disease
0.00%
0/202
0.50%
1/202 • Number of events 1
0.00%
0/181
0.00%
0/177
Cardiac disorders
Nodal arrhythmia
0.50%
1/202 • Number of events 1
0.00%
0/202
0.00%
0/181
0.00%
0/177
General disorders
Asthenia
0.50%
1/202 • Number of events 1
0.00%
0/202
0.00%
0/181
0.00%
0/177
Hepatobiliary disorders
Cholecystitis chronic
0.00%
0/202
0.50%
1/202 • Number of events 1
0.00%
0/181
0.56%
1/177 • Number of events 1
Metabolism and nutrition disorders
Diabetes mellitus
0.50%
1/202 • Number of events 1
0.00%
0/202
0.00%
0/181
0.00%
0/177
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Non-hodgkin's lymphoma
0.00%
0/202
0.50%
1/202 • Number of events 1
0.00%
0/181
0.00%
0/177
Nervous system disorders
Cerebral infarction
0.00%
0/202
0.00%
0/202
0.55%
1/181 • Number of events 1
0.00%
0/177
Nervous system disorders
Diabetic neuropathy
0.99%
2/202 • Number of events 2
0.00%
0/202
1.1%
2/181 • Number of events 2
0.00%
0/177

Other adverse events

Other adverse events
Measure
Duloxetine Treatment
n=202 participants at risk
30 mg duloxetine capsule administered orally, QD during Week 1 of the treatment; 60 mg capsule administered orally, QD for remaining 11 weeks of the treatment;
Placebo Treatment
n=202 participants at risk
Placebo administered orally, QD for 12 weeks of the treatment.
Duloxetine Taper
n=181 participants at risk
After 12 weeks of treatment or early discontinuation, 30 mg duloxetine capsule administered orally, QD for 1 week during taper.
Placebo Taper
n=177 participants at risk
After 12 weeks of treatment or early discontinuation, placebo administered orally, QD for 1 week during taper.
Nervous system disorders
Lacunar infarction
0.00%
0/202
0.50%
1/202 • Number of events 1
0.00%
0/181
0.00%
0/177
Reproductive system and breast disorders
Benign prostatic hyperplasia
1.1%
1/91 • Number of events 1
0.00%
0/91
0.00%
0/85
0.00%
0/76
Respiratory, thoracic and mediastinal disorders
Cough
0.50%
1/202 • Number of events 1
0.99%
2/202 • Number of events 2
0.00%
0/181
0.00%
0/177
Respiratory, thoracic and mediastinal disorders
Dry throat
0.50%
1/202 • Number of events 1
0.00%
0/202
0.00%
0/181
0.00%
0/177
Respiratory, thoracic and mediastinal disorders
Dyspnoea
0.50%
1/202 • Number of events 1
0.00%
0/202
0.00%
0/181
0.00%
0/177
Skin and subcutaneous tissue disorders
Dermatitis allergic
0.50%
1/202 • Number of events 1
0.00%
0/202
0.00%
0/181
0.00%
0/177
Skin and subcutaneous tissue disorders
Diabetic foot
0.00%
0/202
0.00%
0/202
0.00%
0/181
0.56%
1/177 • Number of events 1
Nervous system disorders
Lethargy
0.50%
1/202 • Number of events 1
0.00%
0/202
0.00%
0/181
0.00%
0/177
Nervous system disorders
Memory impairment
0.00%
0/202
0.50%
1/202 • Number of events 1
0.00%
0/181
0.00%
0/177
Nervous system disorders
Poor quality sleep
1.5%
3/202 • Number of events 3
0.00%
0/202
0.00%
0/181
0.00%
0/177
Nervous system disorders
Sciatica
0.00%
0/202
0.00%
0/202
0.55%
1/181 • Number of events 1
0.00%
0/177
Nervous system disorders
Somnolence
8.4%
17/202 • Number of events 18
0.50%
1/202 • Number of events 1
0.00%
0/181
0.00%
0/177
Nervous system disorders
Tremor
1.5%
3/202 • Number of events 3
0.00%
0/202
0.00%
0/181
0.00%
0/177
Psychiatric disorders
Agitation
0.99%
2/202 • Number of events 2
0.00%
0/202
0.00%
0/181
0.00%
0/177
Psychiatric disorders
Anxiety
0.00%
0/202
0.50%
1/202 • Number of events 1
0.00%
0/181
0.00%
0/177
Psychiatric disorders
Dysphoria
0.00%
0/202
0.50%
1/202 • Number of events 1
0.00%
0/181
0.00%
0/177
Psychiatric disorders
Fear
0.00%
0/202
0.50%
1/202 • Number of events 1
0.00%
0/181
0.00%
0/177
Psychiatric disorders
Food aversion
0.50%
1/202 • Number of events 1
0.00%
0/202
0.00%
0/181
0.00%
0/177
Psychiatric disorders
Illusion
0.50%
1/202 • Number of events 1
0.00%
0/202
0.00%
0/181
0.00%
0/177
Psychiatric disorders
Insomnia
1.5%
3/202 • Number of events 3
0.00%
0/202
0.00%
0/181
0.00%
0/177
Psychiatric disorders
Mutism
0.50%
1/202 • Number of events 1
0.00%
0/202
0.00%
0/181
0.00%
0/177
Psychiatric disorders
Nervousness
0.99%
2/202 • Number of events 2
0.00%
0/202
0.00%
0/181
0.00%
0/177
Psychiatric disorders
Nightmare
0.00%
0/202
0.99%
2/202 • Number of events 2
0.00%
0/181
0.00%
0/177
Psychiatric disorders
Panic attack
0.50%
1/202 • Number of events 1
0.00%
0/202
0.00%
0/181
0.00%
0/177
Skin and subcutaneous tissue disorders
Eczema
0.00%
0/202
0.50%
1/202 • Number of events 1
0.00%
0/181
0.00%
0/177
Skin and subcutaneous tissue disorders
Erythema
0.50%
1/202 • Number of events 2
0.50%
1/202 • Number of events 1
0.00%
0/181
0.00%
0/177
Skin and subcutaneous tissue disorders
Hyperhidrosis
4.0%
8/202 • Number of events 8
1.5%
3/202 • Number of events 3
0.00%
0/181
0.00%
0/177
Skin and subcutaneous tissue disorders
Night sweats
0.50%
1/202 • Number of events 1
0.00%
0/202
0.00%
0/181
0.00%
0/177
Skin and subcutaneous tissue disorders
Pruritus
0.99%
2/202 • Number of events 2
0.50%
1/202 • Number of events 1
0.00%
0/181
0.00%
0/177
Skin and subcutaneous tissue disorders
Rash
0.99%
2/202 • Number of events 2
0.99%
2/202 • Number of events 2
0.00%
0/181
0.00%
0/177
Skin and subcutaneous tissue disorders
Skin swelling
0.00%
0/202
0.50%
1/202 • Number of events 1
0.00%
0/181
0.00%
0/177
Surgical and medical procedures
Haemorrhoid operation
0.00%
0/202
0.50%
1/202 • Number of events 1
0.00%
0/181
0.00%
0/177
Vascular disorders
Hypertension
0.50%
1/202 • Number of events 1
0.50%
1/202 • Number of events 1
0.00%
0/181
0.00%
0/177
Psychiatric disorders
Sleep disorder
0.99%
2/202 • Number of events 2
0.00%
0/202
0.00%
0/181
0.00%
0/177
Psychiatric disorders
Tic
0.50%
1/202 • Number of events 1
0.00%
0/202
0.00%
0/181
0.00%
0/177
Renal and urinary disorders
Dysuria
2.0%
4/202 • Number of events 4
0.00%
0/202
0.00%
0/181
0.00%
0/177
Renal and urinary disorders
Nephrolithiasis
0.00%
0/202
0.50%
1/202 • Number of events 1
0.00%
0/181
0.00%
0/177
Renal and urinary disorders
Pollakiuria
0.99%
2/202 • Number of events 2
0.00%
0/202
0.00%
0/181
0.00%
0/177
Renal and urinary disorders
Renal failure chronic
0.50%
1/202 • Number of events 1
0.00%
0/202
0.00%
0/181
0.00%
0/177
Renal and urinary disorders
Urinary retention
0.50%
1/202 • Number of events 2
0.00%
0/202
0.00%
0/181
0.00%
0/177
Renal and urinary disorders
Urine flow decreased
0.50%
1/202 • Number of events 1
0.00%
0/202
0.00%
0/181
0.00%
0/177
Blood and lymphatic system disorders
Anaemia
0.50%
1/202 • Number of events 1
0.00%
0/202
0.00%
0/181
0.56%
1/177 • Number of events 1
Blood and lymphatic system disorders
Leukopenia
0.50%
1/202 • Number of events 1
0.00%
0/202
0.00%
0/181
0.00%
0/177
Blood and lymphatic system disorders
Neutropenia
0.00%
0/202
0.00%
0/202
0.55%
1/181 • Number of events 1
0.00%
0/177
Cardiac disorders
Coronary artery disease
0.00%
0/202
0.50%
1/202 • Number of events 1
0.00%
0/181
0.00%
0/177
Cardiac disorders
Palpitations
2.5%
5/202 • Number of events 5
2.0%
4/202 • Number of events 4
0.00%
0/181
0.00%
0/177
Ear and labyrinth disorders
Hypoacusis
0.00%
0/202
0.50%
1/202 • Number of events 1
0.00%
0/181
0.00%
0/177
Ear and labyrinth disorders
Tinnitus
0.50%
1/202 • Number of events 1
0.50%
1/202 • Number of events 1
0.00%
0/181
0.00%
0/177
Ear and labyrinth disorders
Vertigo
0.99%
2/202 • Number of events 2
1.5%
3/202 • Number of events 3
0.00%
0/181
0.00%
0/177
Eye disorders
Amaurosis
0.50%
1/202 • Number of events 1
0.00%
0/202
0.00%
0/181
0.00%
0/177
Eye disorders
Diabetic retinopathy
0.00%
0/202
0.50%
1/202 • Number of events 1
0.00%
0/181
0.00%
0/177
Eye disorders
Photophobia
0.00%
0/202
0.50%
1/202 • Number of events 1
0.00%
0/181
0.00%
0/177
Eye disorders
Vision blurred
1.5%
3/202 • Number of events 3
0.99%
2/202 • Number of events 2
0.00%
0/181
0.00%
0/177
Eye disorders
Visual impairment
0.00%
0/202
0.50%
1/202 • Number of events 1
0.00%
0/181
0.00%
0/177
Gastrointestinal disorders
Abdominal discomfort
3.5%
7/202 • Number of events 7
0.50%
1/202 • Number of events 1
0.00%
0/181
0.00%
0/177
Gastrointestinal disorders
Abdominal distension
0.50%
1/202 • Number of events 1
0.99%
2/202 • Number of events 2
0.00%
0/181
0.00%
0/177
Gastrointestinal disorders
Abdominal pain
0.99%
2/202 • Number of events 2
1.5%
3/202 • Number of events 3
0.00%
0/181
0.00%
0/177
Gastrointestinal disorders
Abdominal pain upper
1.5%
3/202 • Number of events 3
0.99%
2/202 • Number of events 2
0.00%
0/181
0.00%
0/177
Gastrointestinal disorders
Constipation
5.0%
10/202 • Number of events 10
2.0%
4/202 • Number of events 4
0.00%
0/181
0.00%
0/177
Gastrointestinal disorders
Diarrhoea
0.99%
2/202 • Number of events 2
1.5%
3/202 • Number of events 3
0.55%
1/181 • Number of events 1
0.00%
0/177
Gastrointestinal disorders
Dry mouth
2.5%
5/202 • Number of events 5
0.00%
0/202
0.00%
0/181
0.00%
0/177
Gastrointestinal disorders
Dyspepsia
2.5%
5/202 • Number of events 5
2.0%
4/202 • Number of events 4
0.00%
0/181
0.00%
0/177
Gastrointestinal disorders
Epigastric discomfort
0.00%
0/202
0.50%
1/202 • Number of events 1
0.00%
0/181
0.00%
0/177
Gastrointestinal disorders
Eructation
0.50%
1/202 • Number of events 1
0.50%
1/202 • Number of events 1
0.00%
0/181
0.00%
0/177
Gastrointestinal disorders
Faeces hard
0.50%
1/202 • Number of events 1
0.00%
0/202
0.00%
0/181
0.00%
0/177
Gastrointestinal disorders
Gastric ulcer
0.00%
0/202
0.00%
0/202
0.00%
0/181
0.56%
1/177 • Number of events 1
Gastrointestinal disorders
Gastritis
0.00%
0/202
0.50%
1/202 • Number of events 1
0.00%
0/181
0.00%
0/177
Gastrointestinal disorders
Gastrointestinal disorder
0.50%
1/202 • Number of events 1
0.00%
0/202
0.00%
0/181
0.00%
0/177
Gastrointestinal disorders
Hiatus hernia
0.00%
0/202
0.50%
1/202 • Number of events 1
0.00%
0/181
0.00%
0/177
Gastrointestinal disorders
Hypoaesthesia oral
0.99%
2/202 • Number of events 2
0.00%
0/202
0.00%
0/181
0.00%
0/177
Gastrointestinal disorders
Infrequent bowel movements
0.50%
1/202 • Number of events 1
0.00%
0/202
0.00%
0/181
0.00%
0/177
Gastrointestinal disorders
Nausea
10.4%
21/202 • Number of events 23
3.5%
7/202 • Number of events 7
0.55%
1/181 • Number of events 1
0.00%
0/177
Gastrointestinal disorders
Regurgitation
0.00%
0/202
0.50%
1/202 • Number of events 1
0.00%
0/181
0.00%
0/177
Gastrointestinal disorders
Tongue discolouration
0.50%
1/202 • Number of events 1
0.00%
0/202
0.00%
0/181
0.00%
0/177
Gastrointestinal disorders
Toothache
0.00%
0/202
0.99%
2/202 • Number of events 2
0.00%
0/181
0.00%
0/177
Gastrointestinal disorders
Vomiting
1.5%
3/202 • Number of events 3
0.50%
1/202 • Number of events 1
0.00%
0/181
0.00%
0/177
General disorders
Asthenia
4.5%
9/202 • Number of events 10
0.00%
0/202
0.00%
0/181
0.00%
0/177
General disorders
Chest discomfort
0.00%
0/202
2.0%
4/202 • Number of events 4
0.00%
0/181
0.00%
0/177
General disorders
Chest pain
0.00%
0/202
0.50%
1/202 • Number of events 1
0.00%
0/181
0.00%
0/177
General disorders
Chills
0.99%
2/202 • Number of events 2
0.00%
0/202
0.00%
0/181
0.00%
0/177
General disorders
Fatigue
5.0%
10/202 • Number of events 10
2.0%
4/202 • Number of events 6
0.00%
0/181
0.00%
0/177
General disorders
Hunger
0.50%
1/202 • Number of events 1
0.00%
0/202
0.00%
0/181
0.00%
0/177
General disorders
Malaise
0.50%
1/202 • Number of events 1
0.00%
0/202
0.00%
0/181
0.00%
0/177
General disorders
Oedema peripheral
0.99%
2/202 • Number of events 2
0.99%
2/202 • Number of events 2
0.00%
0/181
0.00%
0/177
General disorders
Sluggishness
0.50%
1/202 • Number of events 1
0.00%
0/202
0.00%
0/181
0.00%
0/177
General disorders
Thirst
0.99%
2/202 • Number of events 2
0.00%
0/202
0.00%
0/181
0.00%
0/177
Hepatobiliary disorders
Fatty liver alcoholic
0.00%
0/202
0.50%
1/202 • Number of events 1
0.00%
0/181
0.00%
0/177
Hepatobiliary disorders
Hepatic function abnormal
0.99%
2/202 • Number of events 2
0.50%
1/202 • Number of events 1
0.00%
0/181
0.56%
1/177 • Number of events 1
Hepatobiliary disorders
Hepatic lesion
0.50%
1/202 • Number of events 1
0.50%
1/202 • Number of events 1
0.00%
0/181
0.00%
0/177
Hepatobiliary disorders
Liver injury
0.99%
2/202 • Number of events 2
0.00%
0/202
0.00%
0/181
0.00%
0/177
Infections and infestations
Influenza
0.50%
1/202 • Number of events 1
0.00%
0/202
0.00%
0/181
0.00%
0/177
Infections and infestations
Nasopharyngitis
2.0%
4/202 • Number of events 4
0.99%
2/202 • Number of events 3
0.00%
0/181
0.00%
0/177
Infections and infestations
Upper respiratory tract infection
0.50%
1/202 • Number of events 1
1.5%
3/202 • Number of events 3
0.00%
0/181
0.00%
0/177
Infections and infestations
Urinary tract infection
0.00%
0/202
1.5%
3/202 • Number of events 3
0.00%
0/181
0.00%
0/177
Injury, poisoning and procedural complications
Head injury
0.50%
1/202 • Number of events 1
0.00%
0/202
0.00%
0/181
0.00%
0/177
Injury, poisoning and procedural complications
Joint dislocation
0.00%
0/202
0.50%
1/202 • Number of events 1
0.00%
0/181
0.00%
0/177
Injury, poisoning and procedural complications
Spinal cord injury cauda equina
0.50%
1/202 • Number of events 1
0.00%
0/202
0.00%
0/181
0.00%
0/177
Investigations
Alanine aminotransferase increased
0.00%
0/202
0.50%
1/202 • Number of events 1
0.00%
0/181
0.00%
0/177
Investigations
Blood alkaline phosphatase increased
0.00%
0/202
0.00%
0/202
0.55%
1/181 • Number of events 1
0.00%
0/177
Investigations
Blood bicarbonate decreased
0.50%
1/202 • Number of events 1
0.00%
0/202
0.00%
0/181
0.00%
0/177
Investigations
Blood cholesterol decreased
0.50%
1/202 • Number of events 1
0.00%
0/202
0.00%
0/181
0.00%
0/177
Investigations
Blood creatine phosphokinase increased
0.99%
2/202 • Number of events 2
0.99%
2/202 • Number of events 2
0.00%
0/181
0.00%
0/177
Investigations
Blood potassium decreased
0.50%
1/202 • Number of events 1
0.00%
0/202
0.00%
0/181
0.00%
0/177
Investigations
Blood potassium increased
0.50%
1/202 • Number of events 1
0.00%
0/202
0.00%
0/181
0.00%
0/177
Investigations
Blood pressure increased
0.00%
0/202
0.50%
1/202 • Number of events 1
0.00%
0/181
0.00%
0/177
Investigations
Blood triglycerides increased
0.00%
0/202
0.50%
1/202 • Number of events 1
0.00%
0/181
0.00%
0/177
Investigations
Blood uric acid increased
0.00%
0/202
0.50%
1/202 • Number of events 1
0.00%
0/181
0.00%
0/177
Investigations
Gamma-glutamyltransferase increased
0.99%
2/202 • Number of events 2
0.99%
2/202 • Number of events 2
0.00%
0/181
0.00%
0/177
Investigations
Transaminases increased
0.00%
0/202
0.50%
1/202 • Number of events 1
0.00%
0/181
0.00%
0/177
Investigations
Weight increased
0.50%
1/202 • Number of events 1
0.00%
0/202
0.00%
0/181
0.00%
0/177
Investigations
White blood cell count decreased
0.50%
1/202 • Number of events 1
0.00%
0/202
0.55%
1/181 • Number of events 1
0.00%
0/177
Metabolism and nutrition disorders
Decreased appetite
5.4%
11/202 • Number of events 11
4.0%
8/202 • Number of events 8
0.00%
0/181
0.00%
0/177
Metabolism and nutrition disorders
Dyslipidaemia
0.50%
1/202 • Number of events 1
0.99%
2/202 • Number of events 2
0.00%
0/181
0.00%
0/177
Metabolism and nutrition disorders
Hypercalcaemia
0.00%
0/202
0.50%
1/202 • Number of events 1
0.00%
0/181
0.00%
0/177
Metabolism and nutrition disorders
Hypercholesterolaemia
0.99%
2/202 • Number of events 2
0.99%
2/202 • Number of events 2
0.00%
0/181
0.00%
0/177
Metabolism and nutrition disorders
Hyperkalaemia
0.50%
1/202 • Number of events 1
0.00%
0/202
0.00%
0/181
0.00%
0/177
Metabolism and nutrition disorders
Hyperlipidaemia
4.5%
9/202 • Number of events 9
2.5%
5/202 • Number of events 5
0.55%
1/181 • Number of events 1
0.00%
0/177
Metabolism and nutrition disorders
Hypertriglyceridaemia
1.5%
3/202 • Number of events 3
0.50%
1/202 • Number of events 1
0.00%
0/181
0.00%
0/177
Metabolism and nutrition disorders
Hyperuricaemia
0.50%
1/202 • Number of events 1
0.50%
1/202 • Number of events 1
1.1%
2/181 • Number of events 2
0.56%
1/177 • Number of events 1
Metabolism and nutrition disorders
Hypoglycaemia
0.50%
1/202 • Number of events 2
1.5%
3/202 • Number of events 3
0.55%
1/181 • Number of events 1
0.00%
0/177
Metabolism and nutrition disorders
Hypokalaemia
0.00%
0/202
0.50%
1/202 • Number of events 1
0.00%
0/181
0.00%
0/177
Musculoskeletal and connective tissue disorders
Arthralgia
0.50%
1/202 • Number of events 1
0.00%
0/202
0.00%
0/181
0.00%
0/177
Musculoskeletal and connective tissue disorders
Back pain
0.00%
0/202
0.50%
1/202 • Number of events 1
0.00%
0/181
0.00%
0/177
Musculoskeletal and connective tissue disorders
Fasciitis
0.00%
0/202
0.50%
1/202 • Number of events 1
0.00%
0/181
0.00%
0/177
Musculoskeletal and connective tissue disorders
Myalgia
0.50%
1/202 • Number of events 1
0.00%
0/202
0.00%
0/181
0.00%
0/177
Musculoskeletal and connective tissue disorders
Osteoporosis
0.00%
0/202
0.50%
1/202 • Number of events 1
0.00%
0/181
0.00%
0/177
Musculoskeletal and connective tissue disorders
Pain in extremity
0.00%
0/202
0.50%
1/202 • Number of events 1
0.00%
0/181
0.00%
0/177
Nervous system disorders
Autonomic neuropathy
0.50%
1/202 • Number of events 1
0.00%
0/202
0.00%
0/181
0.00%
0/177
Nervous system disorders
Cerebral infarction
0.50%
1/202 • Number of events 1
0.00%
0/202
0.00%
0/181
0.00%
0/177
Nervous system disorders
Clonus
0.50%
1/202 • Number of events 1
0.00%
0/202
0.00%
0/181
0.00%
0/177
Nervous system disorders
Convulsion
0.00%
0/202
0.50%
1/202 • Number of events 1
0.00%
0/181
0.00%
0/177
Nervous system disorders
Diabetic autonomic neuropathy
0.50%
1/202 • Number of events 1
0.50%
1/202 • Number of events 1
0.00%
0/181
0.00%
0/177
Nervous system disorders
Disturbance in attention
0.50%
1/202 • Number of events 1
0.00%
0/202
0.00%
0/181
0.00%
0/177
Nervous system disorders
Dizziness
8.4%
17/202 • Number of events 18
4.5%
9/202 • Number of events 9
0.00%
0/181
0.00%
0/177
Nervous system disorders
Dreamy state
0.50%
1/202 • Number of events 1
0.00%
0/202
0.00%
0/181
0.00%
0/177
Nervous system disorders
Dysgeusia
0.99%
2/202 • Number of events 2
0.00%
0/202
0.00%
0/181
0.00%
0/177
Nervous system disorders
Formication
0.00%
0/202
0.50%
1/202 • Number of events 1
0.00%
0/181
0.00%
0/177
Nervous system disorders
Headache
3.0%
6/202 • Number of events 6
1.5%
3/202 • Number of events 4
0.55%
1/181 • Number of events 1
0.56%
1/177 • Number of events 1
Nervous system disorders
Hypersomnia
0.99%
2/202 • Number of events 2
0.50%
1/202 • Number of events 1
0.00%
0/181
0.00%
0/177
Nervous system disorders
Hypoaesthesia
0.00%
0/202
0.50%
1/202 • Number of events 1
0.00%
0/181
0.00%
0/177

Additional Information

Chief Medical Officer

Eli Lilly and Company

Phone: 800-545-5979

Results disclosure agreements

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

Restriction type: GT60