Trial Outcomes & Findings for Cebranopadol Efficacy and Safety in Diabetic Patients Suffering From Chronic Pain Caused by Damage to the Nerves (NCT NCT01939366)

NCT ID: NCT01939366

Last Updated: 2021-07-15

Results Overview

Participants will be asked to record their pain intensity in the evening. Participants are asked to rate how much pain they had on average in the past 24 hours. The participant scores their pain intensity on an 11-point Numerical Rating Scale (NRS) where a score of 0 indicated "no pain" and a score of 10 indicated "pain as bad as you can imagine". Baseline average pain scores are calculated from the averages of all scores recorded during the 3 days prior to randomization. The average pain at week 6 will be the average pain scores calculated from all pain scores measured during week 6.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

699 participants

Primary outcome timeframe

Baseline; to End of Week 6 of the Maintenance Phase

Results posted on

2021-07-15

Participant Flow

The trial started on 27 Sep 2013 with the enrollment of the first participants and was completed on 28 Jan 2015 when the last participant completed the last follow-up examination according to the protocol.

Of the 699 participants enrolled 370 participants were not allocated (322 did not meet the eligibility criteria, 29 withdrew consent, 6 due to Adverse Events, 2 due to protocol deviations, 11 due to other reasons). 13 participants allocated to treatment were excluded from the PPS, FAS \& SAF analyses populations due to GCP non-compliance at 2 sites.

Participant milestones

Participant milestones
Measure
Cebranopadol 100 µg
Cebranopadol 100 µg: Participants randomized to 100 μg cebranopadol will start with 100 μg per day and will remain on 100 µg per day.
Cebranopadol 300 µg
Cebranopadol 300 µg: Participants randomized to 300 μg cebranopadol will start with 100 μg per day and increase to 300 µg per day on day 4 and will remain on 300 µg per day.
Cebranopadol 600 µg
Cebranopadol 600 µg: Participants randomized to 600 μg cebranopadol will start with 200 μg per day and increase to 400 µg per day on day 4 and to 600 µg on day 7, thereafter they will remain on 600 µg per day.
Pregabalin
Pregabalin: Stepwise titration from 75 mg twice a day to 300 mg twice a day over 2 weeks.
Matching Placebo
Matching Placebo: Placebo will be matched to pregabalin and cebranopadol.
Overall Study
STARTED
66
64
65
68
66
Overall Study
Allocated Set Excl. Non-compliant Sites
64
61
63
65
63
Overall Study
Safety Set
64
61
62
65
62
Overall Study
Full Analysis Set
64
60
61
65
62
Overall Study
Per Protocol Set
58
55
50
51
49
Overall Study
COMPLETED
52
41
27
51
48
Overall Study
NOT COMPLETED
14
23
38
17
18

Reasons for withdrawal

Reasons for withdrawal
Measure
Cebranopadol 100 µg
Cebranopadol 100 µg: Participants randomized to 100 μg cebranopadol will start with 100 μg per day and will remain on 100 µg per day.
Cebranopadol 300 µg
Cebranopadol 300 µg: Participants randomized to 300 μg cebranopadol will start with 100 μg per day and increase to 300 µg per day on day 4 and will remain on 300 µg per day.
Cebranopadol 600 µg
Cebranopadol 600 µg: Participants randomized to 600 μg cebranopadol will start with 200 μg per day and increase to 400 µg per day on day 4 and to 600 µg on day 7, thereafter they will remain on 600 µg per day.
Pregabalin
Pregabalin: Stepwise titration from 75 mg twice a day to 300 mg twice a day over 2 weeks.
Matching Placebo
Matching Placebo: Placebo will be matched to pregabalin and cebranopadol.
Overall Study
Adverse Event
8
17
30
8
5
Overall Study
Lack of Efficacy
2
1
1
1
3
Overall Study
Lost to Follow-up
1
1
0
0
0
Overall Study
Withdrawal by Subject
1
0
2
2
3
Overall Study
Inclusion criteria not met
0
1
1
0
1
Overall Study
Other
0
0
2
2
1
Overall Study
Protocol Violation
0
0
0
1
0
Overall Study
Sponsor decision
0
0
0
0
2
Overall Study
GCP non-compliance at site
2
3
2
3
3

Baseline Characteristics

Cebranopadol Efficacy and Safety in Diabetic Patients Suffering From Chronic Pain Caused by Damage to the Nerves

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Cebranopadol 100 µg
n=64 Participants
Cebranopadol 100 µg: Participants randomized to 100 μg cebranopadol will start with 100 μg per day and will remain on 100 µg per day.
Cebranopadol 300 µg
n=61 Participants
Cebranopadol 300 µg: Participants randomized to 300 μg cebranopadol will start with 100 μg per day and increase to 300 µg per day on day 4 and will remain on 300 µg per day.
Cebranopadol 600 µg
n=62 Participants
Cebranopadol 600 µg: Participants randomized to 600 μg cebranopadol will start with 200 μg per day and increase to 400 µg per day on day 4 and to 600 µg on day 7, thereafter they will remain on 600 µg per day.
Pregabalin
n=65 Participants
Pregabalin: Stepwise titration from 75 mg twice a day to 300 mg twice a day over 2 weeks.
Matching Placebo
n=62 Participants
Matching Placebo: Placebo will be matched to pregabalin and cebranopadol.
Total
n=314 Participants
Total of all reporting groups
Age, Continuous
62.2 years
STANDARD_DEVIATION 8.6 • n=5 Participants
61.6 years
STANDARD_DEVIATION 8.7 • n=7 Participants
62.2 years
STANDARD_DEVIATION 8.1 • n=5 Participants
61.7 years
STANDARD_DEVIATION 9.9 • n=4 Participants
63.3 years
STANDARD_DEVIATION 10.3 • n=21 Participants
62.2 years
STANDARD_DEVIATION 9.1 • n=8 Participants
Sex: Female, Male
Female
20 Participants
n=5 Participants
23 Participants
n=7 Participants
22 Participants
n=5 Participants
16 Participants
n=4 Participants
13 Participants
n=21 Participants
94 Participants
n=8 Participants
Sex: Female, Male
Male
44 Participants
n=5 Participants
38 Participants
n=7 Participants
40 Participants
n=5 Participants
49 Participants
n=4 Participants
49 Participants
n=21 Participants
220 Participants
n=8 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
7 Participants
n=5 Participants
6 Participants
n=7 Participants
6 Participants
n=5 Participants
10 Participants
n=4 Participants
5 Participants
n=21 Participants
34 Participants
n=8 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
57 Participants
n=5 Participants
55 Participants
n=7 Participants
56 Participants
n=5 Participants
55 Participants
n=4 Participants
57 Participants
n=21 Participants
280 Participants
n=8 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
0 Participants
n=8 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
0 Participants
n=8 Participants
Race (NIH/OMB)
Asian
1 Participants
n=5 Participants
2 Participants
n=7 Participants
1 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
4 Participants
n=8 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
0 Participants
n=8 Participants
Race (NIH/OMB)
Black or African American
2 Participants
n=5 Participants
0 Participants
n=7 Participants
2 Participants
n=5 Participants
4 Participants
n=4 Participants
1 Participants
n=21 Participants
9 Participants
n=8 Participants
Race (NIH/OMB)
White
61 Participants
n=5 Participants
58 Participants
n=7 Participants
57 Participants
n=5 Participants
58 Participants
n=4 Participants
61 Participants
n=21 Participants
295 Participants
n=8 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
0 Participants
n=8 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
1 Participants
n=7 Participants
2 Participants
n=5 Participants
3 Participants
n=4 Participants
0 Participants
n=21 Participants
6 Participants
n=8 Participants
Region of Enrollment
Austria
5 participants
n=5 Participants
6 participants
n=7 Participants
5 participants
n=5 Participants
6 participants
n=4 Participants
5 participants
n=21 Participants
27 participants
n=8 Participants
Region of Enrollment
Netherlands
3 participants
n=5 Participants
3 participants
n=7 Participants
4 participants
n=5 Participants
2 participants
n=4 Participants
4 participants
n=21 Participants
16 participants
n=8 Participants
Region of Enrollment
United States
13 participants
n=5 Participants
10 participants
n=7 Participants
9 participants
n=5 Participants
13 participants
n=4 Participants
10 participants
n=21 Participants
55 participants
n=8 Participants
Region of Enrollment
Denmark
2 participants
n=5 Participants
2 participants
n=7 Participants
2 participants
n=5 Participants
1 participants
n=4 Participants
2 participants
n=21 Participants
9 participants
n=8 Participants
Region of Enrollment
Italy
2 participants
n=5 Participants
2 participants
n=7 Participants
2 participants
n=5 Participants
2 participants
n=4 Participants
1 participants
n=21 Participants
9 participants
n=8 Participants
Region of Enrollment
France
7 participants
n=5 Participants
7 participants
n=7 Participants
8 participants
n=5 Participants
8 participants
n=4 Participants
8 participants
n=21 Participants
38 participants
n=8 Participants
Region of Enrollment
Germany
31 participants
n=5 Participants
30 participants
n=7 Participants
30 participants
n=5 Participants
32 participants
n=4 Participants
31 participants
n=21 Participants
154 participants
n=8 Participants
Region of Enrollment
Spain
1 participants
n=5 Participants
1 participants
n=7 Participants
2 participants
n=5 Participants
1 participants
n=4 Participants
1 participants
n=21 Participants
6 participants
n=8 Participants
Height
1.721 meter
STANDARD_DEVIATION 0.098 • n=5 Participants
1.736 meter
STANDARD_DEVIATION 0.092 • n=7 Participants
1.717 meter
STANDARD_DEVIATION 0.104 • n=5 Participants
1.736 meter
STANDARD_DEVIATION 0.110 • n=4 Participants
1.736 meter
STANDARD_DEVIATION 0.076 • n=21 Participants
1.729 meter
STANDARD_DEVIATION 0.097 • n=8 Participants
Weight
95.77 kilogram
STANDARD_DEVIATION 15.62 • n=5 Participants
96.51 kilogram
STANDARD_DEVIATION 18.12 • n=7 Participants
93.72 kilogram
STANDARD_DEVIATION 16.05 • n=5 Participants
92.25 kilogram
STANDARD_DEVIATION 17.28 • n=4 Participants
99.00 kilogram
STANDARD_DEVIATION 15.99 • n=21 Participants
95.42 kilogram
STANDARD_DEVIATION 16.69 • n=8 Participants
BMI
32.30 kilogram per square meter
STANDARD_DEVIATION 4.41 • n=5 Participants
31.87 kilogram per square meter
STANDARD_DEVIATION 4.39 • n=7 Participants
31.70 kilogram per square meter
STANDARD_DEVIATION 4.29 • n=5 Participants
30.66 kilogram per square meter
STANDARD_DEVIATION 5.26 • n=4 Participants
32.80 kilogram per square meter
STANDARD_DEVIATION 4.53 • n=21 Participants
31.86 kilogram per square meter
STANDARD_DEVIATION 4.62 • n=8 Participants
Pain Assessment - Average 24-hour pain
6.92 units on a scale
STANDARD_DEVIATION 1.34 • n=5 Participants
6.80 units on a scale
STANDARD_DEVIATION 1.37 • n=7 Participants
6.80 units on a scale
STANDARD_DEVIATION 1.25 • n=5 Participants
6.78 units on a scale
STANDARD_DEVIATION 1.22 • n=4 Participants
6.84 units on a scale
STANDARD_DEVIATION 1.15 • n=21 Participants
6.83 units on a scale
STANDARD_DEVIATION 1.26 • n=8 Participants
Pain Assessment - Worst 24-hour pain
7.41 units on a scale
STANDARD_DEVIATION 1.36 • n=5 Participants
7.32 units on a scale
STANDARD_DEVIATION 1.28 • n=7 Participants
7.38 units on a scale
STANDARD_DEVIATION 1.21 • n=5 Participants
7.32 units on a scale
STANDARD_DEVIATION 1.16 • n=4 Participants
7.33 units on a scale
STANDARD_DEVIATION 1.14 • n=21 Participants
7.35 units on a scale
STANDARD_DEVIATION 1.23 • n=8 Participants
Pain Assessment - Current Morning Pain
6.60 units on a scale
STANDARD_DEVIATION 1.58 • n=5 Participants
6.58 units on a scale
STANDARD_DEVIATION 1.53 • n=7 Participants
6.44 units on a scale
STANDARD_DEVIATION 1.46 • n=5 Participants
6.61 units on a scale
STANDARD_DEVIATION 1.44 • n=4 Participants
6.58 units on a scale
STANDARD_DEVIATION 1.48 • n=21 Participants
6.56 units on a scale
STANDARD_DEVIATION 1.49 • n=8 Participants
Pain Assessment - Current Evening Pain
6.98 units on a scale
STANDARD_DEVIATION 1.50 • n=5 Participants
6.87 units on a scale
STANDARD_DEVIATION 1.46 • n=7 Participants
6.68 units on a scale
STANDARD_DEVIATION 1.33 • n=5 Participants
6.75 units on a scale
STANDARD_DEVIATION 1.36 • n=4 Participants
6.55 units on a scale
STANDARD_DEVIATION 1.34 • n=21 Participants
6.80 units on a scale
STANDARD_DEVIATION 1.40 • n=8 Participants

PRIMARY outcome

Timeframe: Baseline; to End of Week 6 of the Maintenance Phase

Population: Full Analysis Set (FAS). Mixed-effects model for repeated measures (MMRM).

Participants will be asked to record their pain intensity in the evening. Participants are asked to rate how much pain they had on average in the past 24 hours. The participant scores their pain intensity on an 11-point Numerical Rating Scale (NRS) where a score of 0 indicated "no pain" and a score of 10 indicated "pain as bad as you can imagine". Baseline average pain scores are calculated from the averages of all scores recorded during the 3 days prior to randomization. The average pain at week 6 will be the average pain scores calculated from all pain scores measured during week 6.

Outcome measures

Outcome measures
Measure
Cebranopadol 100 µg
n=64 Participants
Cebranopadol 100 µg: Participants randomized to 100 μg cebranopadol will start with 100 μg per day and will remain on 100 µg per day.
Cebranopadol 300 µg
n=60 Participants
Cebranopadol 300 µg: Participants randomized to 300 μg cebranopadol will start with 100 μg per day and increase to 300 µg per day on day 4 and will remain on 300 µg per day.
Cebranopadol 600 µg
n=58 Participants
Cebranopadol 600 µg: Participants randomized to 600 μg cebranopadol will start with 200 μg per day and increase to 400 µg per day on day 4 and to 600 µg on day 7, thereafter they will remain on 600 µg per day.
Pregabalin
n=64 Participants
Pregabalin: Stepwise titration from 75 mg twice a day to 300 mg twice a day over 2 weeks.
Matching Placebo
n=61 Participants
Matching Placebo: Placebo will be matched to pregabalin and cebranopadol.
Change in Average Pain Intensity.
-2.24 units on a scale
Interval -2.78 to -1.7
-2.28 units on a scale
Interval -2.86 to -1.71
-2.56 units on a scale
Interval -3.2 to -1.91
-2.79 units on a scale
Interval -3.33 to -2.26
-1.55 units on a scale
Interval -2.1 to -1.0

Adverse Events

Cebranopadol 100 µg

Serious events: 1 serious events
Other events: 47 other events
Deaths: 0 deaths

Cebranopadol 300 µg

Serious events: 2 serious events
Other events: 50 other events
Deaths: 0 deaths

Cebranopadol 600 µg

Serious events: 4 serious events
Other events: 53 other events
Deaths: 0 deaths

Pregabalin

Serious events: 1 serious events
Other events: 49 other events
Deaths: 0 deaths

Matching Placebo

Serious events: 2 serious events
Other events: 43 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Cebranopadol 100 µg
n=64 participants at risk
Cebranopadol 100 µg: Participants randomized to 100 μg cebranopadol will start with 100 μg per day and will remain on 100 µg per day.
Cebranopadol 300 µg
n=61 participants at risk
Cebranopadol 300 µg: Participants randomized to 300 μg cebranopadol will start with 100 μg per day and increase to 300 µg per day on day 4 and will remain on 300 µg per day.
Cebranopadol 600 µg
n=62 participants at risk
Cebranopadol 600 µg: Participants randomized to 600 μg cebranopadol will start with 200 μg per day and increase to 400 µg per day on day 4 and to 600 µg on day 7, thereafter they will remain on 600 µg per day.
Pregabalin
n=65 participants at risk
Pregabalin: Stepwise titration from 75 mg twice a day to 300 mg twice a day over 2 weeks.
Matching Placebo
n=62 participants at risk
Matching Placebo: Placebo will be matched to pregabalin and cebranopadol.
Gastrointestinal disorders
Abdominal Pain
0.00%
0/64 • Safety Analysis Set Baseline Visit (Day 1) to End of Maintenance Phase (Day 57).
0.00%
0/61 • Safety Analysis Set Baseline Visit (Day 1) to End of Maintenance Phase (Day 57).
1.6%
1/62 • Safety Analysis Set Baseline Visit (Day 1) to End of Maintenance Phase (Day 57).
0.00%
0/65 • Safety Analysis Set Baseline Visit (Day 1) to End of Maintenance Phase (Day 57).
1.6%
1/62 • Safety Analysis Set Baseline Visit (Day 1) to End of Maintenance Phase (Day 57).
Gastrointestinal disorders
Diverticulum Intestinal Haemorrhagic
0.00%
0/64 • Safety Analysis Set Baseline Visit (Day 1) to End of Maintenance Phase (Day 57).
0.00%
0/61 • Safety Analysis Set Baseline Visit (Day 1) to End of Maintenance Phase (Day 57).
0.00%
0/62 • Safety Analysis Set Baseline Visit (Day 1) to End of Maintenance Phase (Day 57).
1.5%
1/65 • Safety Analysis Set Baseline Visit (Day 1) to End of Maintenance Phase (Day 57).
0.00%
0/62 • Safety Analysis Set Baseline Visit (Day 1) to End of Maintenance Phase (Day 57).
Gastrointestinal disorders
Gastrooesophageal Reflux Disease
0.00%
0/64 • Safety Analysis Set Baseline Visit (Day 1) to End of Maintenance Phase (Day 57).
0.00%
0/61 • Safety Analysis Set Baseline Visit (Day 1) to End of Maintenance Phase (Day 57).
1.6%
1/62 • Safety Analysis Set Baseline Visit (Day 1) to End of Maintenance Phase (Day 57).
0.00%
0/65 • Safety Analysis Set Baseline Visit (Day 1) to End of Maintenance Phase (Day 57).
0.00%
0/62 • Safety Analysis Set Baseline Visit (Day 1) to End of Maintenance Phase (Day 57).
Gastrointestinal disorders
Vomiting
0.00%
0/64 • Safety Analysis Set Baseline Visit (Day 1) to End of Maintenance Phase (Day 57).
0.00%
0/61 • Safety Analysis Set Baseline Visit (Day 1) to End of Maintenance Phase (Day 57).
3.2%
2/62 • Safety Analysis Set Baseline Visit (Day 1) to End of Maintenance Phase (Day 57).
0.00%
0/65 • Safety Analysis Set Baseline Visit (Day 1) to End of Maintenance Phase (Day 57).
0.00%
0/62 • Safety Analysis Set Baseline Visit (Day 1) to End of Maintenance Phase (Day 57).
General disorders
Peripheral Swelling
0.00%
0/64 • Safety Analysis Set Baseline Visit (Day 1) to End of Maintenance Phase (Day 57).
0.00%
0/61 • Safety Analysis Set Baseline Visit (Day 1) to End of Maintenance Phase (Day 57).
0.00%
0/62 • Safety Analysis Set Baseline Visit (Day 1) to End of Maintenance Phase (Day 57).
0.00%
0/65 • Safety Analysis Set Baseline Visit (Day 1) to End of Maintenance Phase (Day 57).
1.6%
1/62 • Safety Analysis Set Baseline Visit (Day 1) to End of Maintenance Phase (Day 57).
Metabolism and nutrition disorders
Dehydration
0.00%
0/64 • Safety Analysis Set Baseline Visit (Day 1) to End of Maintenance Phase (Day 57).
0.00%
0/61 • Safety Analysis Set Baseline Visit (Day 1) to End of Maintenance Phase (Day 57).
1.6%
1/62 • Safety Analysis Set Baseline Visit (Day 1) to End of Maintenance Phase (Day 57).
0.00%
0/65 • Safety Analysis Set Baseline Visit (Day 1) to End of Maintenance Phase (Day 57).
0.00%
0/62 • Safety Analysis Set Baseline Visit (Day 1) to End of Maintenance Phase (Day 57).
Metabolism and nutrition disorders
Diabetes Mellitus
0.00%
0/64 • Safety Analysis Set Baseline Visit (Day 1) to End of Maintenance Phase (Day 57).
1.6%
1/61 • Safety Analysis Set Baseline Visit (Day 1) to End of Maintenance Phase (Day 57).
0.00%
0/62 • Safety Analysis Set Baseline Visit (Day 1) to End of Maintenance Phase (Day 57).
0.00%
0/65 • Safety Analysis Set Baseline Visit (Day 1) to End of Maintenance Phase (Day 57).
0.00%
0/62 • Safety Analysis Set Baseline Visit (Day 1) to End of Maintenance Phase (Day 57).
Nervous system disorders
Hypoglycaemic Coma
0.00%
0/64 • Safety Analysis Set Baseline Visit (Day 1) to End of Maintenance Phase (Day 57).
0.00%
0/61 • Safety Analysis Set Baseline Visit (Day 1) to End of Maintenance Phase (Day 57).
1.6%
1/62 • Safety Analysis Set Baseline Visit (Day 1) to End of Maintenance Phase (Day 57).
0.00%
0/65 • Safety Analysis Set Baseline Visit (Day 1) to End of Maintenance Phase (Day 57).
0.00%
0/62 • Safety Analysis Set Baseline Visit (Day 1) to End of Maintenance Phase (Day 57).
Renal and urinary disorders
Renal Failure Acute
0.00%
0/64 • Safety Analysis Set Baseline Visit (Day 1) to End of Maintenance Phase (Day 57).
1.6%
1/61 • Safety Analysis Set Baseline Visit (Day 1) to End of Maintenance Phase (Day 57).
0.00%
0/62 • Safety Analysis Set Baseline Visit (Day 1) to End of Maintenance Phase (Day 57).
0.00%
0/65 • Safety Analysis Set Baseline Visit (Day 1) to End of Maintenance Phase (Day 57).
0.00%
0/62 • Safety Analysis Set Baseline Visit (Day 1) to End of Maintenance Phase (Day 57).
Vascular disorders
Haematoma
1.6%
1/64 • Safety Analysis Set Baseline Visit (Day 1) to End of Maintenance Phase (Day 57).
0.00%
0/61 • Safety Analysis Set Baseline Visit (Day 1) to End of Maintenance Phase (Day 57).
0.00%
0/62 • Safety Analysis Set Baseline Visit (Day 1) to End of Maintenance Phase (Day 57).
0.00%
0/65 • Safety Analysis Set Baseline Visit (Day 1) to End of Maintenance Phase (Day 57).
0.00%
0/62 • Safety Analysis Set Baseline Visit (Day 1) to End of Maintenance Phase (Day 57).

Other adverse events

Other adverse events
Measure
Cebranopadol 100 µg
n=64 participants at risk
Cebranopadol 100 µg: Participants randomized to 100 μg cebranopadol will start with 100 μg per day and will remain on 100 µg per day.
Cebranopadol 300 µg
n=61 participants at risk
Cebranopadol 300 µg: Participants randomized to 300 μg cebranopadol will start with 100 μg per day and increase to 300 µg per day on day 4 and will remain on 300 µg per day.
Cebranopadol 600 µg
n=62 participants at risk
Cebranopadol 600 µg: Participants randomized to 600 μg cebranopadol will start with 200 μg per day and increase to 400 µg per day on day 4 and to 600 µg on day 7, thereafter they will remain on 600 µg per day.
Pregabalin
n=65 participants at risk
Pregabalin: Stepwise titration from 75 mg twice a day to 300 mg twice a day over 2 weeks.
Matching Placebo
n=62 participants at risk
Matching Placebo: Placebo will be matched to pregabalin and cebranopadol.
Gastrointestinal disorders
Abdominal pain upper
0.00%
0/64 • Safety Analysis Set Baseline Visit (Day 1) to End of Maintenance Phase (Day 57).
9.8%
6/61 • Safety Analysis Set Baseline Visit (Day 1) to End of Maintenance Phase (Day 57).
0.00%
0/62 • Safety Analysis Set Baseline Visit (Day 1) to End of Maintenance Phase (Day 57).
0.00%
0/65 • Safety Analysis Set Baseline Visit (Day 1) to End of Maintenance Phase (Day 57).
3.2%
2/62 • Safety Analysis Set Baseline Visit (Day 1) to End of Maintenance Phase (Day 57).
Gastrointestinal disorders
Constipation
4.7%
3/64 • Safety Analysis Set Baseline Visit (Day 1) to End of Maintenance Phase (Day 57).
9.8%
6/61 • Safety Analysis Set Baseline Visit (Day 1) to End of Maintenance Phase (Day 57).
11.3%
7/62 • Safety Analysis Set Baseline Visit (Day 1) to End of Maintenance Phase (Day 57).
9.2%
6/65 • Safety Analysis Set Baseline Visit (Day 1) to End of Maintenance Phase (Day 57).
3.2%
2/62 • Safety Analysis Set Baseline Visit (Day 1) to End of Maintenance Phase (Day 57).
Gastrointestinal disorders
Diarrhoea
6.2%
4/64 • Safety Analysis Set Baseline Visit (Day 1) to End of Maintenance Phase (Day 57).
3.3%
2/61 • Safety Analysis Set Baseline Visit (Day 1) to End of Maintenance Phase (Day 57).
4.8%
3/62 • Safety Analysis Set Baseline Visit (Day 1) to End of Maintenance Phase (Day 57).
3.1%
2/65 • Safety Analysis Set Baseline Visit (Day 1) to End of Maintenance Phase (Day 57).
8.1%
5/62 • Safety Analysis Set Baseline Visit (Day 1) to End of Maintenance Phase (Day 57).
Gastrointestinal disorders
Dry mouth
1.6%
1/64 • Safety Analysis Set Baseline Visit (Day 1) to End of Maintenance Phase (Day 57).
1.6%
1/61 • Safety Analysis Set Baseline Visit (Day 1) to End of Maintenance Phase (Day 57).
12.9%
8/62 • Safety Analysis Set Baseline Visit (Day 1) to End of Maintenance Phase (Day 57).
1.5%
1/65 • Safety Analysis Set Baseline Visit (Day 1) to End of Maintenance Phase (Day 57).
1.6%
1/62 • Safety Analysis Set Baseline Visit (Day 1) to End of Maintenance Phase (Day 57).
Gastrointestinal disorders
Nausea
9.4%
6/64 • Safety Analysis Set Baseline Visit (Day 1) to End of Maintenance Phase (Day 57).
36.1%
22/61 • Safety Analysis Set Baseline Visit (Day 1) to End of Maintenance Phase (Day 57).
25.8%
16/62 • Safety Analysis Set Baseline Visit (Day 1) to End of Maintenance Phase (Day 57).
9.2%
6/65 • Safety Analysis Set Baseline Visit (Day 1) to End of Maintenance Phase (Day 57).
9.7%
6/62 • Safety Analysis Set Baseline Visit (Day 1) to End of Maintenance Phase (Day 57).
Gastrointestinal disorders
Vomiting
3.1%
2/64 • Safety Analysis Set Baseline Visit (Day 1) to End of Maintenance Phase (Day 57).
16.4%
10/61 • Safety Analysis Set Baseline Visit (Day 1) to End of Maintenance Phase (Day 57).
27.4%
17/62 • Safety Analysis Set Baseline Visit (Day 1) to End of Maintenance Phase (Day 57).
1.5%
1/65 • Safety Analysis Set Baseline Visit (Day 1) to End of Maintenance Phase (Day 57).
3.2%
2/62 • Safety Analysis Set Baseline Visit (Day 1) to End of Maintenance Phase (Day 57).
General disorders
Fatigue
12.5%
8/64 • Safety Analysis Set Baseline Visit (Day 1) to End of Maintenance Phase (Day 57).
18.0%
11/61 • Safety Analysis Set Baseline Visit (Day 1) to End of Maintenance Phase (Day 57).
16.1%
10/62 • Safety Analysis Set Baseline Visit (Day 1) to End of Maintenance Phase (Day 57).
7.7%
5/65 • Safety Analysis Set Baseline Visit (Day 1) to End of Maintenance Phase (Day 57).
3.2%
2/62 • Safety Analysis Set Baseline Visit (Day 1) to End of Maintenance Phase (Day 57).
General disorders
Oedema peripheral
4.7%
3/64 • Safety Analysis Set Baseline Visit (Day 1) to End of Maintenance Phase (Day 57).
4.9%
3/61 • Safety Analysis Set Baseline Visit (Day 1) to End of Maintenance Phase (Day 57).
1.6%
1/62 • Safety Analysis Set Baseline Visit (Day 1) to End of Maintenance Phase (Day 57).
9.2%
6/65 • Safety Analysis Set Baseline Visit (Day 1) to End of Maintenance Phase (Day 57).
1.6%
1/62 • Safety Analysis Set Baseline Visit (Day 1) to End of Maintenance Phase (Day 57).
Infections and infestations
Bacteriuria
7.8%
5/64 • Safety Analysis Set Baseline Visit (Day 1) to End of Maintenance Phase (Day 57).
4.9%
3/61 • Safety Analysis Set Baseline Visit (Day 1) to End of Maintenance Phase (Day 57).
4.8%
3/62 • Safety Analysis Set Baseline Visit (Day 1) to End of Maintenance Phase (Day 57).
9.2%
6/65 • Safety Analysis Set Baseline Visit (Day 1) to End of Maintenance Phase (Day 57).
9.7%
6/62 • Safety Analysis Set Baseline Visit (Day 1) to End of Maintenance Phase (Day 57).
Infections and infestations
Nasopharyngitis
4.7%
3/64 • Safety Analysis Set Baseline Visit (Day 1) to End of Maintenance Phase (Day 57).
1.6%
1/61 • Safety Analysis Set Baseline Visit (Day 1) to End of Maintenance Phase (Day 57).
1.6%
1/62 • Safety Analysis Set Baseline Visit (Day 1) to End of Maintenance Phase (Day 57).
7.7%
5/65 • Safety Analysis Set Baseline Visit (Day 1) to End of Maintenance Phase (Day 57).
9.7%
6/62 • Safety Analysis Set Baseline Visit (Day 1) to End of Maintenance Phase (Day 57).
Investigations
Weight increased
0.00%
0/64 • Safety Analysis Set Baseline Visit (Day 1) to End of Maintenance Phase (Day 57).
0.00%
0/61 • Safety Analysis Set Baseline Visit (Day 1) to End of Maintenance Phase (Day 57).
0.00%
0/62 • Safety Analysis Set Baseline Visit (Day 1) to End of Maintenance Phase (Day 57).
7.7%
5/65 • Safety Analysis Set Baseline Visit (Day 1) to End of Maintenance Phase (Day 57).
1.6%
1/62 • Safety Analysis Set Baseline Visit (Day 1) to End of Maintenance Phase (Day 57).
Nervous system disorders
Dizziness
12.5%
8/64 • Safety Analysis Set Baseline Visit (Day 1) to End of Maintenance Phase (Day 57).
16.4%
10/61 • Safety Analysis Set Baseline Visit (Day 1) to End of Maintenance Phase (Day 57).
33.9%
21/62 • Safety Analysis Set Baseline Visit (Day 1) to End of Maintenance Phase (Day 57).
18.5%
12/65 • Safety Analysis Set Baseline Visit (Day 1) to End of Maintenance Phase (Day 57).
9.7%
6/62 • Safety Analysis Set Baseline Visit (Day 1) to End of Maintenance Phase (Day 57).
Nervous system disorders
Headache
4.7%
3/64 • Safety Analysis Set Baseline Visit (Day 1) to End of Maintenance Phase (Day 57).
9.8%
6/61 • Safety Analysis Set Baseline Visit (Day 1) to End of Maintenance Phase (Day 57).
4.8%
3/62 • Safety Analysis Set Baseline Visit (Day 1) to End of Maintenance Phase (Day 57).
6.2%
4/65 • Safety Analysis Set Baseline Visit (Day 1) to End of Maintenance Phase (Day 57).
3.2%
2/62 • Safety Analysis Set Baseline Visit (Day 1) to End of Maintenance Phase (Day 57).
Nervous system disorders
Somnolence
4.7%
3/64 • Safety Analysis Set Baseline Visit (Day 1) to End of Maintenance Phase (Day 57).
13.1%
8/61 • Safety Analysis Set Baseline Visit (Day 1) to End of Maintenance Phase (Day 57).
12.9%
8/62 • Safety Analysis Set Baseline Visit (Day 1) to End of Maintenance Phase (Day 57).
4.6%
3/65 • Safety Analysis Set Baseline Visit (Day 1) to End of Maintenance Phase (Day 57).
1.6%
1/62 • Safety Analysis Set Baseline Visit (Day 1) to End of Maintenance Phase (Day 57).
Nervous system disorders
Tremor
1.6%
1/64 • Safety Analysis Set Baseline Visit (Day 1) to End of Maintenance Phase (Day 57).
1.6%
1/61 • Safety Analysis Set Baseline Visit (Day 1) to End of Maintenance Phase (Day 57).
1.6%
1/62 • Safety Analysis Set Baseline Visit (Day 1) to End of Maintenance Phase (Day 57).
6.2%
4/65 • Safety Analysis Set Baseline Visit (Day 1) to End of Maintenance Phase (Day 57).
0.00%
0/62 • Safety Analysis Set Baseline Visit (Day 1) to End of Maintenance Phase (Day 57).
Psychiatric disorders
Depressed mood
1.6%
1/64 • Safety Analysis Set Baseline Visit (Day 1) to End of Maintenance Phase (Day 57).
1.6%
1/61 • Safety Analysis Set Baseline Visit (Day 1) to End of Maintenance Phase (Day 57).
3.2%
2/62 • Safety Analysis Set Baseline Visit (Day 1) to End of Maintenance Phase (Day 57).
0.00%
0/65 • Safety Analysis Set Baseline Visit (Day 1) to End of Maintenance Phase (Day 57).
6.5%
4/62 • Safety Analysis Set Baseline Visit (Day 1) to End of Maintenance Phase (Day 57).
Skin and subcutaneous tissue disorders
Hyperhidrosis
4.7%
3/64 • Safety Analysis Set Baseline Visit (Day 1) to End of Maintenance Phase (Day 57).
13.1%
8/61 • Safety Analysis Set Baseline Visit (Day 1) to End of Maintenance Phase (Day 57).
9.7%
6/62 • Safety Analysis Set Baseline Visit (Day 1) to End of Maintenance Phase (Day 57).
1.5%
1/65 • Safety Analysis Set Baseline Visit (Day 1) to End of Maintenance Phase (Day 57).
3.2%
2/62 • Safety Analysis Set Baseline Visit (Day 1) to End of Maintenance Phase (Day 57).

Additional Information

Study Director

Grünenthal GmbH

Phone: +49 241 569 3223

Results disclosure agreements

  • Principal investigator is a sponsor employee The sponsor reserves the right to review any proposed presentation of the results of this trial before they are submitted for publication or public disclosure. Neither party has the right to prohibit publication or public disclosure unless it can be shown to affect possible patent rights.
  • Publication restrictions are in place

Restriction type: OTHER