Trial Outcomes & Findings for Erenumab-aooe for the Management of Trigeminal Neuropathic Pain. (NCT NCT05142228)

NCT ID: NCT05142228

Last Updated: 2024-03-22

Results Overview

Assessment of the efficacy of erenumab-aooe in the proportion of participants that achieve \>=30% reduction (Yes/no) in monthly (28 days) average pain score from baseline to Visit 4 (the last monthly treatment cycle), compared to placebo. The daily pain intensity score will be measured on a 11-point (0-10) numeric rating scale (NPRS) and reported in the Daily Symptom Diary (DSD). The monthly mean pain intensity score will be determined from baseline (4 weeks/28 days), for each month during the 12 weeks of treatment.

Recruitment status

TERMINATED

Study phase

PHASE2

Target enrollment

5 participants

Primary outcome timeframe

From Visit 0 (Baseline phase/Study day 0) to Visit 4 (Study day 112 +/- 7)

Results posted on

2024-03-22

Participant Flow

Subjects recruited and pre-screened at the Brotman Facial Pain clinic, University of Maryland, School of Dentistry. 05/31/2022 was the date of the first participant enrolled. Enrollment period: 05/31/2022 to 10/21/2022 Total number of subjects prescreened: 9

5 participants signed consent and enrolled. 1 completed study; 1 was found ineligible short after consent/enrollment due to medical history update; 1 lost follow up after baseline visit; 1 lost follow up after enrollment; 1 was dis-enrolled due to study closure. Baseline period consisted of 28 days/4 weeks prior randomization. Only one participant was assigned (blind/randomized) to one arm/group.

Participant milestones

Participant milestones
Measure
Erenumab-aooe
Erenumab-aooe 140 mg/ml. Subcutaneous injection. Administered once every 4 weeks/28 days at visit 1, visit 2 and visit 3 for a total of 3 cycles. Other Name: Aimovig® Erenumab-Aooe: Administered once every 4weeks/28 days at visit 1, visit 2 and visit 3 for a total of 3 cycles.
Placebo
Placebo. Subcutaneous injection.Administered once every 4 weeks/28 days at visit 1, visit 2 andvisit 3 for a total of 3 cycles. Other name: Placebo Placebo: Administered once every 4weeks/28 days at visit 1, visit 2 and visit 3 for a total of 3 cycles.
Overall Study
STARTED
1
0
Overall Study
COMPLETED
1
0
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Erenumab-aooe for the Management of Trigeminal Neuropathic Pain.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Erenumab-aooe
n=1 Participants
Erenumab-aooe 140 mg/ml. Subcutaneous injection. Administered once every 4 weeks/28 days at visit 1, visit 2 and visit 3 for a total of 3 cycles. Other Name: Aimovig® Erenumab-Aooe: Administered once every 4weeks/28 days at visit 1, visit 2 and visit 3 for a total of 3 cycles.
Placebo
Placebo. Subcutaneous injection.Administered once every 4 weeks/28 days at visit 1, visit 2 andvisit 3 for a total of 3 cycles. Other name: Placebo Placebo: Administered once every 4weeks/28 days at visit 1, visit 2 and visit 3 for a total of 3 cycles.
Total
n=1 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Sex: Female, Male
Female
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Sex: Female, Male
Male
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 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
Race (NIH/OMB)
Black or African American
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
White
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Region of Enrollment
United States
1 participants
n=5 Participants
1 participants
n=5 Participants

PRIMARY outcome

Timeframe: From Visit 0 (Baseline phase/Study day 0) to Visit 4 (Study day 112 +/- 7)

Population: Only one subject was randomly blinded and assigned to study drug (Erenumab-aooe). Data were not collected to report.

Assessment of the efficacy of erenumab-aooe in the proportion of participants that achieve \>=30% reduction (Yes/no) in monthly (28 days) average pain score from baseline to Visit 4 (the last monthly treatment cycle), compared to placebo. The daily pain intensity score will be measured on a 11-point (0-10) numeric rating scale (NPRS) and reported in the Daily Symptom Diary (DSD). The monthly mean pain intensity score will be determined from baseline (4 weeks/28 days), for each month during the 12 weeks of treatment.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: From Visit 0 (Baseline phase/Study day 0) to Visit 4 (study day 112 +/- 7)

Population: Only one subject was randomly blinded and assigned to study drug (Erenumab-aooe). Data were not collected to report.

Comparison of erenumab-aooe with placebo in the reduction of pain score from baseline continuously through to the end of 12 weeks (Visit 4).

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: From Visit 0 (Baseline phase/Study day 0) to Visit 5 ( study day 140 +/- 7)

Population: Only one subject was randomly blinded and assigned to study drug (Erenumab-aooe). Data were not collected to report.

Assess the efficacy of erenumab-aooe compared to placebo on the proportion of subjects who achieved a least 30% reduction in the monthly average daily pain score from baseline to Visit 5 (follow-up/final visit).

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Visit 0 (baseline/study day 0), Visit 1 (study day 28), Visit 2 (study day 56), Visit 3 (study day 84), Visit 4 (study day 112) and Visit 5 (140) +/- 7

Population: Only one subject was randomly blinded and assigned to study drug (Erenumab-aooe). Data were not collected to report.

Efficacy of erenumab-aooe compared to placebo in improvement on burden/disability of daily activities related to trigeminal neuropathic pain (e.g. chewing, eating, talking, touching) measured by the Penn Facial Pain Scale-Revised. 12 items. The higher the score the more pain and disability.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Visit 0 (baseline/study day 0), Visit 1 (study day 28), Visit 2 (study day 56), Visit 3 (study day 84), Visit 4 (study day 112) and Visit 5 (140) +/- 7

Population: Only one subject was randomly blinded and assigned to study drug (Erenumab-aooe). Data were not collected to report.

The GCPS includes 7 items and assesses 2 dimensions of pain, pain intensity and pain-related disability. A higher grade means a worse outcome.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Visit 0 (baseline/study day 0), Visit 1 (study day 28), Visit 2 (study day 56), Visit 3 (study day 84), Visit 4 (study day 112) and Visit 5 (140) +/- 7

Population: Only one subject was randomly blinded and assigned to study drug (Erenumab-aooe). Data were not collected to report.

The HADS evaluates anxiety (7 items) and depression (7 items) with a 14-item instrument assessing symptoms on a 4-point scale rated from 0 "not at all" to 3 "very often indeed". Responses provide separate scores for anxiety and depression. A higher score means a worse outcome.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Visit 0 (baseline/study day 0), Visit 1 (study day 28), Visit 2 (study day 56), Visit 3 (study day 84), Visit 4 (study day 112) and Visit 5 (140) +/- 7

Population: Only one subject was randomly blinded and assigned to study drug (Erenumab-aooe). Data were not collected to report.

The PGIC measures change in participant's overall status on a scale ranging from 1 (very much improved) to 7 (very much worse).

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: Visit 0 (Baseline/study day 0) and Visit 4 (study day 112) +/- 7

Population: Only one subject was randomly blinded and assigned to study drug (Erenumab-aooe). Data were not collected to report.

Blood samples will be evaluated for the presence of proinflammatory and anti-inflammatory cytokines.

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: Visit 0 (Baseline/Study day 0) and Visit 4 (study day 112 +/- 7)

Population: Only one subject was randomly blinded and assigned to study drug (Erenumab-aooe). Data were not collected to report.

Assessment of erenumab-aooe influence in nociceptive processing and sensitization determined with QST measurements.

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: Visit 0 (Baseline/Study day 0) and Visit 4 (study day 112 +/- 7)

Population: Only one subject was randomly blinded and assigned to study drug (Erenumab-aooe). Data were not collected to report.

Assessment of erenumab-aooe influence in pain sensitivity determined by PAF measurements during EEG assessment.

Outcome measures

Outcome data not reported

Adverse Events

Erenumab-aooe

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

Placebo

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

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Dr. Marcela Romero Reyes

University of Maryland, School of Dentistry

Phone: 4107067168

Results disclosure agreements

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