Observational Study to Evaluate the Efficacy of Sustained QUTENZA® Use in Painful Diabetic Peripheral Neuropathy
A Post-Market Observational Multi-Center Study to Evaluate the Effectiveness of Repeated QUTENZA Use in Adults With Painful Diabetic Peripheral Neuropathy of the Feet
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Contacts and Locations
Study Contact
Study Contact
- Name: Medical Information
- Phone Number: 0000000000
- Email: medinfo@averitaspharma.com
Study Contact Backup
- Name: Medical Information
- Email: medinfo@averitaspharma.com
Study Locations
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Delaware
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Wilmington, Delaware, United States, 19808
- Center for Interventional Pain and Spine
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Georgia
-
Gainesville, Georgia, United States, 30501
- Horizon Clinical Research
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Jasper, Georgia, United States, 30143
- Horizon Clinical Research
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Newnan, Georgia, United States, 30265
- Horizon Clinical Research
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Kentucky
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Edgewood, Kentucky, United States, 41017
- Iqra Research
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New Jersey
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Oradell, New Jersey, United States, 07649
- Curalta Clinical Trials
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Ohio
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Cincinnati, Ohio, United States, 45248
- Iqra Research
-
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Pennsylvania
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Bryn Mawr, Pennsylvania, United States, 19010
- Center for Interventional Pain and Spine
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Fort Washington, Pennsylvania, United States, 19034
- Center for Interventional Pain and Spine
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Lancaster, Pennsylvania, United States, 17601
- Center for Interventional Pain and Spine
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Sampling Method
Study Population
Description
Inclusion Criteria:
- IRB approved written Informed Consent and privacy language as per national regulations will be obtained from the patient or legally authorized representative prior to any study-related procedures (including withdrawal of prohibited medication, if applicable)
- Male or female 18 - 80 years of age
- Diagnosis of painful, distal, symmetrical, sensorimotor polyneuropathy due to diabetes confirmed by the Douleur Neuropathique 4 Interview (DN4I) of at least 3 out of 7
- Baseline PROMIS-29 numeric pain intensity score over the last 7 days ≥ 4 during the screening period
- Stable doses of pain medications for PDPN for more than 4 weeks prior to the screening visit
- Patient agreed not to participate in another interventional study while on treatment
Exclusion Criteria:
- Pain associated with PDPN in the ankles or above
- Pain that could not be clearly differentiated from, or conditions that might have interfered with the assessment of the PDPN, such as plantar fasciitis, heel spurs, tibial neuropathy, Morton's neuroma, bunions, metatarsalgia, arthritis in feet, peripheral vascular disease (ischemic pain), neurological disorders unrelated to diabetic neuropathy (eg, phantom limb pain from amputation), skin condition in the area of the neuropathy that could alter sensation (eg, plantar ulcer)
- Significant pain (moderate or above) of an etiology other than PDPN (eg, compression-related neuropathies [eg, spinal stenosis]), fibromyalgia or arthritis, that may interfere with assessment of PDPN-related pain
- Current foot ulcer or not intact skin as determined by medical examination
- Clinically significant foot deformities or foot amputations
- Any active signs of skin inflammation around onychomycosis sites such as pain, redness, swelling or drainage
- Patient is unwilling to implement proper foot care methods
- Diagnosis of any poorly controlled major psychiatric disorder at the Investigator's discretion
- Evidence of cognitive impairment including dementia that may interfere with patient's ability to complete pain assessments requiring patient's recall of average pain level in the past 24 hours
- Active substance abuse or history of chronic substance abuse within 1 year prior to screening visit or any prior chronic substance abuse (including alcoholism) likely to have reoccurred during the study period as judged by the Investigator
- Participation in any other PDPN related clinical study within 30 days prior to the screening visit
- Previous treatment with QUTENZA
- Hypersensitivity to capsaicin (eg, chili peppers or over-the-counter capsaicin products) or any QUTENZA excipients
- Active malignancy or history of malignancy during the past 5 years prior to screening visit (a history of squamous cell carcinoma or a basal cell carcinoma not involving the area to be treated is allowed)
- Use of transcutaneous nerve or spinal cord stimulators to relieve pain
- Patient, who in the opinion of the Investigator, is not likely to complete the study for any reason
Study Plan
How is the study designed?
Design Details
Number of groups / cohorts
Cohorts and Interventions
Group / CohortGroup / Cohort |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Study group
All subjects will receive repeat applications of the capsaicin 8% topical system every 12 weeks (up to 3 applications).
|
Repeat applications every 12 weeks in patients with PDPN of the feet.
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Change (%) in pain intensity post QUTENZA administrations
Time Frame: Baseline, weeks 2-12 Post-Admin
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The pain intensity score from baseline will be compared to the average weekly pain intensity score between weeks 2-12 post each QUTENZA application (up to 3 applications).
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Baseline, weeks 2-12 Post-Admin
|
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Change (%) in overall scores for Patient-Report Outcomes Measurement Information System (PROMIS)-29
Time Frame: Baseline, week 12 Post-Admin
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The baseline PROMIS-29 scores for all domains will be compared to the PROMIS-29 scores assessed at 12 weeks post-each QUTENZA application (up to 3 applications).
|
Baseline, week 12 Post-Admin
|
|
Total number of patients who completed each QUTENZA treatment.
Time Frame: week 12 Post-Admin
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Analysis of the number of patients who completed repeated (2 or 3) QUTENZA applications.
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week 12 Post-Admin
|
|
Change (%) of concomitant medications at baseline and 12 weeks after each treatment
Time Frame: through study completion, an average of 36 weeks
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The change in utilization of pharmaceutical drug by medication, pharmacology class, dose, and frequency of use for drugs for PDPN, documented by collecting Concomitant medications including indication (for PDPN, for other reasons, and for temporary rescue use for PDPN) and dose
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through study completion, an average of 36 weeks
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Collaborators and Investigators
Sponsor
Sponsor
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
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
Additional Relevant MeSH Terms
- Endocrine System Diseases
- Nervous System Diseases
- Neuromuscular Diseases
- Peripheral Nervous System Diseases
- Diabetes Mellitus
- Diabetes Complications
- Diabetic Neuropathies
- Organic Chemicals
- Heterocyclic Compounds
- Fatty Acids
- Lipids
- Alkenes
- Hydrocarbons, Acyclic
- Hydrocarbons
- Hydrocarbons, Cyclic
- Alkaloids
- Hydrocarbons, Aromatic
- Amides
- Catechols
- Phenols
- Benzene Derivatives
- Fatty Acids, Unsaturated
- Solanaceous Alkaloids
- Polyunsaturated Alkamides
- Fatty Acids, Monounsaturated
- Capsaicin
Other Study ID Numbers
Other Study ID Numbers
- AV002
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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