- ICH GCP
- Amerikanska kliniska prövningsregistret
- Klinisk prövning NCT00474916
Neuropathic Pain in Patients With Cancer
A Phase 2 Double-Blind Dose Escalation Study of KRN5500 for Neuropathic Pain in Patients With Cancer
Studieöversikt
Status
Betingelser
Intervention / Behandling
Detaljerad beskrivning
Neuropathic pain is a type of pain that results from nerve damage and is characterized by an abnormal hypersensitivity to harmless as well as harmful stimuli. This type of pain is extremely difficult to manage, fails to respond to standard analgesic medications or interventions, and often gets worse instead of better over time. Current approved therapeutic agents often have intolerable side effects and limited efficacy. Thus, there is an urgent need to develop safe and effective drugs to treat neuropathic pain.
Study DTCL100 will be conducted at multiple centers and will enroll patients that have advanced cancer AND neuropathic pain that has not responded well to previous treatment. Eighteen patients will be randomly assigned to receive up to 8 doses of active drug (KRN5500) or placebo. A maximum of 8 doses will be administered weekly over a 10 week period. Patients are encouraged to complete at least 4 treatment visits before a decision is made to complete the full 10 weeks of treatment and the 1 month followup period.
Studietyp
Inskrivning (Faktisk)
Fas
- Fas 2
Kontakter och platser
Studieorter
-
-
California
-
Los Angeles, California, Förenta staterna, 90025
- Cancer Institute Medical Group
-
Los Angeles, California, Förenta staterna, 90027
- Ghassan Al-Jazayrly, M.D., Inc.
-
Orange, California, Förenta staterna, 92868
- University of California / Irvine Chao Family Comprehensive Cancer Center
-
-
Florida
-
Jupiter, Florida, Förenta staterna, 33477
- Keog Pharma, Inc.
-
-
Louisiana
-
Covington, Louisiana, Förenta staterna, 70433
- Hematology And Oncology Specialists, Llc
-
-
Maryland
-
Baltimore, Maryland, Förenta staterna, 21229
- St. Agnes Healthcare, Inc
-
-
Massachusetts
-
Boston, Massachusetts, Förenta staterna, 02114
- Massachusetts General Hospital
-
-
New Jersey
-
East Orange, New Jersey, Förenta staterna, 07018
- East Orange VA Medical Center
-
-
North Carolina
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Durham, North Carolina, Förenta staterna, 27710
- Duke University Medical Center
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Winston-Salem, North Carolina, Förenta staterna, 27103
- Carolina Pain Institute, PA
-
-
Utah
-
Salt Lake City, Utah, Förenta staterna, 84112
- Huntsman Cancer Institute
-
-
-
-
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Rio Piedras, Puerto Rico, 00921
- Dr. Rivera-Colon
-
-
Deltagandekriterier
Urvalskriterier
Åldrar som är berättigade till studier
Tar emot friska volontärer
Kön som är behöriga för studier
Beskrivning
Inclusion Criteria:
- 18 years or older
- Diagnosis of advanced or recurrent cancer
- No options for curative chemotherapy, but palliative chemotherapy allowed under certain conditions
- Refractory neuropathic pain rated 4 or greater on 0-10 scale and failure to respond to 2 commonly used treatments
- If taking opioids for pain, stable regimen over past week before enrolling
- Karnofsky performance status of 40 or more
- Females must be sterile or post-menopausal
Exclusion Criteria:
- Radiation to site of neuropathic pain for past 4 weeks
- Major surgery within past 2 weeks
- Liver function and other key labs outside normal parameters
- ECG showing significant abnormality
- Myocardial Infarction (heart attack) within past 6 months
- History of interstitial lung disease
- History of severe allergic reaction to drugs containing polysorbate 80
- Other investigational drug within 2 weeks or 5 half-lives (whichever is longer
Studieplan
Hur är studien utformad?
Designdetaljer
- Primärt syfte: Behandling
- Tilldelning: Randomiserad
- Interventionsmodell: Parallellt uppdrag
- Maskning: Fyrdubbla
Vapen och interventioner
Deltagargrupp / Arm |
Intervention / Behandling |
---|---|
Experimentell: KRN5500
KRN5500 escalating dose of .6,
1.2, 1.8, or 2.2 mg/m2 in IV infusion of normal saline
|
Patients are seen weekly and dosed for pain with IV medication of active drug/KRN5500 or placebo .
The dose can be escalated, from .6 mg/m2, to 1.2, 1.8, and 2.2 mg/m2.
|
Placebo-jämförare: Normal Saline
Placebo consists of IV infusion of normal saline
|
Patients are seen weekly and dosed for pain with IV medication of active drug/KRN5500 or placebo .
The dose can be escalated, from .6 mg/m2, to 1.2, 1.8, and 2.2 mg/m2.
Normal Saline given as dose escalation for placebo
|
Vad mäter studien?
Primära resultatmått
Resultatmått |
Tidsram |
---|---|
Average pain intensity over the previous 24 hours as measured by a numeric rating scale (NRS) ranging from 0 to 10 where 0 represents "no pain" and 10 represents the "worst possible pain."
Tidsram: Weekly for 10 weeks plus 30 day followup
|
Weekly for 10 weeks plus 30 day followup
|
Sekundära resultatmått
Resultatmått |
Tidsram |
---|---|
Physical Examination, Vital signs and body weight, Electrocardiogram, Laboratory parameters, Adverse events, Clinical Opiate Withdrawal Scale, rescue medication, Proportion of patients who achieved a 33% reduction in pain intensity
Tidsram: Weekly for 10 weeks plus 30 day followup
|
Weekly for 10 weeks plus 30 day followup
|
Samarbetspartners och utredare
Sponsor
Utredare
- Huvudutredare: Richard Penson, MD, MRCP, Massachusetts General Hospital
Studieavstämningsdatum
Studera stora datum
Studiestart
Primärt slutförande (Faktisk)
Avslutad studie (Faktisk)
Studieregistreringsdatum
Först inskickad
Först inskickad som uppfyllde QC-kriterierna
Första postat (Uppskatta)
Uppdateringar av studier
Senaste uppdatering publicerad (Uppskatta)
Senaste inskickade uppdateringen som uppfyllde QC-kriterierna
Senast verifierad
Mer information
Termer relaterade till denna studie
Nyckelord
Ytterligare relevanta MeSH-villkor
Andra studie-ID-nummer
- DTCL100
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