Trial Outcomes & Findings for Neuropathic Pain Management (NCT NCT01263132)

NCT ID: NCT01263132

Last Updated: 2014-02-13

Results Overview

Neuropathic pain score included 10 pain descriptors (intensity, stinging, burning, dull pain, coldness, sensitivity, numbness, depth, superficial and unpleasant) quantified on a 0 (no symptoms) to 10 (worst symptoms imaginable). Questionnaire generated a score in each of the relevant dimensions and a total score of 0-100. Higher score indicated a greater intensity of pain.

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

104 participants

Primary outcome timeframe

Visit 3 (Week 1)

Results posted on

2014-02-13

Participant Flow

A total of 104 participants were recruited for the study, out of which 29 participants were screen failures which were not randomized and did not receive study treatment.

Participant milestones

Participant milestones
Measure
Gabapentin
Gabapentin 300 mg capsule was taken orally with an initial dosage of 3 capsules per day divided into 3 doses with a time interval of 8 hours between each dose for one week; and then dose increased up to 3 weeks as per dosage adjustment schedule.
MF0434 + Gabapentin
MF0434 and Gabapentin 300 mg capsule was taken orally with an initial dosage of 3 capsules per day divided into 3 doses with a time interval of 8 hours between each dose for one week and then dose increased up to 3 weeks as per dosage adjustment schedule.
Overall Study
STARTED
38
37
Overall Study
COMPLETED
38
37
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Neuropathic Pain Management

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Gabapentin
n=38 Participants
Gabapentin 300 mg capsule was taken orally with an initial dosage of 3 capsules per day divided into 3 doses with a time interval of 8 hours between each dose for one week; and then dose increased up to 3 weeks as per dosage adjustment schedule.
MF0434 + Gabapentin
n=37 Participants
MF0434 and Gabapentin 300 mg capsule was taken orally with an initial dosage of 3 capsules per day divided into 3 doses with a time interval of 8 hours between each dose for one week and then dose increased up to 3 weeks as per dosage adjustment schedule.
Total
n=75 Participants
Total of all reporting groups
Age, Continuous
52.6 years
STANDARD_DEVIATION 9.7 • n=5 Participants
51.1 years
STANDARD_DEVIATION 9.9 • n=7 Participants
51.9 years
STANDARD_DEVIATION 9.8 • n=5 Participants
Sex: Female, Male
Female
19 Participants
n=5 Participants
21 Participants
n=7 Participants
40 Participants
n=5 Participants
Sex: Female, Male
Male
19 Participants
n=5 Participants
16 Participants
n=7 Participants
35 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Visit 3 (Week 1)

Population: Per Protocol (PP) population included all participants who were randomized and took at least 1 dose of study medication. In this clinical study Intention to treat (ITT) and PP populations were the same.

Neuropathic pain score included 10 pain descriptors (intensity, stinging, burning, dull pain, coldness, sensitivity, numbness, depth, superficial and unpleasant) quantified on a 0 (no symptoms) to 10 (worst symptoms imaginable). Questionnaire generated a score in each of the relevant dimensions and a total score of 0-100. Higher score indicated a greater intensity of pain.

Outcome measures

Outcome measures
Measure
Gabapentin
n=38 Participants
Gabapentin 300 mg capsule was taken orally with an initial dosage of 3 capsules per day divided into 3 doses with a time interval of 8 hours between each dose for one week; and then dose increased up to 3 weeks as per dosage adjustment schedule.
MF0434 + Gabapentin
n=37 Participants
MF0434 and Gabapentin 300 mg capsule was taken orally with an initial dosage of 3 capsules per day divided into 3 doses with a time interval of 8 hours between each dose for one week and then dose increased up to 3 weeks as per dosage adjustment schedule.
Mean Neuropathic Pain Score at Visit 3 (Week 1)
51.00 Units on a Scale
Standard Deviation 17.39
50.70 Units on a Scale
Standard Deviation 16.67

PRIMARY outcome

Timeframe: Visit 4 (Week 2)

Population: PP population included all participants who were randomized and took at least 1 dose of study medication. In this clinical study ITT and PP populations were the same.

Neuropathic pain score included 10 pain descriptors (intensity, stinging, burning, dull pain, coldness, sensitivity, numbness, depth, superficial and unpleasant) quantified on a 0 (no symptoms) to 10 (worst symptoms imaginable). Questionnaire generated a score in each of the relevant dimensions and a total score of 0-100. Higher score indicated a greater intensity of pain.

Outcome measures

Outcome measures
Measure
Gabapentin
n=38 Participants
Gabapentin 300 mg capsule was taken orally with an initial dosage of 3 capsules per day divided into 3 doses with a time interval of 8 hours between each dose for one week; and then dose increased up to 3 weeks as per dosage adjustment schedule.
MF0434 + Gabapentin
n=37 Participants
MF0434 and Gabapentin 300 mg capsule was taken orally with an initial dosage of 3 capsules per day divided into 3 doses with a time interval of 8 hours between each dose for one week and then dose increased up to 3 weeks as per dosage adjustment schedule.
Mean Neuropathic Pain Score at Visit 4 (Week 2)
41.24 Units on a Scale
Standard Deviation 16.21
36.94 Units on a Scale
Standard Deviation 15.05

PRIMARY outcome

Timeframe: Visit 5 (Week 3)

Population: PP population included all participants who were randomized and took at least 1 dose of study medication. In this clinical study ITT and PP populations were the same.

Neuropathic pain score included 10 pain descriptors (intensity, stinging, burning, dull pain, coldness, sensitivity, numbness, depth, superficial and unpleasant) quantified on a 0 (no symptoms) to 10 (worst symptoms imaginable). Questionnaire generated a score in each of the relevant dimensions and a total score of 0-100. Higher score indicated a greater intensity of pain.

Outcome measures

Outcome measures
Measure
Gabapentin
n=38 Participants
Gabapentin 300 mg capsule was taken orally with an initial dosage of 3 capsules per day divided into 3 doses with a time interval of 8 hours between each dose for one week; and then dose increased up to 3 weeks as per dosage adjustment schedule.
MF0434 + Gabapentin
n=37 Participants
MF0434 and Gabapentin 300 mg capsule was taken orally with an initial dosage of 3 capsules per day divided into 3 doses with a time interval of 8 hours between each dose for one week and then dose increased up to 3 weeks as per dosage adjustment schedule.
Mean Neuropathic Pain Score at Visit 5 (Week 3)
33.74 Units on a Scale
Standard Deviation 19.54
24.86 Units on a Scale
Standard Deviation 13.52

PRIMARY outcome

Timeframe: Visit 6 (Week 4)

Population: PP population included all participants who were randomized and took at least 1 dose of study medication. In this clinical study ITT and PP populations were the same.

Neuropathic pain score included 10 pain descriptors (intensity, stinging, burning, dull pain, coldness, sensitivity, numbness, depth, superficial and unpleasant) quantified on a 0 (no symptoms) to 10 (worst symptoms imaginable). Questionnaire generated a score in each of the relevant dimensions and a total score of 0-100. Higher score indicated a greater intensity of pain.

Outcome measures

Outcome measures
Measure
Gabapentin
n=38 Participants
Gabapentin 300 mg capsule was taken orally with an initial dosage of 3 capsules per day divided into 3 doses with a time interval of 8 hours between each dose for one week; and then dose increased up to 3 weeks as per dosage adjustment schedule.
MF0434 + Gabapentin
n=37 Participants
MF0434 and Gabapentin 300 mg capsule was taken orally with an initial dosage of 3 capsules per day divided into 3 doses with a time interval of 8 hours between each dose for one week and then dose increased up to 3 weeks as per dosage adjustment schedule.
Mean Neuropathic Pain Score at Visit 6 (Week 4)
22.08 Units on a Scale
Standard Deviation 18.54
17.29 Units on a Scale
Standard Deviation 15.53

SECONDARY outcome

Timeframe: Visit 2 (Baseline) to Visit 6 (Week 4)

Population: PP population included all participants who were randomized and took at least 1 dose of study medication. In this clinical study ITT and PP populations were the same. Two participants in the MF0434 + Gabapentin group had missing values and hence are not included.

SF-36 is a standardized health survey consisting of 36 questions to measure functional health status. Summary scores are calculated using the following 8 dimensions: physical functioning, role-physical, bodily pain, general health, vitality, social functioning, role-emotional, and mental health. The score for a component is obtained by SF-36 algorithm and it is represented as an average of the individual question scores, which are scaled 0 (not functioning) to 100 (highest functioning). Higher scores are indicative of a better health status.

Outcome measures

Outcome measures
Measure
Gabapentin
n=38 Participants
Gabapentin 300 mg capsule was taken orally with an initial dosage of 3 capsules per day divided into 3 doses with a time interval of 8 hours between each dose for one week; and then dose increased up to 3 weeks as per dosage adjustment schedule.
MF0434 + Gabapentin
n=35 Participants
MF0434 and Gabapentin 300 mg capsule was taken orally with an initial dosage of 3 capsules per day divided into 3 doses with a time interval of 8 hours between each dose for one week and then dose increased up to 3 weeks as per dosage adjustment schedule.
Quality of Life Survey Assessed Using Short Form 36 (SF-36) Questionnaire
Baseline (Visit 2): General SF-36 QoL Index
53.044 Units on a Scale
Standard Deviation 22.409
56.507 Units on a Scale
Standard Deviation 19.523
Quality of Life Survey Assessed Using Short Form 36 (SF-36) Questionnaire
Week 1 (Visit 3): General SF-36 QoL Index
65.779 Units on a Scale
Standard Deviation 20.882
65.610 Units on a Scale
Standard Deviation 18.599
Quality of Life Survey Assessed Using Short Form 36 (SF-36) Questionnaire
Week 2 (Visit 4): General SF-36 QoL Index
69.531 Units on a Scale
Standard Deviation 18.987
74.370 Units on a Scale
Standard Deviation 15.595
Quality of Life Survey Assessed Using Short Form 36 (SF-36) Questionnaire
Week 3 (Visit 5): General SF-36 QoL Index
73.058 Units on a Scale
Standard Deviation 18.102
78.075 Units on a Scale
Standard Deviation 15.819
Quality of Life Survey Assessed Using Short Form 36 (SF-36) Questionnaire
Week 4 (Visit 6): General SF-36 QoL Index
78.869 Units on a Scale
Standard Deviation 17.010
82.331 Units on a Scale
Standard Deviation 15.793

Adverse Events

Gabapentin

Serious events: 0 serious events
Other events: 22 other events
Deaths: 0 deaths

MF0434 + Gabapentin

Serious events: 0 serious events
Other events: 23 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Gabapentin
n=38 participants at risk
Gabapentin 300 mg capsule was taken orally with an initial dosage of 3 capsules per day divided into 3 doses with a time interval of 8 hours between each dose for one week; and then dose increased up to 3 weeks as per dosage adjustment schedule.
MF0434 + Gabapentin
n=37 participants at risk
MF0434 and Gabapentin 300 mg capsule was taken orally with an initial dosage of 3 capsules per day divided into 3 doses with a time interval of 8 hours between each dose for one week and then dose increased up to 3 weeks as per dosage adjustment schedule.
Nervous system disorders
Drowsiness
34.2%
13/38 • Up to 4 weeks
An adverse event (AE) was defined as any untoward medical occurrence in the form of signs, symptoms, abnormal laboratory findings, or diseases that emerges or worsens relative to baseline during a clinical study with an Investigational Medicinal Product (IMP), regardless of causal relationship and even if no IMP has been administered.
16.2%
6/37 • Up to 4 weeks
An adverse event (AE) was defined as any untoward medical occurrence in the form of signs, symptoms, abnormal laboratory findings, or diseases that emerges or worsens relative to baseline during a clinical study with an Investigational Medicinal Product (IMP), regardless of causal relationship and even if no IMP has been administered.
Nervous system disorders
Dizziness
31.6%
12/38 • Up to 4 weeks
An adverse event (AE) was defined as any untoward medical occurrence in the form of signs, symptoms, abnormal laboratory findings, or diseases that emerges or worsens relative to baseline during a clinical study with an Investigational Medicinal Product (IMP), regardless of causal relationship and even if no IMP has been administered.
54.1%
20/37 • Up to 4 weeks
An adverse event (AE) was defined as any untoward medical occurrence in the form of signs, symptoms, abnormal laboratory findings, or diseases that emerges or worsens relative to baseline during a clinical study with an Investigational Medicinal Product (IMP), regardless of causal relationship and even if no IMP has been administered.
Nervous system disorders
Headache
7.9%
3/38 • Up to 4 weeks
An adverse event (AE) was defined as any untoward medical occurrence in the form of signs, symptoms, abnormal laboratory findings, or diseases that emerges or worsens relative to baseline during a clinical study with an Investigational Medicinal Product (IMP), regardless of causal relationship and even if no IMP has been administered.
10.8%
4/37 • Up to 4 weeks
An adverse event (AE) was defined as any untoward medical occurrence in the form of signs, symptoms, abnormal laboratory findings, or diseases that emerges or worsens relative to baseline during a clinical study with an Investigational Medicinal Product (IMP), regardless of causal relationship and even if no IMP has been administered.
Metabolism and nutrition disorders
Hypoglycemia
5.3%
2/38 • Up to 4 weeks
An adverse event (AE) was defined as any untoward medical occurrence in the form of signs, symptoms, abnormal laboratory findings, or diseases that emerges or worsens relative to baseline during a clinical study with an Investigational Medicinal Product (IMP), regardless of causal relationship and even if no IMP has been administered.
2.7%
1/37 • Up to 4 weeks
An adverse event (AE) was defined as any untoward medical occurrence in the form of signs, symptoms, abnormal laboratory findings, or diseases that emerges or worsens relative to baseline during a clinical study with an Investigational Medicinal Product (IMP), regardless of causal relationship and even if no IMP has been administered.
General disorders
Lower Limb Edema
2.6%
1/38 • Up to 4 weeks
An adverse event (AE) was defined as any untoward medical occurrence in the form of signs, symptoms, abnormal laboratory findings, or diseases that emerges or worsens relative to baseline during a clinical study with an Investigational Medicinal Product (IMP), regardless of causal relationship and even if no IMP has been administered.
5.4%
2/37 • Up to 4 weeks
An adverse event (AE) was defined as any untoward medical occurrence in the form of signs, symptoms, abnormal laboratory findings, or diseases that emerges or worsens relative to baseline during a clinical study with an Investigational Medicinal Product (IMP), regardless of causal relationship and even if no IMP has been administered.
Infections and infestations
Viral Rhinopharyngitis
2.6%
1/38 • Up to 4 weeks
An adverse event (AE) was defined as any untoward medical occurrence in the form of signs, symptoms, abnormal laboratory findings, or diseases that emerges or worsens relative to baseline during a clinical study with an Investigational Medicinal Product (IMP), regardless of causal relationship and even if no IMP has been administered.
0.00%
0/37 • Up to 4 weeks
An adverse event (AE) was defined as any untoward medical occurrence in the form of signs, symptoms, abnormal laboratory findings, or diseases that emerges or worsens relative to baseline during a clinical study with an Investigational Medicinal Product (IMP), regardless of causal relationship and even if no IMP has been administered.
Gastrointestinal disorders
Colitis
2.6%
1/38 • Up to 4 weeks
An adverse event (AE) was defined as any untoward medical occurrence in the form of signs, symptoms, abnormal laboratory findings, or diseases that emerges or worsens relative to baseline during a clinical study with an Investigational Medicinal Product (IMP), regardless of causal relationship and even if no IMP has been administered.
0.00%
0/37 • Up to 4 weeks
An adverse event (AE) was defined as any untoward medical occurrence in the form of signs, symptoms, abnormal laboratory findings, or diseases that emerges or worsens relative to baseline during a clinical study with an Investigational Medicinal Product (IMP), regardless of causal relationship and even if no IMP has been administered.
Gastrointestinal disorders
Gastroenteritis
2.6%
1/38 • Up to 4 weeks
An adverse event (AE) was defined as any untoward medical occurrence in the form of signs, symptoms, abnormal laboratory findings, or diseases that emerges or worsens relative to baseline during a clinical study with an Investigational Medicinal Product (IMP), regardless of causal relationship and even if no IMP has been administered.
0.00%
0/37 • Up to 4 weeks
An adverse event (AE) was defined as any untoward medical occurrence in the form of signs, symptoms, abnormal laboratory findings, or diseases that emerges or worsens relative to baseline during a clinical study with an Investigational Medicinal Product (IMP), regardless of causal relationship and even if no IMP has been administered.
Infections and infestations
Acute Otitis Media
0.00%
0/38 • Up to 4 weeks
An adverse event (AE) was defined as any untoward medical occurrence in the form of signs, symptoms, abnormal laboratory findings, or diseases that emerges or worsens relative to baseline during a clinical study with an Investigational Medicinal Product (IMP), regardless of causal relationship and even if no IMP has been administered.
2.7%
1/37 • Up to 4 weeks
An adverse event (AE) was defined as any untoward medical occurrence in the form of signs, symptoms, abnormal laboratory findings, or diseases that emerges or worsens relative to baseline during a clinical study with an Investigational Medicinal Product (IMP), regardless of causal relationship and even if no IMP has been administered.
General disorders
Edema
0.00%
0/38 • Up to 4 weeks
An adverse event (AE) was defined as any untoward medical occurrence in the form of signs, symptoms, abnormal laboratory findings, or diseases that emerges or worsens relative to baseline during a clinical study with an Investigational Medicinal Product (IMP), regardless of causal relationship and even if no IMP has been administered.
2.7%
1/37 • Up to 4 weeks
An adverse event (AE) was defined as any untoward medical occurrence in the form of signs, symptoms, abnormal laboratory findings, or diseases that emerges or worsens relative to baseline during a clinical study with an Investigational Medicinal Product (IMP), regardless of causal relationship and even if no IMP has been administered.
Skin and subcutaneous tissue disorders
Widespread Urticaria
0.00%
0/38 • Up to 4 weeks
An adverse event (AE) was defined as any untoward medical occurrence in the form of signs, symptoms, abnormal laboratory findings, or diseases that emerges or worsens relative to baseline during a clinical study with an Investigational Medicinal Product (IMP), regardless of causal relationship and even if no IMP has been administered.
2.7%
1/37 • Up to 4 weeks
An adverse event (AE) was defined as any untoward medical occurrence in the form of signs, symptoms, abnormal laboratory findings, or diseases that emerges or worsens relative to baseline during a clinical study with an Investigational Medicinal Product (IMP), regardless of causal relationship and even if no IMP has been administered.
Vascular disorders
Hypertension
0.00%
0/38 • Up to 4 weeks
An adverse event (AE) was defined as any untoward medical occurrence in the form of signs, symptoms, abnormal laboratory findings, or diseases that emerges or worsens relative to baseline during a clinical study with an Investigational Medicinal Product (IMP), regardless of causal relationship and even if no IMP has been administered.
2.7%
1/37 • Up to 4 weeks
An adverse event (AE) was defined as any untoward medical occurrence in the form of signs, symptoms, abnormal laboratory findings, or diseases that emerges or worsens relative to baseline during a clinical study with an Investigational Medicinal Product (IMP), regardless of causal relationship and even if no IMP has been administered.
Gastrointestinal disorders
Pyrosis
0.00%
0/38 • Up to 4 weeks
An adverse event (AE) was defined as any untoward medical occurrence in the form of signs, symptoms, abnormal laboratory findings, or diseases that emerges or worsens relative to baseline during a clinical study with an Investigational Medicinal Product (IMP), regardless of causal relationship and even if no IMP has been administered.
2.7%
1/37 • Up to 4 weeks
An adverse event (AE) was defined as any untoward medical occurrence in the form of signs, symptoms, abnormal laboratory findings, or diseases that emerges or worsens relative to baseline during a clinical study with an Investigational Medicinal Product (IMP), regardless of causal relationship and even if no IMP has been administered.

Additional Information

Medical Responsible

Merck S.A. de C.V., Mexico, an affiliate of Merck KGaA, Darmstadt, Germany

Phone: +49-6151-72-5200

Results disclosure agreements

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