An Open-Label Extension Study of DS-5565 for 52 Weeks in Pain Associated With Fibromyalgia
An Open-label Extension Study of DS-5565 for 52 Weeks in Pain Associated With Fibromyalgia
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 3
Contacts and Locations
Study Locations
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New South Wales
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Camperdown, New South Wales, Australia
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Campsie, New South Wales, Australia
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Coffs Harbour, New South Wales, Australia
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St. Leonards, New South Wales, Australia
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Queensland
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Maroochydore, Queensland, Australia
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Sherwood, Queensland, Australia, 4075
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Sherwood, Queensland, Australia
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Southport, Queensland, Australia
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South Australia
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Woodville, South Australia, Australia
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Tasmania
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Hobart, Tasmania, Australia
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Victoria
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Clayton, Victoria, Australia
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Malvern East, Victoria, Australia
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Klagenfurt, Austria
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Senftenberg, Austria
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Vienna, Austria, 1090
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Burgas, Bulgaria
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Pleven, Bulgaria
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Plovdiv, Bulgaria
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Ruse, Bulgaria
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Sevlievo, Bulgaria
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Sofia, Bulgaria
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Targovishte, Bulgaria
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Varna, Bulgaria
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British Columbia
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Penticton, British Columbia, Canada
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Vancouver, British Columbia, Canada
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Manitoba
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Winnipeg, Manitoba, Canada
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Ontario
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Burlington, Ontario, Canada
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Kitchener, Ontario, Canada
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London, Ontario, Canada
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Markham, Ontario, Canada
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Markham, Ontario, Canada, L3R 9W9
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Mississauga, Ontario, Canada
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Newmarket, Ontario, Canada
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Oshawa, Ontario, Canada
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Sarnia, Ontario, Canada
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Sarnia, Ontario, Canada, N7T 4X3
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Toronto, Ontario, Canada
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Toronto, Ontario, Canada, M3J 2C5
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Quebec
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Pointe-claire, Quebec, Canada, H9R 3J1
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Quebec City, Quebec, Canada
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Sherbrooke, Quebec, Canada
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Region 11
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Antofagasta, Region 11, Chile
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Region X
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Puerto Varas, Region X, Chile
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Chocen, Czechia
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Pilsen, Czechia
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Prague, Czechia
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Ricany, Czechia
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Rychnov nad Kneznou, Czechia
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Aalborg, Denmark
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Odense, Denmark
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Tallinn, Estonia
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Tartu, Estonia
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Hyvinkaa, Finland
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Kuopio, Finland
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Elancourt, France
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Cedex
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Saint Etienne, Cedex, France
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Nord
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Douai, Nord, France
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Berlin, Germany
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Bohlen, Germany
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Dresden, Germany
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Hannover, Germany
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Leipzig, Germany
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Magdeburg, Germany
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Mainz, Germany
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Stadtroda, Germany
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Balassagyarmat, Hungary
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Budapest, Hungary
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Debrecen, Hungary
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Nyiregyhaza, Hungary
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Baldone, Latvia
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Balvi, Latvia
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Jekabpils, Latvia
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Liepaja, Latvia
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Ogre, Latvia
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Riga, Latvia
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Ventspils, Latvia
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Kaunas, Lithuania
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Klaipeda, Lithuania
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Vilnius, Lithuania
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Auckland, New Zealand
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Hamilton, New Zealand
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Nelson, New Zealand
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Tauranga, New Zealand
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Wellington, New Zealand
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Alesund, Norway
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Hamar, Norway
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Hønefoss, Norway
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Klofta, Norway
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Lillehammer, Norway
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Stavanger, Norway
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Elblag, Poland
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Gdansk, Poland
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Katowice, Poland
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Kraków, Poland
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Lublin, Poland
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Nadarzyn, Poland
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Nowa Sol, Poland
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Torun, Poland
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Tychy, Poland
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Warsaw, Poland
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Wroclaw, Poland
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Aveiro, Portugal
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Guimaraes, Portugal
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Porto, Portugal
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Vila Nova de Gaia, Portugal
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Ponce, Puerto Rico, 00716
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San Juan, Puerto Rico, 00909
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Bacau, Romania
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Bucharest, Romania
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Targu Mures, Romania
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Krasnoyarsk, Russian Federation
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Moscow, Russian Federation
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Nizhniy Novgarad, Russian Federation
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Stavropol, Russian Federation
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Belgrade, Serbia
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Banska Bystrica, Slovakia
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Bratislava, Slovakia
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Dubnica nad Vahom, Slovakia
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Galanta, Slovakia
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Krompachy, Slovakia, 05342
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Piešťany, Slovakia
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Presov, Slovakia
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Ljubljana, Slovenia
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Slovenj Gradec, Slovenia
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Stellenbosch, South Africa
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Chatsworth
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Bayview, Chatsworth, South Africa
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Gautang
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Johannesburg, Gautang, South Africa
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Pretoria, Gautang, South Africa
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Kwazulu Natal
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Durban, Kwazulu Natal, South Africa
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Western Cape
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Cape Town, Western Cape, South Africa
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Somerset West, Western Cape, South Africa
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Barcelona, Spain
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Granada, Spain
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Madrid, Spain
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A Coruna
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Santiago de Compostela, A Coruna, Spain
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Dnipropetrovsk, Ukraine
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Ivano-Frankivsk, Ukraine
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Kharkiv, Ukraine
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Kherson, Ukraine
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Kyiv, Ukraine
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Lviv, Ukraine
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Vinnytsia, Ukraine
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Zaporizhzhia, Ukraine
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Torpoint, United Kingdom
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Cornwall
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Penzance, Cornwall, United Kingdom
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Derbyshire
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Chesterfield, Derbyshire, United Kingdom
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Essex
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Romford, Essex, United Kingdom
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Greater Manchester
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Manchester, Greater Manchester, United Kingdom
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Lancashire
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Blackpool, Lancashire, United Kingdom
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Thornton-Cleveleys, Lancashire, United Kingdom
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Wigan, Lancashire, United Kingdom
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Leeds
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Stourton, Leeds, United Kingdom
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Manchester
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Salford, Manchester, United Kingdom
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Merseyside
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Southport, Merseyside, United Kingdom
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Northamptonshire
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Wellingborough, Northamptonshire, United Kingdom
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Northern Ireland
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Belfast, Northern Ireland, United Kingdom
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Staffordshire
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Cannock, Staffordshire, United Kingdom
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Tyne And Wear
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North Shields, Tyne And Wear, United Kingdom
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Warwickshire
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Atherstone, Warwickshire, United Kingdom, CV9 1EU
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Alabama
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Birmingham, Alabama, United States, 35242
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Mobile, Alabama, United States, 36608
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Arizona
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Phoenix, Arizona, United States, 85018
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California
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Anaheim, California, United States, 92801
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Fresno, California, United States, 93720
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Fresno, California, United States, 93710
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Los Alamitos, California, United States, 90720
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Los Angeles, California, United States, 90036
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Newport Beach, California, United States, 92660
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Rancho Mirage, California, United States, 92270
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Roseville, California, United States, 95661
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San Diego, California, United States, 92103
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Santa Ana, California, United States, 92705
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Santa Barbara, California, United States, 93108
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Santa Monica, California, United States, 90404
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Spring Valley, California, United States, 91978
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Thousand Oaks, California, United States, 91360
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Tustin, California, United States, 92780
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Walnut Creek, California, United States, 94598
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Connecticut
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Cromwell, Connecticut, United States, 06416
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Florida
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Bradenton, Florida, United States, 34201
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Brandon, Florida, United States, 33511
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Brooksville, Florida, United States, 34601
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Clearwater, Florida, United States, 33761
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Clearwater, Florida, United States, 33765
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Coral Springs, Florida, United States, 33067
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Fort Lauderdale, Florida, United States, 33308
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Fort Myers, Florida, United States, 33912
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Hialeah, Florida, United States, 33013
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Jacksonville, Florida, United States, 32256
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Kissimmee, Florida, United States, 34744
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Lakeland, Florida, United States, 33805
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Leesburg, Florida, United States, 34748
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Miami, Florida, United States, 33140
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New Port Richey, Florida, United States, 34652
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Ocala, Florida, United States, 34471
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Orlando, Florida, United States, 32801
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Ormond Beach, Florida, United States, 32174
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Royal Palm Beach, Florida, United States, 33411
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Saint Petersburg, Florida, United States, 33709
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Sunrise, Florida, United States, 33351
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Tampa, Florida, United States, 33606
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Georgia
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Alpharetta, Georgia, United States, 30005
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Atlanta, Georgia, United States, 30342
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Columbus, Georgia, United States, 31909
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Savannah, Georgia, United States, 31405
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Smyrna, Georgia, United States, 30080
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Illinois
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Bolingbrook, Illinois, United States, 60490
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Chicago, Illinois, United States, 60634
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Gurnee, Illinois, United States, 60031
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Melrose Park, Illinois, United States, 60160
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Oak Brook, Illinois, United States, 60523
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Indiana
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Evansville, Indiana, United States, 47714
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Indianapolis, Indiana, United States, 46260
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Iowa
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West Des Moines, Iowa, United States, 50265
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Kansas
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Newton, Kansas, United States, 67114
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Shawnee Mission, Kansas, United States, 66218
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Wichita, Kansas, United States, 67207
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Wichita, Kansas, United States, 67205
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Kentucky
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Lexington, Kentucky, United States, 40509
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Paducah, Kentucky, United States, 42003
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Louisiana
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Lake Charles, Louisiana, United States, 70601
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Massachusetts
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Boston, Massachusetts, United States, 02131
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Fall River, Massachusetts, United States, 02720
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New Bedford, Massachusetts, United States, 02740
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Watertown, Massachusetts, United States, 02472
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Mississippi
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Biloxi, Mississippi, United States, 39531
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Missouri
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Hazelwood, Missouri, United States, 63042
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Kansas City, Missouri, United States, 64114
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Saint Louis, Missouri, United States, 63141
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Springfield, Missouri, United States, 65807
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Montana
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Billings, Montana, United States, 59102
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Nebraska
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Omaha, Nebraska, United States, 68114
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Nevada
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Las Vegas, Nevada, United States, 89123
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New Jersey
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Berlin, New Jersey, United States, 08009
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Blackwood, New Jersey, United States, 08012
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New Mexico
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Albuquerque, New Mexico, United States, 87109
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New York
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Brooklyn, New York, United States, 11230
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Manhasset, New York, United States, 11030
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New York, New York, United States, 10168
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North Massapequa, New York, United States, 11758
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North Carolina
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Charlotte, North Carolina, United States, 28210
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Greensboro, North Carolina, United States, 27408
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High Point, North Carolina, United States, 27262
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Raleigh, North Carolina, United States, 27612
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Winston-Salem, North Carolina, United States, 27103
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North Dakota
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Fargo, North Dakota, United States, 58103
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Ohio
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Cincinnati, Ohio, United States, 45242
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Dayton, Ohio, United States, 45417
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Kettering, Ohio, United States, 45429
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Tiffin, Ohio, United States, 44863
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Willoughby, Ohio, United States, 44094
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Oklahoma
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Oklahoma City, Oklahoma, United States, 73103
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Tulsa, Oklahoma, United States, 74104
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Oregon
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Eugene, Oregon, United States, 97404
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Medford, Oregon, United States, 97504
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Portland, Oregon, United States, 97210
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Salem, Oregon, United States, 97301
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Pennsylvania
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Tipton, Pennsylvania, United States, 16684
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Wyomissing, Pennsylvania, United States, 19610
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South Carolina
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Anderson, South Carolina, United States, 29621
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Fountain Inn, South Carolina, United States, 29644
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Greer, South Carolina, United States, 29651
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South Dakota
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Dakota Dunes, South Dakota, United States, 57049
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Rapid City, South Dakota, United States, 57702
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Tennessee
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Knoxville, Tennessee, United States, 37919
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New Tazewell, Tennessee, United States, 37836
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Tullahoma, Tennessee, United States, 37388
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Texas
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Dallas, Texas, United States, 75230
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Lubbock, Texas, United States, 79424
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Plano, Texas, United States, 75093
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San Antonio, Texas, United States, 78232
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Utah
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Salt Lake City, Utah, United States, 84102
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Virginia
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Virginia Beach, Virginia, United States, 23454
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Washington
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Bellevue, Washington, United States, 98007
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Seattle, Washington, United States, 98104
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Wenatchee, Washington, United States, 98801
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Able to give written informed consent
- Completed participation (i.e. completed the End-of-Tapering visit) in a preceding study of DS 5565 in FM (DS5565-A-E309, DS5565-A-E310, or DS5565-A-E311)
- Women of child-bearing potential (WOCBP) must be using an adequate method of contraception to avoid pregnancy during the study and for 4 weeks after study completion
- Able to complete subject-reported questionaires per the investigator's judgement
- The subject must not have experienced any significant safety issues during the preceding study that, in the investigator's judgment, would adversely impact the subject's well-being in the long-term extension
De Novo Subjects
- Age ≥ 18 years
- Able to give written informed consent
- Able to complete subject-reported questionnaires per the investigator's judgment
At screening, subjects must meet the 1990 American College of Rheumatology (ACR) criteria for FM, i.e. widespread pain present for at least 3 months and pain in at least 11 of 18 specific tender point sites. In addition, the 2010 ACR criteria must be met:
- Widespread pain index (WPI) ≥ 7 and symptom severity (SS) scale score ≥ 5, or WPI 3 to 6 and SS scale score ≥ 9
- Symptoms have been present at a similar level for at least 3 months
- The subject does not have a disorder that would otherwise explain the pain
- ADPS of ≥ 4 on the 11-point numeric rating scale (NRS) over the past 7 days prior to first dose (based on completion of at least 4 daily pain diaries during the 7-day baseline period)
- Subject must have documented evidence of a fundoscopic examination (with pupil dilation) within 12 months prior to screening or at screening
- Women of child-bearing potential (WOCBP) must be using an adequate method of contraception to avoid pregnancy during the study and for 4 weeks after study completion
Exclusion Criteria:
- Clinically significant unstable neurologic, psychiatric, ophthalmologic, hepatobiliary, respiratory, or hematologic illness or unstable cardiovascular disease (e.g. severe hypotension, uncontrolled cardiac arrhythmia, or myocardial infarction) or any other concurrent disease during the preceding study (for rollover subjects) or within 12 months prior to screening (for de novo subjects) that in the opinion of the investigator would interfere with study participation or assessment of safety and tolerability
- Subjects who are at risk of suicide as defined by their responses to the C-SSRS or in the opinion of the investigator.
- Subjects with severe or uncontrolled depression that, in the judgment of the investigator, makes the subject inappropriate for entry into the study
- Subjects with pain due to other conditions (e.g. DPNP or post-herpetic neuralgia) that, in the opinion of the investigator, would confound assessment or self-evaluation of the pain associated with FM
- Subjects with pain due to any widespread inflammatory musculoskeletal disorder (e.g. rheumatoid arthritis, lupus) or widespread rheumatic disease other than FM.
- Abuse or dependence of prescription medications, street drugs, or alcohol within the last 1 year
- A diagnosis of untreated sleep apnea or initiation of treatment for sleep apnea within the past 3 months
- Known hypersensitivity to α2δ ligands or other components of the study medications
- Pregnancy or breast-feeding, or intent to become pregnant during the study period
- Abnormal investigative tests (i.e. ECGs) and laboratory values judged by the investigator to be clinically significant at the End-of-Treatment visit (Visit - Week 13) in the preceding study (for rollover subjects) or at screening (for de novo subjects), with particular focus on:
For De Novo Subjects Only
- Unable to undergo pre-study washout of prohibited concomitant medications (as listed in Section 5.2.1 of the protocol)
- Current severe or uncontrolled major depressive disorder or anxiety disorders as assessed by the Mini-international Neuropsychiatric Interview (MINI) interview (Version 6.0) at screening are excluded, but mild to moderate major depression or anxiety disorders are permitted provided that the investigator assesses the patient as clinically stable and appropriate for entry into the study
- Any diagnosis of lifetime bipolar disorder or psychotic disorder
- Subject is currently enrolled in or has not yet completed at least 30 days since ending another investigational device or drug study or is receiving other investigational agents
- Subject is an employee of the study center, an immediate family member* of an employee of the study center, or an employee of Daiichi Sankyo, INC Research, or any of the study vendors supporting this study. *(spouse, parent, child, or sibling, whether biological or legally adopted)
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
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Experimental: DS-5565
Participants receive 15 mg DS-5565 administered once or twice daily.
Each participant's dose can be titrated up or down based on the investigator's decision.
Analysis will be based on the dose modality at the time of data collection.
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DS-5565 15 mg tablet for oral administration
Other Names:
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Average Daily Pain Score (ADPS) for DS-5565
Time Frame: Day 0 (baseline) up to to Week 52 postdose
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Average of daily pain scores are reported by the participant and best describes his or her worst pain over the previous 24 hours.
A daily pain score has a scale of 0 = no pain to 10 = worst possible pain.
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Day 0 (baseline) up to to Week 52 postdose
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Number of Participants With Much Improved or Better (≤2) Status in Status at Week 52 As Assessed by the Patient-Rated Global Impression of Change
Time Frame: Week 52 postdose
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Patient-rated global impression of change (PGIC) on a categorical scale from 1 = very much improved to 7 = very much worse.
The number of participants with "much improved or better" status are reported.
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Week 52 postdose
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Hospital Anxiety Depression Scale (HADS) Depression and Anxiety Scores for DS-5565
Time Frame: Day 0 (baseline) up to Week 52 postdose
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The HADS questionnaire is a self-assessment scale to assess symptoms of anxiety and depression.
The instrument consists of 7 questions related to anxiety and 7 related to depression, each rated on a 4-point scale from 0 to 3, where higher scores indicate greater anxiety or depression.
Scores for anxiety and depression are independently summed to compute HADS-Anxiety and HADS-Depression subscale scores, with ranges from 0 to 21, where higher scores indicate greater severity.
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Day 0 (baseline) up to Week 52 postdose
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EuroQol Five Dimensions Questionnaire (EQ-5D) Measure for DS-5565
Time Frame: Day 0 (baseline) up to Week 52 postdose
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The EQ-5D is an instrument that shows high construct validity and responsiveness in patients with chronic pain and has been used specifically in fibromyalgia.
The EQ-5D includes a descriptive section with 5 dimensions (mobility, self-care, usual activities, pain/discomfort, and anxiety/depression) that are combined into an overall health utilities index, and an NRS (100 mm VAS) that measures perception of overall health, with 0 indicating worst health and 100 representing best imaginable health.
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Day 0 (baseline) up to Week 52 postdose
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Short Form-36 (SF-36) Measure for DS-5565
Time Frame: Day 0 (baseline) to Week 52 postdose
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The SF-36 is a 36-question health survey that measures functional health and well-being from the participant's point of view.
It is a measure of physical and mental health used across various disease areas, including fibromyalgia.
The SF-36 physical component summary and mental component summary scales range from 0 to 100 where lower scores indicate more disability (worse health) and higher scores represent less disability (better health).
The physical component summary (PCS) and mental component summary (MCS) total scores at baseline and Week 52 are reported.
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Day 0 (baseline) to Week 52 postdose
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Pain-Associated Sleep Interference as Assessed by Average Daily Sleep Interference Score (ADSIS) for DS-5565
Time Frame: Day 0 (baseline) up to Week 52 postdose
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Pain-associated sleep interference was assessed using electronic daily diaries using an 11-point numeric rating scale (NRS) for pain, ranging from 0 (pain does not interfere with sleep) to 10 (pain completely interferes with sleep, unable to sleep).
ADSIS is the mean value of all available recordings of the respective week.
For rollover participants, the baseline scores from the End-of-Tapering period in the preceding study are reported.
For de novo participants, the baseline scores are derived from the 7 days prior to the start of treatment.
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Day 0 (baseline) up to Week 52 postdose
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Collaborators and Investigators
Sponsor
Sponsor
Publications and helpful links
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimate)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- DS5565-A-E312
- 2013-005164-26 (EudraCT Number)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
IPD Sharing Time Frame
IPD Sharing Access Criteria
IPD Sharing Supporting Information Type
- Study Protocol
- Statistical Analysis Plan (SAP)
- Clinical Study Report (CSR)
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