Neuralgia, PostherpeticPhase 2NCT00160667
A Study Assessing Efficacy of Brivaracetam in Subjects With Persistent Pain After Shingles (Post-herpetic Neuralgia)
A Phase 2 study testing Brivaracetam in people with Neuralgia, Postherpetic, run by UCB Pharma at 50 sites in 10 countries.
Trial summary
Study will assess efficacy, safety and tolerability of brivaracetam in post-herpetic neuralgia (PHN). Duration of 7 weeks divided into 3 periods with no up-titration, nor down-titration. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Neuralgia, Postherpetic
- What is being tested?
- Brivaracetam
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 152 participants
- Where
- 50 sitesin 10 countries
- Study dates
- 11 Oct 2004to 5 Jan 2006
- Phase
- Phase 2
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Male/female subject aged 18 years or older.
- Pain present for at least 6 months after healing of the acute herpes zoster skin rash.
- Pain intensity score assessed on an 11-point numerical pain rating scale with a score of at least 4 at the screening visit and with an average weekly score of at least 4 on an 11-point numerical pain rating scale during baseline period.
Who cannot join
- Subject getting any kind of psychological support to help cope with pain such as biofeedback or behavioral cognitive therapy.
- Subject who had undergone or who is scheduled for neurolytic or neurosurgical therapy for post-herpetic neuralgia (PHN) or who receives trans-electrical neural stimulation (TENS.
- Tricyclic antidepressants (TCAs) or non-steroidal anti-inflammatory drug (NSAIDs) or permitted opioid analgesics ('strong' opioids are forbidden) that started less than 30 days and/or are not stabilized prior to screening and/or are not expected to be kept stable during the study.
- Intake of more than two pain treatments at trial entry (screening visit) including Tricyclic antidepressants (TCAs), non-steroidal anti-inflammatory drugs (NSAIDs) or permitted opioid analgesics.
- Subject being treated with Carbamazepine for any indication.
- Known coexistent source of painful peripheral neuropathy or other systemic disease associated with a secondary painful neuropathy.
- Subject being treated in the four weeks prior to screening visit with 'strong' opioid analgesics.
Trial locations and contacts
50 sites in 10 countries.
50 sites in 10 countries
Poland11 sites
Study site
Gdansk
Study site
Grudziądz
Study site
Katowice
Study site
Kielce
Study site
Krakow
Study site
Lublin
Study site
Olsztyn
Study site
Poznan
Study site
Warsaw
Study site
Wroclaw
Study site
Zgierz
Spain6 sites
Study site
Cadiz
Study site
Granada
Study site
Hospitalet de Llobregat (Barcelona)
Study site
Madrid
Study site
Sant Cugat Del Valles (Barcelona)
Study site
Valencia
Belgium5 sites
Study site
Brussels
Study site
Eeklo
Study site
Genk
Study site
Liège
Study site
Lubbeek (Pellenberg)
France5 sites
Study site
Annecy
Study site
Clermont-Ferrand
Study site
Nice
Study site
Toulouse
Study site
Voiron
Germany5 sites
Study site
Bad Wörishofen
Study site
Bochum
Study site
Essen
Study site
Kassel
Study site
Rodgau
Czechia4 sites
Study site
Hradec Králové
Study site
Prague
Study site
Svitavy
Study site
Ústí nad Labem
Slovakia4 sites
Study site
Bratislava
Study site
Dubnica nad Váhom
Study site
Košice
Study site
Nitra
United Kingdom4 sites
Study site
Bath
Study site
Glasgow
Study site
London
Study site
Winchester
About this study
Official title: An Exploratory, Double Blind, Randomized, Placebo-controlled, Parallel Group, Multicenter Study, for the Assessment of Efficacy, Safety and Tolerability of Ucb 34714 50 mg Oral Capsules in b.i.d. Administration at the Doses of 200 mg/Day and 400 mg/Day, in Subjects (at Least 18 Years Old) Suffering From Post Herpetic Neuralgia (PHN)
Study will assess efficacy, safety and tolerability of brivaracetam in post-herpetic neuralgia (PHN). Duration of 7 weeks divided into 3 periods with no up-titration, nor down-titration.
- Conditions
- Neuralgia, Postherpetic
- Being tested
- Placebo, Brivaracetam
- Keywords
- Post-herpetic Neuralgia (PHN), Brivaracetam
- Medical subject headings
- Neuralgia, Postherpetic
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
PlaceboDrug
Daily oral dose of two equal intakes.
BrivaracetamDrug
Also called Briviact
Daily oral dose of two equal intakes.
| Study group | Role | What they receive |
|---|---|---|
| Placebo | Placebo comparator | Matching placebo tablets administered twice a day. Receives: Drug: Placebo |
| Brivaracetam 200 mg/day | Experimental | Brivaracetam 200 mg/day (100 mg administered twice a day). Receives: Drug: Brivaracetam |
| Brivaracetam 400 mg/day | Experimental | Brivaracetam 400 mg/day (200 mg administered twice a day). Receives: Drug: Brivaracetam |
What is being measured
The primary outcome is the main question the study is designed to answer.
Percentage Change in Average Pain Intensity Score From Baseline to the Last Week of the 4-week Treatment Period
Pain intensity was scored on a 11-point numeric pain rating scale, ranging from 0 to 10 where 0= no pain and 10= worst possible pain.
A negative value in percent change from Baseline indicates a decrease in average pain intensity score from Baseline.
Measured: Baseline, last week of the 4-week Treatment Period
Secondary outcomes (13)
Responder Rate in Average Pain Intensity Score at the Last Week of the Treatment Period Compared to the Baseline Period
A responder is defined as a subject with a >= 30 % reduction in average pain intensity score at the Evaluation Week (last week of the Treatment Period) compared to the Baseline Period.
Measured: Baseline, last week of the 4-week Treatment Period
Percent Change From the Baseline Period to Each Weekly Mean in the Pain Intensity Score
Pain intensity was scored on a 11-point numeric pain rating scale, ranging from 0 to 10 where 0= no pain and 10= worst possible pain.
A negative value in percent change from Baseline indicates a decrease in average pain intensity score from Baseline.
Measured: Baseline, each Evaluation visit (up to Week 4)
Percent Change From the Baseline Period to the Last Week of the Treatment Period in the Sleep Interference Score
Sleep interference was scored on a 11-point numerical sleep interference rating scale, ranging from 0 to 10 where 0 = 'pain does not interfere with sleep', 10 = 'pain completely interferes with sleep'.
A negative value in percent change from Baseline indicates a decrease in average sleep interference score from Baseline.
Measured: Baseline, last assessment during the 4-week Treatment Period
Percent Change From the Baseline Period to Each Weekly Mean of the Treatment Period in the Sleep Interference Score
Sleep interference was scored on a 11-point numerical sleep interference rating scale, ranging from 0 to 10 where 0 = 'pain does not interfere with sleep', 10 = 'pain completely interferes with sleep'.
A negative value in percent change from Baseline indicates a decrease in average sleep interference score from Baseline.
Measured: Baseline, each Evaluation visit (up to Week 4)
Absolute Change From the Randomization Visit to the Evaluation / Early Discontinuation Visit in the Total Pain Score of the Short-Form McGill Pain Questionnaire (SF-MPQ)
The SF-MPQ has three components: the first one consists of 15 subscales (descriptors: 11 sensory, 4 affective) which are rated on an intensity scale with 0 = none, 1 = mild, 2 = moderate or 3 = severe. Three pain scores are derived from the sum of the intensity rank values of the words chosen for sensory, affective and total subscales (descriptors). The SF-MPQ also includes a Present Pain Intensity (PPI) index and a visual analogue scale (VAS). Each of the 15 subscales is rated from 0=none to 3=severe pain. The Total Pain Score of the SF-MPQ is the sum of all 15 ratings and can hence vary from 0 (15*0=0: no pain) to 60 (15*4=60: severe pain). The mean change in total score is reported.
Measured: Randomization visit, Evaluation / Early Discontinuation visit (up to Week 4)
Absolute Change From the Randomization Visit to the Evaluation / Early Discontinuation Visit in the Sensory Score of the Short-Form McGill Pain Questionnaire (SF-MPQ)
The main component of the SF-MPQ consists of 15 descriptors (11 sensory; 4 affective) which are rated on an intensity scale as 0 = none, 1 = mild, 2 = moderate or 3 = severe.
The sensory score ranges from 0 to 33. Change = observation mean at Evaluation / Early Discontinuation visit minus Randomization mean.
A negative value in absolute change indicates an improvement.
Measured: Randomization visit, Evaluation / Early Discontinuation visit (up to Week 4)
Absolute Change From the Randomization Visit to the Evaluation / Early Discontinuation Visit in the Affective Score of the Short-Form McGill Pain Questionnaire (SF-MPQ)
The main component of the SF-MPQ consists of 15 descriptors (11 sensory; 4 affective) which are rated on an intensity scale as 0 = none, 1 = mild, 2 = moderate or 3 = severe.
The affective score ranges from 0 to 12. Change = observation mean at Evaluation / Early Discontinuation visit minus Randomization mean.
A negative value in absolute change indicates an improvement.
Measured: Randomization visit, Evaluation / Early Discontinuation visit (up to Week 4)
Absolute Change From the Randomization Visit to the Evaluation / Early Discontinuation Visit in the Present Pain Intensity (PPI) Score of the SF-MPQ
Present pain intensity (PPI) was rated by the subject. The score ranges from 0 (no pain) to 5 (excruciating). A negative value in absolute change indicates an improvement in PPI.
Measured: Randomization visit, Evaluation / Early Discontinuation visit (up to Week 4)
Absolute Change From the Randomization Visit to the Evaluation / Early Discontinuation Visit in the Visual Analog Scale (VAS) of the SF-MPQ
Pain burden was rated by the subject using the visual analog scale (VAS) ranging from 0 (no pain) to 100 (worst possible pain). A negative value in absolute change indicates an improvement in pain burden.
Measured: Randomization visit, Evaluation / Early Discontinuation visit (up to Week 4)
Percentage of Subjects With Categorized Change in Pain Assessed by Patient's Global Evaluation Scale at the Evaluation / Early Discontinuation Visit
Patient´s global assessment of change in pain was performed using a seven-point scale (7= Marked improvement, 6= Moderate improvement, 5= Slight improvement, 4= No change, 3= Slight worsening, 2= Moderate worsening, 1= Marked worsening).
Measured: Randomization visit, Evaluation / Early Discontinuation visit (up to Week 4)
Percentage of Subjects With Categorized Change in Post-herpetic Neuralgia Assessed by Investigator's Global Evaluation Scale at the Evaluation / Early Discontinuation Visit
Investigator´s global assessment of change was performed using a seven-point scale (7= Marked improvement, 6= Moderate improvement, 5= Slight improvement, 4= No change, 3= Slight worsening, 2= Moderate worsening, 1= Marked worsening).
Measured: Randomization visit, Evaluation / Early Discontinuation visit (up to Week 4)
Percent Change From Randomization Visit to the Evaluation / Early Discontinuation in the Brush-evoked Allodynia Intensity Rated by the Patient
Brush-evoked allodynia intensity was assessed by the subject on an 11-point numerical rating scale, ranging from 0= no pain to 10= unbearable Pain.
A negative value in percent change indicates an improvement in brush-evoked allodynia intensity.
Measured: Randomization visit, Evaluation / Early Discontinuation visit (up to Week 4)
Percent Change From Randomization Visit to the Evaluation / Early Discontinuation in the Brush-evoked Allodynia Area Measured by the Investigator
Allodynia is pain due to a normally non-painful stimulus. The brush-evoked allodynia areas were assessed by the Investigator (location and contour of the allodynic regions drawn on a standard dermatomal map). Areas (mm²) of the allodynic regions drawn by the Investigator were afterwards computed by means of appropriate tools and calibrated templates. The larger the area in square centimeters the more allodynia. A negative value in percent change in the brush-evoked allodynia area indicates improvement.
Measured: Randomization visit, Evaluation / Early Discontinuation visit (up to Week 4)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted12 Sep 2005 (estimated)
- Study start11 Oct 2004
- Primary completion5 Jan 2006
- Study completion5 Jan 2006
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Other trials for Neuralgia, PostherpeticStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 2
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 152 participants (actual)
Sponsor and investigators
- Lead sponsor
- UCB Pharma
- Sponsor type
- Industry (pharma, biotech, devices)
- Investigators
- UCB Cares, Study director, +1 844 599 2273 (UCB)
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00160667
- Sponsor's protocol ID
- N01162
- Other IDs
- 2004-000975-32, 2004
- Status last verified
- Aug 2018
- First submitted
- 8 Sep 2005
- Last updated
- 31 Jan 2019
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
Study at a glance
From the registry record, last updated by the sponsor on 31 Jan 2019. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- An Exploratory, Double Blind, Randomized, Placebo-controlled, Parallel Group, Multicenter Study, for the Assessment of Efficacy, Safety and Tolerability of Ucb 34714 50 mg Oral Capsules in b.i.d. Administration at the Doses of 200 mg/Day and 400 mg/Day, in Subjects (at Least 18 Years Old) Suffering From Post Herpetic Neuralgia (PHN)
- ClinicalTrials.gov ID
- NCT00160667
- Acronym / sponsor ID
- N01162
- Conditions
- Neuralgia, Postherpetic
- Keywords
- Post-herpetic Neuralgia (PHN), Brivaracetam
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 152 participants (actual)
- Lead sponsor
- UCB PharmaIndustry (pharma, biotech, devices)
- Study start
- 11 Oct 2004 (actual)
- Primary completion
- 5 Jan 2006 (actual)
- Study completion
- 5 Jan 2006 (actual)
- First posted
- 12 Sep 2005 (estimated)
- Results
- Posted 31 Jan 2019
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Study will assess efficacy, safety and tolerability of brivaracetam in post-herpetic neuralgia (PHN). Duration of 7 weeks divided into 3 periods with no up-titration, nor down-titration.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| Placebo | Placebo comparator | Drug: PlaceboMatching placebo tablets administered twice a day. |
| Brivaracetam 200 mg/day | Experimental | Drug: BrivaracetamBrivaracetam 200 mg/day (100 mg administered twice a day). |
| Brivaracetam 400 mg/day | Experimental | Drug: BrivaracetamBrivaracetam 400 mg/day (200 mg administered twice a day). |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (3 listed)
- Male/female subject aged 18 years or older.
- Pain present for at least 6 months after healing of the acute herpes zoster skin rash.
- Pain intensity score assessed on an 11-point numerical pain rating scale with a score of at least 4 at the screening visit and with an average weekly score of at least 4 on an 11-point numerical pain rating scale during baseline period.
Key exclusion criteria (7 listed)
- Subject getting any kind of psychological support to help cope with pain such as biofeedback or behavioral cognitive therapy.
- Subject who had undergone or who is scheduled for neurolytic or neurosurgical therapy for post-herpetic neuralgia (PHN) or who receives trans-electrical neural stimulation (TENS.
- Tricyclic antidepressants (TCAs) or non-steroidal anti-inflammatory drug (NSAIDs) or permitted opioid analgesics ('strong' opioids are forbidden) that started less than 30 days and/or are not stabilized prior to screening and/or are not expected to be kept stable during the study.
- Intake of more than two pain treatments at trial entry (screening visit) including Tricyclic antidepressants (TCAs), non-steroidal anti-inflammatory drugs (NSAIDs) or permitted opioid analgesics.
- Subject being treated with Carbamazepine for any indication.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| PlaceboDaily oral dose of two equal intakes. | Drug | Placebo |
| BrivaracetamAlso: BriviactDaily oral dose of two equal intakes. | Drug | Brivaracetam 200 mg/day, Brivaracetam 400 mg/day |
Primary outcome
Percentage Change in Average Pain Intensity Score From Baseline to the Last Week of the 4-week Treatment Period
Time frame: Baseline, last week of the 4-week Treatment Period
Pain intensity was scored on a 11-point numeric pain rating scale, ranging from 0 to 10 where 0= no pain and 10= worst possible pain. A negative value in percent change from Baseline indicates a decrease in average pain intensity score from Baseline.
13 secondary outcomes
Responder Rate in Average Pain Intensity Score at the Last Week of the Treatment Period Compared to the Baseline Period
Time frame: Baseline, last week of the 4-week Treatment Period
Percent Change From the Baseline Period to Each Weekly Mean in the Pain Intensity Score
Time frame: Baseline, each Evaluation visit (up to Week 4)
Percent Change From the Baseline Period to the Last Week of the Treatment Period in the Sleep Interference Score
Time frame: Baseline, last assessment during the 4-week Treatment Period
Percent Change From the Baseline Period to Each Weekly Mean of the Treatment Period in the Sleep Interference Score
Time frame: Baseline, each Evaluation visit (up to Week 4)
Absolute Change From the Randomization Visit to the Evaluation / Early Discontinuation Visit in the Total Pain Score of the Short-Form McGill Pain Questionnaire (SF-MPQ)
Time frame: Randomization visit, Evaluation / Early Discontinuation visit (up to Week 4)
Absolute Change From the Randomization Visit to the Evaluation / Early Discontinuation Visit in the Sensory Score of the Short-Form McGill Pain Questionnaire (SF-MPQ)
Time frame: Randomization visit, Evaluation / Early Discontinuation visit (up to Week 4)
Absolute Change From the Randomization Visit to the Evaluation / Early Discontinuation Visit in the Affective Score of the Short-Form McGill Pain Questionnaire (SF-MPQ)
Time frame: Randomization visit, Evaluation / Early Discontinuation visit (up to Week 4)
Absolute Change From the Randomization Visit to the Evaluation / Early Discontinuation Visit in the Present Pain Intensity (PPI) Score of the SF-MPQ
Time frame: Randomization visit, Evaluation / Early Discontinuation visit (up to Week 4)
Absolute Change From the Randomization Visit to the Evaluation / Early Discontinuation Visit in the Visual Analog Scale (VAS) of the SF-MPQ
Time frame: Randomization visit, Evaluation / Early Discontinuation visit (up to Week 4)
Percentage of Subjects With Categorized Change in Pain Assessed by Patient's Global Evaluation Scale at the Evaluation / Early Discontinuation Visit
Time frame: Randomization visit, Evaluation / Early Discontinuation visit (up to Week 4)
Percentage of Subjects With Categorized Change in Post-herpetic Neuralgia Assessed by Investigator's Global Evaluation Scale at the Evaluation / Early Discontinuation Visit
Time frame: Randomization visit, Evaluation / Early Discontinuation visit (up to Week 4)
Percent Change From Randomization Visit to the Evaluation / Early Discontinuation in the Brush-evoked Allodynia Intensity Rated by the Patient
Time frame: Randomization visit, Evaluation / Early Discontinuation visit (up to Week 4)
Percent Change From Randomization Visit to the Evaluation / Early Discontinuation in the Brush-evoked Allodynia Area Measured by the Investigator
Time frame: Randomization visit, Evaluation / Early Discontinuation visit (up to Week 4)
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 31 Jan 2019.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Product InformationLink provided by the sponsor.
- FDA Safety Alerts and RecallsLink provided by the sponsor.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
UCB Cares study director
+1 844 599 2273 (UCB)
50 sites in 10 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing Brivaracetam in people with Neuralgia, Postherpetic, run by UCB Pharma at 50 sites in 10 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 3 inclusion and 7 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 31 Jan 2019. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 50 sites in Poland, Spain, Belgium, France, Germany and 5 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 31 Jan 2019). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Percentage Change in Average Pain Intensity Score From Baseline to the Last Week of the 4-week Treatment Period (time frame: Baseline, last week of the 4-week Treatment Period). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 31 Jan 2019.